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CUSIM: The dream that came true

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Presentation by Andrei Romancenco at the International conference on Simulation-based training in medicine (Kyiv, Ukraine, March 19-20, 2015)
http://motherandchild.org.ua/eng/SimConf-2015

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CUSIM: The dream that came true

  1. 1. 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
  2. 2. WHY did we start ? WHAT did we organize? HOW do we operate?
  3. 3. REACTIONS OF STEPS
  4. 4. Global Standards in Medical Education WFME TRILOGY OF STANDARDS: AREAS 1. Basic Medical Education 2. Postgraduate Medical Education 3. Continuing Professional Development COMMITMENTS PROMOTED - highest scientific and ethical standards - initiating new learning methods - new instructional tools - innovative management
  5. 5. – 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”
  6. 6. In Partnership with Eastern Virginia Medical School, Norfolk, USA was established the University Center for Clinical Skills Development (2000- 2002) The Center applies the StP method. Annually the beneficiaries are 600 students 200 family medicine residents Our history in simulation…
  7. 7. year 2010…
  8. 8. 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
  9. 9. year 2013 !
  10. 10. December, 2012 The senate decision of IP Medical University "Nicolae Testemiţanu" on the establishment of the University Center for Simulation in Medical Training August, 2013 Official Opening December, 2013 Finalizing the EU project – under equipment and European audit components HISTORY CUSIM:
  11. 11. Levels basement ground floor floor 1 floor 2 floor 3 floor 4 TOTAL - 1926 sq meters
  12. 12. 14 simulation rooms 4 control rooms 5 debriefing rooms 2 classrooms 1 conference room FACILITIES
  13. 13. 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 manikins
  14. 14. 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.
  15. 15. 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.
  16. 16. basic medical manipulations emergency anesthesia and reanimathology obstetrics and gynecology internal medicine surgery endoscopy imaging PROGRAMS
  17. 17. BASIC MEDICAL MANIPULATIONS emergency anesthesia and reanimathology obstetrics and gynecology internal medicine surgery endoscopy imaging PROGRAMS
  18. 18. basic medical manipulations EMERGENCY anesthesia and reanimathology obstetrics and gynecology internal medicine surgery endoscopy imaging PROGRAMS
  19. 19. basic medical manipulations emergency ANESTHESIA AND REANIMATHOLOGY obstetrics and gynecology internal medicine surgery endoscopy imaging PROGRAMS
  20. 20. basic medical manipulations emergency anesthesia and reanimathology OBSTETRICS AND GYNECOLOGY internal medicine surgery endoscopy imaging PROGRAMS
  21. 21. basic medical manipulations emergency anesthesia and reanimathology obstetrics and gynecology INTERNAL MEDICINE surgery endoscopy imaging PROGRAMS
  22. 22. basic medical manipulations emergency anesthesia and reanimathology obstetrics and gynecology internal medicine SURGERY endoscopy imaging PROGRAMS
  23. 23. basic medical manipulations emergency anesthesia and reanimathology obstetrics and gynecology internal medicine surgery ENDOSCOPY imaging PROGRAMS
  24. 24. basic medical manipulations emergency anesthesia and reanimathology obstetrics and gynecology internal medicine surgery endoscopy IMAGING PROGRAMS
  25. 25. 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
  26. 26. 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.
  27. 27. CUSIM total number of beneficiaries in 2014: 5621
  28. 28. Students - 4607 Doctors - 916 Rezidents - 98
  29. 29. jklklStudents courses: - Internal Diseases - semiology - Anaesthesiology and Reanimathology - Care and patient communication - Medical emergencies - Obstetrics and Gynecology
  30. 30. Residents and doctors courses : - Laparoscopy - Endoscopy - Bronchoscopy - Ultrasonography - Otorhinolaryngology - Obstetrics and Gynecology
  31. 31. Projects CUSIM (I) - CHRONEX-RD - Development and Cooperation "Support Department of Maternal and Child Health" - MedEspera - Twinning - Checklist links crisis
  32. 32. Projects CUSIM (II) - Chronic pain - Introduction to bronchology / News in bronchology - REPEMOL - REACH 4 MOLDOVA - Contemporary methods of medical training
  33. 33. CME 2015 - Cardiology - Pneumology - Ultrasonography - Surgery - Obstetrics and Gynecology - Endoscopy
  34. 34. 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 simulators Task trainers 21 training modules for emergency obstetric, gynecological and pediatric trained instructors renowned centers in the world
  35. 35. Obstetrics and Gynecology (II) Period: December 2014 - April 2015 Statute nr Hours Residents 45 72 Doctors 47 32 Total 92 104
  36. 36. SIMULATION COMPONENTS I. Pre-test, initial training II. Component base scenario III. Debriefing IV. Conclusions and post-test
  37. 37. 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.
  38. 38. 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 VISIT 9-12 JANUARY 2014
  39. 39. SATISFACTION Beneficiary and quality of teaching – 96%
  40. 40. EUROPEAN VISIBILITY http://www.sesam-web.org/
  41. 41. WORLD VISIBILITY http://www.ssih.org/Home/SIM-Center-Directory/Area/EUROPE
  42. 42. - 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!
  43. 43. SIMULATION IN TRAINING, SAFETY IN ACTIONS Thank you !

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