TATRC

TATRC M

EDICAL

&

M

ODELING

S

IMULATION

P O R T F O L I O I N F O R M A T I O N B R I E F I N G T O Open Source Software Framework for Organ Modeling and Simulation Conference National Library of Medicine June 24, 2001 Presenter: J. Harvey Magee P R O J E C T T E A M Dr. Gerald R. Moses, Projects Supervisor 301 – 619 – 4000 / [email protected]

J. Harvey Magee, Project Officer 301 – 619 – 4002 / [email protected]

http://www.tatrc.org

Fort Detrick Frederick, Maryland Headquarters U.S. Army Medical Research and Materiel Command Major General John S. Parker, Commanding General

TATRC Telemedicine and Advanced Medical Technology Program

Telemedicine & Advanced Technology Research Center

Cutting Edge Medical Technology

Mission

Apply physiological and medical knowledge, advanced diagnostics, simulations, and effector systems integrated with information and telecommunications to enhance operational and medical decision-making, improve medical training, and deliver medical treatment across all barriers. The program scope is to identify, explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique.

Department of Defense, Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999

TATRC

Why do we Need Simulation?

• Military medical personnel [note: 100,000 of

them] must practice battlefield trauma care skills (GAO Report June 98).

• Training should replicate combat specific wounds & battlefield environmental stressors. Civilian injuries are unlike war.

• Traditional “see one, do one, teach one” method is changing.

• There are increased restrictions on animal use for training.

• Cost to conduct mass casualty exercises is prohibitive.

• Health care payors are resistant to reimburse for training.

• There are risks from treatment by care providers-in-training.

TATRC

PLUS………..

• “Every year at least 44,000 Americans die …of medical errors” • Medical errors are the 7th leading cause of U.S. death, greater than car accidents, breast cancer, or AIDS • Pharmacy errors are no longer the leading medical error. Surgical errors are.

• “

Recommendation 4.1

: Congress should create a Center to…develop knowledge and understanding of errors…develop a research agenda…evaluate methods for identifying and preventing errors….” Kohn, Corrigan, Donaldson, Institute of Medicine, 1999

PORTFOLIO COLLABORATIONS Tissue Modeling 3-D Volumetric Imaging, Haptics MSTI (Medical Simulation Trainer Initiative) Simulation Meta Analysis (Complete) Strategic Plan, Good Science, Sound Business Processes Ureteroscopic Endoscopic Simulator (Complete) ENTSurgical Simulator (Complete) STATCARE (Simulation Technologies for Trauma Care) CTPS (Combat Trauma Patient Simulator ) RELATIONSHIPS FUNDING EFFORTS

Workshop on Surgical Simulation [

Algorithms

] (Stanford) June 01

Strategic Plan, Good

Science

,

Sound Business Processes

Surgical

Metrics

(Yale) July 01

Open Source

Framework (NFAS) July 01

Haptics

Users Group (Colorado) Oct 01

TATRC

M

ULTIPLE

T

ECHNOLOGIES

T O M E E T M U L T I P L E T R A I N I N G N E E D S

PC-based Interactive VR/Multimedia Digitally Enhanced Mannequins Virtual Workbenches Total Immersion Virtual Reality

TATRC

Assessment of Medical Training Simulators

• • Evaluation methodology • • • Formulate overall objectives of the evaluation.

Develop general experimental design.

Select and develop appropriate treatment scenarios.

• Develop dependent variables / performance metrics.

Performance Metrics • Develop measurable standards against which to assess performance.

• Determine participants & pre-evaluation orientation requirements.

TATRC

Research Challenges

• • • • • • Real-time

in vivo

tissue property measurement and mathematical modeling Tissue-tool interactions Graphics and visualization Learning systems Metrics development and learning transfer assessment Open source architecture (Common Anatomical Modeling Language [CAML], CIMIT)

TATRC

Original Strategy (Feb 00)

• Assess the landscape – “Meta-Analysis” • Engage the experts – 70-person “Integrated Research Team”, Feb 00 • Converge the worlds • Support the science • Designate the “lead agency” to integrate efforts – TATRC has been designated.

• Develop & honor professional business practices at all stages of the process

TATRC

Current Strategy

• • • • Expand our consortia to address the core problems facing simulation.

Constructively collaborate on various aspects of essential research.

Demonstrate that simulator-based learning actually transfers to patient care, through validation studies and development of training metrics based upon simulator use.

Identify sufficient funds to answer these needs within the next five years (well…not ALL these needs).

TATRC

Informal Ways We’re Trying to Help

•

Broad Agency Announcement, US Army Medical Research Materiel Command

•

http://www-usamraa.army.mil/

•

Broad Agency Announcement #99-1

•

Section F, Telemedicine and Advanced Technology Program

•

Ask to be added to our “Funding Opportunity List”

•

Contact me if questions: J. Harvey Magee 301-619-4002 [email protected]