Frequently Asked Questions about On-Demand Telesimulation

1. What is a telesimulation?

A telesimulation is a live video call between a learner or group of learners and a standardized patient educator. A telesimulation is not an examination. The LiquidGoldConcept telesimulations are designed to help learners practice interpersonal, clinical, and counseling skills in a safe, educational environment. These telesimulations can be scheduled at any time, any place, and on any device.

2. What types of simulated patient encounters can I practice in the telesimulation?

Case Telesimulation Overview of learning objectives
1 Breast engorgement in the setting of delayed onset of lactogenesis II Physiology of lactogenesis II, hand expression, breast massage for engorgement
2 Bloody nipple discharge in a lactating patient Differentiation between pathologic and physiologic nipple discharge, breast assessment
3 Breast milk production and maternal mental health Identification and management of breast milk oversupply, recognition of perinatal maternal mood and anxiety disorder
4 Effective breast pump use and troubleshooting breast pump-associated injury Hands-on pumping techniques, effective use of a wearable versus non-wearable pump, troubleshooting breast pump injury
5 Quality improvement in the hospital through breastfeeding education and support (actor role-plays as the COO of a hospital) Effective advocacy skills, elevator pitch, clinical lactation training of hospital staff, lactation support for employees,
6 Supporting inclusive breastfeeding after breast surgery Anticipatory guidance in the first week postpartum, breast augmentation and reduction surgery
7 Sudden-onset breast pain after the newborn sleeps through the night Differentiation between inflammatory and infectious mastitis, Conservative and aggressive treatment options for mastitis, contraindicated medications in breastfeeding, infant sleep patterns
8 Providing anticipatory breastfeeding guidance to a pregnant woman with a breast lesion Trauma-informed care, anticipatory guidance, cultural humility, differentiating between a benign and malignant nevus/lesions on the nipple-areolar complex
9 Recurrent plugged ducts in an exclusively pumping woman Breast pump positioning and attachment; management of plugged ducts and milk blebs
10 Low milk production despite “trying everything” with worsening nipple rash Supply-demand physiology, galactogogues, identification and management of dermatoses of the nipple-areolar complex

**The following cases will be available in early 2021**

11 Reaching breastfeeding goals after the introduction of complementary foods Counseling on complementary foods and maintaining milk production
12 Eager first time mom wants to learn new latch positions Football hold, cross cradle hold, cradle hold, laid back nursing; effective suckling and swallowing patterns
13 Advocating for the use of human donor milk in the NICU (actor role-plays as the COO of a hospital) Advocate for Baby-Friendly Hospital Initiative (BFHI)
14 Teaching a mother about lactation equipment and tools Develop a budget tailored to a specific lactating mother; teach a mother about what equipment and tools will support her in reaching her lactation goals
15 Early term, sleepy infant in the first week postpartum Positioning and attaching a sleepy newborn; recognizing signs of neonatal dehydration and malnutrition

3. What should I expect during my telesimulations?

The actor-educator will open the telesimulation by reviewing the expectations for the simulated encounter and requesting the learner’s consent to audio-video record the session for quality control purposes. The learner will have either 20 minutes (30-minute telesimulation session) or 45 minutes (60-minute telesimulation session) to complete the simulated patient encounter where they are expected to address the patient’s chief complaint according to the case learning objectives. Please, note that Case 5 “Quality improvement in the hospital setting through breastfeeding education and support” does not follow the typical format. Review the instructions for Case 5 in the confirmation email you receive upon scheduling the telesimulation for Case 5.

Once the instructions are reviewed, the actor-educator will start a timer and begin the simulated encounter. During this time, the actor-educator will remain in character as the patient until the simulated encounter is complete. The actor-educator will notify the learner that the simulated encounter is over when the timer goes off after 20 or 45 minutes, depending on the length of the encounter. The actor-educator will mute themselves and turn off the camera for two minutes to complete an objective rubric to assess the learner’s performance. The actor-educator will return to the video call and spend the remainder of the time (8-10 minutes) sharing feedback with the learner and responding to questions on the learner’s performance and case content.

4. What is an actor-educator (i.e., standardized patient)?

A standardized patient (also referred to as an actor-educator) is a highly trained actor that not only serves as a mock patient, but also serves as an educator for health professionals and trainees. Standardized patients perform in simulated patient encounters as a patient presenting with a chief concern. They present the same patient information in a standardized manner with every learner. Acting as a patient allows the learner to fully immerse in the simulation and practice skills as if they were truly working with a patient. The standardized performance allows learners to practice the same scenario more than once to perfect their skills and allows educators to assess learners’ improvements.

Following the simulated patient encounter, standardized patients provide tailored, structured feedback on communication and interpersonal skills in their role as an educator.  LiquidGoldConcept actor-educators often wear the Lactation Simulation Model for the learner to practice breast and chest assessments and clinical lactation skills.

5. What is a LiquidGoldConcept Lactation Simulation Model?

The Lactation Simulation Model (LSM) is a realistic, wearable breastfeeding simulator. The LSM lactates and engorges, allowing learners to practice a postpartum breast exam and teaching skills such as hand expression of colostrum and breast massage to relieve engorgement and plugged ducts.

6. How much do telesimulations cost?

We offer a variety of options for telesimulations.


For more information on pricing please visit

7. How do I schedule a telesimulation?

a. To sign up for a telesimulation, proceed to the “Schedule Your Telesimulation with a Standardized Patient” page for the desired case.

b. On this page, click the “Schedule Your Telesimulation” link for whichever time length you’d like to schedule (30 minutes or *60 minutes). This link will direct you to the scheduling page.

c. Verify that the telesimulation case and length of time are what you intended. Follow the instructions on the scheduling page to schedule, complete payment (or input the coupon code from your institution) and confirm your telesimulation.

*Note: 60-minute telesimulations are not offered for all cases.

8. What is the cancellation policy?

Learners can cancel or reschedule a telesimulation up to 24 hours in advance. For example, if your telesimulation is scheduled for 9am on Tuesday, you will be able to make changes to your scheduled telesimulation time until 8:59am on Monday. Adjustments to the scheduled time before 24 hours in advance are free of charge.

Cancellations within 24 hours of the scheduled telesimulation will be considered “last-minute.” Likewise, if the learner does not arrive at the scheduled telesimulation within 5 minutes of the scheduled start time, this will count as a “no show.” No shows and last-minute cancellations will be accepted, however the learner will not receive a refund for the telesimulation. Learners who need a last-minute cancellation or no-show may purchase a new telesimulation to reschedule.

9. What is the difference between a 1:1 30-minute telesimulation and a 1:1 60 minute telesimulation?

In a 30-minute telesimulation, the learner will be given 20 minutes to complete the simulated encounter including 1) collecting a patient history, 2) performing a breast assessment, where applicable, 3) and developing and communicating a management plan. In the final 10 minutes of the telesimulation, the actor-educator will assemble and share feedback on the learner’s performance and interpersonal skills.

In a 60-minute telesimulation, the learner will be given 45 minutes to complete the simulated encounter. In the final 15 minutes of the telesimulation, the actor-educator will assemble and share feedback on the learner’s performance and interpersonal skills.

10. How do I get feedback on my clinical performance from the actor-educator and clinician following the telesimulation?

In the final ten minutes of the telesimulation, the actor-educator will use an objective 10-item rubric to provide oral and written feedback to the learner on their interpersonal, communication, and counseling skills.

Following a telesimulation, learners can complete the Encounter Documentation associated with the telesimulation case on the Canvas site. In the Encounter Documentation, learners will be asked to recount the patient’s chief complaint, relevant history, findings from the physical exam (if applicable), management plan, and next steps. Once submitted through Canvas, a board-certified lactation consultant (IBCLC) will use an objective rubric to grade the learner’s clinical performance and provide open-ended feedback, where appropriate. Please note, there is no Encounter Documentation for Case 5.

11. I signed up for a 60-minute 3:1 (i.e., group or team) telesimulation. What should I expect?

See “What is the difference between a 30-minute telesimulation and a 60 minute telesimulation?”

Three learners and one actor-educator will attend a 60-minute Team telesimulation. Each learner will be assigned tasks that align with the learning objectives for the telesimulation case. For example, one learner will collect the patient’s history, one learner will complete the physical exam, and one will develop and communicate a management plan for the patient’s chief concern. The learners will receive a 5-minute break approximately halfway through the simulated patient encounter to touch base and plan for the remainder of the session. Please note, each learner should be prepared to complete any and all tasks associated with the learning objectives. Learners will be assigned their individual tasks approximately 24 hours prior to their scheduled telesimulation.

12. Where can I find my telesimulation learning objectives and tasks?

The learning objectives and tasks can be found on the “Telesimulation with a Standardized Patient” Canvas page associated with the telesimulation. In addition, the learner will receive a confirmation email with the learning objectives and tasks when their telesimulation is scheduled.

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Our commitment to effective learning and improved maternal-child care

On-Demand Telesimulation Advantage

*Lactation Education Resources, Marie Biancuzzo, Health-E Learning, Healthy Children Course, GOLD Lactation