Hidden identity simulation: Using secret character roles to practice navigating event medical team dynamics.

What was the educational challenge?: Interdisciplinary medical teams often collaborate for the first time at mass-gathering events. Simulation helps participants navigate interpersonal dynamics. A gamified simulation could offer an engaging, low-stakes method to introduce emotionally charged topics like team conflict.

What was the solution?: Hidden Identity Simulation (HID SIM) is a gamified simulation where participants with randomly assigned secret character roles (e.g. 'The Know-It-All') navigate diverse personalities while managing a case. A debrief highlights team dynamic management strategies.

How was the solution implemented?: A serotonin toxicity case was piloted using HID SIM in a simulation theatre. Twenty-nine participants randomly selected character cards that outline personality descriptions and conditions that modify character intensity.

What lessons were learned that are relevant to a wider global audience?: Participants responded positively, rating HID SIM 4.75/5 overall and 4.43/5 for engagement (n = 28). 'Less stressful than anticipated' scored 3.54/5 (n = 28), and 'less stressful than other simulations' was rated 3.68/5 (n = 19). Participants rated their pre-/post-simulation self-efficacy in several teamwork and medical competencies. All competencies showed statistically significant increases (p < 0.001) post-simulation.

What are the next steps?: Future steps include writing new character cards, expanding HID SIM to other clinical settings, and designing customized decks targeting specific team dynamics.