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Educating the Educators: Scaffolded Simulations for Difficult Conversations in Clinical and Academic Settings

Healthcare education students must be equipped to handle challenging student interactions in both one-on-one and classroom settings. While strategies for classroom management are often taught didactically, opportunities to practice these skills in a safe, structured environment are limited during graduate training. This presentation will highlight the development and implementation of a scaffolded simulation program designed for Master of Science in Nursing Education (MNE) students to practice crucial conversations within a psychologically safe environment.

Through a progressive model over multiple courses, students build communication skills essential for addressing complex learner behaviors in academic and clinical settings. Students initially engage in simulated one-on-one meetings addressing common challenges with a standardized “learner.”

As the students progress through the courses, foundational skills are built upon utilizing higher-stakes scenarios, culminating in a classroom-based simulation. Feedback from students regarding the simulations has been overwhelmingly positive. Students value the opportunity to apply didactic content in realistic scenarios with real-time feedback from standardized learners. Lessons learned regarding logistics, role preparation, and program integration will also be shared, along with practical recommendations for implementing a similar program at other institutions.

Learning Objectives

  • • Learners will describe the essential components of a scaffolded curriculum for practicing crucial conversations in healthcare education.
  • • Learners will review specific simulation scenarios, implementation logistics, and lessons learned form the program.
  • • Learners will develop preliminary learning objectives and simulation ideas for implementing a similar curriculum at their home institution.

Speaker

Kimberly Buholtz, EdD, RN, PED-BC, CNEcl, CHSE-A

Assistant Professor of Clinical Nursing
Assistant Director of Simulation
University of Rochester School of Nursingr

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