October 10, 2018By Lance Baily

Core Concept Video: How to Increase Technical Support Staff for Your Healthcare Simulation Program

Today we are sharing a core concept recorded presentation from SimGHOSTS Founder Lance Baily on “How to Increase Technical Support Staff for Your Clinical Simulation Program”. Over the past several years, Lance has provided this presentation at SimGHOSTS, INACSL, IMSH, SESAM, S3, PASSH, and many other simulation conferences around the world to help simulation champions better understand how to increase the simulation technology specialist team at their simulation programs. The presentation was in such high demand that Lance recorded it here for us all to watch and learn from. As a previous Sim Tech, Simulation Program Director, and Founder of the World’s leading Sim Tech Organization SimGHOSTS, Lance certainly has the background and experience necessary to help you increase your simulation technical team. We’ve excerpted some of the presentation through text below, but you can watch the whole 53 minute recorded session too!

Presentation Learning Objectives

  1. Explore the Reason Why Sim Techs are an often misunderstood but crucial part of your simulation program success.
  2. Learn how to think from your administrator’s perspective to gain support for your technical needs.
  3. Identify ways to develop Simulation Techs through SimGHOSTS & other resources

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To Start, Consider “What’s In Your Wallet?”

Do you have an annual operating budget for your simulation program? In 2011, Allen Giannakopoulos did a survey of SSH administrators and found that over 50% did NOT have annualized budgets for their simulation programs. While money is often gifted for “shiny new toy cars” through grants or donations, program administrators do not plan for the long-term costs of operating simulation technologies or programs. How do they expect the car to run forever without gas, upkeep, or accident insurance?

This means that many simulation champions are expected to wear too many hats, starting with “running simulation” which expands to coordinating, teaching, operating, maintaining, training, repairing, buying, ordering, and replacing simulation technologies and methodologies all with little to no compensation for time or professional development. Guess what soon happens?

Just look at the requirements of one “Sim Tech” job description — take a deep breath: “The ideal candidate will have the ability to multi-task in order to simultaneously and rapidly respond to learners’ actions during scenarios and address any issues arising with simulator and medical equipment and audio-visual technologies and the ability to analyze current curriculum offerings, identify opportunities where simulation is most appropriate and collaborate with faculty and staff to improve and develop new programs that delivery value and contribute to the financial sustainability.” Overwhelmed yet?

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What happens when we don’t fund simulation programs:

  • Minimal Use
  • Misuse or Unbalanced use of equipment and space
  • Stagnation
  • Increased Wear & Tear without maintenance and repair
  • Staff turnover
  • Educator Burn-out (Suggested at 2 years)
  • No standardized training outcomes
  • No way to demonstrate program ROI

What happens to our simulation technologies, regardless of how much we use them?

Simply put, they go the way of the do-do bird and become obsolete. Regarding of how much use your program puts into gifted or grant purchased simulators, they will quickly become out of date with regards to contemporary training practices in healthcare. Because simulation training is mostly based around advanced technologies, and technology turn-over is rapid due to increasing innovation, the time to use your simulators is NOW while they are still relevant. No one uses an Apple iici computer from the 1980s for word processing — that thing doesn’t even know what the internet is or how to connect to it!

Feel overwhelmed? Don’t worry, just look at some of the different job titles of SimGHOSTS attendees from one year’s previous event:

Clinical Simulation Specialist, Co-ordinator Clinical Learning and Simulation, Code Resuscitation Program Project Manager, Coordinator of Simulation and Technology, Coordinator Corporate Planning, Manager Curriculum Coordinator, Education Coordinator, Education Specialist, Equipment Systems Specialist, Faculty Support/Health Sciences Simulation Center Coordinator, GME Simulation Coordinator, Health Science Simulation Technician, Health Sciences Simulation Coordinator, Healthcare Simulation Technician, Instructional Services Technician, Interim Director of the Learning Center, IT Manager, IT Professional, IT Support Technician, IT Technical Associate Lab Coordinator, Simulation Tech Simulation, Tech Specialist, Simulation Technician, Simulation Technician Program Coordinator, Simulation Technologist, Simulation Technology Specialist (MOST USED), Simulation Training Specialist, Specialist in Simulation, Technology Supervisor, Teaching LabSys Admin, Systems Analyst 2, Systems Engineer, and Technical Director.

What this means is that there really is so little standardization of the simulation technology specialist position around the world, that it is no wonder that administrators do not understand the need of dedicated technical support. There are now a few AS degrees and the CHSOS certification, but no global pathway for professional development outside of the dedicated resources of SimGHOSTS.

If you are looking for job description for Sim Tech, check out the California Healthcare Workforce Initiative’s DACUM job breakdown on their website (Under “Resources”). This document was developed after a week long retreat by Sim Techs across California where the job title was agreed upon: Healthcare Simulation Technology Specialist. The group came to a consensus on the responsibilities and duties of the profession by comparing roles from their various institutions. There is also a Sim Coordinator Job Description too!

Basic Overview of Sim Tech Responsibilities

  • IT networks
  • Manikin Programming
  • Manikin Maintenance
  • A/V Systems Oversight & Support
  • Medical Product Maintenance & Support
  • Computer Labs
  • Debriefing Systems
  • Sim Lab Operations
  • Scenario setup/teardown
  • Manage Sim Lab Documentation
  • Track Usage
  • Moulage Application
  • Manage & Order Supplies
  • Manage Lab student workers/volunteers
  • A/V Productions (for orientations and promotional videos)
  • And crucially: Selecting appropriate capital technology equipment!

Who is doing the majority of these items in your sim program? This doesn’t even include any of the clinical education, debriefing, facilitation, program management, budgeting and finance, human resources, marketing, or any of the multiple other responsibilities of operating a simulation program.

Plan To Make the Case

Start considering how your program aligns with other programs

  1. Look at other Labs Similar in size and scope
    1. What are their staff success / failures?
    2. What are their Operating Budgets? What is yours in comparison? (Again, buying the shiny new car sounds great, but what about paying for gas, maintenance and accidents?)
  2. Consider your own Staff turnover and knowledge loss, which is one of the most reported issues holding the industry back. What has been the cost of having to totally restart every two years?
  3. Consider your increased efficiency opportunity – What could we be doing if you had more help?
  4. Understand the real cost of not having dedicated technical support…

Consider the costs of these staff personal (From Indeed.com)

  • Nurse Educator: $92,710
  • Medical Educator: $153,164
  • And most closely aligned with Sim Techs, Information Technology (IT) Support Technician: $46,504-$55,340

This means some simulation programs are paying 2 to 3 times as much to have clinical educators with 1/10th the technical experience use their time to run simulation technologies. Talk about an inefficient use of funds!

Yet, Lance is still surprised to this day that when simulation programs around the world ask him to review their Sim Tech job description, he finds they are seeking someone with a Nursing background to run their simulation technology. Don’t they already have 16 faculty members with a background and years of experience in clinical practice? Where is the dedicated technology specialist?

Here’s an example: Simulation is running right now. What question is most important for the Sim Tech to know the answer to?

A) “What does a sudden drop in blood pressure indicate in a geriatric case?”

B) “Why is the microphone not working and the computer is making a horrible beeping noise?”

And a core concept that some stakeholders fail to understand when designing and developing a simulation program is the ongoing need for technical support. No matter the fidelity, any technology is prone to user error, update requests, compatibility issues, hardware failure, software crashes, training considerations, replacement needs and more. Your institution would not expect clinical educators to maintain the IT servers, email accounts, desktops, computer labs or other campus wide technologies, so why do they expect it in simulation — a methodology born from advances in computing power!

Simulation Staff Needs
Expand Your Sim Team with Technical Experience to Expand Your Total Knowledge Base!

Bottom line: Healthcare Simulation in the contemporary age exists due to advances in technology. Technology needs ongoing support to maintain utilization outcomes. Paying educators 2x – 3x for 1/10th the technical experience is a waste of budget. By investing in support, educators can focus on teaching and training, as opposed to debugging and repairing.

Keeping the Data Now, A Crucial Step in Expanding Later

While reviewing your program vs. others, another key concept is to start keeping track of all the possible data with regards to utilization and performance of your simulation team members, spaces, and key equipment. Only by knowing what it takes to do what you do, will we be able to steer administration to make decisions regarding time used in the future. Examples will shortly follow — but trust Lance — this data will come in handy one day soon, we promise!

  1. Number of simulations – What type of training, where, what equipment and supplies were used, etc.
  2. Number of staff – Who was utilized per training experience (before, during, after)
  3. Prep-time/Tear-down – The Sim may be over for the educator, but will still take an hour to tear-down and an hour to setup for tomorrow morning!
  4. Maintenance & Updates – This has to be accounted for and understood by administration
  5. Staff Logs – What do they do each hour of the day
  6. Rooms – Hours used by program, number of learners, technical supported can be weighted:
    1. Classrooms – No tech support team setup required.
    2. Skills Labs Rooms – Some staff support needed for setup / teardown, or session needs (malfunctioning task trainer)
    3. High-fidelity Sim / SP Rooms – Trained technical staff time required at all times.

Consider Your Admin’s Perspective, and Their Problems

By looking at the world from the eyes of your administrator, you can start to better appreciate their “pain points”, or issues that concern them. With that understanding, you better prepare yourself to be able to speak to administrators in a language they under stand. Consider for a moment:

Your Perspective Vs Admin’s Perspective
Overworked Understaffed
Underpaid Budget Cuts
Unsupported Overwhelmed


As a previous Simulation Center Director of the Clinical Simulation Center of Las Vegas for the Nevada System of Higher Education, Lance lets you in on the tight rope that is administrating a simulation program with the simple formula for knowing management’s pain points:

Budget x Performance =
Return on Investment

Administrators are themselves graded on their return on investment, meaning they must produce the best performance from their team, space, equipment, conferences, and program with whatever budget they are provided. In this sense, dollars are of powerful interest, but so is quality utilization performance. So with this secret formula, let’s consider what would get an administrator’s attention most with an elevator pitch.

The Pitch – Quick, Powerful, Intoxicating

Perhaps you have heard of an elevator pitch, a chance encounter with a C-suite executive, funder, or other stakeholder decision maker who can wave the wand and make things happen, where you have just 3 floors to pitch an idea too to catch their attention and change the world. By speaking to an administrator from their perspective, you can instantly strike a chord, break through the noise of the day, and have a real shot at getting the next meeting. Imagine, you walk into an elevator and the Dean of your program is on the way to the Penthouse offices, the only one in the elevator. Small pleasantries exchange and before you get off at the very next floor you suggest…

You: “Would you have some time next week for me to share an idea on how
we could improve utilization of simulation by 30% in just 6 months,
while generating $25,000 in additional income?”

Admin: “I’m Listening!”

By speaking to them about their needs, you demonstrate to the administrator that you understand them, and are offering solutions to their pain points. Surely they will find time to pencil you in for next week.

Plant More Seeds to Start Growing More Fruit

And what will you say at this key meeting? Lance shares a proven recipe for success from the CSCLV that starts with Volunteers and student workers. By securing access to regular support from individuals who are affordable, your sim program can enable higher tiered and specially trained simulation staff to focus on more of what they do best. How do you do this?

Lance and the CSCLV partnered with the local United Way Volunteer Service to provide a volunteer opportunity for those from the community that were interested in working with the local university, healthcare, education, and technology. At no cost other than an interview process and volunteer scrub uniforms, the CSCLV was able to secure hundreds of hours of volunteer support for multiple programs. One individual, who had made his wealth from the stock market and just wanted to give back, showed up every Thursday, every week, for five years in a row. Yes, miracles do happen in simulation.

Furthering this, Lance and the coordination team were also able to secure student workers at a much more affordable rate than staff or faculty, to help with skills lab setup and teardown along with clerical duties like answering the phone or accepting and opening supply boxes, copying, and spreadsheet calculations. Student workers do not usually receive benefits and work at an hourly rate that almost any sim program can afford. And as they can only work up to 20 hours a week usually, they are not full time employees.

Then, by keeping track of the work volunteers and student workers were performing with their logs, we were able to demonstrate to the Oversight committee the type of work our Lab Managers, Masters prepared Sim Tech, and Clinical Educators were freed up to do. With little to no additional cost, our sim program was doing much more.

Show Results, and Wait for the Big New Need

How did Lance grow from 5 staff to 11 in just three years? By utilizing the technique above, Lance was prepared for the eventual day when one of three institutions announced they were expanding educational programs into nights and weekends. Lance simply slid the Staff log book across the table and asked the Deans, “Sure, we can do evenings and weekends, but what do you want us to stop doing during the normal working hours so we can do that?”. Well, the Deans immediately understood from our logs, what it took to do what we do now — and of course, they want to keep doing all those things.

Within a week money had been found to hire one of the volunteers as a part-time Letter of Appointment (LOA) one year contract without benefits. By keeping track of the performance of that individual to help support the new program, we were able to demonstrate just how much more effective the simulation program was and within six months that part-time LOA turned into a Full-Time LOB, Letter of Appointment with benefits.

Costs are easier to consume if there is not a permanent hire initially, and the individual expands into the role over time. But do not be fooled into thinking that person will stick around forever if you do not have the pathway for them to earn their place in the program.

External Revenue Should Pay for Itself and Help You Grow

The other way to increase staff is to offer your program to external users, with such fees that it not only covers the cost of running the experiences, but also provides your program with the benefit of additional income for part-time staff and upcoming equipment purchases.

By creating an attractive training space and attracting small clients at first (like an ATLS course), you can utilize funds gained to hire additional technical support staff to not only run those part-time programs, but also support your own program as well. From there, you can grow to larger clients (VA training), take on more money, and increase your staff further. Of course, you must primarily remain dedicated to supporting your own learners first and foremost, but by piggybacking an external revenue generating program, you can empower your program to support your own learners more!

Bringing in new staff at affordable rates who have less experience will free up your more costly and more specialized team members to focus on bigger projects. By the time Lance left the CSCLV, there was one Sim Tech Specialists with an MS degree overseeing 5 simulation experiences at once, ready to step in if ever an emergency, with AS prepared Sim Techs running simulation experiences, with volunteer and student worker support to change over rooms.

By expanding the base of your simulation staff program pyramid, you increase the height your program can go!

*Additional Note on Revenue*: Any program that is utilizing the simulation program should be paying for it. Just because a med school donated a simulator from 1998 doesn’t mean it should be allowed to utilize the simulation program for 40 years without paying additional fees. Donations have finite costs, while operations will go on forever. IPE means “Pay to Play”!

More Resources for Sim Techs, Sim Staff, and SimOps

From here, Lance continues the presentation explaining What to Really Look for When Hiring a Sim Tech, where to find them, and how to train them. Here’s a list of other helpful HealthySimulation.com articles that further these topics:

& Even More Tools for Building Your Simulation Resume

Of course if you are looking for the ultimate resource for Simulation Technology Specialists, then The Gathering of Healthcare Simulation Technology Specialists (SimGHOSTS) Organization is the best place to be. For only $60 a year they have a huge number of helpful resources like 300+ recorded presentations just like this one from over 16 events from around the world — along with a document database, international discussion forums, expanding course library, upcoming global events and more!

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Have your own secrets to expanding your simulation technical support? Share a comment below and let us know!

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