Developing Digital Clinical Simulations for Large-Scale Settings on Diversity, Equity, and Inclusion: Design Considerations for Effective Implementation at Scale

Digital clinical simulations (DCSs) are a promising tool for professional learning on diversity, equity, and inclusion (DEI) issues across a variety of fields. Although digital clinical simulations can be integrated into large-scale learning environments, less is known about how to design these types of simulations so they can scale effectively. We describe the results of two studies of a digital clinical simulation tool called Jeremy's Journal. In Study 1, we implemented this simulation in an in-person workshop with a human facilitator. We found that participants described their learning experiences positively and reported changes in attitudes. In Study 2, we used the simulation within an online course but replaced the human facilitator with an asynchronous, text-based adaptation of the facilitation script. Although learners in Study 2 described the experience in the simulation positively, we did not observe changes in attitudes. We discuss the implications of these findings for the design of DCSs at scale