cooper.ppt
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Transcript of cooper.ppt
SIMULATION FOR SIMULATION FOR EDUCATION EDUCATION
AND AND TRAININGTRAINING
ININANESTHESIA AND ANESTHESIA AND
CRITICAL CARECRITICAL CARE
Agenda 1:00- 1:15 What is Medical Simulation and 1:00- 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 in 1:15- 1:45 How is Simulation Being Used in Anesthesia Education, Training, Patient Anesthesia 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 for 1:45-2:00 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.
Agenda 2:00-2:10 Stretch break2:00-2:10 Stretch break 2:10-2:30 Can Simulation be Used to 2:10-2:30 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 Be 2:30-2:50 How Can A Simulation Program Be Organized and Operated and What Does it Organized 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
WHAT DO WE MEAN WHEN WE SAY SIMULATOR?
Intubation ManikinIntubation Manikin
ASCASC
Gas Man PictureGas Man Picture
MannequinMannequin
OROR
UltrasimUltrasim
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
THE UNDERLYING REASONS FOR THE 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
USES OF SIMULATORS in HEALTHCARE
EDUCATION & TRAINING OF CLINICIANS RESEARCH EVALUATING NEW TECHNOLOGIES TRAINING ENGINEERS AND ANCILLARY
PERSONNEL EVALUATING PERFORMANCE CREDENTIALING
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
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
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
MEDICAL SIMULATORS IN 2000
ACLS Cardiology Bronchoscopy Sigmoidoscopy IV catheter insertion Laparoscopic skills training Surgical skills trainer
BEST LINK TO SIMULATION WEB SITES
WWW.BRIS.AC.UK/DEPTS/BMSC
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
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?