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General Concepts in Healthcare Simulation and Overview of WISER

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

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  1. 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

  2. Summary • Develop the Mission & Vision • Develop Student and Instructor Materials • Support the INSTRUCTORS

  3. TESTING TEACHING Individuals  Teams What can you do with Simulation? Psychomotor Skills • Decision Making Skills and Decisions

  4. What is Driving All of This ???

  5. Demand for Healthcare Practitioners Healthcare Education Resources

  6. PLUS Demand For PERFECTION In Healthcare

  7. PLUS

  8. What’s the Ultimate Goal? Expert Curriculum Best Practices Teach ASSESS Expert curriculum + Competent facilitator = Standardized Experience

  9. Psychomotor Skills Decision Making Base Knowledge Communications Skills Teamwork Skills Professionalism Skills The Job of Healthcare Educators

  10. MULTIPLE CHOICE TEST KNOWLEDGE DOES NOT EQUAL CLINICAL PERFORMANCEWE NEED TO KNOW MORE!

  11. 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

  12. 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

  13. Simulation for Residents? Independent Clinician Program Objectives Met (Graduation) Entering Student New Resident

  14. Simulation For Practicing Professionals? • Maintenance of Competence • Base Knowledge Maintenance • Clinical Track Record (Quality Assurance) • Experience • Currency of Knowledge • Therapeutic advances • Skills / Procedures

  15. We Just Finished!

  16. How many of you feel like this ?

  17. 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

  18. Overview of WISER Hospitals Patients Trainees Providers Schools Students Research Department of Anesthesiology

  19. Who Does WISER Support? • Over 100 Courses • Over 75 Course Directors/Creators • 295 Facilitators • University of Pittsburgh • UPMC (18 US Hospitals, 1 Italy)

  20. 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

  21. Reaching Out To Deploy Valuable Education UPMC McKeesport Children’s ISMETT, Palermo, Italy Passavant

  22. School of Nursing Simulation Facility

  23. Center for Emergency Medicine Mobile Unit

  24. FOCUS ON THE IMPORTANT STUFF

  25. Basic Components of Successful Simulation Program

  26. Basic Components of Successful Simulation Program

  27. Basic Components of Successful Simulation Program

  28. Basic Components of Successful Simulation Program

  29. Basic Components of Successful Simulation Program

  30. Basic Components of Successful Simulation Program

  31. Basic Components of Successful Simulation Program

  32. Simulation Information Management System

  33. Function as a Public Utility Subject Matter Expert WISER Instructors Students

  34. What does WISER do ? • Lower the Barriers for Successful • Creation • Implementation • Sustainment • Academic Recognition

  35. 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

  36. Tools and Support Support Administrative Technical Data Management Curricular

  37. DON’T DEMAND UNIVERSAL SIMULATION EXPERTISE! Subject Matter Expert(s) SME Simulation Expert(s)* *Skills Curriculum Project Management Equipment EXPERT CURRICULUM That Includes SIMULATION

  38. Develop Expertise to Multiply CURRICULUM Package CURRICULUM Package CURRICULUM Package CURRICULUM Package CURRICULUM Package CURRICULUM Package CURRICULUM Package CURRICULUM Package

  39. The Most Precious Resource • Developing the Faculty • iSIM Training Program • “Train the Trainer” • Prepare the simulation faculty member of tomorrow • www.isimcourse.com

  40. International Meeting for Simulation in HealthcareJanuary 23-26, 2011 - New Orleans, Louisianawww.ssih.org

  41. Thank You

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