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SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE PowerPoint PPT Presentation


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SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE. Agenda. 1:00- 1:15 What is Medical Simulation and Why Do We Need It? Jeffrey Cooper, PhD 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Safety and Research? David Gaba, M.D.

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SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE

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SIMULATION FOR

EDUCATION

AND

TRAINING

IN

ANESTHESIA AND CRITICAL CARE


Agenda

  • 1:00- 1:15 What is Medical Simulation and Why Do We Need It?

    • Jeffrey Cooper, PhD

  • 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Safety and Research?

    • David Gaba, M.D.

  • 1:45-2:00 How is Simulation Being Used for Interdisciplinary Training?

    • W. Bosseau Murray, M.B., Ch.B., FRCA, M.D.


Agenda

  • 2:00-2:10 Stretch break

  • 2:10-2:30 Can Simulation be Used to Assess Clinical Performance?

    • Howard Schwid, M.D.

  • 2:30-2:50 How Can A Simulation Program Be Organized and Operated and What Does it Cost?

    • Michael Olympio, M.D.

  • 2:50-3:45 Discussion


WHAT DO WE MEAN WHEN WE SAY SIMULATOR?


Intubation Manikin


ASC


Gas Man Picture


Mannequin


OR


Ultrasim


CHALLENGES TO MEDICAL EDUCATION ADDRESSED BY SIMULATION

  • Training clinicians in risky procedures on real patients is less acceptable

  • There are limited opportunities to experience rare events and crises

  • Apprenticeship means you have to wait for something to happen to learn

  • Training for teamwork is non-existent

  • Economics- for some things, simulation is less costly


THE UNDERLYING REASONS FOR USING SIMULATION TRAINING

IT’S EXPERIENTIAL:

  • For changing behavior, simulation is better than books and lectures

  • It’s safer to practice on simulators than on patients


USES OF SIMULATORS in HEALTHCARE

EDUCATION & TRAINING OF CLINICIANS

RESEARCH

EVALUATING NEW TECHNOLOGIES

TRAINING ENGINEERS AND ANCILLARY PERSONNEL

EVALUATING PERFORMANCE

CREDENTIALING


STATUS OF REALISTIC SIMULATION: 2000

  • 3 COMMERCIAL SIMULATORS IN USE (minus 1 on the market)

  • ABOUT 200 REALISTIC MANIKIN SIMULATORS WORLD-WIDE

  • USED IN MANY MEDICAL DOMAINS AND APPLICATIONS


Barnes Jewish

Harvard (CMS)

Jefferson Medical Center

Penn State Hershey

U. Fl, Gainesville

Stanford (VA Palo Alto)

UCLA

U. North Carolina

U. Pittsburgh

USUHS (Walter Reed)

U. Rochester

USC

U. Mich.

UCSF

U. Washington

Vanderbilt

SOME US ANESTHESIA SIMULATION FACILITIES


Argentina

Australia

Belgium

Brazil

Canada

Denmark

England

Egypt

France

Germany

Hong Kong

Israel

Japan

Kuwait

Malaysia

Netherlands

New Zealand

Norway

Singapore

South Africa

Spain

Switzerland

SIMULATORS OUTSIDE THE US


MEDICAL SIMULATORS IN 2000

  • ACLS

  • Cardiology

  • Bronchoscopy

  • Sigmoidoscopy

  • IV catheter insertion

  • Laparoscopic skills training

  • Surgical skills trainer


BEST LINK TO SIMULATION WEB SITES

  • WWW.BRIS.AC.UK/DEPTS/BMSC


WHY SIMULATION IS SO IMPORTANT FOR ANESTHESIOLOGY

  • Anesthesiology started it

  • Other domains are co-opting it

  • The use of simulation can be a major legacy of anesthesiology to health care


QUESTIONS

  • How do we know if simulation is an effective form of training?

  • Is it worth the cost?

  • Does it Improve Safety?

  • Can/should it replace some or much of the apprenticeship form of medical training?

  • Is simulation becoming integral to the process of training and educating anesthesiologists?

  • Can simulation be used for credentialing ?

  • If it's going to happen, how should that be guided?


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