cooper.ppt

SIMULATION FOR SIMULATION FOR EDUCATION EDUCATION

AND AND TRAININGTRAINING

ININANESTHESIA AND ANESTHESIA AND

CRITICAL CARECRITICAL CARE

Agenda 1:00- 1:15 What is Medical Simulation and 1:00- 1:15 What is Medical Simulation and

Why Do We Need It?Why Do We Need It?Jeffrey Cooper, PhDJeffrey Cooper, PhD

1:15- 1:45 How is Simulation Being Used in 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Anesthesia Education, Training, Patient Safety and Research?Safety and Research?David Gaba, M.D.David Gaba, M.D.

1:45-2:00 How is Simulation Being Used for 1:45-2:00 How is Simulation Being Used for Interdisciplinary Training?Interdisciplinary Training?W. Bosseau Murray, M.B., Ch.B., FRCA, W. Bosseau Murray, M.B., Ch.B., FRCA,

M.D.M.D.

Agenda 2:00-2:10 Stretch break2:00-2:10 Stretch break 2:10-2:30 Can Simulation be Used to 2:10-2:30 Can Simulation be Used to

Assess Clinical Performance?Assess Clinical Performance?Howard Schwid, M.D.Howard Schwid, M.D.

2:30-2:50 How Can A Simulation Program Be 2:30-2:50 How Can A Simulation Program Be Organized and Operated and What Does it Organized and Operated and What Does it Cost?Cost?Michael Olympio, M.D.Michael Olympio, M.D.

2:50-3:45 Discussion2:50-3:45 Discussion

WHAT DO WE MEAN WHEN WE SAY SIMULATOR?

Intubation ManikinIntubation Manikin

ASCASC

Gas Man PictureGas Man Picture

MannequinMannequin

OROR

UltrasimUltrasim

CHALLENGES TO MEDICAL EDUCATION ADDRESSED BY

SIMULATION 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 THE UNDERLYING REASONS FOR USING SIMULATION TRAININGUSING SIMULATION TRAINING

IT’S EXPERIENTIAL: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

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

SOME US ANESTHESIA SIMULATION FACILITIES

Barnes Jewish Harvard (CMS) Jefferson Medical

Center Penn State Hershey U. Fl, Gainesville Stanford (VA Palo

Alto) UCLA

U. North Carolina U. Pittsburgh USUHS (Walter Reed) U. Rochester USC U. Mich. UCSF U. Washington Vanderbilt

SIMULATORS OUTSIDE THE US Argentina Australia Belgium Brazil Canada Denmark England Egypt France Germany Hong Kong

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

BEST LINK TO SIMULATION WEB SITES

WWW.BRIS.AC.UK/DEPTS/BMSC

WHY SIMULATION IS SO IMPORTANT FOR ANESTHESIOLOGY

Anesthesiology started it Other domains are co-opting it The use of simulation can be a major

legacy of anesthesiology to health care

QUESTIONS 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?