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Simulation at the College of Medicine: Evidence, Utilization, and Future Directions

Explore the role of simulation in medical education, including its effectiveness, current usage, and comparison to traditional teaching methods. Discover the various scenarios and training opportunities offered, and the impact on patient outcomes.

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Simulation at the College of Medicine: Evidence, Utilization, and Future Directions

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  1. Simulation at the College of Medicine 2011

  2. Topics • Evidence that simulation works? • What are we doing now? • How is sim used in other medical schools? • Sim utilization now?

  3. Simulation, what is it? • Is NOT a curriculum • Animates existing curriculum • Certain topics covered better in sim experience than in a lecture

  4. (Best Evidence Medical Education Collaborative) review of the literature from 1969-2003 • deliberate practice with feedback • exposure to uncommon events  • reproducibility  • the opportunity for assessment of learners  • the absence of risk to patient • no studies to show that simulation training improves patient outcomes

  5. medical insurers offer malpractice insurance discounts for faculty who participate in simulator training • The simulation group performed at twice the level of the ward group in half the training time. (Wooliscroft, 1987) (Harvey) • Accelerated and sustained learning compared with the routine teaching method (Gordon)

  6. Location: B444/445 B444/443

  7. What are we doing now in undergrad medicine simulation? • Second year Cardiac/Resp scenarios • Jursi on call scenarios SOB/Sepsis • Jursi task training LP, Airway, (Blackboard)

  8. Pilot for September (5 students) • Compare ACLS weekend to 5 week modules • Scenarios demo “gold” from systems • Pilot self directed learning Annotated video teamwork/communication

  9. Scheduling Students and Teachers if we add something new • Simulation Faculty • 100 students • Existing curriculum structure • Synchronization

  10. A 1-Week Simulated Internship Course Helps Prepare Medical Studentsfor Transition to Residency Mayo Clinic, Laack 2010 Simulation in Healthcare

  11. University of Miami first year patient safety (one week) • Jigsaw puzzle • House of Horrors • Colleague high on drugs • Patient safety videos • Patient with allergy to penicillin • Call from Risk Management • Call from Lawyer

  12. Users • Users Clinical Sciences 85/17groups of 5 • Oct-Dec (cardiac) Jan-Mar (Resp) • JURSI 60/15 groups of 4 • Sept-Apr MI/Sepsi/PE • NURSING 3rd year Med/ Surg • Oct/Nov Feb/Mar cardiac

  13. Users • Nursing 3rd year Med / Surg • Sept/Oct Oct/Nov Jan/Feb Feb/Mar Resp • Nursing second degree • Nov/Dec Feb/Mar • Nurse Practitioner • Mar

  14. Users • Anesthesia Residents • Friday afternoon 30/3 sessions per year • Peds ER • Monday morning all year • ER • Every second Monday all year • Internal Med • All residents 1st 2nd year 1 session per year

  15. Future users • Obstetrics • Nursing new curriculum • mid Sept-Oct, Feb-Mar full time use now

  16. Standardized Patients • Clinical Sciences A 8 SP in April 10 sessions • Clinical Sciences C 10 SP in Nov for 8 sessions • Nurse Practitioner SP & Drama students • Nursing 2nd degree SP for osce • Clinical Sciences ABC JURSI Hx/Px/osce • Int Med SP academic osce • Pharmacy Physio SP for PBL osce • Licencing exams Med,Pharm, Physio SP

  17. High Fidelity Manikins • Laerdal Sim man • Laerdal 3G • Laerdal sim baby • Harvey

  18. Task trainers • Central Line Blue Phantom • Trauma Man • Auscultation breath sounds • Intubation heads • Lumbar puncture • Thoracocentesis

  19. Task trainers • Breast, Rectal • Arterial stick • IV arm • Annie • Breast, testicular, pelvic • NG insertion • Urinary cath • Ear/Eye exam

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