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Diane E. MacKenzie, PhD, OT, Reg(NS), OTR; Kathleen E. Collins, MSc(OT); Mylene J. Guimond, MSc(OT); Abby C. Hunter, MSc(OT); Kassia J. Jurcina, MSc(OT); Johanna L. McDonald, MSc(OT); Nikki L. Richards, MSc(OT); Stephanie H. Sinclair, MSc(OT); Kelsey Y. Taylor, MSc(OT)


Co-constructed simulations were designed and piloted with senior occupational therapy master’s students in a neurorehabilitation practice module. The instructor served as the guide for the students through all phases of the case creation, simulation development, delivery, and debrief. The instructor facilitation promoted self-regulated learning (SRL) of knowledge and skill development through independent discovery and peer learning. This paper provides an evidence-informed co-construction simulation design with outlined stages, roles, and responsibilities for the instructor and learner. Thematic qualitative analysis of student feedback highlighted enhanced insight and SRL as a result of multiple role preparation, observation and interaction with peers, close interaction with the instructor, and the multi-stage debrief process. Recommended key features and critical interactions for a successful co-constructed design are also identified for the learner, instructor, and simulation. The co-construction simulation process and design elements are suitable for learners in any health-related field of study.