Transcript www.saaahq.org

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

1:15- 1:45 How is Simulation Being Used in
Anesthesia Education, Training, Patient
Safety and Research?
 David

Cooper, PhD
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.
Agenda
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2:00-2:10 Stretch break

2:10-2:30 Can Simulation be Used to
Assess Clinical Performance?
 Howard

2:30-2:50 How Can A Simulation Program Be
Organized and Operated and What Does it
Cost?
 Michael

Schwid, M.D.
Olympio, M.D.
2:50-3:45 Discussion
WHAT DO WE MEAN WHEN WE
SAY SIMULATOR?
Intubation Manikin
ASC
Gas Man Picture
Mannequin
OR
Ultrasim
CHALLENGES TO MEDICAL
EDUCATION ADDRESSED BY
SIMULATION
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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
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
USES OF SIMULATORS in
HEALTHCARE
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EDUCATION & TRAINING OF CLINICIANS
RESEARCH
EVALUATING NEW TECHNOLOGIES
TRAINING ENGINEERS AND ANCILLARY
PERSONNEL
EVALUATING PERFORMANCE
CREDENTIALING
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
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SOME US ANESTHESIA
SIMULATION FACILITIES
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Barnes Jewish
Harvard (CMS)
Jefferson Medical
Center
Penn State Hershey
U. Fl, Gainesville
Stanford (VA Palo
Alto)
UCLA
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U. North Carolina
U. Pittsburgh
USUHS (Walter
Reed)
U. Rochester
USC
U. Mich.
UCSF
U. Washington
Vanderbilt
SIMULATORS OUTSIDE THE US
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Argentina
Australia
Belgium
Brazil
Canada
Denmark
England
Egypt
France
Germany
Hong Kong
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Israel
Japan
Kuwait
Malaysia
Netherlands
New Zealand
Norway
Singapore
South Africa
Spain
Switzerland
MEDICAL SIMULATORS IN 2000
ACLS
 Cardiology
 Bronchoscopy
 Sigmoidoscopy
 IV catheter insertion
 Laparoscopic skills training
 Surgical skills trainer
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BEST LINK TO SIMULATION
WEB SITES
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WWW.BRIS.AC.UK/DEPTS/BMSC
WHY SIMULATION IS SO IMPORTANT
FOR ANESTHESIOLOGY
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Anesthesiology started it
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Other domains are co-opting it
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The use of simulation can be a major
legacy of anesthesiology to health care
QUESTIONS
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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?