Transcript Slide 1

Medical Modeling and
Simulation Certificate Program
CDR Joseph Sullivan, CAPT Paul Chatelier, Dr.
Michael McCauley, & Dr. Quinn Kennedy
831-656-7582
http://movesinstitute.org
Overview
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Background
The players
Program objectives
Concept of operations
Proposed curriculum
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Background
• M&S in military medical training fills a crucial
gap in training for military medical personnel.
– Allows learning and practice of battlefield trauma
care skills when not in theater (Moses et al 2001).
– Estimates the benefit of new medical technology
(vonTersch et al 2009)
• Because of these benefits, M&S in military
medical training among healthcare providers
is becoming prevalent.
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Background
• However, current M&S in military medical
training has gaps:
– No organized program that verifies, validates, and
accredits M&S used in medicine and health care
(US Army and International Surgeon Generals
2009; Magee 2003; Pugh et al 2011).
– No program to accredit simulation instructors and
simulation center managers.
– Need for greater emphasis on curriculum-driven
development of medical simulation and training
(Magee, RTO-MP-HFM-182).
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Background
• In conjunction with the Uniformed Services
University of the Health Sciences, we propose
to create a certificate program in medical M&S
to meet these needs.
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The Players: USU
The mission of the Uniformed Services
University of the Health Sciences (USU):
“To train a unique cadre of military physicians
who would practice medicine under a wide
variety of conditions - including military field
exercises.”
USU medical
training
expertise
Medical
M&S
certificate
program
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The Players: USU
USU programs provide education and research on:
• force health protection
• tropical diseases
• disaster medicine
• military and public health medical readiness
• adaptation to extreme environments
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USU Simulation Exercises
Operation Kerkesner:
Students’ medical skills
are assessed in a
simulated battlefield
environment, for
example, starting an IV
in a field setting and
triaging fellow service
members while "under
fire."
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USU Simulation Exercises
Operation Bushmaster:
In the midst of a
simulated mass
casualty, students must
locate and triage the
casualties.
http://www.health.mil/news_and_multimedia/Media_Room.aspx?MediaID=24c39543-2156-474b-abe4-767a8d1cec1f
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USU need for M&S training
• There is a need to provide additional,
accredited M&S training to military medical
personnel so that:
– Medical personnel know how to effectively utilize
M&S to better aid force health protection.
– Simulation time and resources are managed more
efficiently.
– They will have a hand in steering the future
development of technology.
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The Players: MOVES/NPS
The MOVES Institute’s mission:
“To enhance the operational effectiveness of joint
and allied forces by providing superior training and
analysis products, education, and exemplary
research in the expanding (i.e.
medical and health sciences) fields
of modeling and
MOVES/NPS
M&S training
simulation.”
expertise
Medical
M&S
certificate
program
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The Players: MOVES/NPS
Resources:
• 38 faculty members, many with affiliations in
Operations Research, Computer Science,
Information Sciences, Systems Engineering,
and Electrical and Computer Engineering
Depts.
• Military students who earn Masters in Science
or PhD in Modeling, Virtual Environments and
Simulation.
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MOVES/NPS
MOVES faculty’s expertise and projects fall
within these categories:
• Augmented Reality & Computer Vision
• Human Behavior Simulation
• Human Systems & Training
• Computer Gaming, Visual & Web-based
Simulation
• Simulation Modeling for Analysis
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MOVES/NPS
Simulation and Training Lab: provide a 'black box'
approach to simulation - where students and
faculty can easily configure novel training system
using existing or evolving displays, input devices and
interaction modes.
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MOVES lab facilities
SAVAGE lab: a working
space where students,
staff and faculty can
collaborate, experiment
and demonstrate ideas
related to M&S on the
web.
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MOVES lab facilities
Motion Capture Studio:
provides a state-of-the-art
motion capture system, able
to track hundreds of markers
at rates of 1000Hz or more.
The system is configurable
for applications, including
real-time data for interaction
with virtual environments,
motion analysis, animation,
or human systems
integration.
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MOVES lab facilities
Vision Lab: provides computer vision, computer
graphics and human-computer interaction. The lab
collaborates with NPS-wide efforts on training
systems, robotics and autonomous systems, sensor
networks and embedded systems.
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MOVES/NPS
• MOVES faculty have extensive experience in
teaching people how to use M&S and manage
simulators to address a variety of needs.
http://www.123rf.com/photo_3803369_students-and-professor-incomputer-classroom.html
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USU and MOVES: Melding of
expertise and needs
USU medical
training
expertise
MOVES/NPS
M&S training
expertise
Medical
M&S
certificate
program
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The Players: Telemedicine and Advanced
Technology Research Center (TATRC)
The Telemedicine & Advanced Technology
Research Center (TATRC) performs medical
reconnaissance and special operations to
address critical gaps in DoD medical research
TATRC support
programs.
for advances in
medical
training
Medical
M&S
certificate
program
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The Players: TATRC
• TATRC is an office of the headquarters of the
US Army Medical Research and Materiel
Command (USAMRMC).
• TATRC advances research on
– health informatics
– telemedicine/m-Health
– medical training systems
– computational biology
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TATRC: Medical M&S
The vision of TATRC’s medical simulation and
training technology portfolio is:
To change current medical training from a
subjective assessment of skills to a “curriculumaligned, metrics-driven, objective system of
assessment based on demonstrated proficiency to
perform skills…” (Magee, RTO-MP-HFM-182).
It has 2 goals:
1) Improve trauma training
2) Reduce medical errors
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Alignment of MOVES/USUS Certificate
Program with TATRC’s Goals
TATRC vision and goals
MOVES/USUS certificate program
Curriculum-aligned, metricsdriven assessment of skills.
Create an accredited curriculum in
military medical M&S.
Improve trauma training
and reduce medical errors.
Students learn how and which
types of medical M&S can be used
effectively to improve battlefield
trauma via simulated exercises.
Students learn how to scientifically
assess the pros and cons of current
and new medical technology and
methods.
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The Team
TATRC support
for advances
in medical
training
USU medical
expertise
MOVES M&S
expertise
Certificate
program in
Medical
M&S
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Program Objectives
1. Provide M&S education curriculum to DoD
health services delivery personnel;
2. Collaborate with TATRC to conduct research on
medical modeling and simulation projects;
3. Mutually identify and address M&S as well as
HSI issues relevant to the health sciences;
4. Provide research and advisory support for the
design, application and evaluation of medical
M&S training for health care professionals.
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Concept of Operations
1. Students will be medical professionals involved with
oversight, planning and operations of medical
simulation facilities and curricula.
2. 4 course certificate program granted by NPS.
3. Distance learning model with some on-campus
activity.
4. Scholarly project as a capstone requirement.
5. Sharing of USU/NPS faculty and resources to deliver
content, assess progress of learners and mentor
candidates in research projects.
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Administrative Component
• Identify and scope efforts, resources, and priorities
– Simulation Center Director
– Simulation Center Operations
• Finalize Certificate Selection
• Define Certificate Metrics and Governance Functions
– Certificate Selection/Definition of Deliverables
• Gap Analysis Document
• Required funds, labor, draft development plan
• Program evaluation
• Course and program student opinion forms
• Internal and external review committees
• Develop formal proposal for certificate program approval
• Develop Simulation Center and Personnel Certification Program Policy
• Franchise Center, Personnel and Certificate Program Capability
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Didactic Component
• Utilization of the ADDIE model (Analysis,Design,
Development, Implementation, Evaluation) (MILHDBK-29612-2A) to:
– develop course topics
– materials
– determine correspondence method between
instructor and student
– determine the delivery system in which the
material will be presented
• Identification and pursuit of scholarly project with
collaborative effort between MOVES and USUS
faculty.
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Logistics Component
• Develop certificate maintenance and delivery
system:
– 80% distance learning; 20% “face to face.”
• DL resources available to MOVES faculty and
USU students:
– personnel to assist before and during each lecture
– access to computers and DL equipment
– relevant software
– protected classroom space for USU students if
needed
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Proposed Curriculum
Four course curriculum:
1. Simulation and Training
2. Research Methods for Performance
Assessment
3. Management of Modeling and Simulation
4. Technology in Simulation
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Course 1: Simulation and Training
Instructor: Dr. Michael McCauley
Topics:
• Developing a simulation instructor training program at your
institution
• Advanced topics in scenario development, e.g., medical error,
delivering bad news, equipment failure, ethical problems
• Patient simulation: history and context
• Team STEPPS
• Curriculum development/evaluation
• Educational Theory/Educational Psychology
• Human Information Processing: Sensation & Perception
• Human Information Processing: Cognition, Memory,
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Attention, and Decision Making
Course 2: Research Methods for
Performance Assessment
Instructor: Dr. Quinn Kennedy
Topics:
• Validation and assessment systems in simulation
• Ethics and responsible conduct of research/legal
requirements (IRB’s)
• Probability and Statistics
• Grant Writing
• Experimental Research,
Surveys, and Task Analysis
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Course 3: Management of M&S
Instructor: Drs. Rudy Darken and Joe Sullivan
Topics:
• Operating a simulation program
• Fundamentals of the DoD
acquisition program
• Finance/Management of a
simulation program
• Mission/Vision/Business
Planning
• Legal/ Intellectual property rights
http://www.google.com/imgres?imgurl=http://www.anesthesiology.uci.edu/UI/
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Course 4: Technology in Simulation
Instructor: Dr. Bill Becker
Topics:
• Learning management systems
• Skills lab (hands on practicum)
• Physiology and simulation interfaces
• Bioinformatics
• Environmental influences on performance
• Response Execution, Displays & Controls
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Summary
Through this collaborative medical M&S program, we
will address a critical gap in DoD medical programs that
will aid health protection of our military personnel.
http://www.militaryphotos.net/forums/showthread.php?167027
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Contacts
CDR Joe Sullivan
[email protected]
CAPT Paul Chatelier
[email protected]
Dr. Mike McCauley
Dr. Quinn Kennedy
[email protected]
[email protected]
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