Simulating Patients for Healthcare Training: Appearance, Shape, Influence, and Awareness

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Gregory Welch, Prof. & AdventHealth Endowed Chair in Simulation Prof. Laura Gonzalez, Prof. Juan Cendan, Prof. Mindi Anderson | all University of Central Florida Simulating Patients for Healthcare Training: Appearance, Shape, Influence, and Awareness This panel will provide an introduction and discussion about the medical needs and alternate approaches for simulating patients when engaging in the training of healthcare practitioners, e.g., nurses and physicians. Examples approaches will include using real humans (standardized patients), physical “mannequins” with varying degrees of robotic actuation and sensing, computer graphics-based virtual humans, and a novel approach to what we call physical-virtual humans. Among other things we will discuss the appearance, physical shape, environmental influence, and apparent awareness of each, along with the implications on healthcare training. Presented by the Serious Play Conference seriousplayconf.com at Orlando, University of Central Florida, UCF, July 24-26, 2019

Education

PANEL:
Simulating Patients for Healthcare Training:
Appearance, Shape, Inﬂuence, and Awareness
The University of Central Florida
1 College of Nursing,Academic Health Sciences Center
2 College of Medicine,Academic Health Sciences Center
3 Computer Science, College of Engineering and Computer Science
4 Synthetic Reality Lab, Institute for Simulation & Training
25 July 2019
Mindi Anderson1Greg Welch1,3,4 Laura Gonzalez1 Juan Cendan2
1

© 2019 Welch et al. • UCF CON/COM/CS/IST
Acknowledgements
2
Barbara Lee
Assistant to Prof.Welch
Jeremy
Bailenson
Gerd
Bruder
Ben
Lok
Austin Erickson, Jason Hochreiter, Jonathan Jules, Kangsoo Kim,
Alexis Lambert, Myungho Lee, Nahal Norouzi, and Ryan Schubert.
Students (Alphabetically)
Primary funding
The USA Ofﬁce of Naval Research (ONR)
The USA National Science Foundation (NSF)
The UCF Institute for Simulation & Training
The UCF College of Nursing
AdventHealth
Salam
Daher
Desiree
Diaz
2

© 2019 Welch et al. • UCF CON/COM/CS/IST
Today
Simulating Patients (Overview)
Interactive Discussion (with Audience)
Tips from Panelists
Closing Comments
3
3

© 2019 Welch et al. • UCF CON/COM/CS/IST
Standardized Patients (Real Humans)
5
5

© 2019 Welch et al. • UCF CON/COM/CS/IST
Virtual Patients
6
CAE Lucina Augmented Reality Bundle
LaerdalVsim (Nursing Health Assessment)
Shadow Health (“Tina”)
6

© 2019 Welch et al. • UCF CON/COM/CS/IST
SimMan® 3G
Mannequins
7
SimMom™
SimBaby™
Laerdal
Fidelis
METIman
PediaSim
BabySimCAE Healthcare
7

© 2019 Welch et al. • UCF CON/COM/CS/IST
Mannequins are…mannequins
8
8

© 2019 Welch et al. • UCF CON/COM/CS/IST
Physical-Virtual Patient (Pediatric)
9
Pulse
Actuator
Audio
Projectors
Patient
Shell
Temperature
Control
9

© 2019 Welch et al. • UCF CON/COM/CS/IST
Physical-Virtual Patient (Pediatric)
10
10

© 2019 Welch et al. • UCF CON/COM/CS/IST
Candidate Topics
Technology
Appearance and physical shape
Awareness and inﬂuence (environment, people)
Simulation
Importance of core group w/ shared mental model, diversity of thought
Costs of developing one-off simulations
Limitations of simulations with respect to patient variability
Inclusion of education technology experts
What do you think?
Current beneﬁts/limitations/challenges of simulation?
Next big thing healthcare simulation?
Areas newer technologies we presented may address?
12
12

Tips (Per Panelist)
10:45am (15 min before end)

13

© 2019 Welch et al. • UCF CON/COM/CS/IST
Laura Gonzalez
Frequent environmental scans, what is new? Where is the buzz?
Get your work our there—publish.. the good bad and the ugly.
If its worth doing, its worth collecting data!
14
14

© 2019 Welch et al. • UCF CON/COM/CS/IST
Juan Cendan
Re. surgery, limitations in anatomical and pathological variants is a killer
in design vs utility of the software.
10 year project with mid-level funding is insufﬁcient for realistic
teaching platform.
Strengths
Learner conﬁdence in steps of procedure
Best when combined with complementary modality like video of surgery
15
15

© 2019 Welch et al. • UCF CON/COM/CS/IST
Mindi Anderson
Build multidisciplinary teams, particularly for research
Frequent communication across team members
What is everyone doing?
Learning each other’s language.
Keep up with literature/reading–what is new?
Get involved with related professional organizations
16
16

© 2019 Welch et al. • UCF CON/COM/CS/IST
Greg Welch
17
Social Presence Priming
17

Closing Thoughts (Per Panelist)
10:55am (5 min before end)

18

© 2019 Welch et al. • UCF CON/COM/CS/IST
Laura Gonzalez
19
Keep admin abreast of the work you are doing,
sometimes it is easy to get siloed and no one knows the
amazing work you are doing!
19

© 2019 Welch et al. • UCF CON/COM/CS/IST
Mindi Anderson
20
Healthcare simulation is here to stay.
Technologies continue to change.
20

© 2019 Welch et al. • UCF CON/COM/CS/IST
Juan Cendan
21
Simulation is a very broad tool, and the application for MD has
experienced a broad range of acceptance and applicability
Areas of strength include procedural steps with some psychomotor
skills implications and utilization of sim as a driver for debrieﬁng and
discussion of management of successes/errors in practice.
Integration of sim into a comprehensive MD degree has been more
challenging than we perhaps anticipated 15-20 years ago.
21

© 2019 Welch et al. • UCF CON/COM/CS/IST
Greg Welch
22
In Out
In Out
Light Sound Touch SmellFluidMotion
In Out
In Out
In OutIn Out
Physical-Virtual Team Training
Real and virtual people, objects, sounds, and smells.
Virtual entities respond to and affect real entities.
22

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