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SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE

SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE. Agenda. 1:00- 1:15 What is Medical Simulation and Why Do We Need It? Jeffrey Cooper, PhD 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Safety and Research? David Gaba, M.D.

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SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE

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  1. SIMULATION FOR EDUCATION AND TRAINING IN ANESTHESIA AND CRITICAL CARE

  2. Agenda • 1:00- 1:15 What is Medical Simulation and Why Do We Need It? • Jeffrey Cooper, PhD • 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Safety and Research? • David Gaba, M.D. • 1:45-2:00 How is Simulation Being Used for Interdisciplinary Training? • W. Bosseau Murray, M.B., Ch.B., FRCA, M.D.

  3. Agenda • 2:00-2:10 Stretch break • 2:10-2:30 Can Simulation be Used to Assess Clinical Performance? • Howard Schwid, M.D. • 2:30-2:50 How Can A Simulation Program Be Organized and Operated and What Does it Cost? • Michael Olympio, M.D. • 2:50-3:45 Discussion

  4. WHAT DO WE MEAN WHEN WE SAY SIMULATOR?

  5. Intubation Manikin

  6. ASC

  7. Gas Man Picture

  8. Mannequin

  9. OR

  10. Ultrasim

  11. CHALLENGES TO MEDICAL EDUCATION ADDRESSED BY SIMULATION • Training clinicians in risky procedures on real patients is less acceptable • There are limited opportunities to experience rare events and crises • Apprenticeship means you have to wait for something to happen to learn • Training for teamwork is non-existent • Economics- for some things, simulation is less costly

  12. THE UNDERLYING REASONS FOR USING SIMULATION TRAINING IT’S EXPERIENTIAL: • For changing behavior, simulation is better than books and lectures • It’s safer to practice on simulators than on patients

  13. USES OF SIMULATORS in HEALTHCARE EDUCATION & TRAINING OF CLINICIANS RESEARCH EVALUATING NEW TECHNOLOGIES TRAINING ENGINEERS AND ANCILLARY PERSONNEL EVALUATING PERFORMANCE CREDENTIALING

  14. STATUS OF REALISTIC SIMULATION: 2000 • 3 COMMERCIAL SIMULATORS IN USE (minus 1 on the market) • ABOUT 200 REALISTIC MANIKIN SIMULATORS WORLD-WIDE • USED IN MANY MEDICAL DOMAINS AND APPLICATIONS

  15. Barnes Jewish Harvard (CMS) Jefferson Medical Center Penn State Hershey U. Fl, Gainesville Stanford (VA Palo Alto) UCLA U. North Carolina U. Pittsburgh USUHS (Walter Reed) U. Rochester USC U. Mich. UCSF U. Washington Vanderbilt SOME US ANESTHESIA SIMULATION FACILITIES

  16. Argentina Australia Belgium Brazil Canada Denmark England Egypt France Germany Hong Kong Israel Japan Kuwait Malaysia Netherlands New Zealand Norway Singapore South Africa Spain Switzerland SIMULATORS OUTSIDE THE US

  17. MEDICAL SIMULATORS IN 2000 • ACLS • Cardiology • Bronchoscopy • Sigmoidoscopy • IV catheter insertion • Laparoscopic skills training • Surgical skills trainer

  18. BEST LINK TO SIMULATION WEB SITES • WWW.BRIS.AC.UK/DEPTS/BMSC

  19. WHY SIMULATION IS SO IMPORTANT FOR ANESTHESIOLOGY • Anesthesiology started it • Other domains are co-opting it • The use of simulation can be a major legacy of anesthesiology to health care

  20. QUESTIONS • How do we know if simulation is an effective form of training? • Is it worth the cost? • Does it Improve Safety? • Can/should it replace some or much of the apprenticeship form of medical training? • Is simulation becoming integral to the process of training and educating anesthesiologists? • Can simulation be used for credentialing ? • If it's going to happen, how should that be guided?

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