TATRC M EDICAL M ODELING. &. S IMULATION. P O R T F O L I O. I N F O R M A T I O N B R I E F I N G T O. Open Source Software Framework for Organ Modeling and Simulation Conference National Library of Medicine June 24, 2001. Presenter: J. Harvey Magee.
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TATRC MEDICAL MODELING
P O R T F O L I O
I N F O R M A T I O N B R I E F I N G T O
Open Source Software Framework for Organ Modeling and Simulation Conference
National Library of Medicine
June 24, 2001
Presenter: J. Harvey Magee
P R O J E C T T E A M
Dr. Gerald R. Moses, Projects Supervisor
301 – 619 – 4000 / [email protected]
J. Harvey Magee, Project Officer
301 – 619 – 4002 / [email protected]
Headquarters U.S. Army Medical Research
and Materiel Command
Major General John S. Parker, Commanding General
Telemedicine & Advanced Technology Research Center
Cutting Edge Medical Technology
Telemedicine and Advanced Medical Technology Program
Apply physiological and medical knowledge, advanced diagnostics, simulations, and effector systems integrated with information and telecommunications to enhance operational and medical decision-making, improve medical training, and deliver medical treatment across all barriers.
The program scope is to identify,explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique.
Department of Defense,
Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999
Why do we Need Simulation?
Military medical personnel [note: 100,000 of them] must practice battlefield trauma care skills (GAO Report June 98).
Training should replicate combat specific wounds & battlefield environmental stressors. Civilian injuries are unlike war.
Traditional “see one, do one, teach one” method is changing.
There are increased restrictions on animal use for training.
Cost to conduct mass casualty exercises is prohibitive.
Health care payors are resistant to reimburse for training.
There are risks from treatment by care providers-in-training.
Kohn, Corrigan, Donaldson,
Institute of Medicine, 1999
“Every year at least 44,000 Americans die …of medical errors”
Medical errors are the 7th leading cause of U.S. death, greater than car accidents, breast cancer, or AIDS
Pharmacy errors are no longer the leading medical error. Surgical errors are.
“Recommendation 4.1: Congress should create a Center to…develop knowledge and understanding of errors…develop a research agenda…evaluate methods for identifying and preventing errors….”
C I M I T / S t a n f o r d
G U / J H U
TATRC Medical Modeling & Simulation Portfolio
D U S & T
(Simulation Technologies for Trauma Care)
R T I / E s e m b l e
S T T R
S B I R
O N R
CIMIT / Ben Taub
O R N L
JHU / CCF
A M P
N M T B
Good Science, Sound
Workshop on Surgical Simulation [Algorithms] (Stanford)
Surgical Metrics (Yale)
Open Source Framework (NFAS)
Haptics Users Group
PC-based Interactive VR/Multimedia
Total Immersion Virtual Reality
T O M E E T M U L T I P L E T R A I N I N G N E E D S
Assessment of Medical
Real-time in vivo tissue property measurement and mathematical modeling
Graphics and visualization
Metrics development and learning transfer assessment
Open source architecture (Common Anatomical Modeling Language [CAML], CIMIT)
Assess the landscape – “Meta-Analysis”
Engage the experts – 70-person “Integrated Research Team”, Feb 00
Converge the worlds
Support the science
Designate the “lead agency” to integrate efforts – TATRC has been designated.
Develop & honor professional business practices at all stages of the process
Expand our consortia to address the core problems facing simulation.
Constructively collaborate on various aspects of essential research.
Demonstrate that simulator-based learning actually transfers to patient care, through validation studies and development of training metrics based upon simulator use.
Identify sufficient funds to answer these needs within the next five years (well…not ALL these needs).
Informal Ways We’re Trying to Help