This document discusses the history and current uses of simulation-based education for training family medicine physicians. It outlines how simulation has been used to teach technical skills like central line placement. Studies show this training improves physicians' skills and knowledge, and leads to better patient outcomes like fewer infections. Future trends may include more system-based training using simulations of electronic health records. Training is also expected to focus more on non-technical skills like communication and decision-making. Overall, simulation-based education is poised to play a growing role in technical and non-technical skills training for family medicine.
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
Medical Simulation Market to Reach US$ 2.50 Billion by 2022Amy Williams
The medical simulation market is expected to exceed more than US$ 2.50 Billion by 2022; Growing at a CAGR of more than 15% in the given forecast period.
A Comprehensive Introduction to Medical SimulationRoger Smith
Introduction to the science and practice of medical and surgical simulation. Topics Covered: History, Taxonomy, Learning Processes, Standardized Patients, Patient Simulators, Team Training, Surgery Simulators, Best Practices.
Simulation is the imitation of the operation of a real-world process or system over time.
The act of simulating something first requires that a model be developed; this model represents the key characteristics or behaviors/functions
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
Medical Simulation Market to Reach US$ 2.50 Billion by 2022Amy Williams
The medical simulation market is expected to exceed more than US$ 2.50 Billion by 2022; Growing at a CAGR of more than 15% in the given forecast period.
A Comprehensive Introduction to Medical SimulationRoger Smith
Introduction to the science and practice of medical and surgical simulation. Topics Covered: History, Taxonomy, Learning Processes, Standardized Patients, Patient Simulators, Team Training, Surgery Simulators, Best Practices.
Simulation is the imitation of the operation of a real-world process or system over time.
The act of simulating something first requires that a model be developed; this model represents the key characteristics or behaviors/functions
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
Professor Cindy Farquhar
Cochrane Menstrual Disorders & Subfertility Group
NZ Cochrane Branch of the Australasian Cochrane Centre
New Zealand Guidelines Group
National Women’s Health
University of Auckland
This presentation was from the International Meeting on Simulation in Healthcare (IMSH) 2012 in San Diego, California. For further information, contact gabriel.reedy*at*kcl.ac.uk
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
Professor Cindy Farquhar
Cochrane Menstrual Disorders & Subfertility Group
NZ Cochrane Branch of the Australasian Cochrane Centre
New Zealand Guidelines Group
National Women’s Health
University of Auckland
This presentation was from the International Meeting on Simulation in Healthcare (IMSH) 2012 in San Diego, California. For further information, contact gabriel.reedy*at*kcl.ac.uk
Medical Simulation Industry Overview (TechNet 2012)rheinl271
This presentation is intended to provide an introduction and overview of the medical simulation market domain for defense modeling, simulation, and training audiences interested in applying their capabilities, expertise and products to medical and healthcare training and education needs.
This presentation was given on April 7, 2014 as part of FMCC 2014. Andrew Bazemore, MD, MPH serves as the Director of the Robert Graham Center for Policy and p[provided an update on studies in family medicine and primary care.
38 modules. 1400 pgs. 4 languages. 88K+ #YouTube views. Ms. Dascola talks about Googles Sites & #OER to the University of Michigan Collaborators Forum. July 2014.
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
Module 3
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NURS 6050 Policy and Advocacy for Improving Population Health | Module 3
IntroductionResourcesDiscussionAssignment☰Menu Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
Module 3
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NURS 6050 Policy and Advocacy for Improving Population Health | Module 3
IntroductionResourcesDiscussionAssignment☰Menu× NURS 6050 Policy and Advocacy for Improving Population Health Back to Course Home Course Calendar Syllabus Course Information Resource List Support, Guidelines, and Policies Module 1 Module 2 Module 3 Module 4 Module 5 Module 6
Exit and return to the Blackboard App menu to access other tools, assessments, and content. Pull down, then click the "X" button at the top left corner of your mobile device.
Photo Credit: Getty Images/iStockphotoModule 3: Regulation (Weeks 5-6)
Laureate Education (Producer). (2018). Regulation [Video file]. Baltimore, MD: Author.
Rubic_Print_FormatCourse CodeClass CodeAssignment TitleTotal PointsLDR-463LDR-463-O501Topic 5 Journal Entry30.0CriteriaPercentageUnsatisfactory (0.00%)Less Than Satisfactory (65.00%)Satisfactory (75.00%)Good (85.00%)Excellent (100.00%)CommentsPoints EarnedContent100.0%Response to Journal Entry Prompt80.0%Response to the journal entry prompt is not present.Response to the journal entry prompt is incomplete or incorrect.Response to the journal entry prompt is complete but lacks relevant detail.Response to the journal entry prompt is thorough and contains substantial supporting details.Response to the journal entry prompt is complete and contains relevant supporting details.Mechanics of Writing includes spelling, punctuation, grammar, and language use.20.0%Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Total Weightage100%
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health ...
Vicki LeBlanc PhD (University of Toronto) introduces us to her data on feedback and enhanced hybrid simulation learning on communication skills. Her expertise is in Human Factors and Decision-making particularly in stressed and non-ideal situations.
2012.07.02 The Use of Simulation in ObstetricsNUI Galway
Dr. Niamh Hayes, College of Anaesthetists in Ireland, presented The Use of Simulation in Obstetrics at Simulation in Irish Medical Education: Where Are We, and Where Are We Going? held at NUI Galway on the 2nd July 2012.
Exploring the Economics of Quality Improvement Education in Healthcare: An A...Daniel McLinden
What are the economics associated with a program intended to influence large scale organizational change in a healthcare setting? This work reports on the exploration of the economic linkages among the resources used and the benefits achieved from a training intervention. The training program is intended to develop quality improvement capability among training participants in a medical center. This economic evaluation involves the application of utility analysis to value the costs of the program and to estimate the benefit as the value of trained individual. Utility analysis was further enhanced by integrating the analysis within a dynamic system’s model. This extension provided a more precise understanding of the economics over time as training participants flow through a training intervention and then back into the workplace. Finally we explore the potential to quantify the linkage between interventions with learners and the impact of large scale change as a means for considering the value of the intervention.
Similar to Simulation and the Family Medicine Physician: Current and future applications for technical skills training (20)
Caren Stalburg, MD, MA presented to the 2016 annual Snow meeting of the Michigan Section of the American Congress of Obstetricians and Gynecologists (ACOG) about her program to train Michigan providers about the new Breast Density Notification Law (http://www.midensebreasts.org/).
Dr. Stalburg is Division Chief and Clinical Assistant Professor in the Division of Professional Education in the Department of Learning Health Sciences and Assistant Professor of Obstetrics and Gynecology in the University of Michigan Medical School.
Joshua Rubin's presentation for the Lilly sponsored AMIA Clinical Decision Support Working Group on August 25, 2015.
https://www.amia.org/education/webinars/learning-health-system-informing-clinical-decisions-learning-every-patient-every
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
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3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Simulation and the Family Medicine Physician: Current and future applications for technical skills training
1. Simulation and the Family Medicine
Physician: Current and future applications
for technical skills training
AnnualInternationalFamilyPracticeCongress
November 5, 2015
Deborah Rooney PhD
MEDICAL SCHOOL
UNIVERSITY
OF
MICHIGAN
Copyright 2015. All Rights Reserved.
3. My Background
• Medical education since 1991
• Nine years in surgical education
• PhD in Educational Psychology
• Director of Education and Research, Clinical
Simulation Center, University of Michigan (UMCSC)
7. Today’s talk: Simulation-based
education
o Brief history of developments that influenced
simulation
Simülasyonu etkileyen gelişmelerin kısa bir tarihçesi
o Examples of simulation-based training for
technical skills targeted toward Family Medicine
Teknik beceriler için gerekli olan güncel simülasyon bazlı
eğitim
o Projected trends in simulation-based training for
the family medicine physician
Simülasyon temelli eğitimde öngörülen akımlar
8. Simulation-based education is not
new
Sushruta, 2600 years ago
Used specific simulation models for procedural
simulation;
• Gourds, fruit, clay pots, leather pouch full of
“slime,” mud, or water, bamboo, wax on wood
• Included full size patient simulator for splinting
and ligature
• Suture training on the stem of a lotus lily, or cloth
17. Development & refinement of best practices
• Invention and proof of concept of specific
simulators, skills curricula
• Development of practical tools to support
learning and assessment in complex settings
• Application of educational theories
History of SBE* for technical
skills:
2000 to present
*SBE= Simulation-based Education
18. Educational Theory and Technical Skills:
Bloom
Bloom, based on Dave, R. (1967). Psychomotor domain. Berlin: International Conference of Educational Testing.
Higher order psychomotor skills
Lower order psychomotor skills
Watch instructor and repeat
(copy)
Complete task with verbal
instruction
Combine learned skills to
meet novel requirements
Apply automatic strategies
Perform with expertise
without assistance
Naturalization
Articulation
Precision
Manipulation
Imitation
GOAL
21. • M2 (second year medical students),
n=12
• Technical skills training prior to
clinical experience;
ü Central line (CVC) placements
ü Thoracentesis
ü Lumbar puncture
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
Addressing gaps: SBE preclinical
training
22. Training
• 3 x 2-hour sessions
• Lecture followed by hands-on practice
• 2-3 preceptors acted as coaches
Assessment
• Before, after, and 6-month follow-up
• Knowledge
• Attitudes related to Family Medicine
• Skills test after course and 6-month follow-up
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
Addressing gaps: SBE preclinical
training
23. Knowledge Test
• 9 item
• MCQ
Topics
• Contra/inidicatations
• Anatomy
Preclinical training: assessment
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
24. SBE preclinical training: improves
knowledge
Knowledge
Knowledge
Mean
Difference
P
(two-tailed)
Pre-course
Post-
course
1.18
0.007
Pre-course
Follow-up
1.17
0.012
Post-
course
Follow-up
0.18
0.34
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
Change in knowledge test scores
25. Skills Test
• Time
• Needle redirects (pokes)
• Ordered steps
Preclinical training: assessment
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
26. Steps = Insert spinal needle with stylet in place -> Check opening pressure ->
Obtain spinal fluid in tube -> Replace stylet -> Remove needle
Example Skills Test: Lumbar puncture
SBE preclinical training: skills
assessment
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
1 2 3 4 5
27. SBE preclinical training: improves skills
Kelley S, et al. Impacts of Electives in Family Medicine on Preclinical Medical Students. Society of Teachers of Family Medicine
2015 Conference on Medical Student Education.
28. Performing the skills-based and hands-on procedures as part of
the course improved my;
knowledge
Mean 8.29 (SD 1.32)
confidence
Mean 8.09 (SD 1.58)
skill
Mean 8.23 (SD 1.50)
(1=strongly disagree, 10=strongly agree)
SBE Preclinical training: improves
attitudes
29. The course improved my perception of family medicine
ü Post mean 7.23 (SD 1.48)
ü Follow-up mean 7.37 (SD 1.66)
ü p=0.62
The course has led me to reconsider (or has reinforced my
interest in) family medicine as possible career option
ü Post mean 5.54 (SD 1.66)
ü Follow-up mean 5.94 (SD 1.96)
ü p=0.22
(1=strongly disagree, 10=strongly agree)
SBE Preclinical training: improves
attitudes
33. Improves patient outcomes: Central
Venous Catheter (CVC) placement in MICU
Sim-based, mastery training central line placement skills
in Medical ICU (MICU);
• Presentation with contra/indications for CVC
• Video demonstration of CVC IJ placement
• One-on-one instructor & trainee practice with
feedback
• Pre-post training assessment
Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB. Simulation based mastery learning reduces complications
during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009 Oct;37(10):2697-701.
34. SBE improves patient outcomes:
Central Venous Catheter (CVC) placement
Sim-based, mastery training central line
placement skills in Medical ICU (MICU);
• Fewer needle passes
• Fewer arterial punctures
• Fewer catheter adjustments
Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB. Simulation based mastery learning reduces complications
during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009 Oct;37(10):2697-701.
35. Cohen ER, Feinglass J, Barsuk JH, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based
education for residents in a medical intensive care unit. Simul Healthc. 2010 Apr;5(2):98-102.
Follow-up research compared pre-post Catheter-Related
Bloodstream Infections (CRBSI) and potential cost-
savings for the hospital
-Cohen and colleagues
CVC placement in Medical
Intensive Care Unit (MICU)
36. Cohen ER, Feinglass J, Barsuk JH, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based
education for residents in a medical intensive care unit. Simul Healthc. 2010 Apr;5(2):98-102.
4.2/100
MICU CVC CRBSI/adm.
0.42/100
MICU CVC CRBSI/ adm.
SBE CVC training improved infection
rates
37. • Training cost ~US$110,000 ( 319,000)
• Approximately 9.95 CRBSIs were prevented in MICU
patients/ CVCs in the year after intervention
• Each translated to US$82,000 ( 240,000) and 14
added hospital days
Cohen ER, Feinglass J, Barsuk JH, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based
education for residents in a medical intensive care unit. Simul Healthc. 2010 Apr;5(2):98-102.
2M
SBE CVC training reduced costs
41. • Prepare for new EHR
• SBE sessions targeted provider/nurse pairs practicing delivery
of maternity care
• Triageà labor à complicationà postpartumà discharge
• Supplement to classroom/online
Systems-based training: EHR & Maternity
Care
193 individuals
64, 2-hr sessions x 4 weeks
Smith R, Hammoud M, Marzano D. (2014) University of Michigan
42. Results
• 100% participation
• Reduced anxiety toward EHR
• Operationalized knowledge
• Fostered teamwork
• Increased interest in SBE
36
25
23
125
92
OB Faculty
OB Residents
Midwives
Family Med
Faculty
Family Med
Residents
Nurses
Smith R., Hammoud M., Marzano D. (2014) University of Michigan
Systems-based training: EHR & Maternity
Care
44. • Using available web-based curriculum on computer
• Self-directed training and
assessment
• Addresses knowledge,
skills, attitude
Future Training: Streamlining
technical skills training with technology
45. Future training targeting
technical skills: retinal exam
• Originally developed for residents, soon to be
adapted by medical students (n=170)
• 3 weeks to teach retinal exam
skills
• 30 minutes/session = 85 teaching
hours
• Teaching commitment = 0
46. Future training targeting
technical skills: endoscopy
Residents;
• Family medicine
• IM-Gastroenterology
• Surgery
ü Self-directed learning
ü 24 hour access
ü Built-in assessment
48. End-of-Life
(Palliative) Care
Targeted Trainees:
• 2nd and 3rd year Family Medicine residents (n=30)
Learning Goals:
• Improve residents’ knowledge about symptoms
associated with dying process
• Improve residents’ ability to treat symptoms
• Improve residents’ communication skills with patient/
families
49. End-of-Life Care Program:
logistics
Intervention
• Presentation
• Clinical simulation
• 10 x 2 hour sessions
Pre-post assessment
• Knowledge
• Communication (social worker acting as family member)
• Comfort
Chiang C, Kelley S, & Petersen, K. Teaching End-of-Life Care to Resident Physicians Using Clinical Simulation.
Healthcare Professional education Day, University of Michigan, 2015