Take Away Tidbits:
- The PEARLS framework helps a preceptor facilitate learning through reflection.
- This framework can be adapted for various clinical experiences.
- The PEARLS Healthcare Debriefing Tool expands on the analysis step and provides sample phrases for preceptors to use.
Summary:
Debriefing after a critical incident, use of a new skill, or a challenging encounter allows for reaction, a description of the event, subsequent analysis and summary. The debriefing process aims to facilitate a safe discussion to improve a learners clinical practice with a focus on improvement. This debrief aid is useful for preceptors as it integrates learner self assessment, encourages a focused discussion and provides feedback and/or teaching around an identified performance gap.
When utilizing the analysis phase of PEARLS, preceptors should pose the following questions:
- Is the performance gap clear?
- How much time is available?
- Do we have cognitive, technical or behavioural aspects to address?
The approach is synthesized in the following tool:
Copyright for this graphic belongs to the Center for Medical Simulation. Citation below.
Link to Resources:
Bajaj, K; Meguerdichian, M; Thoma, B; Huang, S; Eppich, W; Cheng, A. The PEARLS Healthcare Debriefing Tool. Academic Medicine February 2018, 93(2) 336. doi: 10.1097/ ACM.0000000000002035
https://journals.lww.com/academicmedicine/Fulltext/2018/02000/ The_PEARLS_Healthcare_Debriefing_Tool.42.aspx
Eppich, W. & Cheng, A. Promoting Excellence and Reflective Learning in Simulation (PEARLS). Simulation in Healthcare April 2015, 10(2) 106-115. doi: 10.1097/SIH.0000000000000072
https://journals.lww.com/simulationinhealthcare/fulltext/2015/04000/ promoting_excellence_and_reflective_learning_in.7.aspx
Copyright note
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