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CUSIM: THE DREAM THAT CAME TRUE Andrei ROMANCENCO, director CUSIM International conference on Simulation-based training in medicine Kyiv, Ukraine, 19-20 March 2015 State University of Medicine and Pharmacy “Nicolae Testemitanu” UNIVERSITY CENTER FOR SIMULATION IN MEDICAL TRAINING Republic of Moldova
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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 TestemitanuUNIVERSITY CENTER FOR SIMULATION IN MEDICAL TRAININGRepublic of Moldova1

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

2REACTIONS OF STEPS

Neuer Studienplan Medizin f. Wien20.03.2015Richard Mrz: Vortrag BanjaLuca4MEDINE funcioneaz n cadrul iniiativelor europene, Declaraia de la Bologna, Sistemul European de Credite Transferabile (ECTS), Suplimentul la diplom, sistemul Threecycle, proiectul Tuning, i lucrrile anterioare n medicina de ctre Comisia European, Asociatia pentru Educatie Medicala din Europa, (AMEE) Asociaia colilor medicale din Europa (AMSE), i Federaia Mondial pentru educatie Medicala (WFME).

Global Standards in Medical Education

WFME TRILOGY OF STANDARDS: AREAS Basic Medical EducationPostgraduate Medical EducationContinuing 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 students1300 residents5000 physician CME

State Medical University of Medicine and Pharmacy Nicolae Testemitanu

6In Partnership with Eastern Virginia Medical School, Norfolk, USAwas established the University Center for Clinical Skills Development (2000-2002)

The Center applies the StP method.Annually the beneficiaries are600 students200 family medicine residentsOur history in simulation

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year 2010

European UnionParliament of the Republic of Moldova Governament of the Republic of MoldovaMinistry of Health of the Republic of MoldovaCity Hall of Chiinu CitySwiss Agency for Development and CooperationWorld Health Organisation, Regional Office for EuropeHeart to Heart International, USAFederal Ministry of Health, GermanySenior Expert Service, GermanyEastern Virginia Medical School, Norfolk, USA

Donors friendly9

year 2013 !

December, 2012The senate decision of IP Medical University "Nicolae Testemianu" 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 componentsHISTORY CUSIM:

Levelsbasement

ground floor

floor 1

floor 2

floor 3

floor 4

TOTAL - 1926 sq meters

14 simulation rooms 4 control rooms 5 debriefing rooms 2 classrooms1 conference room

FACILITIES

1 METI HPS 3 METI iStan METI Man GI-Bronch Mentor 2 LapMentor Hyst/TurpMentor Schallware MOES Noelle Surgical CHLOE Premie Hall, Newborn Hall Baby Sim PediaSim Pelvic mentor Skill trainers and manikinsTRAINING EQUIPMENT

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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.

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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.

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basic medical manipulationsemergencyanesthesia and reanimathologyobstetrics and gynecologyinternal medicinesurgeryendoscopyimaging PROGRAMS

BASIC MEDICAL MANIPULATIONSemergencyanesthesia and reanimathologyobstetrics and gynecologyinternal medicinesurgeryendoscopyimaging PROGRAMS

basic medical manipulationsEMERGENCYanesthesia and reanimathologyobstetrics and gynecologyinternal medicinesurgeryendoscopyimaging

PROGRAMS

basic medical manipulationsemergencyANESTHESIA AND REANIMATHOLOGYobstetrics and gynecologyinternal medicinesurgeryendoscopyimaging PROGRAMS

basic medical manipulationsemergencyanesthesia and reanimathologyOBSTETRICS AND GYNECOLOGYinternal medicinesurgeryendoscopyimaging PROGRAMS

basic medical manipulationsemergencyanesthesia and reanimathologyobstetrics and gynecologyINTERNAL MEDICINEsurgeryendoscopyimaging PROGRAMS

basic medical manipulationsemergencyanesthesia and reanimathologyobstetrics and gynecologyinternal medicineSURGERYendoscopyimaging PROGRAMS

basic medical manipulationsemergencyanesthesia and reanimathologyobstetrics and gynecologyinternal medicinesurgeryENDOSCOPYimaging

PROGRAMS

basic medical manipulationsemergencyanesthesia and reanimathologyobstetrics and gynecologyinternal medicinesurgeryendoscopyIMAGING

PROGRAMS

WHATS ON? Impediments:High costsResistance to changesNew type of activity Educational and professional skepticism

Actions:Regulation (rectors order, syllabus, simulation components, etc.)Involving all related departments (within their class hours)Familiarization and training programs for university staffManevre - Actions26SIMULATION TRAININGBenefits: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

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Students 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 Statutenr Hours Residents 4572Doctors 4732 Total 92104

SIMULATION COMPONENTS Pre-test, initial trainingComponent base scenarioDebriefingConclusions and post-test

Obinerea competenilor i dezvoltarea abilitilor medicale ntr-un cadru organizat, dup un program bine structurat i, foarte important, fr riscuri asupra pacientului, cu reducerea erorilor i n final mbuntirea calitativ a asistenei medicale prestate populaiei.

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

SATISFACTIONBeneficiary andquality of teaching 96%

EUROPEANVISIBILITY

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

PRESCRIPTIONStrong, enthusiastic teamCommunication and advertising Managers supportTeaching stuff support Authorities supportQualified architectures and engineersLegal frameworkBeneficiariesCurriculaMoneyEquipmentSustainabilityConsider establish of a specialized societyDivide your great project in small tasks and Good luck!44

SIMULATION IN TRAINING, SAFETY IN ACTIONSThank you !