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Background and needs Medical educators with simulation fellowship training have a unique skill set. Simulation fellowship graduates have the ability to handle basic and common troubleshooting issues with simulation software, hardware, and equipment setup. Outside of formal training programs such as this, simulation skills are inconsistently taught and organically learned. This is important to address because there are high expectations of medical educators who complete simulation fellowships. To fill the gap, we offer one way of teaching and assessing simulation technical skills within a fellowship curriculum and reflect on lessons learned throughout the process. This report describes the instructional designs, implementation, and program evaluation of an educational intervention: a simulation technology curriculum for simulation fellows. Curriculum design The current iteration of the simulation technical skill curriculum was introduced in 2018 and took approximately 8 months to develop under the guidance of expert simulation technology specialists, simulation fellowship-trained faculty, and simulation center administrators. Kern’s six steps to curriculum development was used as the guiding conceptual framework. The curriculum was categorized into four domains, which emerged from the outcome of a qualitative needs assessment. Instructional sessions occurred on 5 days spanning a 2-week block. The final session concluded with summative testing. Program evaluation Fellows were administered summative objective structured exams at three stations. The performance was rated by instructors using station-specific checklists. Scores approached 100% accuracy/completion for all stations. Conclusions The development of an evidence-based educational intervention, a simulation technical skill curriculum, was highly regarded by participants and demonstrated effective training of the simulation fellows. This curriculum serves as a template for other simulationists to implement formal training in simulation technical skills.

SimGHOSTS introduced Bug Busters to train healthcare simulation technology specialists (HSTSs) as a way to showcase experienced HSTSs’ approaches to technology troubleshooting. This competition functions as a collaborative exchange of technology and operational solutions. It has been stated that Bug Busters is an equivalent to SimWars but for technology specialists. The competition starts with groups of individuals that function in the role of HSTSs. They are given a set of tasks that need to be completed within 10 min prior to a pending simulation scenario. The simulation room is designed with planned technical glitches, equipment that is defective, or inappropriate setup. There are multiple rounds of competition at a group level. In the final round, individual HSTSs from the advancing group complete challenges to win the competition. The number of correct tasks completed is used as the primary score determinant with time being the tie breaker. During each round, a set of distractors is introduced for a time bonus, asking technical or simulation-based questions that might be encountered in daily work. The competition demonstrates the need for HSTSs and provides an innovative way to acknowledge the complexity of their work and assess their skills. To ensure that the field of simulation continues to expand, training opportunities must be provided for all those involved in simulation. Bug Busters is one way to train and encourage “out of the box” thinking for HSTSs.

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