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 !
