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General Concepts in Healthcare Simulation and Overview of WISER. Paul E. Phrampus, MD Director Peter M. Winter Institute for Simulation, Education and Research (WISER) Department of Anesthesiology University of Pittsburgh and UPMC. Summary. Develop the Mission & Vision

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general concepts in healthcare simulation and overview of wiser

General Concepts in Healthcare Simulationand Overview of WISER

Paul E. Phrampus, MD

Director

Peter M. Winter Institute for Simulation,

Education and Research (WISER)

Department of Anesthesiology

University of Pittsburgh and UPMC

summary
Summary
  • Develop the Mission & Vision
  • Develop Student and Instructor Materials
  • Support the INSTRUCTORS
slide3

TESTING

TEACHING

Individuals  Teams

What can you do with Simulation?

Psychomotor Skills

  • Decision Making

Skills and Decisions

slide5

Demand for Healthcare Practitioners

Healthcare Education Resources

slide6
PLUS

Demand For

PERFECTION

In Healthcare

what s the ultimate goal
What’s the Ultimate Goal?

Expert

Curriculum

Best

Practices

Teach

ASSESS

Expert curriculum + Competent facilitator = Standardized Experience

the job of healthcare educators

Psychomotor Skills

Decision Making

Base Knowledge

Communications Skills

Teamwork Skills

Professionalism Skills

The Job of Healthcare Educators
simulation and level of training
Simulation and Level of Training
  • For Students?
    • Standardize the experience
    • Build Base Knowledge
    • Introduce Clinical Variability
    • Allow for repetitive practice to increase retention
    • Some psychomotor skills development
    • Introduce team concepts
simulation and level of training1
Simulation and Level of Training
  • For Post Graduates?
    • Standardizing the experience
      • Clinical Supplement + + +
    • Procedural Mastery
    • Continue to build base knowledge
    • Increase mastery of team functions
simulation for residents
Simulation for Residents?

Independent

Clinician

Program Objectives Met

(Graduation)

Entering

Student

New Resident

simulation for practicing professionals
Simulation For Practicing Professionals?
  • Maintenance of Competence
    • Base Knowledge Maintenance
    • Clinical Track Record (Quality Assurance)
    • Experience
  • Currency of Knowledge
    • Therapeutic advances
    • Skills / Procedures
wiser mission
WISER Mission
  • Create a safer environment for patients and improve healthcare operational efficiency
  • Serve as a laboratory to research the use of simulation
  • Create simulation based education programs
  • Develop and validate simulation based technology as a competency assessment evaluation tool
  • Educate and mentor healthcare system educators in successful implementation of simulation based education and assessment programs around the world
overview of wiser
Overview of WISER

Hospitals

Patients

Trainees

Providers

Schools

Students

Research

Department of

Anesthesiology

who does wiser support
Who Does WISER Support?
  • Over 100 Courses
  • Over 75 Course Directors/Creators
  • 295 Facilitators
  • University of Pittsburgh
  • UPMC (18 US Hospitals, 1 Italy)
wiser users
WISER Users
  • Pharmacy Students
  • Pharmacists
  • Paramedics, EMTs
  • Respiratory Therapists
  • Other Simulation Centers / Educators
  • Many Others
  • Medicine
    • Medical Students (MS 2-4)
    • Residents
      • Anesthesiology
      • Emergency Medicine
      • ENT
      • Internal Medicine
      • OB/GYN (course work in development)
      • Pediatrics
      • Surgery
    • Fellows
      • Critical Care
      • Pediatric Intensivists
    • Faculty Members and Community Physicians
      • Anesthesiology
      • Critical Care Medicine
      • Emergency Medicine
  • Nursing
    • Undergraduate Nursing Students
    • Practicing Nurses
      • Med / Surg
      • ICU
      • OR
    • Nurse Anesthetists
    • Student Nurse Anesthetists
  • 14,000 simulation encounters last year
  • 3,500 unique individuals
slide21

Reaching Out To Deploy

Valuable Education

UPMC

McKeesport

Children’s

ISMETT, Palermo, Italy

Passavant

function as a public utility
Function as a Public Utility

Subject Matter

Expert

WISER

Instructors

Students

what does wiser do
What does WISER do ?
  • Lower the Barriers for Successful
    • Creation
    • Implementation
    • Sustainment
    • Academic Recognition
building tools and support to solve the pain of the common ground
Building Tools and Support to Solve the Pain of the Common Ground

Support

Successful

Program 1

Domain 1

Successful

Program 2

Domain 2

Simulation

Help

(The tool Box)

Successful

Program 3

Domain 3

Successful

Program 4

Domain 4

Rules

tools and support
Tools and Support

Support

Administrative

Technical

Data Management

Curricular

don t demand universal simulation expertise
DON’T DEMAND UNIVERSAL SIMULATION EXPERTISE!

Subject Matter Expert(s)

SME

Simulation

Expert(s)*

*Skills

Curriculum

Project Management

Equipment

EXPERT CURRICULUM

That Includes

SIMULATION

develop expertise to multiply
Develop Expertise to Multiply

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

CURRICULUM

Package

the most precious resource
The Most Precious Resource
  • Developing the Faculty
  • iSIM Training Program
    • “Train the Trainer”
    • Prepare the simulation faculty member of tomorrow
    • www.isimcourse.com
slide40
International Meeting for Simulation in HealthcareJanuary 23-26, 2011 - New Orleans, Louisianawww.ssih.org