Medical Simulation

1. Medical Simulation Pro Con - A Discussion Dr Agnes Ng KK Women’s and Children’s Hospital

2. First Impressions Set-up Manniquin “Actors” Debriefing

4. KKH PSTC

6. Medical Simulation Pro Con- A Discussion (Debate)

7. Medical Simulation Doctors Trained On Patient Simulators exhibit Superior Skills Beth Israel Medical Centre New Virtual Reality Surgery Simulator hones Surgeons' Skills, Improves Patient Safety Oregon Health & Science University School of Medicine Clinical Simulation Technology Used To Improve Communication Of Medical Teams Washington University School of Medicine Science Daily

8. Medical Simulation Pro Con- A Discussion (perhaps a debate)

9. Medical Stimulation Simulation is a technique, not technology, to replace or amplify real experiences with guided experiences……. in an interactive fashion Gaba Qual Saf Health Care 2004; 13

10. Medical Simulation Role Playing Task trainers Computer patient Manniquin simulators

11. Medical Simulation Limitations Over-expectations

12. Individuals or Teams

13. Medical Simulation Hardware & Infrastructure

14. Medical Simulation Manpower and Training

15. Manpower

16. Teacher……. Trainer, Medical Educator

17. Medical Educator “SODOTO” • See One • Do One • Teach One

18. Medical Stimulation Standards & Commitment

19. Medical Educator “In the Hot-Seat” Medical simulation Communications

20. Medical Educators Clinical skills Psychological skills (Situation awareness)

21. Simulation Based Medical Education: an opportunity to learn from errors • Provide professionals with the correct attitude and skills to cope competently with those mistakes that could not be prevented • Reduce occurrences of errors in real life Medical Teacher Vol 27, Issue 3 May 2005

22. Medical Simulation in professionals Balance between the emotional load associated with the experience and the professional lessons that can be learned.

23. Medical Simulation “Sharing the Load”

24. Medical Simulation Trainees “Suspension of Disbelief”

26. Blurring the boundaries: scenario-based simulation in a clinical setting quasi-clinical scenarios, where inanimate models attached to simulated patients Med Education Vol 39:6, 2005

28. Looking at the monitors to prompt next move Monitor focused Looking at the monitor to prompt the next move!

29. Medical simulation • Crises Driven • Crises after Crises • Preventing a Crises

30. Medical Simulation Resource Intensive and Time consuming Trainers & Trainees

31. Medical Simulation Initial exposure raises awareness Repeated exposure to simulation improves performance

32. Medical Simulation High Impact But does it translate into improved clinical outcomes?

33. Medical Simulation Assessment of Medical Competency

34. Medical Simulation Competency Assessment Reliability Validity Predictive validity

35. Defining Systems Expertise: Effective Simulation at the Organisational Level- Implications for Patient Safety, Disaster Surge Capacity, and Facilitating the Systems Interface 2008 Academic Emergency Medicine Consensus Conference on the Science of Simulation

36. 2008 Academic Emergency Medicine Consensus Conference on the Science of Simulation • Objective methods and measures to demonstrate simulator training actually improves patient safety • Effective feedback of information from error reporting systems into simulation training to improve patient safety • Methods and outcome measures to demonstrate teamwork improves disaster response • ……………..

37. No official instruction manual with the human body

38. The Patient is complex organism Physical Psyche Behavioural Environs

39. The Health Care Professional Physical Psyche Behavioural Environs

40. Reduction of Human errors Patient safety Medical Competence

41. Medical Simulation A tool, powerful teaching tool We should wield this tool and not the industry !