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ONTARIO. Clinical Simulation for Clinical Skills Education ADEA 2002. Stan Kogon Director for Don Gratton. School of Dentistry University of Western Ontario. Selection of Simulation Equipment. How was the decision made.
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ONTARIO Clinical Simulationfor Clinical Skills Education ADEA 2002 Stan Kogon Director for Don Gratton School of Dentistry University of Western Ontario
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
Floor Plans Before Preclinical #2 Wet Lab+ Preclinical #1 After Simulation Clinic 48 + 2 1995
Preclinical Laboratory 1994 = 2 labs 1995 = 1 lab + Sim
Simulation Clinic 1994 = 48 1998 = 56 2002 = 60
2001 Current Simulation Clinic 60 places Wet lab
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
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.
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
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 -$