SIMULATION FORSIMULATION FOR
ANESTHESIA ANDANESTHESIA AND
CRITICAL CARECRITICAL CARE
1:00- 1:15 What is Medical Simulation and1:00- 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 in1:15- 1:45 How is Simulation Being Used in
Anesthesia Education, Training, PatientAnesthesia 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 for1:45-2:00 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,
2:00-2:10 Stretch break2:00-2:10 Stretch break
2:10-2:30 Can Simulation be Used to2:10-2:30 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 Be2:30-2:50 How Can A Simulation Program Be
Organized and Operated and What Does itOrganized and Operated and What Does it
Michael Olympio, M.D.Michael Olympio, M.D.
2:50-3:45 Discussion2:50-3:45 Discussion
CHALLENGES TO MEDICAL
EDUCATION ADDRESSED BY
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
THE UNDERLYING REASONS FORTHE 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
USES OF SIMULATORS in
EDUCATION & TRAINING OF CLINICIANS
EVALUATING NEW TECHNOLOGIES
TRAINING ENGINEERS AND ANCILLARY
STATUS OF REALISTIC
3 COMMERCIAL SIMULATORS IN
USE (minus 1 on the market)
ABOUT 200 REALISTIC MANIKIN
USED IN MANY MEDICAL DOMAINS
SOME US ANESTHESIA
Penn State Hershey
U. Fl, Gainesville
Stanford (VA Palo
U. North Carolina
SIMULATORS OUTSIDE THE US
MEDICAL SIMULATORS IN 2000
IV catheter insertion
Laparoscopic skills training
Surgical skills trainer
BEST LINK TO SIMULATION
WHY SIMULATION IS SO IMPORTANT
Anesthesiology started it
Other domains are co-opting it
The use of simulation can be a major
legacy of anesthesiology to health care
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