UCF College of Medicine Clinical Skills and Simulation Center

1. UCF College of Medicine Clinical Skills and Simulation Center Simulation in Medical Education

2. Laura Cuty-Ruiz, PhD, Assistant Professor, Director of Clinical Skills & Simulation Center • Counseling & Psychology background • Forensic Psychologist • University of North Carolina Chapel Hill • University of Maryland University College

3. College of Medicine beginnings • Est. in 2006 by the FL Legislature and Board of Governors to address the growing physician shortage nationwide and provide economic benefits to Central Florida and the state • Received highest accreditation status • First to provide full tuition scholarship • Estimated to yield 30,000 local jobs and have an economic impact of $7.6 billion • 2009 Most competitive per seat COM in the US. Over 4,000 applications

4. Lake Nona Medical City • Centered in Lake Nona 7000 sq ft community • Sanford-Burnham Institute for Medical Research • Orlando VA Medical Center • Nemours Children’s Hospital • UF – Research Center Comprehensive Drug Development Center and College of Pharmacy doctoral program

5. The Doctor Business • How do you make a doctor?

6. Recipe • 1 bachelors degree • 4 Years of medical school • Completion of medical licensure exam • Residency (orthopedics, pediatrics, internal medicine) • Optional fellowships “subspecialities”

7. Traditional 4 year Medical Education • 4 years of medical school • 2 years science lectures (biochemistry, genetics, anatomy, physiology….) + osmosis + • 2 years clinical experiences • = MD

8. UCF COM 21st Century Curriculum • Educational training beyond lectures • Integration of knowledge and practice • Emphasis on critical thinking and decision making in addition to knowledge and skills • Focus on communication skills • Focus on the humanity of medicine • Direct research experience • Inclusion of technology • Ability to PRACTICE, PRACTICE, PRACTICE

9. What makes a doctor a great doctor?

11. Simulation-Specific Plans • Create “Immersive Experiences” • Introduce students to real-world situations in a protected environment • Set the tone for experiential learning • Provide context in which future learning can be situated

12. Benefits • Reduced lecture time • Long-term retention • Capstone cases for integrated curriculum • Self-assessment improves reflective learning • Self-assessment saves faculty time • Rapid library development • Assessment of cultural and psychosocial competencies

13. Show do you simulate real patient care?? • Standardized patients • Human patient simulators • Partial task simulators • Computer Animations

14. What is a Standardized Patient? An SP is a person carefully recruited & trained to portray a real patient providing health professional student education in a simulated clinical environment

15. The SP accurately and consistently recreates the history, personality, physical findings, and emotional responses of an actual patient, fictional patient and/or a significant other of a patient

16. Role of SPs in medical education • For over 40 years SPs have been utilized as a component of health professional programs including medical school, nursing, allied health, & residency training

17. Change in the US and Canadian Medical Licensure requirements • Educational benefits • Standardization • Consistency of content • Assessment

18. How will SPs be utilized at UCF COM • Demonstration model in classroom or Clinical Skills & Simulation Center • Depicting a character (fictional) in a clinical scenario • Using your own personal history or physical findings • As a patient educator

19. SP being a model for physical exam

20. SP model for upper & lower extremities

22. SP Training for event

23. Faculty teaching with SP & Student

24. Student completing exam under faculty supervision

25. SP innovation

26. Why utilize other Simulators?? • All conditions cannot be replicated by a SP • heart attack, ear infection • Procedures • Suture, intubation, IV, foley catheter • Pediatric population • Examinations that cannot be monitored • Ear, pelvic, rectal

27. Human Patient Simulators

29. UCF COM Clinical Skills & Simulation Center • 12 exam rooms – 6500 sq ft • State-of-art educational management system • Complete recording capability • Fully outfitted with medical equipment • Adjacent area for medical simulation and research

30. Clinical Skills & Simulation Center

31. UCF – COM Mission “…aspires to educate and inspire individuals to become exemplary physicians, leaders in medicine, scholars in discovery, and innovative users of technology to improve healthcare for all” “…put people and relationships first and recognize that knowledge in research, education, and patient care is valued in its ability to better the human condition”

32. Additional Information • http://www.med.ucf.edu • cutyruiz@mail.ucf.edu

33. College of Medicine Lake Nona