High Fidelity Simulation: From Simulation to Debrief, Assessing Leadership and Followership Management

This paper deals with high fidelity simulation (HFS) in health care. A computerized mannequin plays the role of a patient, and this device allows medical teams to train for different scenarios. For the trainees, the pedagogical aim is to learn "teamwork" or “communication” skills. The purpose of the article is to present this device as the unfolding of a complex practice: the scenario being played, the simulation being observed, and finally the debriefing of the session. The corpus is constructed around the task of preparing for an intubation. We will detail the sequential achievement of this task in the simulation room, more specifically the practical problem of passing an object between two participants. We will then present how, in the meantime in the control room, trainers notice an issue. We will then see how this event is referred to during the debriefing phase. This analysis across these multiple settings involved helps us understand how practitioners make use of the HFS device in order to assess their organizational practices

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