CUSIM: The dream that came true

CUSIM:THE DREAM

THAT CAME TRUE

Andrei ROMANCENCO, director CUSIM

International conference on Simulation-based training in medicineKyiv, Ukraine, 19-20 March 2015

State University of Medicine and Pharmacy “Nicolae Testemitanu”UNIVERSITY CENTER FOR SIMULATION IN MEDICAL TRAINING

Republic of Moldova

WHY did we start ?WHAT did we organize?HOW do we operate?

REACTIONS OF STEPS

Global Standards in Medical Education

WFME TRILOGY OF STANDARDS: AREAS1. Basic Medical Education2. Postgraduate Medical Education3. Continuing Professional Development

COMMITMENTS PROMOTED - highest scientific and ethical standards- initiating new learning methods- new instructional tools- innovative management

– is the only high medical education institution in the Republic of Moldova (www.usmf.md).

- 5700 students- 1300 residents- 5000 physician CME

State Medical University of Medicine and Pharmacy “Nicolae Testemitanu”

In Partnership with Eastern VirginiaMedical School, Norfolk, USAwas established the University Centerfor Clinical Skills Development (2000-2002)

The Center applies the StP method.Annually the beneficiaries are600 students200 family medicine residents

Our history in simulation…

year 2010…

European Union

Parliament of the Republic of Moldova

Governament of the Republic of Moldova

Ministry of Health of the Republic of Moldova

City Hall of Chișinău City

Swiss Agency for Development and Cooperation

World Health Organisation, Regional Office for Europe

Heart to Heart International, USA

Federal Ministry of Health, Germany

Senior Expert Service, Germany

Eastern Virginia Medical School, Norfolk, USA

year 2013 !

December, 2012The senate decision of IP Medical University "Nicolae Testemiţanu" on the establishment of the University Center for Simulation in Medical Training

August, 2013Official Opening

December, 2013Finalizing the EU project – under equipment and European audit components

HISTORY CUSIM:

Levels

basement

ground floor

floor 1

floor 2

floor 3

floor 4

TOTAL - 1926 sq meters

14 simulation rooms4 control rooms5 debriefing rooms2 classrooms1 conference room

FACILITIES

1 METI HPS 3 METI iStanMETI Man GI-Bronch Mentor 2 LapMentorHyst/TurpMentorSchallwareMOES NoelleSurgical CHLOE Premie Hall, Newborn HallBaby SimPediaSimPelvic mentor Skill trainers and manikins

DEPARTMENT OF STANDARDIZED PATIENTS AND COMMUNICATION

Contributes to improving patient communication skills, real patient physical and instrumental examination skills , and data interpreting in order to formulate correct diagnosis.

DEPARTMENT OF HIGH FIDELITY SIMULATION

Develops individual and teamwork skills for novice and experienced doctors using high fidelity simulators: adult and pediatric patients for complex clinical situations, multiple trauma and other emergencies at the hospital stage.

basic medical manipulations

emergency

anesthesia and reanimathology

obstetrics and gynecology

internal medicine

surgery

endoscopy

imaging

PROGRAMS

BASIC MEDICAL MANIPULATIONSemergency

anesthesia and reanimathology

obstetrics and gynecology

internal medicine

surgery

endoscopy

imaging

PROGRAMS

basic medical manipulations

EMERGENCYanesthesia and reanimathology

obstetrics and gynecology

internal medicine

surgery

endoscopy

imaging

PROGRAMS

basic medical manipulations

emergencyANESTHESIA AND REANIMATHOLOGY

obstetrics and gynecology

internal medicine

surgery

endoscopy

imaging

PROGRAMS

basic medical manipulations

emergencyanesthesia and reanimathology

OBSTETRICS AND GYNECOLOGY

internal medicine

surgery

endoscopy

imaging

PROGRAMS

basic medical manipulations

emergencyanesthesia and reanimathology

obstetrics and gynecology

INTERNAL MEDICINE

surgery

endoscopy

imaging

PROGRAMS

basic medical manipulations

emergencyanesthesia and reanimathology

obstetrics and gynecology

internal medicine

SURGERY

endoscopy

imaging

PROGRAMS

basic medical manipulations

emergencyanesthesia and reanimathology

obstetrics and gynecology

internal medicine

surgery

ENDOSCOPY

imaging

PROGRAMS

basic medical manipulations

emergencyanesthesia and reanimathology

obstetrics and gynecology

internal medicine

surgery

endoscopy

IMAGING

PROGRAMS

WHAT’S ON?

Impediments:-High costs-Resistance to changes-New type of activity -Educational and professional skepticism

Actions:-Regulation (rector’s order, syllabus, simulation components, etc.)

-Involving all related departments (within their class hours)-Familiarization and training programs for university staff

SIMULATION TRAINING

Benefits:-clinical experience with no risk for the patient;-objective assessment;-unlimited repetitions for skills development;-development of scenarios as needed for rare pathologies;

-freedom in training scheduling.

CUSIM total number of beneficiaries in 2014:

5621

Students - 4607

Doctors - 916

Rezidents - 98

jklklStudents courses:

- Internal Diseases - semiology- Anaesthesiology and Reanimathology- Care and patient communication- Medical emergencies- Obstetrics and Gynecology

Residents and doctors courses :

- Laparoscopy- Endoscopy- Bronchoscopy- Ultrasonography- Otorhinolaryngology- Obstetrics and Gynecology

Projects CUSIM (I)

- CHRONEX-RD

- Development and Cooperation "Support Department of Maternal and Child Health"- MedEspera- Twinning- Checklist links crisis

Projects CUSIM (II)

- Chronic pain- Introduction to bronchology /

News in bronchology- REPEMOL- REACH 4 MOLDOVA- Contemporary methods of medical training

CME 2015

- Cardiology- Pneumology- Ultrasonography- Surgery- Obstetrics and Gynecology- Endoscopy

Obstetrics and Gynecology (I)

Swiss Agency for Development and Cooperation (SDC)project "Support of Maternal and Child Health department" (May 2013 to April 2015):

high-fidelity simulatorsTask trainers21 training modules for emergency obstetric, gynecological and pediatrictrained instructors renowned centers in the world

Obstetrics and Gynecology (II)Period: December 2014 - April 2015

Statute nr Hours

Residents 45 72

Doctors 47 32

Total 92 104

SIMULATION COMPONENTS

I. Pre-test, initial trainingII. Component base scenarioIII. DebriefingIV. Conclusions and post-test

Obținerea competenților și

dezvoltarea abilităților medicale

într-un cadru organizat, după un

program bine structurat şi, foarte

important, fără riscuri asupra

pacientului, cu reducerea erorilor

şi în final îmbunătăţirea calitativă

a asistenţei medicale prestate

populaţiei.

STEFAN LINDGREN,President of the World Federation for Medical Education (WFME)

DAVID GORDON,President of the Association of Medical Schools in Europe(ASME)

High appraisals for performances in implementing new educational methods and technologies (including simulation training in medicine) in doctors training that will ensure a high quality education and improve health care for the population.

EXPERTS VISIT9-12 JANUARY 2014

SATISFACTION

Beneficiary andquality of teaching – 96%

EUROPEANVISIBILITY

http://www.sesam-web.org/

WORLDVISIBILITY

http://www.ssih.org/Home/SIM-Center-Directory/Area/EUROPE

- Strong, enthusiastic team

- Communication and advertising

- Managers support

- Teaching stuff support

- Authorities support

- Qualified architectures and engineers

- Legal framework

- Beneficiaries

- Curricula

- Money

- Equipment

- Sustainability

- Consider establish of a specialized society

- Divide your great project in small tasks and Good luck!

SIMULATION IN TRAINING, SAFETY IN ACTIONS

Thank you !