Essentials of Debriefing and Feedback

  • Taylor Sawyer
  • Marisa Brett Fleegler
  • Walter J. Eppich
Part of the Comprehensive Healthcare Simulation book series (CHS)


Debriefing is an essential component of pediatric simulation-based education. It is during debriefing the majority of learning during simulation occurs. Therefore, conducting an effective debriefing is a critical skill for any pediatric simulation educator. In this chapter, a detailed overview of debriefing practice is offered to pediatric simulation educators. This includes a review of the origin and importance of debriefing, an examination of several frameworks for debriefing in healthcare simulation, an in-depth review of several approaches to facilitate the debriefing conversation, and a review of how these frameworks and approaches have been applied to pediatric simulation. Strategies to optimize debriefing in healthcare simulation, including creating supportive learning environments, are reviewed. In addition, unique aspects of pediatric simulation relevant for the debriefing are defined. Optional practices to augment debriefing effectiveness, such as co-debriefing, scripted debriefing, and video-enhanced debriefing, are explored and examined. Finally, the burgeoning topic of assessing the effectiveness of debriefing is explored.


Debriefing Feedback Facilitator Debriefing framework Debriefing approach Advocacy-inquiry Guided team self-correction Systemic-constructivist Debriefing with good judgment After action review PEARLS Directive feedback Learner self-assessment Focused facilitation Circular questioning Reflecting teams 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Taylor Sawyer
    • 1
  • Marisa Brett Fleegler
    • 2
  • Walter J. Eppich
    • 3
  1. 1.Department of PediatricsUniversity of Washington School of Medicine, Seattle Children’s HospitalSeattleUSA
  2. 2.Department of Pediatrics, Division of Emergency MedicineHarvard Medical School, Boston Children’s HospitalBostonUSA
  3. 3.Departments of Pediatrics and Medical Education, Department of Pediatric Emergency MedicineNorthwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children’s Hospital of ChicagoChicagoUSA

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