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IntroductionWe identified that in order to reinstate the College of Anaesthesiologists Simulation Training (CAST) after the SARS-CoV-2 lockdown we would need to change how we delivered such training Adhering to social distancing restrictions and ensuring delegates, instructors and staff safety was of paramount importance but we also wanted to ensure we delivered a worthwhile learning experience We describe how we strategized and planned how best to reinstate simulation training With the risk that there could be a second viral wave and restrictions, we also wanted to create a contingency plan to continue training in that environment MethodsThe proposal for reinstatement of simulation training was based around a nomenclature adopted from the conflict resolution strategy – Avoidance, Accommodation, Compromise and Collaboration A method for delivering simulation was created around each component and the pros and cons to each was listed The four proposed methods of conducting simulation training were as follows:Avoidance – no simulation courses until simulation training could be safely reinstated on site in its original format;Accommodation – on site courses with smaller delegate and instructor numbers, social distancing and PPE;Compromise – hybrid online and onsite teaching In order to evaluate the role of online simulation, we piloted a zoom–based viewing of an historical simulation video followed by facilitated discussion;Collaboration – have CAST courses conducted in other simulation centres Results and DiscussionThe pilot showed that the Compromise method had limitations such as the availability of historical videos and consent and confidentiality issues A post-pilot survey of 5 participating trainees showed 80% agreed it was a useful learning experience and 80% agreed they would like to do future simulations through an online format However, several added that only as an option if face-to-face simulation was not possible Only 9 (45%) of 20 answers agreed that realism, immersion, sense of impending crisis and stress were similar to those encountered in face-to-face simulation It was concluded that a combination of Accommodation and Collaboration was best suited in the short term, with plans for a Compromise approach should a second viral wave make on-site simulation unattainable This involves:Restarting on–site simulation with safety measures including reduced delegate and instructor numbers;Running courses in regional simulation centres for delegates from respective geographical areas;Creating a library of demo videos to be used for online facilitated sessions should onsite simulation become unfeasible
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