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P R O J E C T T E A M

TATRC M EDICAL M ODELING. &. S IMULATION. P O R T F O L I O. I N F O R M A T I O N B R I E F I N G T O. Open Source Software Framework for Organ Modeling and Simulation Conference National Library of Medicine June 24, 2001. Presenter: J. Harvey Magee.

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P R O J E C T T E A M

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  1. TATRC MEDICAL MODELING & SIMULATION P O R T F O L I O I N F O R M A T I O N B R I E F I N G T O Open Source Software Framework for Organ Modeling and Simulation Conference National Library of Medicine June 24, 2001 Presenter: J. Harvey Magee P R O J E C T T E A M Dr. Gerald R. Moses, Projects Supervisor 301 – 619 – 4000 / moses@tatrc.org J. Harvey Magee, Project Officer 301 – 619 – 4002 / magee@tatrc.org http://www.tatrc.org

  2. Fort Detrick Frederick, Maryland Headquarters U.S. Army Medical Research and Materiel Command Major General John S. Parker, Commanding General

  3. TATRC Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology Telemedicine and Advanced Medical Technology Program Mission Apply physiological and medical knowledge, advanced diagnostics, simulations, and effector systems integrated with information and telecommunications to enhance operational and medical decision-making, improve medical training, and deliver medical treatment across all barriers. The program scope is to identify,explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique. Department of Defense, Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999

  4. Why do we Need Simulation? Military medical personnel [note: 100,000 of them] must practice battlefield trauma care skills (GAO Report June 98). Training should replicate combat specific wounds & battlefield environmental stressors. Civilian injuries are unlike war. Traditional “see one, do one, teach one” method is changing. There are increased restrictions on animal use for training. Cost to conduct mass casualty exercises is prohibitive. Health care payors are resistant to reimburse for training. There are risks from treatment by care providers-in-training.

  5. Kohn, Corrigan, Donaldson, Institute of Medicine, 1999 PLUS……….. “Every year at least 44,000 Americans die …of medical errors” Medical errors are the 7th leading cause of U.S. death, greater than car accidents, breast cancer, or AIDS Pharmacy errors are no longer the leading medical error. Surgical errors are. “Recommendation 4.1: Congress should create a Center to…develop knowledge and understanding of errors…develop a research agenda…evaluate methods for identifying and preventing errors….”

  6. COLLABORATIONS PORTFOLIO Congressionals STRICOM RAD II C I M I T / S t a n f o r d NCAMSC (USUHS) G U / J H U TATRC Medical Modeling & Simulation Portfolio Simulation Meta- Analysis (Complete) OTHER D U S & T ENTSurgical Simulator (Complete) Tissue Modeling STATCARE (Simulation Technologies for Trauma Care) R T I / E s e m b l e 3-D Volumetric Imaging, Haptics NLM MSTI (Medical Simulation Trainer Initiative) CTPS (Combat Trauma Patient Simulator) Ureteroscopic Endoscopic Simulator (Complete) S T T R S B I R O N R CIMIT / Ben Taub O R N L JHU / CCF PRMRP A M P End Users N M T B RELATIONSHIPS FUNDING EFFORTS Strategic Plan, Good Science, Sound Business Processes

  7. Workshop on Surgical Simulation [Algorithms] (Stanford) June 01 Surgical Metrics (Yale) July 01 Open Source Framework (NFAS) July 01 Haptics Users Group (Colorado) Oct 01 Strategic Plan, GoodScience,Sound Business Processes

  8. PC-based Interactive VR/Multimedia Digitally Enhanced Mannequins Virtual Workbenches Total Immersion Virtual Reality MULTIPLE TECHNOLOGIES T O M E E T M U L T I P L E T R A I N I N G N E E D S

  9. Assessment of Medical Training Simulators • Evaluation methodology • Formulate overall objectives of the evaluation. • Develop general experimental design. • Select and develop appropriate treatment scenarios. • Develop dependent variables / performance metrics. • Performance Metrics • Develop measurable standards against which to assess performance. • Determine participants & pre-evaluation orientation requirements.

  10. Research Challenges Real-time in vivo tissue property measurement and mathematical modeling Tissue-tool interactions Graphics and visualization Learning systems Metrics development and learning transfer assessment Open source architecture (Common Anatomical Modeling Language [CAML], CIMIT)

  11. Original Strategy (Feb 00) Assess the landscape – “Meta-Analysis” Engage the experts – 70-person “Integrated Research Team”, Feb 00 Converge the worlds Support the science Designate the “lead agency” to integrate efforts – TATRC has been designated. Develop & honor professional business practices at all stages of the process

  12. Current Strategy Expand our consortia to address the core problems facing simulation. Constructively collaborate on various aspects of essential research. Demonstrate that simulator-based learning actually transfers to patient care, through validation studies and development of training metrics based upon simulator use. Identify sufficient funds to answer these needs within the next five years (well…not ALL these needs).

  13. Informal Ways We’re Trying to Help • Broad Agency Announcement, US Army Medical Research Materiel Command • http://www-usamraa.army.mil/ • Broad Agency Announcement #99-1 • Section F, Telemedicine and Advanced Technology Program • Ask to be added to our “Funding Opportunity List” • Contact me if questions:J. Harvey Magee301-619-4002magee@tatrc.org

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