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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

&

SIMULATION

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]

http://www.tatrc.org


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Fort Detrick

Frederick, Maryland

Headquarters U.S. Army Medical Research

and Materiel Command

Major General John S. Parker, Commanding General


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TATRC

Telemedicine & Advanced Technology Research Center

Cutting Edge Medical Technology

Telemedicine and Advanced Medical Technology Program

Mission

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


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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.


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Kohn, Corrigan, Donaldson,

Institute of Medicine, 1999

PLUS………..

“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….”


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COLLABORATIONS

PORTFOLIO

Congressionals

STRICOM

RAD II

C I M I T / S t a n f o r d

NCAMSC (USUHS)

G U / J H U

TATRC Medical Modeling & Simulation Portfolio

Simulation

Meta-

Analysis

(Complete)

OTHER

D U S & T

ENTSurgical

Simulator

(Complete)

Tissue

Modeling

STATCARE

(Simulation Technologies for Trauma Care)

R T I / E s e m b l e

3-D Volumetric

Imaging, Haptics

NLM

MSTI

(Medical Simulation

Trainer Initiative)

CTPS

(Combat Trauma

Patient Simulator)

Ureteroscopic

Endoscopic

Simulator

(Complete)

S T T R

S B I R

O N R

CIMIT / Ben Taub

O R N L

JHU / CCF

PRMRP

A M P

End Users

N M T B

RELATIONSHIPS

FUNDING EFFORTS

Strategic Plan,

Good Science, Sound

Business Processes


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Workshop on Surgical Simulation [Algorithms] (Stanford)

June 01

Surgical Metrics (Yale)

July 01

Open Source Framework (NFAS)

July 01

Haptics Users Group

(Colorado)

Oct 01

Strategic Plan,

GoodScience,Sound

Business Processes


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PC-based Interactive VR/Multimedia

Digitally Enhanced

Mannequins

Virtual

Workbenches

Total Immersion Virtual Reality

MULTIPLE TECHNOLOGIES

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


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Assessment of Medical

Training Simulators

  • Evaluation methodology

    • Formulate overall objectives of the evaluation.

    • Develop general experimental design.

    • Select and develop appropriate treatment scenarios.

    • Develop dependent variables / performance metrics.

  • Performance Metrics

    • Develop measurable standards against which to assess performance.

    • Determine participants & pre-evaluation orientation requirements.


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Research Challenges

Real-time in vivo tissue property measurement and mathematical modeling

Tissue-tool interactions

Graphics and visualization

Learning systems

Metrics development and learning transfer assessment

Open source architecture (Common Anatomical Modeling Language [CAML], CIMIT)


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Original Strategy (Feb 00)

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


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Current Strategy

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).


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Informal Ways We’re Trying to Help

  • Broad Agency Announcement, US Army Medical Research Materiel Command

    • http://www-usamraa.army.mil/

    • Broad Agency Announcement #99-1

    • Section F, Telemedicine and Advanced Technology Program

  • Ask to be added to our “Funding Opportunity List”

  • Contact me if questions:J. Harvey [email protected]


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