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Clinical Simulation for Clinical Skills Education ADEA 2002

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  1. ONTARIO Clinical Simulationfor Clinical Skills Education ADEA 2002 Stan Kogon Director for Don Gratton School of Dentistry University of Western Ontario

  2. Selection of Simulation Equipment How was the decision made • Available Simulation devices in 1993/4 • Available product • Adec poised to enter the market • Willing to work with the School as a test bed. Desire to have a lab dedicated to clinical simulation • Serendipity

  3. Floor Plans Before Preclinical #2 Wet Lab+ Preclinical #1 After Simulation Clinic 48 + 2 1995

  4. Preclinical Laboratory 1994 = 2 labs 1995 = 1 lab + Sim

  5. Simulation Clinic 1994 = 48 1998 = 56 2002 = 60

  6. 2001 Current Simulation Clinic 60 places Wet lab

  7. Wet Lab

  8. Physical Integration Where should the simulation be situated • Location is dependant on available space. • Use of simulation for all preclinical training or only for intraoral operations • We had twin preclinical labs- converted one to intraoral simulation and left the other for bench work. • Wet lab contiguous to Sim and Preclinical

  9. Curricular changes Innovations in education • Dynamic elements in Fixed Prosth. • Evaluate student performance in the simulated environment rather than submitted for bench top grading • For removable, the Sim is used in the same manner as private practice with lab preparation and intraoral try-in • Hygiene, Dental Ass and CDE.

  10. Costs of Simulation Costs (aprox) 1994/5 Source of Funds 1. Physical Plant $ 50,000.00 2. Simulation units 350,000.00 3. Phantom heads 60,000.00 4. Operating stools 21,000.00 5. A. V. installations 15,000.00 6. Total $496,000.00 a) Academic Development Funds b) Richard Ivey Foundation c) Toronto Crown & Bridge Study Club d) Faculty Budget Total cost (aprox) current Simulation Clinic = $ 750,000

  11. Other Costs and Expenses and Observations • Teeth -some in kit, additional bought by students - Students pay for all teeth. • Frasaco; Mounting Plates - in- house solution- $ • Frasaco; articular hinges- not precise enough • Masks; Durability and stain- $ • Water and ADEC controls -$

  12. THANK YOU