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Debriefing and Evaluation Flashcards

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  1. Which of the following is a key principle of the Diamond Debriefing model?

    Answer: It moves from individual reflection outward to team and system-level analysis

    The Diamond model progresses from individual reactions through team analysis to broader system and conceptual lessons, expanding the scope of reflection progressively.

  2. A simulation educator wants to assess whether learners can apply knowledge to novel clinical situations, not just recall facts. Which evaluation strategy BEST achieves this?

    Answer: Scenario-based OSCE requiring clinical reasoning under uncertainty

    An OSCE with novel scenarios tests application and higher-order clinical reasoning, which cannot be assessed through simple recall-based testing.

  3. Which statement about the use of confederates (embedded participants) in simulation is TRUE regarding debriefing?

    Answer: Confederates' identities may be kept confidential if disclosure would harm psychological safety

    Decisions about revealing confederate roles depend on program context, but maintaining psychological safety and trust is the guiding principle for disclosure timing.

  4. A debriefer asks, 'I noticed you called for epinephrine before establishing IV access — help me understand your thinking.' This is an example of:

    Answer: Advocacy-inquiry technique

    Advocacy-inquiry pairs an observation (advocacy) with an open, curious question (inquiry) to explore the learner's reasoning without judgment.

  5. Which factor is MOST important when selecting a validated simulation evaluation tool for research purposes?

    Answer: Established reliability and validity evidence in similar learner populations

    Psychometric properties (reliability and validity) established with comparable populations are essential to ensure the tool measures what it claims to measure in the research context.

  6. Which of the following BEST describes the concept of 'transferability' in qualitative simulation program evaluation?

    Answer: The degree to which findings from one context may apply to similar contexts

    In qualitative research, transferability (analogous to external validity) addresses whether findings from one setting can inform understanding in other comparable settings.

  7. A simulation educator reviews learner self-assessment scores and observes that novice learners consistently rate their own performance higher than expert raters do. This phenomenon is known as:

    Answer: Dunning-Kruger effect

    The Dunning-Kruger effect describes how low-competence individuals tend to overestimate their own ability due to limited metacognitive awareness.

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