cooper.ppt

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cooper.ppt

  1. 1. SIMULATION FORSIMULATION FOR EDUCATIONEDUCATION ANDAND TRAININGTRAINING ININ ANESTHESIA ANDANESTHESIA AND CRITICAL CARECRITICAL CARE
  2. 2. Agenda  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, M.D.M.D.
  3. 3. Agenda  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 Cost?Cost? Michael Olympio, M.D.Michael Olympio, M.D.  2:50-3:45 Discussion2:50-3:45 Discussion
  4. 4. WHAT DO WE MEAN WHEN WE SAY SIMULATOR?
  5. 5. Intubation ManikinIntubation Manikin
  6. 6. ASCASC
  7. 7. Gas Man PictureGas Man Picture
  8. 8. MannequinMannequin
  9. 9. OROR
  10. 10. UltrasimUltrasim
  11. 11. CHALLENGES TO MEDICAL EDUCATION ADDRESSED BY SIMULATION  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 less costly
  12. 12. 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 patients
  13. 13. USES OF SIMULATORS in HEALTHCARE  EDUCATION & TRAINING OF CLINICIANS  RESEARCH  EVALUATING NEW TECHNOLOGIES  TRAINING ENGINEERS AND ANCILLARY PERSONNEL  EVALUATING PERFORMANCE  CREDENTIALING
  14. 14. STATUS OF REALISTIC SIMULATION: 2000  3 COMMERCIAL SIMULATORS IN USE (minus 1 on the market)  ABOUT 200 REALISTIC MANIKIN SIMULATORS WORLD-WIDE  USED IN MANY MEDICAL DOMAINS AND APPLICATIONS
  15. 15. SOME US ANESTHESIA SIMULATION FACILITIES  Barnes Jewish  Harvard (CMS)  Jefferson Medical Center  Penn State Hershey  U. Fl, Gainesville  Stanford (VA Palo Alto)  UCLA  U. North Carolina  U. Pittsburgh  USUHS (Walter Reed)  U. Rochester  USC  U. Mich.  UCSF  U. Washington  Vanderbilt
  16. 16. SIMULATORS OUTSIDE THE US  Argentina  Australia  Belgium  Brazil  Canada  Denmark  England  Egypt  France  Germany  Hong Kong  Israel  Japan  Kuwait  Malaysia  Netherlands  New Zealand  Norway  Singapore  South Africa  Spain  Switzerland
  17. 17. MEDICAL SIMULATORS IN 2000  ACLS  Cardiology  Bronchoscopy  Sigmoidoscopy  IV catheter insertion  Laparoscopic skills training  Surgical skills trainer
  18. 18. BEST LINK TO SIMULATION WEB SITES  WWW.BRIS.AC.UK/DEPTS/BMSC
  19. 19. WHY SIMULATION IS SO IMPORTANT FOR ANESTHESIOLOGY  Anesthesiology started it  Other domains are co-opting it  The use of simulation can be a major legacy of anesthesiology to health care
  20. 20. QUESTIONS  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 guided?

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