On-Demand Telesimulation™

Say goodbye to boring webinars!

In-person training with pregnant or lactating patients from the comfort of your home.

  • Live clinical practice with pregnant and lactating patients and newborns

  • Oral and written feedback on clinical performance

  • Remote learning solution proven to improve clinical competence

  • Telesimulation is NOT a pre-recorded video or online webinar

Acquire clinical skills, CNE, CERPs, and clinical hours safely and remotely during COVID-19

On-Demand Telesimulation™ Case Scenarios:

Clinical Lactation

Learning objectives  

  1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
  2. Obtain a focused medical history of a neonate whose mother has delayed lactogenesis II
  3. Perform a focused breast examination for a lactating patient presenting with breast engorgement (Note: the standardized patient will be wearing a realistic breast model)
  4. Teach a lactating patient appropriate breast massage techniques to resolve breast engorgement
  5. Teach a lactating patient how to hand express her breast milk
  6. Communicate a management plan to lactating patient with breast engorgement caused by lactogenesis II

Topics: Gestational diabetes, intrapartum IV fluids, breast pain, newborn jaundice, excessive newborn weight loss, early term/late preterm

View Case Details

Learning objectives  

  1. Counsel a lactating patient regarding expectations of breast milk provision to a hospitalized infant born preterm
  2. Teach a lactating patient how to hand express colostrum
  3. Teach a lactating patient how to use a double-electric breast pump (multi- or single-user) and a “hands-free” breast pump (either a Willow or Elvie)
  4. Teach a lactating patient effective and “hands-on” pumping techniques
    Propose solutions for breast pump-induced trauma to the nipple-areolar complex
  5. Teach a lactating patient how to store expressed breast milk

Topics: Preterm delivery, multiples (Twins), NICU, hand expression, hands-on pumping, double electric (hospital grade) pump, Willow/Elvie use

View Case Details

Learning Objectives:

Learning Objectives for Scenario 1 (First 15 minutes)

  1. List the neonatal and maternal health complications associated with suboptimal breastfeeding.
  2. Explain how much it costs to train hospital staff in clinical lactation.
  3. Elaborate how hospital staff training in clinical lactation will improve patient safety and care.
  4. Describe what the return on investment for the hospital would be if hospital staff were trained in clinical lactation

Learning Objectives for Scenario 2 (Last 15 minutes)

  1. Describe federal laws and regulations that employers must follow when a lactating mother returns to work.
  2. List why employee lactation support would affect employee satisfaction and employee turnover.
  3. Outline how to implement accessible lactation spaces throughout the hospital for hospital staff use.
  4. Explain why supporting hospital staff with their lactation needs will translate to better patient care.

Topics: Baby-Friendly Hospital Initiative, breastfeeding and lactation advocacy, public health, hospital staff education in clinical lactation, lactation support and rooms for employees, 1uality improvement project, cost-effectiveness

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Learning Objectives:

  1. Obtain a comprehensive history of the lactating patient and her infant 
  2. Perform a breast assessment
  3. Describe normal sleep patterns for infants between 0 and 6 months of age
  4. Describe conservative management strategies for inflammatory mastitis
  5. List clinical signs associated with infectious mastitis 
  6. Describe when it is necessary to avoid breastfeeding or to “pump and dump” following medication, recreational drug, tobacco, and alcohol use
  7. Propose a management and follow up plan

Topics: Lactational mastitis, plugged duct, breast pain, pumping and dumping, alcohol, marijuana and lactation, starting solid foods, infant sleep patterns

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Learning Objectives:

  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Recognize ineffective newborn positioning and attachment while observing a breast feed
  3. Teach a lactating patient how to position a newborn in a cross-cradle hold
  4. Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
  5. Provide a breastfeeding plan to the lactating patient

Topics: Newborn positioning and attachment, sore nipples, bleeding/cracked nipples, cross-cradle hold, cradle hold, shallow latch, deep, asymmetric latch

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Maternal Health

Learning objectives  

  1. Obtain a pregnancy, peripartum, and breastfeeding history of a lactating patient presenting with bloody nipple discharge
  2. Obtain a focused medical history of a neonate whose mother has bloody nipple discharge
  3. Perform a breast assessment
  4. Instruct the patient to elicit discharge from the nipple
  5. Create a management plan based on the history and physical assessment
  6. Communicate the management plan to the patient

Topics: Breast cancer, green, white, and red nipple discharge, comprehensive breast assessment, breast pump use, healthy term newborn, bloody/”strawberry” milk

View Case Details

Learning objectives  

  1. Obtain a pregnancy, peripartum, and breastfeeding history from the patient
  2. Obtain the infant’s medical history from the patient
  3. Communicate the potential negative health consequences of breast milk oversupply to the patient
  4. Communicate a concise management strategy for breast milk oversupply
  5. Screen the patient for clinical signs of maternal perinatal mood and anxiety disorder
  6. Provide recommendations for a breastfeeding patient with perinatal mood and anxiety disorder

Topics: Perinatal mood/anxiety disorder, hyperlactation/oversupply, triple-feeding, nipple vasospasm, green stool in diaper, frequent spit ups

View Case Details


Learning Objectives:

  1. Obtain a comprehensive maternal history
  2. Describe normal infant behavior and development during the first week of life
  3. Recognize maternal risk factors for low milk production
  4. Provide education regarding the clinical changes associated with lactogenesis II
  5. Teach the patient how to relieve breast engorgement
  6. Employ shared decision-making strategies for inclusive breast milk feeding

Topics: Breast surgery, sore nipples, hand expression, breast massage for engorgement, delivering difficult news to a patient, infant formula supplementation, human donor milk supplementation

View Case Details


Learning Objectives:

  1. Obtain a comprehensive history of the pregnant patient
  2. Describe characteristics of benign and malignant lesions on the nipple-areolar complex that present during the peripartum period
  3. Discuss a follow up plan for a rapidly enlarging lesion on the nipple of a pregnant patient
  4. Provide anticipatory guidance regarding breastfeeding and lactation for a pregnant patient 
  5. Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you

Topics: Anticipatory lactation education to a pregnant person, exclusive breast pump use, breast changes during pregnancy, normal and abnormal skin findings, breast assessment, intimate partner violence and abuse

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Learning Objectives:

  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Describe a safe weaning plan for a lactating patient who is exclusively pumping
  3. Counsel a lactating, heterosexual female person about options for improving physical intimacy with her male partner
  4. Provide a management plan for dyspareunia secondary to hypoestrogenism of lactation

Topics: Pain during vaginal intercourse, vaginal atrophy and estrogen, sexual health and intimacy, exclusive pumping, safe weaning plan, complicated maternal medical history, recurrent plugged ducts, milk blebs, mastitis

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Learning Objectives:

  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Identify risk factors for contact dermatitis on the nipple-areolar complex
  3. Propose a management strategy for contact dermatitis on the nipple-areolar complex
  4. Identify risk factors for low milk production
  5. Describe strategies for increasing milk production

Topics: Nipple thrush, contact dermatitis, nipple rash, low milk production, insufficient glandular tissue, infant formula feeding, introduction of solids

View Case Details
Newborn Health


Learning Objectives:

  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Recognize ineffective newborn positioning and attachment while observing a breast feed
  3. Teach a lactating patient how to position a newborn in a cross-cradle hold
  4. Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
  5. Provide a breastfeeding plan to the lactating patient

Topics: clinical lactation, NICU, pediatrics, hospital-based care, out-patient, telehealth

View All Case Scenarios

On-Demand Telesimulation™ helps learners build mastery in clinical lactation and maternal-newborn health.

Are you looking for CNE, CERPs, or clinical hours?

Start Now!

“I completed two of the telesimulations with a standardized patient, just like an OSCE. The standardized patients gave good feedback, and it fulfilled the skills attestation requirement for the CLC. It’s really a great platform and long overdue. I’m excited to tell my colleagues about it. Highly recommend!

Dr. Jenifer Haynes, DO, Pediatrician

“As a clinical instructor and Pathway 3 mentor, I can’t speak highly enough about this program. The LiquidGold simulations offer an experience that incorporates the best of both experimental learning and comprehensive theory. The consultation is incredibly realistic, requiring the student to draw on all of their counseling skills and instincts (in addition to practicing teaching techniques and applying foundational concepts!). Feedback is given in real-time and highlights specific areas for improvement. Complimentary to the simulation is extensive case study work and quizzes, truly allowing the student to understand the depth of each experience. The personalized level of guidance is a rare quality in online education, and one I appreciate greatly.”

Emily Clark, IBCLC , Perinatal Program Instructor, CE-Health Sciences, Douglas College, she/her/hers

“As an instructor, [the On-Demand Telesimulation™ Lactation QBank platform] was a huge gift to us. We were struggling to figure out how to get students engaged in care for breastfeeding patients. We’ve had two significant barriers so far. One is that we don’t have a huge volume in our lactation consult clinics right now. So even if every student had only seen one patient, we probably could not have pulled that off.  The second was because of COVID-19, the hospital we work at had restrictions on access to patient care.”

Julie Phillips, MD, MPH, Professor of Family Medicine, Director of Research for the Sparrow Hospital Family Medicine Residency Program

“As an experienced care provider, I went into the simulation feeling confident in my approach. It quickly became clear that there were plenty of skills that needed improvement! The feedback provided has allowed me to focus on my time management and organization, and made me more aware of my own patterns and unhelpful habits in consultations. I would recommend this to any lactation care provider– no matter how long you have been in the field! Developing our practice in this area is imperative, especially as virtual counseling becomes more common.”

Emily Clark, IBCLC , Perinatal Program Instructor, CE-Health Sciences, Douglas College, she/her/hers

How it Works

Step 1: Prepare

Complete multiple choice questions.

Case Scenario Example

Step 2: Schedule

Schedule a video call (i.e. telesimulation) with a live pregnant or lactating patient at any time, any place, or on any device.

"What is a telesimulation?"

A live video call between a learner/group of learners interacting with an actor-educator that has been trained to portray a pregnant or lactating patient.

  • Highly-trained actors.

  • Follow the same script for each case scenario.

  • Provide tailored, structured feedback on communication and interpersonal skills.

  • Wear the LiquidGoldConcept Lactation Simulation Model for the learner to practice breast/chest assessment and clinical lactation skills.

  • Hold the LiquidGoldConcept NORALSim (a Newborn Oral Assessment and Latch Simulator).

Standardized patients wearing a breastfeeding model in a video call

Step 3: Clinical Practice

You will engage in a case scenario with an actor-educator over a video call. The actor-educator will portray a pregnant or lactating patient wearing the LiquidGoldConcept Lactation Simulation Model.

Learner and Standardized Patient Video Call

Step 4: Feedback

Receive immediate, tailored feedback on communication, interpersonal, and clinical skills.

Step 5: Clinical Documentation

Fill out the Encounter Documentation Quiz and receive feedback from a clinician on decision-making and documentation skills.

Encounter Documentation Clinical Lactation Practice Fill-in Answer

On-Demand Telesimulation™ is designed for learners of all levels to build clinical competence in maternal health, newborn health, and clinical lactation.

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Customize your plan.

Individual plans for online clinical lactation education
Institutional plans for online clinical lactation education