This is an amended version of the presentation made at the Asia Pacific Healthcare Simulations Conference in Kuala Lumpur in April 2016. This presentation looks at the evolution of medical simulations and the impact of disruptive technologies on the future of medical simulations.

1. The Past, Present and Future
of Medical Simulations
Asia Pacific Healthcare Simulation Conference 2016
Kuala Lumpur
David Wortley
david@gaetss.com

2. Topics
● Simulations and Games
● Simulations for Triage
● Simulations of Medical Conditions
● Smart Hospital Simulations
● Real/Virtual World Simulations with live data
● Enabling / Disruptive Technologies
● Conclusions

3. Simulations and Games
Re-creating a physical experience in a virtual environment

4. Doctors and Nurses
Role Playing is a natural human way of learning

5. Why Healthcare Simulations ?
● Patient Safety & risk reduction
● Cost / Practicality of real-life scenarios
● Rare conditions and events
● Learner engagement
● Debriefing opportunities from recorded
training sessions
● Knowledge transfer from expert practitioners

6. Triage Trainer
Re-creating a physical experience in a virtual environment

7. Triage Trainer
Re-creating a physical experience in a virtual environment

8. Simulating Medical Conditions
Commercial games company skills applied to medicine

9. The Process Involved
Realism limited by the power of available technologies

10. Patient Rescue
Training Junior Doctors in A&E to recognise conditions and visualise outcomes

11. Multi-Disciplinary Major Incident Simulator
(MMIS Virtual Reality)
Imperial College in London use virtual world simulations for disaster training

12. MMIS Features
● MMIS enables multidisciplinary teams to rehearse their hospital’s major incident plan with any
situation involving a large influx of patients.
● MMIS is a 3D immersive environment where managers and clinical staff can move about, review
patients and their clinical information, speak to one another and act on decisions.
● A major incident ‘Silver’ controller can oversee the simulation, communicate with key staff, and is
appraised of arriving patients at all times.
● The system logs all actions, clinical notes and decisions for later analysis and deliberation.
● Timing factors can be applied to patient transfers and patient observation for realistic scheduling.
● Teachers and trainers are able to script their own virtual patients to pose specific problems and
resource constraints.
● Imperial College's virtual patients have been used by teams dispersed across 3 continents, with
access over the internet.
● MMIS is accessed via standard web browsers and is configurable for hospitals around the globe or
for educational use by schools.

13. Imperial Virtual Hospital

14. Smart E-Hospital
Gamified Immersive Training in a 3D virtual hospital

15. Integrating Real/Virtual Worlds
Datascape Virtual Control Room Environment to visualise real data streams

16. Immersive Imaging

17. Moulage Workshop

18. Moulage Workshop

19. RehAbility
● Rehabilitation exercises after stroke, MS r
Parkinson
● Reduces healthcare system costs
● Improves adherence to rehabilitative therapy
● Uses Microsoft Kinect to provide customised
exercises with off the shelf tech
● Feedback to both patient and medical
practitioner
● Avoids travel and expensive use of facilities
● Personalised exercise routines
● Win-win scenario

20. DOREMI
● Promotes physical and cognitive wellbeing
and independence
● Focus on physical activity, good diet, social
support and mental stimulation
● Provides valuable feedback data to clinicians
and carers
● Gamification provides both mental
stimulation and motivation for social and
physical activity
http://www.doremi-fp7.eu/

21. Pegaso
● Targets obesity in young people
● Encourages healthy eating and exercise
● Uses a pervasive game
● Combines wearable sensors, food diaries,
companion messaging and gamification
strategies
● Game mechanics co-designed with teenage
focus groups – “Zombies Attack Game”
● Short-term intervention leading to long-term
lifestyle changes
http://www.pegasof4f.eu/

22. Enabling / Disruptive Technologies
● Virtual Reality
● Augmented / Mixed Reality
● Sensors / Internet of things
● Artificial intelligence
● Machine Learning
● Robotics
● Cloud Computing
● Wireless Broadband
● Mobile Devices
● Natural interface devices
● Big Data Analytics
● Data Visualisation
● Holographics
● 3D Imaging
● 3D printing
● Smart Coaching

23. Internet of Things & Sensors
Biosensor technologies, Cloud computing, big data analytics,
data visualisation and mobile apps will transform personal health management

24. Conclusions
● Simulations recreate physical scenarios in virtual
environments
● Realism and fidelity limited only by the available technology
● Gamification and games industry skills bring realism,
immersion and engagement
● The future of medical simulations is the use of sensors and
big data to provide personalised interventions that merge
physical and virtual worlds
● Big changes are on the way

25. They’re Simulations Jim but not as we
know them !!!

26. Any Questions ?

27. The Past, Present and Future
of Medical Simulations
Asia Pacific Healthcare Simulation Conference 2016
Kuala Lumpur
David Wortley
david@gaetss.com