This presentation is intended to provide an introduction and overview of the medical simulation market domain for defense modeling, simulation, and training audiences interested in applying their capabilities, expertise and products to medical and healthcare training and education needs.

1. Bob Heinlein
Medical Simulation Associates
20 Jan 2012
TechNet

2. Speaker Background
 Education
 BS Engineering (Mechanical)
 Masters Business Administration
 Master Science (Acquisition) Logistics Management
 Doctoral Work at UCF, Industrial Engineering (M&S), ABD
 Military
 USAF (Ret O-5) Experience in Flight Ops, Acquisition, OT&E,
Simulation
 Last USAF Liaison in Orlando prior to AFAMS standup
 Industry
 Experience in Immersive VR, Simulation, Logistics, IT, Program
Management and Business Development
 Independent consulting since 2008
 MedSim total focus since 2010
 No Clinical Background
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3. About Medical Simulation Associates
 Specializing in connecting the medical simulation
industry with the defense simulation industry to rapidly
advance the state of the art and the use of simulation
technology in healthcare.
 Business Development & Marketing Support
 Medical & Technical SME Support
 Proposal & Program Development Support
 Related Services
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4. Disclosures
 Recent MedSim Clients
 General Dynamics Information Technologies,
Health Solutions Division, Frederick MD
 Hudson Simulation Services, Delmar NY
 CHI Systems, HapMed R&D, Ft Washington PA
 National Center for Simulation, Orlando FL
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5. Presentation Context
 Defense simulation & training solution provider
with interest in Medical Simulation
 FAQ
 Where do I start?
 Where are the customers?
 Who are the players?
 Where is the $$?
 Where can I play?
 MedSim Business Development for dummies
 Based in my experience and perceptions as a newbie to
medical simulation
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6. What is Medical Simulation?
(Some Definitions)
 …a training and feedback method in which learners practice
tasks and processes in lifelike circumstances.
 …a cross-disciplinary effort that brings together providers,
including nurses, physicians, and allied health professionals
across a variety of disciplines with computer scientists,
researchers, educators, and human factors engineers.
 …an interactive way to further educate and train medical or
health professionals.
 ...an all-purpose term covering everything from using a block
of resin or wood for would-be surgeons to get the feel of
handling a drill to a surgical simulation so sophisticated that
it reproduces an individual patient's anatomy perfectly
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7. Many Application Areas
 Schoolhouse, Refresher, Skills Maintenance, Re-qualification,
Certification, Assessment, Training, Education, Practice, Warm-up,
Rehearsal
 New Equipment, Product Procedure, Process
 FDA Approval, Research and Development, Training
 Architecture and Design of Facilities, People Orientation, HR
 Medical IT applications, Medical Records, Telemedicine
 Medical Scenarios and Simulated Illness
 Team Training and Group Exercises
 Develop & Practice Interview Skills, Cultural Training, Empathy
Training
 Doctor-Patient Interaction Skills
 Triage/Trauma/Disaster Response
 Rehabilitation/Therapy
 Patient Education & Patient Actor Training
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8. Many Users & Domains
 Anesthesia, Radiology, Neurology, Cardiology, Audiology,
Opthamology, Orthopedics, Urology, Obstetrics and Gynecology,
Oncology, Proctology…..+++
 Surgeons, Physicians, Nursing, Dental, Pharmacy, Allied Health…
 Emergency Medicine, First Responders, Veterinarians….
 Therapy, Rehabilitation, Psychology, Psychiatry, Mental Health
 Medical Teams & Patient Actors
 Medical Equipment Vendors
 Substance Abuse Education & Rehab
 Special Needs Children/Families
 General Public, Patient, Care Providers, Patient Educators
 Office Staff, Human Resources, Utilization Reviewers, Insurers
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9. Multiple Customer Groups
 151 Medical Schools plus many more education programs
 90 Professional Societies
 400 Teaching Hospitals
 98 Health Systems (National, Regional, Local)
 68 VA Medical Centers, 173 Military Medical Facilities
 Individual Hospitals (hundreds)
 Military Units (medics, combat life savers, etc.) – (thousands)
 First Responder Units – Fire, Police, EMS – (millions)
 Clinicians & Specialists – (millions)
 Commercial Training Providers – (tens)
 Medical Equipment Vendors (hundreds)
 Patients/Consumers – (hundreds of millions)
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10. Medical Simulation Clusters
Seattle
U Wash ISIS, Simulab,
Red Llama, Mimic, Boston
Swedish MC, Madigan AMC CIMIT
Minnesota
Harvard Mass Gen
CREST (U Minn)
Brigham Womens
Mayo
Beth Isreal, MIT
City Health
Boston Medical,
San Franisco Partners IME
Draper et.al.
UC Davis, Travis AFB
Ohio Pittsburg
Sutter Health Phoenix Cleveland Clinic, WISER (U Pitt.) DC Area
AZTEC (Uof AZ) Simbionix, SiTEL, USUHS,
SimMedical
Banner Health Surgical Theater, Johns Hopkins
Stanford
CISL Mayo Case Western NC Va
Duke EVMS
Goodman Sim Center
Palo Alto VA Sim Group ARA ODU
CAPE Texas Therasim NH Portsmouth
USC MITIE (Methodist) RTI
Childrens
Texas A&M HSC CAMLS – Tampa
Mayo, UF CoM - Jacksonville
Gordon Center (UM), Ryder Trauma, ATTC- Miami
NCSA, VA SimLearn, UCF – Orlando
Nemours, PEO STRI - Orlando
Apologies to anyone that didn’t make the slide!
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11. Multiple Solutions and Technologies
 Human Patient Actors  Virtual Worlds
(standardized patients)  Immersive Virtual Reality
 Virtual Patient Avatars  Haptic-enabled Devices
 Human Cadavers (whole  Interactive Courseware
to individual parts/organs)  Web Based Training
 Live Animals/Animal  Mobile Devices
Cadavers (organs)
 Serious Games
 Human Patients
 Video Recording
 Virtual Patients
 Video
 Part task trainers Training,Teletraining,
 Mannequins Telementoring, Live
 Human Patient Simulators broadcasts, etc.
 Surgical Simulators  Learning Management
Systems
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12. Multiple Solutions and Technologies
 Synthetic Cadavers/Tissue  Projection and Display
 Synthetic Tissue Systems
 Virtual Tissue  Wearable Displays and
 Moulage Devices
 Wearable Cut Suits  Scenario and Simulation
Control Systems
 Bleed Simulations
 Curriculum Development Tools
 Environmental / Special
 Courseware/ISD Development
Effects
Tools
 Imaging
 Electronic Classrooms
 Video/Data Recording
Systems  Interactive 3D
 Performance Assessment  Instructor Control Systems
Applications  Simulation Centers
 After Action Review/Debrief  Transportable/Mobile Units
Systems
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13. Broad Base of Solution Providers
 Human Patient Actors (standardized patients) -- Usually
contracted directly with individuals
 Virtual Patient Avatars - Universities (UCF, USC/ICT, UF, etc.)
Industry - VCom3D, ECS, Breakaway LTD, ARA, Kognito, etc.
 Human Cadavers – Science Care or direct donation to academic
or research organizations
 “Living” Cadavers - Connecting Cadavers to fluid pumps to
simulate a living human or animal
 Live Animals/Animal Cadavers – Limited use in medical
education now, except for combat medics and vets
 Human Patients – Yikes, me and you!
 Virtual Patients - Therasim, Innovation in Learning,
Healthstream, Decision Simulation, Medbiquitous.org
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14. Broad Base of Solution Providers
 Part task trainers - Limbs & Things, Simquest, Simulab, Nasco, CHI
Systems, CAE, etc.
 Specialty trainers - IngMar Medical (respiratory), Ventrioloscope
(cardiac), MedSim (Ultrasound), CAE (Ultrasound), HAL (UM/Laerdal)
(cardiac), etc., etc.
 Mannequins - Simulaids, Gaumard, Laerdal, KGS, etc.
 Surgical Trainers - Simbionix, Mentice, Medical Simulation Corp,
Surgical Science, CAE, Red Llama, Simulated Surgicals, Mimic
 Human Pt. Simulators - CAE/METI, Laerdal, Guamard, Simulaids,
 Virtual Worlds - ECS, VCom3D, Breakaway, ARA, Innovation in
Learning, SAIC, MYMIC, Kognito
 Immersive Virtual Reality - UCF/IST, Siemens, USUHS
 Haptic-enabled Devices - CHI Systems, Touch of Life, Simbionix,
Mentis, CAE, Immersion, Medical Simulation Corp, Simulab
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15. Broad Base of Solution Providers
 Interactive Courseware/Web Based training – Healthstream, Medical
Curriculum Technologies, Medical Simulation Corp, Interact Medical,
Websurg
 Mobile Devices & Apps - VCom3D, ECS, Interact Medical, Websurg… +
4700 apps on iTunes!
 Serious Games - ECS, VCom3D, Breakaway, ARA, Innovation in Learning,
SAIC, MYMIC, 360Ed
 Video/Data Recording/AAR- Education Management Solutions, B-Line
Medical, KbPort, CAE, IVIR
 Video Training, Teletraining, Telementoring, Live broadcasts, etc. –
Websurg, NCSA (FL Hosp), Universities & Hospital Systems, Websurg,
iTunes (Yale Health and Medicine, UC Davis Medical School (UCTV), Univ
of Arizona, Stanford)
 Learning Management Systems – Syberworks, Interact Medical, Medical
Research Management Healthstream
 Performance/Assessment Applications - IVIR, Design Interactive, Kronos
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16. Broad Base of Solution Providers
 Synthetic Cadavers/Tissue - Syndaver Labs, Operative Experience,
ASTEC (Univ of AZ), CIRS (imaging)
 Virtual Cadavers/Tissue - U Minn (CREST), Red Llama, Touch of Life,
Cyber Anatomy, Elsevier, BioDigital
 Moulage – Skedco, Enasco, Military Moulage, Moulage Sciences…
 Wearable Cut Suits – Strategic Operations
 Bleed Simulations – Skedco (wearable), embedded in other products
 Simulated Blood – HPS vendors, multiple sources and varying fidelity
 Environmental / Special Effects – Strategic Ops, KBZfx, Military Wraps….
 Imaging – Digital Art Forms, GE Healthcare, Able Software, Simbionix &
Surgical Theater (pt. specific), Siemens, Phillips, MedicVision
 Display Systems - Barco, Intevac, VDC, RGB, DP, Panasonic
 Scenario, Instructor and Simulation Control Systems – METI, CAE, B-Line
Medical, EMS, GDIT, Laerdal
 Curriculum Development – SimMedical, Medical Sim Corp, MCT…
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17. How do I get smarter?
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18. Multiple Conferences
 Int’l Meeting on Simulation in Healthcare (IMSH) – 27 Jan 12 San Diego (ORL 2013)
 Military Health System Conference (MHS) – 30 Jan 2012 Washington DC
 Medicine Meets Virtual Reality (MMVR) – 9 Feb 2012 Newport Beach CA
 Healthcare Information & Mgmt Systems (HIMSS) – 20 Feb 2012 Las Vegas
 CAE/METI Human Patient Simulation Network (HSPN) – 28 Feb 2012 Tampa FL
 Accreditation Council Graduate Med Education Conference – 1 Mar 2012 Orlando
 Laerdal Simulation User Network (SUN) – 10 April 2012 Mashantucket, CT
 Medical Technology, Training & Treatment (MT3) – 9 May 2012 Orlando
 Patient Safety Conference – 23 May 2012 Washington DC
 AUSA Medical Symposium – July 2012 San Antonio TX
 Adv. Tech. Applications for Combat Casualty Care (ATACCC) – 13 Aug St Pete Bch
 American College of Surgeons Annual Clinical Congress – 30 Sept Chicago
 MODSIM (Healthcare Track) – 11 Oct 2012 Virginia Beach
 EMS World – 29 Oct 2012 New Orleans
 IITSEC 2012 – 3 Dec 2012 Orlando
 Other Professional Society Conferences – Too many to list
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19. Various “How To” Courses
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20. Useful References
 Documents
 VA SimLEARN compendium
 AAMC Survey of Medical Simulation in Medical Education
 MedSim Magazine
 SSiH Journal
 Professional Society Journals
Medical Simulation in Medical Education:
Results of an AAMC Survey
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21. Useful References
 On the Web
 ACS Education Division
 Medical Modeling and Simulation Database (EVMS/
ACS)
 Harvard Center for Medical Simulation (1048 papers)
 Bristol Medical Sim Center (UK)
 Vendor White Papers & webinars (e.g., ems-works.com)
 Websurg
 iTunes!!
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22. Business Opportunities
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23. Joint Program Committee
 JPC-1
 Chair: COL Karl Friedl, PhD
 Tri-Service Programmatic Committee
 TATRC is primary execution agent (tatrc.org)
 JPC-1a Medical Simulation & Training
 Grew from Orlando/NCS supported JMST-IPT
 Efforts spawned AFSIM
 JPC-1b Health Information Technology
 JPC-1c Decision Support Tools & Modeling
 JPC-8 Clinical and Rehabilitative Medicine
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24. JPC-1a Voting Members
 US Army – PEOSTRI
 US Air Force - Air Education Training Command
 US Army - Central Simulation Committee
 USUHS – Nat’l Capital Area Medical Simulation Center
 AMEDD C&S - Directorate, Combat Medic Training
 AMEDD C&S - US Army EMS Office
 US Navy - Office of Naval Research
 US Air Force - Air Education Training Command
 US Army - RDECOM / STTC
 DARPA
 Medical Education and Training Campus (METC)
 Office of Naval Research
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25. JPC-1a Structure
Combat Casualty Medical Practice
Training Initiative Initiative
AFSIM
Developer Tools
Patient Focused
for Medical
Initiative
Education
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UNCLASSIFIED

26. 1/19/12 Medical Simulation Associates 26

27. FY 10 Combat Casualty Training Initiative
 Live tissue / sim - metrics research - $370K
 BCT-3 live tissue / sim study - $250K
 Multiple Amputee Trauma Trainer - $756K
 Rapid trauma skills - $498K
 COMETS improved capabilities - $450K
 Maxillofacial & Ophthalmology Trauma Trainer -
$3.1M
 Award TOTAL:~$ 5,550,000
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28. FY 11 Combat Casualty Training Initiative
 Awardees:
 Univ of Minnesota (PI: Rob Sweet, MD) -
$11.0M
 Univ of Missouri (PI: Stephen Barnes, MD) -
$5.3M
 Critical Research Areas
○ Trauma Airway
○ Hemorrhage
○ Emergency Medical Skills (Nerve Agent Casualty)
 Goals
○ Live Animal/Simulator Comparative Research
○ Curriculum Development
○ Simulator System Gap Analysis
1/19/12 Medical Simulation Associates 28

29. Medical Practice Initiative
Strategic Building Blocks (MPI)
Development of medical training
systems & competency
assessment for sustained military
medical readiness. Advanced
Doctor
Education
PFI
Continuous Observation of Medical System DTME
(COMRAD
Records for Advanced Doctor Education E)
(COMRADE) Virtual
Human
Standardiz
Real-time specialty specific evaluation for ed Patients
loss of skills & knowledge JPC-1b
CCTI EHR
Education
JPC-1c
Decision
Real world benefits: & Support
-Reduced cost for training Reference
Integration Educational
Integration
-Reduced liability Content Military
Serious Medical
-Cost savings by replacing expensive Games for Lifecycle
standardized live patient teaching Training Counselor
cases with reusable virtual human (DKO)
Loss of Common
patients Skills. Curricula Military
-Improved Tri-Service medical Retraining & Metrics Medical
interoperability & (Tri Service Simulation
Competenc Consortium Masters
-Leverages Electronic Health Record e )
system as training portal
-Can use AHLTA or another EHR
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UNCLASSIFIED

30. FY10 Medical Practice Initiative Projects
 Medical Training Evaluation and Review (MeTER) -
$515K
 Training Outcomes Research Metrics - $450K
 Hospital disaster simulator – CBRNE Based – $2.6M
 Redeployment skills evaluation -$800K
 Tri Service Medical Simulation Training Consortium -
$2.5M
 Anesthesia and Anaphylaxis for Physicians $1.9M
 Virtual Sick Call - $773K
 Total: $9.6M
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31. FY 11 Medical Practice Initiative Projects
 Navy Redeployment Skills Degradation
 Multiple Amputee Trainer (MATT) final year
 Olfaction training device & study
 Medical Simulation Training Consortium Years 2-3
 Simulation for Futuristic Surgery (VR Urology)
 CBRNE Hospital Incident Management Radiological
Scenarios
 Ocular Craniofacial Manikin Advanced Development
 Medical Simulation Master’s Degree Program
 Student Innovations in Medical Simulation (Skunk Works)
 Unfunded request for large web portal hosted by Air Force
 Total ~$13.5 Million
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32. FY 12 Medical Practice Initiative
Program Announcements
 Breadth of Medical Practice & Disease Frequency Exposure
(MPI-BMP) W81XWH-12-JPC1-MPI-BMP - $8.0M
 Cognitive Skill Focused
 Procedural Skill Decay and Maintenance (MPI-PSD)
W81XWH-12-JPC1-MPI-PSD - $4.0M
 Psychomotor and Procedural Skill Focused
 Scope
 1) Identify when and why degradation of cognitive/psychomotor and
procedural clinical skills occurs.
 2)Create validated analytical tools that can predict the probable onset of
skills degradation and determine, with specificity, when skills have
degraded or will be likely to degrade
 3)Propose methods and tools which will enable physicians or surgeons
to preemptively refresh the expected psychomotor/procedural
competencies for their specialty or to preemptively refresh knowledge
and maintain familiarity and fluency across the expected competencies
for their specialty.
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33. Patient Focused Initiative
Strategic Building Blocks (PFI)
Advanced user interface and
interactive technologies for
healthy living, medical practice ,
patient rehabilitation & training Advanced
Virtual Reality
MPI
& Augmented
Reality CCTI
Advanced technology for training Training
Technology
applications leveraging investments of
DoD and Government Partners
Virtual Human
Patients &
Coaches
Adapts therapeutic technology targeting
warfighter readiness and mental health
Mobile
Physical &
Technology
Neurocognitiv
Integration for
Real world benefits: e Therapy
Health &
Applications
Training
-High impact development at reduced
costs, especially for VR-based training JPC-8
NIH – Virtual Rehabilitation,
-Technology highly adaptable to Reality for
Obesity &
Physical and
Neurocognitiv
training Diabetes e
Rehabilitation
-Direct injured warfighter benefit
-Traumatic Brain Injury ICT simCoach
DARPA – Game
-Psychological Health (PTSD, Suicide) & Emotionally
Healing Industry
Expressive
Heroes Technology
-Physical Therapy Characters
-Adaptation of mobile and tele-health
technology PARTNERSHIPS
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UNCLASSIFIED

34. FY10 Patient Focused Initiatives
 Vitalize Game Based Wellbeing (Kinect-
based Physical Therapy Coach) $4.3M
 Refining medical outcomes deployment
$500K
 TBI Rehabilitation Surface -$1.4M
 Olfaction & Resilience Research - $4.0M
 TOTAL:$10.2M
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35. FY11/12 Patient Focused Initiatives
 FY11
 Natural Language Processing for Virtual Humans
 3D motion tracking for rehabilitation
 DARPA: Healing Heroes
 TOTAL: ~$5.0M
 FY 12 Possibilities (stay tuned)
 Virtual Humans for Coaching
 Assessment of off the shelf and easily hacked
technology for the rehabilitation, assessment and
therapy environments
 Mobile Technology
○ Constantly proposing SBIR topics in this area
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36. Developer Tools for Medical Education
Strategic Building Blocks (DTME)
Transformational open source
advanced developer tools to reduce
development costs and democratize
access to technology.
Affordable MPI
Training
Based on the need to greatly reduce the Content
Creation
CCTI
burden to develop interactive medical &
surgical training content.
CCTI
Character AI
Open Source (OS) promotes low cost and
innovation
Surgical VR
Advanced
Training
Real world benefits: System
Displays &
Interfaces
-Greatly reduced development costs Standards
Online
-Saves development time Portal
-Facilitates content creation OS Practical
Physiology
OS Speech
& Motion
-Greatest need as program matures Engine Recognition
-Opens development to a more diverse
and wider community OS VR
OS Natural OS Medical
-Reduced system procurement costs Language
Anatomy &
Haptic
Asset
Processing Library
-Reduces redundant development Platform
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UNCLASSIFIED

37. Developer Tools for Medical Education
 FY 10
 Dynamic Holographic Displays & 3D in medical
education - $2.0M
 Tri-Service Open Platform for Simulation $3.0M
 FY 11
 Advanced VR Eyewear Display - $4 Million
 FY 12
 Public Physiology Research Platform (DTME-PRP)
W81XWH-12-JPC1-DTME-PRP - $7.0M
○ Creation of publicly accessible, free, open-license,
and/or open-source physiology platform
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38. Army and VHA Opportunities
 Medical Simulation  VA SimLEARN
Training Centers Program Support
 TC3  MedCenters  www.SimLearn.va.gov
ww.simlearn.va.gov/
index.asp
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39. Navy Opportunities
 U.S. Navy is developing an R&D Agenda
and Roadmap for Medical Modeling
Simulation and Training
 The approach included a series of facilitated
workshops and a literature review completed in
2011
 Findings to be briefed to senior leadership over
next couple months
 Stay tuned for resulting initiatives
 ICF supported initiative; similar to previous
USAF efforts
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40. Air Force Opportunities
 Virtual Medical Center
 Request For Information (RFI) (Aug 11)
 Solicitation #:
N65236_SNOTE_00025EBE
 Agency: SPAWAR
 AF Medical Modeling and
Simulation Training Portal
 Other VW Efforts
 Uses an IDIQ w/Dept of Ag.
 POC is LtCol Dominquez
○ manny.dominguez1@us.army.mil
○ 407-208-5663
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41. Other MedSim Opportunities
 SBIRs – Write a topic and pursue it!#
 BAAs#
 USAF AFRL BAA 11-01-HPW
○ Aerospace Medicine, Clinical Research, Human
Performance Research, and Expeditionary Medicine
 USA, ARL W91CRB-08-R-0073, Amdt 5, Topic 6B
○ A--Virtual Patient technology with Virtual Worlds
technology Sources Sought - $1.6M #
 Commercialization of SBIR developments#
 Many good solutions donʼt transition for lack of a solid
business approach and investment#
 Buying the IP may be a good market entry strategy….
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42. Simulation Market Drivers
 Sim Center access mandatory requirement
for program accreditation and physician
certification#
 http://mountsinai.academia.edu/EthanBryson/Papers/1289874/
Role_of_Simulation_in_US_Physician_Licensure_and_Certificati
on#
 Rapid expansion in simulation centers#
 Growing need for simulation center services#
 Sim Center sustainability business models#
 HR 855/S616?????
 Proposal to allocate $50M/yr for medical simulation
assets #
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43. Simulation Research Opportunities
 Overarching Architecture
and Systems Engineering
Approach
 Standards and
Interoperability (vs. Open
Source??)
 Modular Design Concepts
(enabling a market for
sub components)
Graphic Presented by Dr Roger Smith at MT3 June 2011
 VV&A Concepts http://www.modelbenders.com/papers/
RSmith_MT3_Interop_Panel.pdf
 Common Definitions and
Enumerations
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44. Simulation R&D Opportunities
 Smart Integration
between
Simulation,
Electronic Health
Records &
Telemedicine
 Integration of
Virtual Worlds/
Games with other
systems
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45. Collaboration Opportunities
 EDGE Innovation Network
 Sponsored (facilitated vs. controlled) by GDC4S
 Not a profit center for GD
 Members collaborate amongst themselves at will
 Open, Virtual, Collaborative Network of Industry &
Academia
 Many GD competitors are members; over 200 members
 $0 full mbrship for academia/non-profits/$0 limited industry
 Not a funding source, no contracts or obligation with government
 EDGE has multiple domain foci
 Currently establishing a Healthcare domain focus and recruiting
members (~50 to date)
 Kickoff meeting coming soon
1/19/12 Medical Simulation Associates 45

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integrate and demonstrate innovations. This enables rapid adoption & fielding.
www.edge-innovation.com
!!
c. 2010 General Dynamics. All Rights Reserved ! c. 2010 General Dynamics. All Rights Reserved
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1/19/12 Medical Dynamics. All Rights Reserved
c. 2010 General
Simulation Associates !" 46
c. 2010 General Dynamics. All Rights Reserved
GH

47. Summary
 Significant medical and healthcare simulation, training and education
industry exists (~200 US entities), plus foreign#
 Lots of applications, customers, needs to be filled#
 We have a lot of existing capability to focus on the market#
 Many diverse and disconnected players#
 Many small mom & pops (or Drʼs and Engineers)#
 Lots of academic players (grant vs. mentality)#
 Some academic business spinoffs#
 No medical simulation industry coordination/organization#
 Simulation is by and large an accepted method for medical education,
but…#
 Diverse customer base with multiple constituents and drivers#
 Fragmented market makes business pursuits challenging#
 No civilian Government regulating agency (no FAA equivalent) driving
the requirements#
1/19/12 Medical Simulation Associates 47

48. Summary
 Simulation in Healthcare/Medicine where DoD simulation was 25
years ago#
 Point solutions & stovepipes#
 Lack of integration, limited to no interoperability#
 No standardization in design concepts#
 Limited standardized curriculum#
 Lots of opportunity to apply DoD M&S lessons learned to
medical#
 If theyʼll listen and let us!#
 We must learn to speak and understand the language of the customer!#
 Realize medical IS different! (although much is the same!!)
 Orlando is a late bloomer in medical simulation#
 But we can make a HUGE difference in moving the timeline to the left!#
1/19/12 Medical Simulation Associates 48

49. Questions?
Bob Heinlein
Medical Simulation Associates
Rheinlein@MedSimAssociates.com
407-719-6212
http://www.linkedin.com/company/medical-simulation-
associates
1/19/12 Medical Simulation Associates 49