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2018 Conference Photographer: Keith Boone / keithboone.com Building Bridges: Working Together for Safer Patient Care May 16 – 18, 2018 Tigh-Na-Mara Seaside Spa Resort & Conference Centre Parksville, BC

2018 Conference - Western Canada Health Sciences Educators · page | 7 2018 wchse conference – program at a glance wednesday, may 16 center for medical simulation, gateway debriefing

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Page 1: 2018 Conference - Western Canada Health Sciences Educators · page | 7 2018 wchse conference – program at a glance wednesday, may 16 center for medical simulation, gateway debriefing

2018 Conference

Photographer: Keith Boone / keithboone.com

Building Bridges: Working Together

for Safer Patient Care

May 16 – 18, 2018

Tigh-Na-Mara Seaside Spa Resort

& Conference Centre

Parksville, BC

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Page | 2

KEYNOTE SPEAKER

Dr. Mary Kohl Fey, PhD, RN, CHSE

Associate Director

Institute for Medicine Simulation (IMS)

Simulation Educator Training Program

Boston, Massachusetts

Team Intelligence: Helping Great Minds Think Alike

Mary Fey has been working in the field of clinical simulation since 2007. She is the Associate

Director of the Institute for Medical Simulation at the Center for Medical Simulation in Boston,

MA. Her work focuses on faculty development for simulation educators.

Dr Fey serves on the Board of Directors of INACSL, where she holds the position of Vice

President for Outreach. In her work with the National League for Nursing in Washington, DC,

she co-authored the NLN Vision Statements: “A Vision for Teaching with Simulation” and

“Debriefing Across the Curriculum”. She has published qualitative and quantitative studies on

debriefing, and has co-authored several of the Standards of Best Practice, Simulation.

She serves on the certification committee for the Society for Simulation in Healthcare.

Dr. Fey speaks internationally on the topic of debriefing and the role of the educator in

simulation based learning experiences.

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Page | 3

KEYNOTE SPEAKER

Colette Foisy-Doll, RN, MSN, CHSE

Director, Clinical Simulation Centre

Faculty of Nursing

MacEwan University

Edmonton , Alberta

Colette has devoted the past 30+ years to Nursing Education with a 20-year focus on leading

simulation-based learning program and space development. She is widely recognized for

teaching excellence in her work as a simulationist, author, change leader, and difference

maker.

Colette holds a Faculty position with the Faculty of Nursing – as Director of the Clinical

Simulation Centre at MacEwan University in Edmonton, Alberta Canada. She was one of the

first in Canada to pioneer simulation in undergraduate nursing education in the late 90s and

over the years, she has served as a nurse educator, simulation-based education leader, and

consultant in the development of 20+ simulation programs locally, nationally, and

internationally.

Colette has been recognized for her excellence as the recipient of several simulation

international and national awards. Most recently, she was awarded the Sim Citizen Award

through Sim-One Canada, the Canadian Nurses Association - 150 Nurses for Canada, and the

100 Nurses Centennial Award by the CARNA.

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Page | 4

ACKNOWLEDGEMENTS

Shellie Lim, Educational Solutions Consultatnt

BC Region

Brett Carels, District Sales Manager

Laerdal Medical, Canada

Fred Cutler, Co-founder and CEO

Roger Crowe, Regional Sales Manager

Western Canada & Territories

Joe Harahan, National Sales Manager

of Canada

Stacey Haywood, Healthcare Sales Director

Canada

Melody Collo, BMR, Publisher’s Representative

Western Canada

Conference Planning Committee:

Arleigh Bell, KPU

Kymberley Bontinen, Douglas

Shirley P. Clarke, VCC

Connie Evan, BCIT

Glenn James, Douglas

Jan Meiers, NIC

Barbara Metcalf, VIU

Dionne Ng, Langara

Martha Russell, NIC

Lee-Anne Stephen, UFV

Sharon Wong, BCIT (retired)

Avery Stobbe, Education Sales Consultant

Barb O’Brien, Education Sales Consultant

Post Secondary Health Sciences

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Page | 5

GENERAL INFORMATION

Breakfast, Lunch, & Refreshment Breaks

Breakfasts, lunches, and refreshment breaks are included in your registration and will be served

in the Grand Moriarty and Grand Strathcona rooms.

Banquet Dinner

The banquet dinner will be held upstairs in the Walbran Room on Thursday, May 17th starting at

1800.

Vendor Representatives

Vendor Representatives will be located in the Grand Strathcona rooms.

Registration Check-In

Registration Check-In will be open Wednesday evening from 1730 – 1900 at the Wine &

Cheese Reception at Grand Strathcona and the Foyer/Bar area, and on Thursday morning

from 0730 – 0900 in the Foyer. Members of the planning committee will be available to assist

participants as needed. A beach bonfire to follow on Wednesday evening, weather

permitting.

Abstract Presentations

Presentations are 30 minutes in length with a 10 minute question and answer period.

Presenters must complete their presentation within the allotted time. Each session will be

moderated to ensure that presenters are introduced and have assistance as needed. Time

prompts will be provided.

Wireless Internet

Free wireless internet access is available.

WiFi Network Name: TNM Conference Center Password: tnm567wifi

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Page | 6

2018 WCHSE CONFERENCE – FLOOR PLAN

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Page | 7

2018 WCHSE CONFERENCE – PROGRAM AT A GLANCE

WEDNESDAY, MAY 16

CENTER FOR MEDICAL SIMULATION, GATEWAY DEBRIEFING SKILL WORKSHOP

0830 - 0915 INTRODUCTION AND COURSE OVERVIEW

0915 - 1015 DEBRIEFING WITH GOOD JUDGMENT

1015 - 1030 BREAK

1030 – 1100 APPLICATION EXERCISE

1100 - 1145 MODEL PREBRIEFING AND DEBRIEFING

1145 – 1245 ACTIVITY WITH SIMULATED DEBRIEFING

1245 – 1330 LUNCH

1330 – 1445 SIMULATED DEBRIEFING

1445 – 1500 BREAK

1500 – 1615 SIMULATED DEBRIEFING

1615 – 1700 REFLECTION ON THE SAFE CONTAINER AND WRAP-UP

1730

WCHSE WINE RECEPTION AND REGISTRATION CHECK-IN: Grand Strathcona &

Foyer

BEACH BONFIRE: Music and Socializing around the fire, right on the beach!

S’more ingredients supplied

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2018 WCHSE CONFERENCE – PROGRAM AT A GLANCE

THURSDAY, MAY 17

0730 – 0900

VENDOR

PRESENTATIONS

0800 – 0900

Breakfast & Registration Check-In / Vendor Presentations

Charting your Curriculum / Virtual Simulation for Community,

Public, and Population Health.

Melody Collo, Wolters Kluwer Health.

0900 – 0915 Conference Welcome

Room: Grand Moriarty

0915 – 1030

Keynote Speaker: Dr. Mary Kohl Fey

Team Intelligence: Helping Great Minds Think Alike

Room: Grand Moriarty

1030 – 1100 Break / Vendors –

1100 – 1145

CONCURRENT

SESSION 1

Bridging Theory and Practice in

Skills Learning: The Impact of

Using an Unfolding Case Study

Pedagogy

Working Together Evaluating

Learners Health

Communication: Scale

usability across BC Schools of

Nursing

BC Clinical Simulation

Management System – BC

CSMS – A review of

development from a

local need to provincial

solution for booking

simulation activities with

integrated reporting

Jan Meiers /

Martha Russell

NIC

Suzanne Campbell

UBC

Michael Lundin

Northern Health

Room: Filberg Room: Carmanah Room: Moriarty

1145 – 1245 Lunch / Vendor Presentations

1145 - 1215 Adapting to the Changing World of Learning

Shellie Lim, Elsevier

1215 - 1245 Augmented Reality in Simulation: The Future is Here

Roger Crowe, CAE

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2017 WCHSE CONFERENCE – PROGRAM AT A GLANCE

THURSDAY, MAY 17

1245 – 1330

CONCURRENT

SESSION 2

Living, Breathing, Thinking,

Feeling Simulators: An

Introduction to Standardized

Patient Methodology

Interprofessional Experiential

Learning: Lessons Learned

Curriculum design for

simulation-enhanced

interprofessional education

(Sim-IPE), curriculum

development strategies,

student experiences in IP

simulation/games

How to Bridge the Gap:

Managing Skills Labs and

Simulation Spaces

Tamara Chandon Pam Rock

University of Alberta

Glenn James

Douglas College

Room: Filberg Room: Carmanah Room: Moriarty

1330 – 1415

CONCURRENT

SESSION 3

Drawing Dementia Care: A

Comics and Healthcare

Initiative

Teaching Interprofessional

Competencies using Virtual

Simulation

Evolution of an Open Source

Ultrasound Simulator by

Cross Discipline

Collaboration – System

Modifications Identified and

the Solution Set Used to

Achieve these Successfully

Marie-Pier Caron /

Ruhina Rana /

Dr. Peter Wilkins

Douglas College

Lee-Anne Stephen

University of the Fraser Valley

Jeffrey Knight

UVic

Room: Filberg Room: Carmanah Room: Moriarty

1415 – 1430 Break / Vendors

Room: Grand Strathcona

1430 – 1515

CONCURRENT

SESSION 4

Rural Interprofessional Hospital

Based Simulation Education –

Improving Patient Care,

Systems Issues,

Communication and Quality

Control

Developing a Relational

Practice Module for all Health

Care Providers in an

Interprofessional Education

Course

Expanding Delivery of

Complex High Fidelity

Simulation in a Critical Care

Nursing Program

Jaime Gallaher

Vancouver Coastal Health

Harroop Sharda

BCIT

Sarah Desrosiers /

Cecilia Baylon

BCIT

Room: Filberg Room: Carmanah Room: Moriarty

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2017 WCHSE CONFERENCE – PROGRAM AT A GLANCE

THRUSDAY, MAY17

1515– 1630

PLENARY

SESSION

Advancing the Canadian Simulation Agenda

Darin Abbey / Connie Evans / Dr. Sandra Goldsworthy / Dr. Barbara Wilson-Keates

Room: Grand Moriarty

1630 - 1800 Free Time – Spa, Beach, Sightseeing!

1800 – 2000 Banquet Dinner and Name That Tune

Room: Walbran

2000 – 2200 Beach Bonfire

FRIDAY, MAY 18

0730 – 0900

Vendor

Presentations

0800 – 0900

Breakfast & Registration Check-In / Vendor Presentations

Room: Grand Moriarty

WCHSE Annual General Meeting

Come and Meet ALEX - The First Manikin to use Artificial Intelligence

Stacey Haywood, Spectrum/Nasco

SIMULATIONiQ is making things SIMple

Joe Harahan, SIMULATIONiQ

0900 – 1030

Keynote Speaker: Colette Foisy-Doll

Beyond Civility: Transforming Teams through Strength-Based Leadership

Room: Grand Moriarty

1030 – 1045 Break / Vendors

1045– 1130

Concurrent

Session 5

Strategies to Enhance Nursing

Program Simulations that Replace

Clinical Practice Time

Using Virtual Simulation to

Supplement Live Pediatric and

Maternity Patient Experiences

in a Small, Rural Nursing

Program: A Review of vSim for

Nursing

Evolution of a Basic

Wound Care Trainer

Joanna Sookocheff

Saskatchewan Polytechnic

Amy Klepetar

University of Northern

British Columbia

Melissa Hanley

Douglas College

Room: Filberg Room: Carmanah Room: Moriarty

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2017 WCHSE CONFERENCE – PROGRAM AT A GLANCE

FRIDAY, APRIL 18

1130 – 1230

Lunch / Vendor Presentations

Brett Carels, Laerdal Medical

1200 – 1500

Leveling the Playing Field – An Out of Scope Opportunity for Engaging Health

Disciplines Utilizing Friday Night at the ER (Max. 12 participants)

Shirley Clarke, VCC / Kymberley Bontinen, Douglas College

Room: Carmanah

1230 – 1315

Concurrent

Session 6

Working Together: Collaborating

Across Disciplines with a Multiple

Patient Childbearing Scenario

Interprofessional Simulation:

Mission Possible

Practical Applications to

Maximize the Use of Your

SimPad

Suzanne Campbell

UBC

Darin Abbey / Tamara Young

CICSL

Brett Carels

Laerdal Medical

Room: Filberg Room: Moriarty Room: Moriarty

1315 – 1330 Break / Vendors

1330 – 1500

Workshops

Innovative Teaching Tools or Expensive Toys?

Curricular Considerations Integrating Hololens

Technology

Team-based Learning (TBL): Innovations in

a dynamic pedagogy (90 minute

interactive workshop).

Connie Evans

BCIT

Eileen Harpnuk/Janice Stewart

VIU

Room: Filberg Room: Moriarty

1500 – 1515 Wrap Up: Closing Address and Draw for Major Door Prize

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Page | 12

ABSTRACT PRESENTATIONS

Thursday, May 17, 2018

1100– 1630

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Thursday, May 17 1100 - 1145 Room: Filberg

ABSTRACT PRESENTATION

Bridging Theory and Practice in Skills Learning: The Impact of Using an Unfolding Case Study

Pedagogy

Students often experience challenges linking client conditions with pertinent

assessments and the performance of relevant skills in the clinical setting (Day,

2011). Unfolding cases depict realistic clinical situations that continue over a set

time and rely on unpredictable problems and incomplete information to foster

critical thinking and promote clinical decision making (Popil, 2011; Reese, 2011).

In 2014, we developed and implemented a semester long unfolding clinical

case. In this presentation, we share findings from student and faculty focus

groups and discuss the expanded integration of the unfolding case method

into other health and healing lab courses at our site.

The student focus group revealed strong engagement with the unfolding case

process. Students identified themes of transferability to practice, knowledge

synthesis, holistic patient care, and clinical collaboration with the healthcare

team. The faculty focus group also recognized increased clinical competence

of students and improved transferability of knowledge to practice following

completion of course employing the unfolding case study process. We

identified clear links between existing literature in this area and project findings.

Our work in this area has highlighted the need to fully align our curricular

philosophy with our teaching practices.

PRESENTERS

Jan Meiers

MN, RN

Faculty,

Bachelor of Science

in Nursing

Martha Russell

MN, RN

Faculty,

Bachelor of Science

in Nursing

North Island College

NOTES:

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Thursday, May 17 1100 – 1145 Room: Carmanah

ABSTRACT PRESENTATION

Working Together Evaluating Learners Health Communication: Scale Usability across BC Schools

of Nursing

Outlines the results of collaboration of a group of expert nursing faculty

using a train-the-trainer process to validate the feasibility of faculty's use of

the Global Interprofessional Therapeutic Communication Scale© (GITCS©)

to evaluate nursing students' health communication skills in a variety of

settings including simulated and standardized/simulated patients at

multiple schools of nursing across a Canadian province.

This panel presentation will outline a research project that tested a scale to

measure health communication skills of BSN students in multiple schools of

nursing in British Columbia, Canada. A train-the-trainer process was

developed to educate faculty about the use, analysis, and to help in the

evaluation of the usability of the Global Interprofessional Therapeutic

Communication Scale (GITCS) as well as the inter-rater correlation of

scoring in live situations. The team who participated in the expert review,

testing, and train-the-trainer aspect of the research project will outline the

benefits and challenges of this approach and identify lessons

learned for future development of the process. They will present

comparisons between groups who used two different versions of the scale

(35 item, non-categorized and 28 item, categorized). Benefits of working

together and sharing how the scale worked in a variety of simulations with

live and simulated patients as well as use of the scale while observing a

video of a nursing student with high-fidelity manikin and live actor family

member will help to demonstrate the variety of uses and train-the-trainer

benefits within individual programs and for interprofessional groups.

Implications for scale use in clinical environments with students and

practitioners will be described. This project sought to bring together expert

nursing faculty teaching with simulation to assess demonstration of

therapeutic relationships by nursing students with health communication

that allows delivery of safe, quality, patient-centered care. Using simulation

as a teaching tool to improve the health communication skills of health

care students is not new, however standardized instruments to effectively

evaluate the communication between providers and patients is still

evolving. In that evolution, professional development of health care

faculty is necessary.

PRESENTER

Dr. Suzanne Campbell

PhD, RN, IBCLC

University of British

Columbia

NOTES:

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Thursday, May 17 1100 – 1145 Room: Moriarty

ABSTRACT PRESENTATION

BC Clinical Simulation Management System – BC CSMS – A Review of Development from a Local

need to a Provincial Solution for Booking Simulation Activities with Integrated Reporting

The Northern Clinical Simulation program was created in 2010 as

collaboration between Northern Health, UBC Northern Medical Program,

and the UNBC School of Nursing. The program includes four fully equipped

simulation centres across the north and the ability to provide mobile

simulation activities to rural and remote communities. One of the vital

components to measuring the success of this partnership is the ability to

capture and report on all simulation activities in each of these contexts.

The data collection tool adapted in the beginning of the partnership was

very rudimentary and involved manually entering data captured on paper

from each session into a data sheet. The level and types of data required

grew based on information needs of the partners. Historically, as data

needs were identified the data collection tool would be manually

modified ensuring the partners had the information they needed for

decision making.

As the simulation program in the North matured there was an immediate

need to develop a more robust and “user friendly” approach to data

collection and reporting. The need for this type of capability was shared

among other provincial simulation programs and a collaboration was

born. With financial support from University of British Columbia Faculty of

Medicine Simulation / Curriculum Development Research Grant the

Northern Clinical Simulation Program led the development of an online

tool, the BC Clinical Simulation Management System, now available for

use across the province.

This presentation will cover the early stages of the project, lessons learned,

the functions of the management system, and the unforeseen and future

benefits of a provincial simulation reporting system.

PRESENTER

Michael Lundin

Coordinator,

Northern Clinical

Simulation

Northern Health

NOTES:

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Thursday, May 17 1245 – 1330 Room: Filberg

ABSTRACT PRESENTATION

Living, Breathing, Thinking, Feeling Simulators: An Introduction to Standardized Patient

Methodology

No, it’s not the newest and flashiest manikin on the market — it’s human

role play! Human role players are commonly referred to as Standardized

Patients or SPs. SPs are most often used to teach or assess communication,

interviewing, counselling, and physical exam skills.

The methodology is well established and employed globally in health care

education, assessment, and licensing. SP methodology’s strengths lie in its

safety, reliability, repeatability, and customizability. The range of

applications varies from highly improvised and realistic role plays to strictly

controlled and standardized encounters. So where does one begin in

introducing this modality of learning and assessment?

This session will introduce the full spectrum of human role play and the

foundations of SP methodology — the who, what, where, when, why, and

how of human role play. Particular focus will be placed on identifying

opportunities in teaching and assessment that make optimal use of SP

methodology, as well as how to pilot human role play while minimizing risk

to both learners and SPs.

Tamara Chandon has worked with SP methodology for six years at the

University of British Columbia as an SP Trainer/Educator and Case Writer. A

professionally-trained actor and writer, Tamara started out as an SP herself

(as many SP Trainers do). She possesses a stack of credentials that include

a BA in Theatre and Professional Writing, a diploma in Acting, a certificate

in Publishing, and an MFA in Creative Writing.

PRESENTER

Tamara Chandon

Standardized Patient

Trainer / Project Manager,

Faculty of Medicine

University of British

Columbia

NOTES

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Thursday, May 17 1245 – 1330 Room: Carmanah

ABSTRACT PRESENTATION

Interprofessional Experiential Learning: Lessons Learned

Curriculum design for interprofessional experiental learning can be very

challenging, especially when dealing with early learners. The University of

Alberta’s Health Sciences Education and Research Commons supports the

delivery of an interprofessional course to over 1100 health science

students. Within the curriculum, the learners have the opportunity to be

involved in several experiential learning opportunities that focus on the

Canadian Interprofessional Health Collaborative competencies.

This session will share our experiences in developing and providing early

learners opportunities to engage in team settings by incorporating the use

of Sim-IPE. Sim-IPE is designed for individuals to “learn about, from, and

with each other to enable effective collaboration and improve health

outcomes” (World Health Organization, 2010) and is recognized as an

effective way to promote IPE teamwork. According to INACSL “Simulation

enhanced interprofessional education (Sim-IPE) enables participants from

different professions to engage in a simulation experience to achieve

shared or linked objectives and outcomes.” (INACSL Standards

Committee, 2016).

We will provide information about several of our larger scale simulation

events, including the challenges, opportunities and recommendations, our

next steps and demonstrate how we use INACSL Standards of Best

Practice: Simulation to support our work.

PRESENTER

Pam Rock

Associate Director,

Health Sciences,

Education and Research

Commons

Univeristy of Alberta

NOTES:

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Thursday, May 17 1245 – 1330 Room: Moriarty

ABSTRACT PRESENTATION

How to Bridge the Gap: Managing Skills Labs and Simulation Spaces

Managing skills labs and simulation labs for three health sciences programs

can be a daunting task. How do we, as simulation technologists, support

an educational environment that employs both medical and

technological jargon? How can we ensure that technology appropriately

supports learning in the most effective way? In this session I will share the

joys and challenges I have experienced working in the healthcare

education environment from the perspective of a simulation technician

and simulation lab supervisor. I will outline equipment requisition workflow,

simulation/manikin scheduling, institutional branding, inventory

management, and sim tech professional development plans. I will focus on

the key responsibilities of the sim tech and how this particular profession is

essential to the success and evolution of a simulation centre. There will be

an opportunity at the end of the presentation for sharing, discussion, and

questions.

PRESENTER

Glenn James

Supervisor,

Simulation Centre

Douglas College

NOTES:

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Thursday, May 17 1330 - 1415 Room: Filberg

ABSTRACT PRESENTATION

Drawing Dementia Care: A Comics and Healthcare Initiative at Douglas College

This presentation will discuss the project at Douglas College to adapt

experiences and best practices of dementia care into comic book form as

part of a larger, international Graphic Medicine project.

The project began at City, University of London in 2016 where comics

scholars Simon Grennan, Ernesto Priego, and Peter Wilkins worked with the

Human Computer Interaction Design team at City to adapt stories

caregivers had submitted to the Care ‘n’ Share app to produce Parables of

Care a 16-page comic.

Peter and Marie have a Research Incentive Grant at Douglas to work with

focus groups and individuals from across health sciences and therapeutic

recreation departments to gather stories for a similarly sized comic, which a

team of student research assistants and an artist will adapt.

We will discuss the theorization of the project and its relation to the larger

Graphic Medicine and Medical Humanities movements. We are particularly

interested in what comics can represent about the experiences of

dementia care that other discourses cannot. Our hypothesis is that

because dementia care involves working with different registers of

rationality and emotion, the multimodal representation of comics offers a

good medium for representing and exploring dementia.

We will present some sample pages and discuss the difficulties and

successes of our work so far, and we will have print copies of Parables of

Care for free distribution.

PRESENTERS

Marie-Pier Caron

RN BSN MN

Faculty

Dr. Peter Wilkins

BA MA PhD

Faculty

Ruhina Rana

RN BSN MSN(c)

Faculty

Douglas College

NOTES:

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Thursday, May 17 1330 - 1415 Room: Carmanah

ABSTRACT PRESENTATION

Teaching Interprofessional Competencies using Virtual Simulation

Interprofessional (IP) education is an essential component of health care

professionals’ curriculum. Research shows that patient outcomes are

improved when health care teams work together (World Health

Organization, 2010). Interprofessional simulation (IPS) experiences are one

method to provide IP education experientially. IPS can be used to assist

learners as they develop the skills and knowledge required for collaborative

practice within a healthcare practice setting. (Murdoch, Bottorff, &

McCullough, 2013).

A virtual simulation learning experience was created for BSN, PN, and HCA

students as part of a research study. The purpose of the study was to gain

an understanding of how virtual simulation can enhance students’

knowledge of IP competencies. The learning objectives focused on

teamwork, collaboration and role clarity. During this experience, the BSN,

PN, and HCA students met in the virtual world to provide care for an older

adult who was experiencing elder abuse at home. Each student had a

unique piece of assessment information about the patient, making

collaboration necessary in order to understand the health care needs of

the patient. The students completed a pre and post test questionnaire to

assess their learning and perception of virtual simulation as a teaching

approach.

In this session, I will describe faculty lessons learned, the structure of the

virtual simulation experience, and the preliminary findings of the research

study.

PRESENTER

Lee-Anne Stephen

RN BN MN

Associate Professor

University of the Fraser

Valley

NOTES:

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Thursday, May 17 1330 - 1415 Room: Moriarty

ABSTRACT PRESENTATION

Evolution of an Open Source Ultrasound Simulator by Cross Discipline Collaboration – System

Modifications Identified and the Solution Set used to Achieve These Successfully

The Edus2 is an open source tool that integrates ultrasound into existing

simulation suites developed by Paul Kulyk and Paul Olszynski. Educators

wanted to be able to activate specific ultrasound videos by placing RFID

tags within the manikin in predetermined areas of the body. They wanted a

mocked up ultrasound machine that included a probe and a computer for

use in simulation scenarios. The tags/videos needed to be easily

changeable in order to support different scenarios and be remotely

controlled from an existing instructor laptop to be altered during a scenario.

A video collection was developed in collaboration with clinical

stakeholders. The project being open source only needed some minor

modifications in order to achieve the educator requirements.

The identified technical needs were as follows; repurpose tags bundled with

SimMan3G to be compatible with the system. Utilise a hardware platform

that is cost-effective and freely available to standardise the system

installation. Automatically halt the ultrasound video when the probe is

removed from the RFID tag for added realism. Add a means to the existing

SimMan3G instructor laptop to control tag changes on the fly. Tag

compatibility was achieved by using a 13.56MHz ISO 15693 receiver. The

Raspberry PI 3 was implemented running Ubuntu Linux allowing the whole

system to be imaged for quick replication. The video playback on the

software was altered to use hardware acceleration in order to play video

effectively on the new platform. An open source model was 3D Printed to

mount the hardware to the back of a standard display. An actual probe

shell was used to house the receiver for realism. Utilising existing Laerdal RFID

tags causes a continual read on the instructor application through the

manikins’ right arm interfering with normal operation. This was resolved by

using an oral tag that is ignored when in proximity to the simulators arm

antenna. Lastly an open source remote desktop application was

implemented to remotely adjust the videos corresponding to the tags

during a scenario.

The implementation of an open source project that already exists is

beneficial on multiple levels. The system is extremely cost effective running

at around $350 for all the hardware while the majority of development work

is established and only needs minor modifications to suite specific site and

educator needs. The collaboration between different institutions and

stakeholders is an effective way to strengthen the simulation community as

a whole while contributing to an extremely useful tool that will further

evolve and improve as it is implemented by more institutions.

PRESENTER

Jeffrey Knight

Simulation Technologist

Technology Support

Analyst

University of Victoria

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Thursday, May 17 1430 – 1515 Room: Filberg

ABSTRACT PRESENTATION

Rural Interprofessional Hospital Based Simulation Education – Improving Patient Care, Systems

Issues, Communication and Quality

Cases that involve the initial management and ongoing care of critical

care patients in rural hospitals vary from urban sites in that when they have

what are called HALO events (high acuity, low occurrence). These events

at times can be difficult to manage in rural sites due to a lack of resources

or personnel, provider experience, geographical isolation, and weather

implications affecting transfer. Rural staff members are often one of two

staff on site for any critical occurrence that comes through the door and

they are expected to perform as per regional standards of best practice.

One modality being used in Vancouver Coastal Health to help support

these rural staff, some of which are new grads, or locum physicians, is

through in-situ simulation.

Simulation has long been recognized as an excellent way to prepare

individuals, teams and systems for critical situations that they won’t routinely

encounter in practice. By conducting regular in-situ simulations for all staff

who want to be involved, VCH is supporting these staff members by helping

to increase factors such as teamwork and communication, knowledge of

protocols/guidelines and overall confidence with dealing with

acute/critical cases. This talk will not only give an overview of our rural sites

that are up and running with their newly developed in-situ simulation

programs, it will also discuss how we got there, what our goal is to achieve

as an organization, the challenges we are facing and the obstacles we are

continuing to struggling with.

PRESENTER

Jaime Gallaher

RN MSN

Rural Regional Clinical

Educator

Vancouver Coastal

Health

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Thursday, May 17 1430 – 1515 Room: Carmanah

ABSTRACT PRESENTATION

Developing a Relational Practice Module for All Health Care providers in an Interprofessional

Education Course

Relational practice, a model for guiding the process of knowing oneself

and others through inquiry and based on application of the philosophical

lens of phenomenology is an essential aspect of undergraduate nursing

education. By introducing this concept early, nursing students are given the

opportunity to develop a personal and meaningful way to provide health

care that takes into account the lived experience of the patient as a

unique individual. Historically, the concept of relational practice has been

taught exclusively by nurses to other nurses and nursing students. However,

nurses are not the only health care providers who are involved in direct

care and interpersonal interactions with patients. Optimizing patient care,

that is, improving patient care quality and safety, requires an

interprofessional approach. Sharing unique frameworks of knowing, such as

relational practice, between professions is an important part of this

approach.

At the British Columbia Institute of Technology (BCIT), a team of faculty was

commissioned to redesign the undergraduate nursing program curriculum.

Within the redesign, it had been envisioned that opportunities for

interprofessional education be available for all students in the school of

health sciences. At BCIT, this includes programs in nursing,

electrodiagnostics, healthcare leadership, health protection, laboratory

sciences, medical imaging technology, and therapeutics. A 14 week-long

communication course was designed as an interprofessional course and

includes a two week-long module introducing students from the various

health disciplines to relational practice. Some other topics covered in the

course include psychological safety on teams, teamwork, social media,

informatics and civility. The inaugural offering of this blended course is

September 2018.

This session will review the process of developing the relational practice

module for all health care providers in this interprofessional education

course. There will be a discussion regarding the educational considerations

of teaching this concept outside of the discipline of nursing, including its

application in laboratory, simulation and clinical learning environment. In

addition, the potential challenges to operationalization, the opportunities,

and recommendations for future applications will be discussed.

PRESENTER

Harroop Sharda

RN MSN

British Columbia Institute

of Technology

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Thursday, May 17 1430 – 1515 Room: Moriarty

ABSTRACT PRESENTATION

Expanding Delivery of Complex High Fidelity Simulation in a Critical Care Nursing Program

We will discuss how we have built upon our delivery method for simulation

to meet the needs of a wide variety of critical care nursing students.

LEARNING OBJECTIVES:

1. Provide insight into our understanding of the different delivery methods

of simulation.

2. Explore ways to support critical care nursing students with complex

evolving high fidelity simulation via in class and distance education.

3. Identify methods to increase students engagement in the learning

environment

4. Provide critical care nursing educators different ways to meet student

learning needs

5. Describe new ways of simulation delivery in bridging theory to practice.

High fidelity simulation is considered a keystone component of nursing

education including critical care nursing education. This presentation will

focus on two unique methods that we have created to support distance

students in the critical care nursing programs use of high fidelity simulations.

To support students in this distance capacity we have created simulation

ibook modules that include videos and questions that support clinical

decision-making. To support students in real time we have also created a

short powerpoint presentation with elements of simulation insitu to support

learners experiential learning needs in a distance capacity. We will finish of

this presentation with ideas of where we will go from here, and our plans for

future development of simulation delivery.

PRESENTERS

Sarah Desrosiers

RN MSN

Cecilia Baylon

RN MSN

British Columbia Institute

of Technology

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PLENARY PRESENTATION

Thursday, May 17, 2018

1515 – 1630

In preparation for the plenary presentation, please consider the following questions:

1. How would increasing collaboration [locally, provincially and nationally] help you increase

the effectiveness of your simulation efforts, and what does your organization stand to gain

from having a national simulation strategy?

2. How do we “action for success” now, and which stakeholders do we need to engage?

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Thursday, May 18 1515 – 1630 Room: Grand Moriarty

PLENARY PRESENTATION: A MODERATED PANEL DISCUSSION

Advancing the Canadian Simulation Agenda

Canadians have been pioneers and ‘trail-blazers’ in simulation education

and research. Currently, we do not have national standards in simulation, a

simulation journal or a Canadian simulation certification process. In an

effort to address this gap, this plenary will begin with a panel discussion

about the current Canadian context. Following the panel discussion, an

interactive audience discussion will be facilitated that will be targeted at

moving the Canadian Simulation Agenda forward.

PANEL DISCUSSION:

Dr. Sandra Goldsworthy

PhD MSc RN

Associate Professor,

Faculty of Nursing

University of Calgary

Darin Abbey

RN

Director,

CICSL

Connie Evans

RN MSN CHSE

Faculty,

School of Health

Sciences

BCIT

Dr. Barbara Wilson

Keates

Faculty of Nursing,

University of Alberta

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ABSTRACT PRESENTATIONS AND WORKSHOPS

Friday, May 18, 2018

1045 – 1300

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Friday, May 18 1045 – 1130 Room: Filberg

ABSTRACT PRESENTATION

Strategies to Enhance Nursing Program Simulations that Replace Clinical Practice

Simulation has replaced actual clinical practice time in some nursing

education programs. Reasons for this are “increased acuity level of

patients, the nursing faculty and staff shortages, limited clinical sites, and

the shifting role of the nurse” (Campbell, S.H. & Daley, K.M., 2018, p. 5). For

these reasons, especially limited clinical sites, simulation is taking the place

of some clinical time for nursing education programs at Saskpolytech.

Simulation faculty in collaboration with practical nursing faculty, developed

three pediatric scenarios, and delivered them in the fall of 2017. The

scenarios fit the learning needs of the practical nursing students, and

simulated actual clinical experiences. The scenarios adapted to the skills

that the student group had acquired to date. A med math review ensured

students could proceed smoothly through the scenario. A pre-quiz was

developed based on assigned readings from text and lecture material to

ensure preparation for the scenario. A debrief followed the simulation

which was used to reflect on critical thinking, performance, and learning for

both faculty and students. Following debrief the session ended with a post-

quiz, and discussion. The scenarios simulated clinical experiences: the

settings closely resembled patient rooms; standardized patient caregivers

provided realism; policies, procedures and documentation from the health

region guided the scenarios, and were used in patient charts.

This session will provide information on the scenarios, the materials used, the

simulation set up, and how the clinical scenarios were successful in fulfilling

the objectives of the clinical experience for the practical nursing students.

The results of the student survey following the scenarios revealed that the

majority of students view the simulation as positive, and literature

substantiates that simulation can be a viable alternative to actual clinical

experience, especially in light of ongoing clinical placement issues.

PRESENTER

Joanna Sookocheff

RN BScN

Faculty

Saskatchewan

Polytechnic

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Friday, May 18 1045 – 1130 Room: Carmanah

ABSTRACT PRESENTATION

Using Virtual Simulation to Supplement Live Pediatric and Maternity Patient Experiences in a

Small, Rural Nursing Program: A Review of vSim for Nursing

Finding adequate clinical experiences in specialty areas is an increasing

challenge in many nursing programs, with higher acuities in facilities,

heightened concerns for patient and student safety, and multiple health

care learners competing for fewer patients. Those attending rural programs

may have little access to specialty patient populations, as they are cared

for at larger centres. Many nursing programs are turning to simulation to

replace some clinical hours, as this tool provides safe and equivalent

practice experiences for students. Virtual simulation is computer-based

simulation, whereby students provide nursing care to virtual patients.

Purpose: We will introduce attendees to vSim for Nursing, discuss ways that

the product might be used in the Canadian curriculum, and share insights

gained from using this tool in a nursing program located in a rural area.

Methods: Twenty-one students enrolled in a small, rural, undergraduate

nursing program used vSim for Nursing in Winter 2017 in their 3rd year

courses of Paediatrics and Maternity Nursing. Aggregate student scores on

simulation scenarios, amount of time spent on scenarios, pre- and post-

simulation quiz scores, as well as instructors’ qualitative feedback on the

product were collected.

Results: This product has high potential for use in clinical courses, given

maximum hours per scenario and minimum simulation scores. Other than

occasional American lab values, the scenarios are relevant to Canadian

undergraduate nursing students. Clinical decision-making, prioritization,

patient safety, and communication were practiced using this tool. This

product provided valuable, consistent patient experiences in a safe

environment, to students who would not otherwise have had access to

these types of patients.

PRESENTER

Amy Klepetar

RN BScN MSPH

Assistant Professor,

School of Nursing

University of Northern

British Columbia

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Friday, May 18 1045 – 1130 Room: Moriarty

ABSTRACT PRESENTATION

Evolution of a Basic Wound Care Trainer

Surgical wound care trainers can be difficult to source for purchase.

Furthermore, many wound care trainers available on the market are

designed for more complex wound care, such as fistulas, dehiscence, and

large ulcers. This often leaves simulation centers to create their own trainers

for basic wound care.

This presentation explores how the simulation team at Douglas College

created such trainers to bring realism into the skills lab for teaching post-op

surgical wound care, and shares some of the tips, tricks, and lessons

learned from the journey.

PRESENTER

Melissa Hanley

VT BSc

Simulation Technician

Douglas College

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Friday, May 18 1200 – 1500 Room: Carmanah

ABSTRACT PRESENTATION: INTERACTIVE GAME SESSION (3 HOURS)

Leveling the Playing Field – An Out of Scope Opportunity for Engaging Health Disciplines Utilizing

“Friday Night at the ER”

“Friday Night at the ER” is a serious game that challenges teams to manage

patient flow in a busy hospital during a simulated 24-hour period. The ER is

simply a metaphor for teaching systems thinking, collaboration across

boundaries, smart innovation, data-driven decision making and desired

behavior. The outcomes of “Friday Night at the ER” are to improve cross

functional collaboration and teamwork and to achieve quality and fiscal

efficiency by working together. Attending this workshop will provide

participants with an opportunity to experience the gameplay and to

consider usability within their own learning and practice environments.

During our time together, teams will play the game followed by a

facilitated debriefing.

Please note: The game was purchased by WCHSE and can be booked by

WCHSE members wishing to use the game at their own institutions. Shirley

and Kym do not have any affiliation or obligation with “Friday Night at the

ER” or Breakthrough Learning or receive any financial compensation in

delivering this workshop.

PRESENTERS

Shirley Clarke

BSN, MS, CHSE, CCNE

Nurse Educator

Vancouver Community

College

Kymberley Bontinen

RN, BScN, MSN, CHSE

BSN Faculty

Douglas College

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Friday, May 18 1230 – 1315 Room: Filberg

ABSTRACT PRESENTATION

Working Together Collaborating Across Disciplines with a Multiple Patient Childbearing Scenario

Outline a multiple patient scenario incorporating four patients using

simulated live patients, as well as high-fidelity adult and infant human

patient simulators with interprofessional students.

This presentation will demonstrate an end of term multiple patient scenario

for interprofessional students completing their childbearing rotation (Navas-

Ferrer, Urcola-Pardo, Subirón-Valera, & Germán-Bes, 2017). The major

objectives include priority setting and interprofessional teamwork and

revolve around four independent simulation scenarios. The scenarios are

individual cases including: 1) Post-partum hemorrhage; 2) Infant of a

Diabetic Mother; 3) Cesarean Section, Post-op Day 1; and 4) Vaginal

Delivery, Day 2, Prep for Discharge with Breastfeeding Questions. This

presentation will describe the four case scenarios including: room set-up,

role assignment, script, cases, and coordination of faculty, staff, volunteers,

and students. Examples of the cases developed according to INACSL Best

Practice StandardsTM (INACSL, 2017) will be provided. Details of

overarching objectives, evaluation criteria, debriefing strategies, and

benefits of multiple patient interprofessional cases will be presented. This

presentation will share how a focus on high level clinical decision making

skills allows students to practice in a safe environment setting priorities with

more than one patient, delegating interventions within different roles,

priority setting, and working together as a team to accomplish goals.

PRESENTER

Dr. Suzanne Campbell

PhD, RN, IBCLC

University of British

Columbia

NOTES:

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Friday, May 18 1230 – 1315 Room: Moriarty A

ABSTRACT PRESENTATION

Interprofessional Simulation: Mission Possible

The INACSL Standards of Best Practice for Simulation state that, “simulation-

enhanced interprofessional education (Sim-IPE) enables participants from

different professions to engage in a simulation-based experience to

achieve shared or linked objectives and outcomes.” This session will

reference The INACSL Standards of Best Practice for Simulation, the

Canadian National Interprofessional Competency Framework, published

literature, and lived experiences to discuss the planning, designing,

delivering, debriefing, and evaluation of Sim-IPE sessions which are

dedicated to learning with, from and about participants in health care.

By the end of this session, participants will:

Be able to define Sim-IPE

Be aware of the INACSL Standards, the CNIC Framework and

competencies used to develop, implement, and debrief Sim-IPE

Be introduced to tools that evaluate Sim-IPE

Have practiced writing and posing competency-informed

interprofessional questions

PRESENTERS

Darin Abbey

RN

Director, Centre for

Interprofessional Clinical

Simulation Learning

(CICSL)

Tamara Young

CICSL / Manager

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Friday, May 18 1230 – 1315 Room: Moriarty B

ABSTRACT PRESENTATION

Practical Applications to Maximize the Use of Your SimPad

How to fully utilize your SimPad, Tips and tricks on operation and keeping

your software up-to-date. Theme Editor 101. How to program a simulation

scenario for use on your SimPad.

Educators find using SimPads to be very user friendly and that they offer an

easy way to run a simulation. However, not everybody is using their SimPads

to their full capability. Many users are unaware of when and how to update

their SimPads. This presentation will share some best practices on SimPad

operation and use. It will also provide an opportunity to the participants to

share their insight on user tips and tricks. We will also present an introduction

to programing your SimPad using Theme Editor. Theme Editor allows

operators to make simulations more consistent, powerful and user friendly.

PRESENTERS

Brett Carels

Laerdal Medical

Cory Chan

Laerdal Medical

NOTES:

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Friday, May 18 1330 – 1500 Room: Filberg

WORKSHOPPRESENTATION: 30 MINUTE PRESENTATION + 30 MINUTE DEMONSTRATION

Innovative Teaching Tools or Expensive Toys? Curricular Considerations Integrating Hololens

Technology

Teaching in healthcare education is a complex practice. The primary goal

for healthcare instructors is to prepare learners to provide competent safe

patient care. However, twenty first century healthcare educators are

tasked to merge profession specific knowledge with pedagogical practices

and have an understanding of technology to create supportive learning

environments. Instructors are increasingly overwhelmed with the investment

time in learning and then integrating educational technology into their

teaching.

Innovation in teaching and learning is strongly encouraged in the post-

secondary system and technology is changing the basic knowledge

required of an educator. What should educators consider before

integrating technology into their teaching? Do these technological tools

support students to meet learning outcomes faster? Do these

technological advancements work with authentic learning environments or

professional practice areas? Are students applying theory to practice at a

faster rate and/or do they have more opportunities to reflect because of

these tools?

This session explores the framework for technology integration - technology,

pedagogy, and content knowledge (TPACK) and SAMR model as resources

to guide the integration of technology into curriculum using the

augmented reality/mixed reality tool – Hololens as the exemplar. In

addition, the workshop participants will have the opportunity to wear the

Hololens headsets to discover the applications for augmented reality (AR)

anatomy and physiology and to participate in discussion on the potential

opportunities of integrating AR into their own teaching.

PRESENTER

Connie Evans

RN MSN CHSE

Faculty,

School of

Health Sciences

BCIT

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Friday, May 18 1330 – 1500 Room: Moriarty

WORKSHOP PRESENTATION: 90 MINUTE INTERACTIVE WORKSHOP

Shades of Grey: Supporting Student Learning with Team Based Learning

Interested in moving students from black and white dualistic thinking to

working with the shades of gray in professional practice?

Team based learning (TBL) is a multifaceted pedagogical modality which

can be used to enhance the classroom experience of students. Readiness

Assurance Processes (RAPs) and 4S questions are two of the techniques used

to promote critical thinking, engaged conversation and professional growth.

(RAPs) are a strategy used to promote student preparation and readiness

levels for in class activities. This is a 2 step process which includes an individual

readiness assurance test and a team readiness assurance test. 4S questions

are used to facilitate application of knowledge, growth and development,

and team process functioning with reality based application questions.

Students are challenged as a team to go beyond rote memorization of

information into the processes of application and higher order thinking

according to Bloom’s taxonomy. 4S questions push students to think outside of

the box and into the shades of gray. Concepts of context and safe patient

centered care force students to consider multiple factors that influence

decisions they will be required to make in their professional practice.

This session will briefly review components the pedagogical foundations and

creation of RAPs and 4s questions. Teams will be created to simulate the TBL

experience. This is just a “taste test” of the TBL process, we will provide

information on resources for further investigation if individuals are interested in

learning more about this complete learning pedagogical modality. Caution:

poetry may be used.

PRESENTERS

Eileen Harpnuk

RN MSN

Professor

Janice Stewart

RN MSN

Professor

Vancouver Island

University

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LOCAL PARSKVILL ATTRACTIONS

Parksville Community Park and Beach / walking distance

Situated right in downtown Parksville, Community Beach is the most popular beach destination. The

beach consists of fine white sand, many driftwood logs and an assortment of marine seabirds. At low tide,

when beachcombing is best, the ocean waters recede back 500 metres into the ocean revealing tidal

pools, shells and kilometres of wet sand.

The beach is lined with viewing benches, picnic tables and grass lawns. Some picnic areas are private,

some are public. Whatever the case, there is plenty of space on the sandy beach and grass lawns in the

park for a beach blanket and lawn chairs.

Rathtrevor Beach and Provincial Park / walking distance

Rathtrevor Provincial Park is a large beach park located in Parksville, BC on Vancouver Island, Canada.

The 347 hectare park enjoys a large sandy beach, fantastic marine views, hiking trails and a very popular

campground. The ocean tides recede 900 metres at low tides revealing many more kilometres of wet

sand. Left in its retreating path are tidal pools, shells and marine life. The 2 kilometre long beach attracts

a lot of activities to the park including picnicking, beachcombing, camping, birdwatching, hiking and

kayaking. The hiking trail in the park is a good way to explore the wilderness. There are over 5 kilometres

of trails in the park. Many are wheelchair and baby stroller friendly. The trails explore along a sandy beach

and through a forest full of Douglas Fir, Hemlock, Balsam, Western Red Cedar, Spruce, Arbutus and Maple

trees. There are information shelters with trail maps at strategic locations in the park.

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Downtown Parksville Shopping & Galleries / walking distance

If you're looking for women's wear, sportswear, folk art, kitchen gadgets, bath accessories, cool garden

art, handmade quality jewelry, pottery, it’s all here and easy to find. Parksville shopping features a wide

variety of retail stores, galleries, boutiques, restaurants, grocery stores, and professional centres.

If it’s art you’re looking for, there’s nothing quite like encountering an artist on his or her own home turf,

cup of tea in one hand, paintbrush or chisel in the other. Self-guided studio tours of the region allow one

to drop in unexpectedly on dozens of home-based studios and galleries. Parksville/Qualicum Beach is

home to one of the highest concentrations of artist and artisan studios in BC.

Coombs Village & Country Market / 10 minute drive

Coombs Village is located west of Parksville BC, on Vancouver Island in British Columbia, Canada. The

eclectic village, doubling as a market, is a popular attraction in the region because of the unique

assortment of services and shops. One of those attractions is "The Goats on the Roof" restaurant. It is a

patio restaurant with live goats grazing on the roof of the building. In the centre of the market, circling

the main courtyard, are various shops selling clothing, candles, jewelry, carvings, toys, artefacts, old books

and more.

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Little Qualicum Falls / 10 -15 minunte drive

Little Qualicum Falls Provincial Park is a waterfall and hiking destination located near Parksville. The park

highlight is a boardwalk trail leading to a gorge with viewing platforms overlooking some waterfalls. There

are over 6 kilometres of walking trails throughout the 440 hectare Little Qualicum Falls Park. Most of the

trails begin from day use area in the park.

Little Qualicum Cheese Works/MooBerry Winery / 5-10 minute drive

MooBerry Winery and Little Qualicum Cheeseworks are located side by side on Morningstar Farm in

Parksville. Using the highest quality BC fruits, vintner Phil Charlebois creates a wide variety of flavourful,

award winning fruit wines to delight the senses. Tastings are offered at the wine counter located in the

Farmgate store. Guests are invited to take a self-guided tour and enjoy a stroll along their walking trail.

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Top Bridge Park / 5 minute drive

The Top Bridge Trail connects Rathtrevor Beach Provincial Park on the Strait of Georgia with the Top Bridge

Crossing, a magnificent pedestrian-cyclist suspension bridge spanning the Englishman River at a lively

junction of parks and conservation area. The trail is five kilometres in length each way and offers a rustic

ramble or bike ride away from the urban sea-side to the cool woodlands of the Englishman River. The

mid-section of the trail passes through private property: users are requested to stay on the authorized trail

route and respect private property. At Top Bridge, take a break, take a dip or just sit back on the rocks

and enjoy the beauty of a famous salmon river.

Horne Lake Caves / 20 -25 minute drive

Horne Lake Provincial Park is a caving / spelunking destination located west of the communities of

Qualicum Beach and Parksville. Within the park are numerous caves and caverns to explore for all fitness

levels. The parks staff at Horne Lake Caves provide interpretive caving tours to the public. The guided

tours begin at the Interpretive Centre located in the park. The temperatures underground drops rapidly,

so prepare well with warm clothing and good footwear. Climbing helmets provided with tours. The guided

tours vary. There are shorter family friendly 90 minute tours with an interpretive guide. There are 5-6 hour

tours for the extreme caver propelling down waterfalls and climbing cable ladders. Horne Lake Park does

have a day use area with pit toilets and 2 picnic tables

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Cathedral Grove / 25 minute drive

Cathedral Grove, located in MacMillan Provincial Park, is one of the most accessible stands of giant

Douglas fir trees on Vancouver Island. Here visitors can stroll through a network of trails under the

shadow of towering ancient Douglas-fir trees, majestic pillars untouched by the modern world – some

more than 800 years old.

Trails on either side of the highway lead visitors through the mighty stands of this coastal forest. On the

south side you will find the largest Douglas firs – one measuring more than 9 metres in circumference. On

the northern side of the road you’ll find groves of ancient Western red cedar standing sentry over nearby

Cameron Lake.

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