Dr. Allan L. and Mary L. Graham Clinical Performance...

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University of Illinois at Chicago Department of Medical Education Dr. Allan L. and Mary L. Graham Clinical Performance Center Annual Report – 2015 Rachel Yudkowsky, MD, MHPE, Director Martin Hurm, MFA, Associate Director

Transcript of Dr. Allan L. and Mary L. Graham Clinical Performance...

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University of Illinois at Chicago Department of Medical Education

Dr. Allan L. and Mary L. Graham Clinical Performance Center

Annual Report – 2015

Rachel Yudkowsky, MD, MHPE, Director Martin Hurm, MFA, Associate Director

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Dr. Allan L and Mary L Graham Clinical Performance Center Annual Report 2015

Rachel Yudkowsky, MD, MHPE, Director Martin Hurm, MFA, Associate Director

Mission The mission of the Dr. Allan L. and Mary L. Graham Clinical Performance Center (GCPC) is to help educators in the health professions improve clinical performance and patient safety by using simulated clinical encounters for

• Instruction • Assessment • Quality Improvement • Research

Who We Are and What We Do The GCPC supports the learning and assessment of communication skills, data gathering, clinical reasoning, decision-making, procedural skills and team skills through simulation-based educational programs. Our programs leverage standardized patients, task trainers, mannequins and other simulations to provide learners with opportunities for safe, repeated practice of clinical skills, in an environment rich with feedback and coaching. GCPC facilities include two eight-room “clinics” for standardized patient encounters, two mannequin simulation suites, two procedural skills labs, and two classrooms, all equipped with AV recording and playback capability; as well as office and administrative spaces. The GCPC is a unit of the Department of Medical Education (DME) in the UIC College of Medicine. The GCPC is affiliated with the College of Medicine’s Surgical Skills Lab and Perinatal Simulation Lab, together comprising the UIC Health Sciences Simulation Consortium, accredited by the American College of Surgeons as a Comprehensive Accredited Educational Institute – one of 77 such accredited institutes worldwide. We serve medical students and residents, nursing and nurse practitioner students, pharmacy students and residents, hospital staff including nurses and respiratory therapists, physicians in practice, and mid-career professionals who are students in the DME’s Masters of Health Professions Education (MHPE) and Masters in Patient Safety Leadership (MPSL) Programs. Health Professions faculty from around the world attend certificate and short-term fellowship programs at the GCPC to learn how to implement simulation activities effectively in their own schools.

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GCPC staff members serve as workshop instructors, plenary speakers and Special Project faculty for health professions students and residents at UIC. We disseminate knowledge gained through our activities in peer reviewed publications, at workshops across the US and abroad, and at invited and peer reviewed presentations at national and international conferences, including the American Association of Medical Colleges (AAMC), the International Meeting on Simulation in Healthcare (IMSH), the Association of Standardized Patient Educators (ASPE), and others. GCPC Highlights - 2015 GCPC Expansion

GCPC staff have been working closely with architects from Holabird & Root + SLAM to design the new College of Medicine simulation facility on the fourth and fifth floors of the building housing the Mile Square Health Center on Roosevelt and Wood. The move will more than double the space available for simulation activities, allowing the GCPC to meet the growing demand for simulation-based educational programs for learners at all levels of training and practice. Phase 1, providing enhanced mannequin and procedural task-trainer simulation spaces, is projected to be complete Fall 2017.

American Heart Association Training Site

In 2015 the GCPC was accredited as an AHA Training Site, enabling us to provide training in Basic Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support at both the learner and instructor level for students, residents and staff.

Award-winning presentations

Research and development efforts at the GCPC result in local, national and international presentations, including three award-winning abstracts and presentations in 2015:

• Luciano C, Van Meter A, Matulyauskas M, Kania P, Banerjee P, Yudkowsky R: Haptic augmented reality lumbar puncture simulator: pilot evaluation. (Abstract) Simulation in Healthcare 2015; 10:473. First Place Award for Technology Innovation Abstract.

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• Wang S, Shadrake L, Milena L, Hajwa K, Hernandez C: Improving Dermatology Residents' Communication Skills with Non-English Speaking Patients via Collaboration with Medical Interpreter Services. Poster and oral presentation presented at the 23rd World Congress of Dermatology, Vancouver Canada, June 2015. Certificate of Distinction Award.

• Nathan, J.B.; May, A; Volpe, K; Bock, K; Hurm, M; Kiser, R; McKenzie, L; Milos, S; Shadrake, L; Zar, F.A.; Blitzstein, S.M.; Fox, G.S. C.A.R.E.S.: Clinicians Acting to Reinforce Empathic Skill. Poster presented at the UIC Quality and Safety Fair, Chicago IL, November 2015. First Place Poster Award.

Professional Development Programs for Simulation Educators

The GCPC Certificate Program in standardized-patient-based education is an intensive one-week program that provides faculty and simulation educators with the knowledge and skills needed to create effective instruction and assessment programs utilizing standardized patients (SPs). The certificate program has taken place annually since 2012, and is one of only two programs in the US dedicated to teaching faculty about SP methodology. National and international participation, including in 2015 two faculty participants from Ethiopia, provides a stimulating peer group and promotes networking opportunities.

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In August-September 2015 the GCPC hosted a group of three faculty members from Taif University Medical School in Saudi Arabia for a one-month short-term fellowship program. The fellows observed GCPC activities, attended workshops on how to conduct simulation-based educational programs, and designed a project to help jump-start simulation activities at Taif. International fellows in prior years have hailed from Japan, Chile, Jordan, Turkey, Saudi Arabia and Israel.

GCPC on the road

In May 2015 Dr Rachel Yudkowsky, Director of the GCPC, and Bob Kiser, Assistant Director of the GCPC, conducted a series of professional development workshops based on the SP educator certificate program for faculty and SP educators at the University of Central Florida in Orlando. Participants improved their skills in training SPs, managing an SP program, and developing SP-based assessments.

In October 2015 the UIC College of Medicine conducted a 4-day Medical Education Conference for 46 faculty at MS Ramaiah Medical College in Bangalore India. Workshops on how to utilize Standardized Patients, Simulation, and eLearning to enhance Medical Education were provided by GCPC SP Coordinator Laura McKenzie, GCPC Emergency Medicine/Simulation Fellow Dr Dan Robinson, Dr Valerie Dobiesz from the Center for Global Health and Department of Emergency Medicine, and Jerry Stapleton from the Department of Medical Education.

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New Equipment • Laerdal high-fidelity pediatric and infant mannequins • Paracentesis simulator model

Graham CPC Statistics for Academic Year 2014-15

• Over 13,000 participants • Over 2000 unique learners • Over 30,000 learner-hours • 839 simulation-based educational programs provided • 92 unique simulation-based education programs • 4.25 education and training activities per day on average • Activities conducted on 235 of 261 days (92% space utilization rate)

Client FY12 Programs

FY13 Programs

FY 14 Programs

FY15 Programs

FY15 Learner Hours

College of Medicine 35 37 39 44 23,142 College of Nursing 9 7 6 5 1,007 College of Pharmacy 2 2 2 2 218 Graduate Medical Education (GME)

14 14 18 15 2,760

University of Illinois Hospital

6 5 7 9 340

Other Internal Clients 7 9 16 13 1,221 External Clients 4 9 4 6 1,647 Total 77 88 92 92 30,334

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0

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FY11 FY14 FY15

Program Growth

GME

CON

UIH

Other Internal

External

COM

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18%

4%1%

16%

4%

57%

Center Usage FY15

GME

CON

UIH

OtherInternalExternal

COM

6%

19%

56%

19%

College of Medicine Center Usage FY15

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M3

M4

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GCPC Staff

Rachel Yudkowsky, MD, MHPE - Director Dr. Yudkowsky serves as Director of the Dr. Allan L. and Mary L. Graham Clinical Performance Center, where she develops standardized patient (SP) and simulation-based programs for the instruction and assessment of students, residents and staff. She is an Associate Editor for the journal Simulation in Heathcare, was past Chair of the Research and Grants Committee of the Association of Standardized Patient Educators, and co-

edited the book “Assessment in Health Professions Education”. Her areas of research include performance assessment using SPs and other simulations and setting passing standards for performance exams, and she is the recipient of research grant awards from the National Board of Medical Examiners’ Stemmler Fund and from the Agency for Healthcare Research and Quality. Dr. Yudkowsky received her MD from Northwestern University Medical School and is Board Certified in Psychiatry. She served as clerkship director, residency program director, and director of education for the Evanston Hospital Department of Psychiatry before joining the UIC Department of Medical Education in 1999. She received a Master’s degree in Health Professions Education from UIC in 2000.

Martin Hurm, MFA - Associate Director Martin has been with the Clinical Performance Center since 1996. He began as a Standardized Patient, became a Standardized Patient Coordinator for four years, and has been the Associate Director since 2003. Martin received his MFA in Acting from Western Illinois University.

Robert Kiser, Assistant Director Bob has been a Standardized Patient since 1994, began as a Standardized Patient Coordinator in 2005, advancing to Assistant Director of the GCPC in 2009. As a certified mediator, he also works with UIC’s Dispute Resolution Services. Bob is a graduate of Illinois State University with a B.A. in Theatre and Music and is also a certified coach though IPEC coaching school.

John Colagrossi, MBA, Assistant Director of Operations John served as a Business Manager and Assistant Director of Business and Operations for several departments at UIC for the past 17 years, providing him with extensive experience in UIC accounting and financial reporting processes. A UIC graduate, John has an MBA with specialization in Accounting.

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Shole Milos, Standardized Patient Coordinator Shole has served a Standardized Patient Coordinator since 2007 after spending many years working as a Standardized Patient focusing on physical exam technique and basic skills instruction. He is a graduate of Loyola University with a degree in Theatre and Communications with a focus on children’s theatre education and children’s theatre production.

Laura McKenzie, Standardized Patient Coordinator Laura has been with the GCPC since 2005, beginning as a Standardized Patient before moving into the role of Standardized Patient Coordinator. Prior to joining the GCPC, Laura was a teaching artist for such arts advocacy groups as Urban Gateways, After School Matters, and Barrel of Monkeys. She conducted theater and dramatic writing residencies with CPS students and also led professional development workshops. Laura is a graduate of Northwestern University and continues to write and perform.

Lynda Shadrake, Standardized Patient Coordinator Lynda is a graduate of The Ohio State University and a former high school English and drama teacher; she has been a professional actress in Chicago for over 25 years. Lynda started her career at UIC as a standardized patient in 2006, and joined the staff as SP Coordinator in 2012.

James Haukland, Simulation Technology Coordinator

Prior to joining the GCPC, James worked as both a Paramedic and a Lead Instructor, teaching ACLS, PALS, CPR, and First Aid, as well as in the Crisis Prevention Institute (CPI) Non-Violent Crisis Intervention Program. James received his Bachelors of Science Degree in Technical Management from DeVry University.

Jim Cunningham, Simulation Technology Coordinator

Jim worked as a paramedic for five years and as a GCPC simulation instructor for one year before taking on GCPC Simulation Coordinator responsibilities. He has an Associate’s degree in Applied Science for Emergency Medical Systems, and prior experience in management and technical training.

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Edward Fraim, Operations Manager Edward has been a member of the GCPC since 2008, beginning as a Standardized Patient and Patient Instructor. He is a current theatrical professional with a background in performance, operations, and management. Edward advanced to Operations Manager in 2013 and has continued taking on new responsibilities, facilitating smooth transitions for staff and developing new protocols throughout the center.

Julian Lugo, IT Technical Associate Julian has worked in the IT field for over 15 years for companies such as AT&T, United Airlines, and Illinois School District 47. He joined the GCPC in 2012 in the role of technical support for the Center. In addition, Julian is a long time Chicago area musician and has performed throughout the Chicagoland area for many years with his own music group. He earned his Bachelors of Arts degree in Sociology with concentration on education from Ashford University.

Matthew Lineberry PhD, Assistant Director for Research Matt is an Assistant Professor in the Department of Medical Education, with a PhD in Industrial and Organizational Psychology and extensive experience in simulation research. Matt coordinates research activities in the GCPC and provides mentoring for faculty, fellows and staff engaged in simulation-based research.

Simulation Fellows

Our Emergency Medicine Simulation and Education Fellows Drs Samreen Vora and Dan Robinson spent two to three days a week in the Graham CPC, learning to create and implement a full range of simulation-based educational programs. Fellows in our two-year program are also enrolled in DME’s Masters in Health Professions Education (MHPE) program. Dr Vora completed the program in July 2015 and is now a faculty member of the Dept of Emergency Medicine at Loyola University Medical Center.

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Research and Development Projects

• Assessing Resident Physician Melanoma Detection Across Ethnic Groups. Drs. Claudia Hernandez (Dermatology) and Fred Zar (Internal Medicine) are using unannounced standardized patients to assess medical resident skin cancer detection rates and develop new education interventions to improve early detection in skin of color. The project is funded by an NIH grant to Dr Hernandez.

• Immersive Touch Module Development: Drs. Alexandra Vanmeter (Internal Medicine) and Rachel Yudkowsky (DME, GCPC) are working with Drs. Pat Banerjee and Cristian Luciano of the UIC College of Engineering and Immersive Touch Inc to develop new simulator modules and curricula for the Immersive Touch augmented reality/haptic simulator, focusing on Lumbar Puncture and Central Venous Catheter Insertion.

• Surgical Simulator Development: Drs Cristian Luciano (College of Engineering), Matt

Lineberry (DME) and Rachel Yudkowsky (DME, GCPC) are developing new ways to use augmented reality visualizations to improve surgical training.

• Core + Clusters Physical Exam: The GCPC and Dale Lorens (DME), Dr Asra Kahn

(IM) and Dr Ananya Gangopadhyaya (IM), directors of the Essential of Clinical Medicine (ECM) Program are collaborating with faculty from Columbia, George Washington University, Harvard, University of Connecticut, and Texas Tech to develop a new approach to teaching and assessing the physical exam.

• Development of a Telemedicine Curriculum for Internal Medicine Residents: Drs Ananya Gangopadhyaya (IM), Rachel Yudkowsky (DME, GCPC) Jeremy Young (IM) and Mahesh Patel (IM), along with Jerry Stapleton (DME) and Bob Kiser (GCPC), received a grant from the UIC Center for Excellence in Teaching and Learning (CETL) to develop an online curriculum to teach residents to work effectively in an online environment. The curriculum includes live tele-encounters with standardized patients to allow residents to experience telemedicine and practice telemedicine communication skills.

• C.A.R.E.S.: Clinicians Acting to Reinforce Empathy Skills. This pilot project funded

by the UIC Center for Excellence in Teaching and Learning (CETL), is designed to strengthen medical students’ empathic skills through the use of acting exercises and techniques. Students learn to identify empathic moments through role-playing both patients and clinicians within simulated clinical encounters. Project collaborators include Drs Josh Nathan, Amber May, Kelly Volpe, Sean Blitzstein and Geri Fox (all from Psychiatry), Dr Fred Zar (IM), GCPC staff Martin Hurm, Bob Kiser, Laura McKenzie, Lynda Shadrake and Shole Milos, and medical student Katherine Bock. The GCPC team members have been instrumental in developing the course content, including acting exercises and patient characteristics and scenarios, and will teach the course alongside a physician co-educator.

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Peer-Reviewed Publications Based on Work Done in or with the GCPC

1. Yudkowsky R, Park YS, Hyderi A, Bordage G: Characteristics and Implications of Diagnostic Justification Scores Based on the New Patient Note Format of the USMLE Step 2 CS Exam. Academic Medicine 2015; 90:S56-S62

2. Luciano C, Van Meter A, Matulyauskas M, Kania P, Banerjee P, Yudkowsky R: Haptic augmented reality lumbar puncture simulator: pilot evaluation. (Abstract) Simulation in Healthcare 2015; 10:473. First place award, Technology Innovation abstract.

Peer-Reviewed Presentations by GCPC faculty and staff or based on work done in or with the GCPC

1. Yudkowsky R, Blatt B: Leveraging Standardized Patients to Promote Clinical Reasoning in the physical exam. Expert panel presented at the International Meeting on Simulation in Healthcare, New Orleans LA, January 2015.

2. Wang S, Shadrake L, Milena L, Hajwa K, Hernandez C: Improving Dermatology Residents' Communication Skills with Non-English Speaking Patients via Collaboration with Medical Interpreter Services. Poster and oral presentation presented at the 23rd World Congress of Dermatology, Vancouver Canada, June 2015. Certificate of Distinction Award.

3. Thompson T, Szauter K, Yudkowsky R: What is an Institutional Review Board Approval and how do you know if you need one for your project? Workshop presented at the Annual Meeting of the Association of Standardized Patient Educators, Denver CO, June 2015.

4. Higbee D, Yudkowsky R, Walton A, Baldelli P, Gephardt G: SP/SIM Center Administration: Reviewing organizational structures and data collection. Expert panel presented at the Annual Meeting of the Association of Standardized Patient Educators, Denver CO, June 2015.

5. Nathan, J.B.; May, A; Volpe, K; Bock, K; Hurm, M; Kiser, R; McKenzie, L; Milos, S; Shadrake, L; Zar, F.A.; Blitzstein, S.M.; Fox, G.S. C.A.R.E.S.: Clinicians Acting to Reinforce Empathic Skill. Poster presented at the Annual Meeting of the Association for Directors of Medical Student Education in Psychiatry, Stowe VT, June 2015

6. Yudkowsky R, Nicholas C, Park YS: How to Establish Defensible Passing Standards for Local Performance Tests. Invited workshop presented at the Annual Meeting of the Association of Standardized Patient Educators, Denver CO, June 2015

7. Nathan, J.B.; May, A; Volpe, K; Bock, K; Hurm, M; Kiser, R; McKenzie, L; Milos, S; Shadrake, L; Zar, F.A.; Blitzstein, S.M.; Fox, G.S. C.A.R.E.S.: Clinicians Acting to Reinforce Empathic Skill. Poster presented at the annual meeting of the Association for Academic Psychiatry, San Antonio TX, September 2015

8. Nathan, J.B.; May, A; Volpe, K; Bock, K; Hurm, M; Kiser, R; McKenzie, L; Milos, S; Shadrake, L; Zar, F.A.; Blitzstein, S.M.; Fox, G.S. C.A.R.E.S.: Clinicians Acting to Reinforce Empathic Skill. Poster presented at the UIC Department of Psychiatry Research Extravaganza, Chicago IL, September 2015

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9. Yudkowsky R, Park YS, Hyderi A, Bordage G: Characteristics and Implications of Diagnostic Justification Scores Based on the New Patient Note Format of the USMLE Step 2 CS Exam. Paper presented at the Medical Education Meeting of the Association of American Medical Colleges, Baltimore MD, November 2015.

10. Park YS, Kamin C, Kim G, Hyderi A, Yudkowsky R: Differences in Expectations of Passing Standards in Communication Skills for Pre-clinical and Clinical Medical Students. Poster presented at the Medical Education Meeting of the Association of American Medical Colleges, Baltimore MD, November 2015.

11. Nathan, J.B.; May, A; Volpe, K; Bock, K; Hurm, M; Kiser, R; McKenzie, L; Milos, S; Shadrake, L; Zar, F.A.; Blitzstein, S.M.; Fox, G.S. C.A.R.E.S.: Clinicians Acting to Reinforce Empathic Skill. Poster presented at the UIC Quality and Safety Fair, Chicago IL, November 2015. First Place Poster Award.

This has been a busy and exciting year for the GCPC; we look forward to continuing to provide high quality simulation programs in support of instruction, assessment, patient safety and research.

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Dr. Allan L. and Mary L. Graham Clinical Performance Center Programs

AY2014-2015

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

UIC College of Medicine M1 ECM Hypothesis-Driven Physical Exam

196 Standardized Patient

Three workshops focused on Cardiac, Musculoskeletal and Neurology teaching students how to use critical thinking to distinguish and diagnose common chief complaints in these areas

Three 2-hour sessions

9 sessions, Over 2 weeks

M1 Gross Anatomy Physical Exam (PE) Workshop

196 Standardized Patient as Instructor

Learning basic physical examination techniques

Three 1.5 hour sessions

22 sessions, Over 1 year

M1 History Interview Assessment

196 Standardized Patient

Assessment of history taking skills

2.5 hours 10 sessions, Over 1 month

M1 Physical Exam Plenary

196 Standardized Patient

Discussing patient comfort and communication to be used during physical exams

Three 2-hour sessions

3 sessions, Over 1 year

M1 Practice History Workshop

196 Standardized Patient

Learning patient history taking skills

2 hours 15 sessions, Over 2 weeks

M1 Sensitive History Taking Workshop

196 Standardized Patient

Learning sensitive patient history taking skills

2 hours 15 sessions, Over 1 month

M1 Vital Signs Physical Exam Workshop

196 Standardized Patient as Instructor

Learning to take vital signs

2 hours 4 sessions, Over 2 weeks

M2 Abdominal Physical Exam Workshop

181 Standardized Patient as model

Learning proper abdominal examination and techniques

2.5 hours 15 sessions On 1 day

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Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

M2 Breast Physical Exam Workshop

181 Gynecologic Teaching Associate (GTA)

Learning proper breast examination and techniques

2 hours 10 sessions, Over 1 month

M2 Cardiac Physical Exam Workshop

181 Standardized Patient as model

Learning proper cardiac examination and techniques

3 hours 16 sessions, Over 2 months

M2 Core Physical Exam Practice Workshop

261 (includes repeats)

Standardized Patient as Instructor

Practicing techniques and language skills of the Core Physical Exam

1.5 hours per session

attended (may attend more than

once)

45 sessions, Over 6 months

M2 Dermatology Physical Exam Workshop (new in 2015)

181 Standardized Patient

Student driven and created program learning how to do a focused dermatology exam

2 hours 1 plenary session

M2 Focused History/Physical Exam Workshop

181 Standardized Patient

Learning how to perform a focused history and physical examination (PE)

3 hours 16 sessions, Over 6 weeks

M2 Lung and Thoracic Physical Exam Workshop

181 Standardized Patient as Instructor and model

Learning proper lung and thoracic examination and techniques

1.5 hours 14 sessions, Over 2 months

M2 Male G/R Physical Exam Workshop

181 Male Urogenital Teaching Associate (MUTA)

Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 10 sessions, Over 1 month

M2 Musculoskeletal Physical Exam Workshop

181 Standardized Patient with real findings

Learning proper musculoskeletal examination and techniques

2.5 hours 165 sessions

M2 Neuro Physical Exam Workshop

181 Standardized Patient as Model

Learning proper neurological examination and techniques

3 hours 14 sessions, Over 2 months

M2 Ophthalmic Physical Exam Workshop

181 Standardized Patient used as Instructor

Learning proper ophthalmic examination and techniques

2.5 hours 15 sessions, Over 2 months

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Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

M2 Pelvic Physical Exam Workshop

181 Gynecological Teaching Associate (GTA)

Learning proper techniques and communication for the female pelvic examination

2.5 hours 10 sessions, Over 3 months

M2 Core Physical Exam Assessment

181 Standardized Patient

Assessment of the full Core Physical Exam

2 hours 32 sessions, Over 2 months

M2 Communication Workshop (new in 2015)

181 Standardized Patient

Learning communication skills with patients

1.5 hours 15 sessions, Over 2 months

M2 Communication Assessment

181 Standardized Patient

Assessment of communication skills with patients

2 hours 24 sessions, Over 2 weeks

M2 Complete History Workshop

181 Standardized Patient

Learning proper history taking skills

2 hours 13 sessions, Over 2 weeks

M2 Domestic Violence Workshop

181 Standardized Patient

Learning how to communicate with women who are victims of domestic violence

2 hours 1 plenary session

M2 Giving Bad News Workshop

181 Standardized Patient

Practicing how to deliver bad news

2.5 hours 1 plenary session

M2 Lifestyle Modification Workshop (new in 2015)

181 Standardized Patient

Learning how to communicate with patients regarding lifestyle changes effecting health

1 hour 1 plenary session

M2 Mental Status Workshop

181 Standardized Patient

Learning to conduct a mental status examination

3 hours 15 sessions, Over 2 months

M3 Essentials of Clinical Practice and Professionalism (ECP&P)

180 Standardized Patient, Mannequin and Procedural Task Trainer

Learning 12 basic procedural skills, practicing EKG interpretation and gaining experience in teamwork and decision-making

Four 4.5- hour sessions

16 sessions, Over 1 year

M3 Graduation Competency Exam – Procedure Skills

180 Procedural Task Trainer

Assessment of 12 procedural skills and EKG interpretation

4.5 hours 20 sessions, Over 1 month

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Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

M3 Graduation Competency Exam – SP Encounters

180 Standardized Patient

Assessment of clinical and communication skills

4 hours 37 sessions, Over 1 month

M3 UIUC (Urbana campus) Graduation Competency Exam – SP Encounters

29 Standardized Patient

Assessment of clinical and communication skills

3.5 hours 5 sessions, Over 3 days

M3 Internal Medicine Clerkship Workshop

180 Standardized Patient

Focusing on data gathering and patient-centered communication

2 hours 48 sessions, Over 11 months

M3 Pediatric Clerkship Simulation Workshop

180 Mannequin and Standardized Patient

Working in pairs to elicit a focused pediatric history and physical, and initiate appropriate patient interventions

2.5 hours 41 sessions, Over 1 year

M3 Psychiatry Clerkship Assessment

180 Standardized Patient

Assessment of ability to obtain history and evaluate mental status examination of psychiatric patients

2.5 hours 36 sessions, Over 1 year

M3 Surgery Clerkship Workshop

180 Mannequin and Procedural Task Trainer

Practicing invasive procedures and working in teams to care for mannequin patients

4.5 hours 8 sessions, Over 1 year

M4 Anesthesia Clerkship Procedure Skills Workshop

78 Mid-Fidelity Mannequin and Procedural Task Trainer

Learning anesthesia procedures and practicing a pre-operative assessment

3 hours 22 sessions, Over 1 year

M4 Anesthesia Clerkship Simulation Workshop

136 Mannequin Practicing with pre-surgical patients and patients requiring ACLS interventions

3 hours 20 sessions, Over 1 year

M4 ECP&P II – Simulation (new in 2015)

176 Mannequin and Standardized Patient

Practicing team-based communication with family members in death and near death scenarios

2 hours 12 sessions, Over 6 months

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Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

M4 ECP&P II – Standardized Patient (new in 2015)

182 Standardized Patient

Practicing interaction and communication skills with difficult patients

3 hours 24 sessions, Over 6 months

M4 Emergency Medicine Clerkship Workshop

168 Standardized Patient, Mannequin and Procedural Task Trainer

Practicing invasive procedures commonly seen in an ER setting and working in teams to care for 2-3 critically ill mannequin patients

3 hours 17 sessions, Over 1 year

M4 Medical Spanish Workshop

26

Standardized Patient

Learning Spanish medical language and practicing application with patient encounters

Two 1-hour sessions

8 sessions, Over 6 months

International Elective Students Orientation Workshop

29 Standardized Patient

Medical students from Saudi Arabia practicing communication skills in preparation to work in the clinics

1.5 hours 4 sessions, Over 1 year

UIC College of Medicine Masters Programs Masters in Health Professions Education (MHPE) 505

20 Standardized Patient, Mannequin, and Procedural Task Trainer

Demonstration of standardized patient and mannequin simulations

2 hours 2 sessions, Over 1 year

Masters in Patient Safety Leadership (MPSL)

22 Standardized Patient

Practicing disclosure of medical error

3.5 hours 3 sessions, Over 1 year

UIC College of Nursing

BSN Simulation Workshop

104 Mannequin Paired students work to assess and treat infant patients with written MD orders while communicating with the patient’s caregiver

3.5 hours 12 sessions, Over 1 year

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GrahamCPC 2015 Annual Report Page 19 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Male Genitourinary Exam Workshop

138 Male Urogenital Teaching Associate (MUTA)

Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 9 sessions, Over 6 months

Family Practice Nurse Practitioner H&P Workshop

72 Standardized Patient

Practicing a basic focused history and physical exam

1.5 hours 12 sessions, Over 8 months

Acute Care Nurse Practitioner H&P Workshop

92 Standardized Patient

Practicing obtaining a focused patient history and PE

1.5 hour 19 sessions, Over 8 months

Pelvic Exam Workshop

138 Gynecological Teaching Associate (GTA)

Learning proper techniques and communication of the pelvic examination

2.5 hours 8 sessions, Over 6 months

Graduate Medical Education

Anesthesia Simulation Workshop

63 Mannequin and Procedural Task Trainer

Practicing advanced airway maneuvers, central lines, and managing the surgical patient

About two 3-hour sessions

35 sessions, Over 1 year

Emergency Medicine Communication Skills Assessment

33 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 8 sessions, Over 11 months

Emergency Medicine Boards Practice

33 Mannequin Practicing oral boards cases and participating in complex mannequin simulations with a team approach

4 hours 2 sessions, Over 1 year

Emergency Medicine Conference Workshop

33 Standardized Patient, Mannequin and Procedural Task Trainer

Participating in organ-system themed days that include procedures, assessments and mannequin treatment

Six 3-5 hour sessions

6 sessions, Over 1 year

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GrahamCPC 2015 Annual Report Page 20 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Emergency Medicine Technical Simulation

7 Mannequin and Procedural Task Trainer

Optional additional practice to improve teak skills and mastery of difficult invasive skills

4 hours 1 session

EM Regional Milestone Assessment

15 Mannequin and Procedural Task Trainer

Assessing skills competency for a subset of Chicago area ER Residents

2 hours 3 sessions, Over 3 days

Internal Medicine Communication Skills Assessment

59 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 12 sessions, Over 1 month

Internal Medicine ACLS Review Workshop

15 Mannequin Practicing teamwork to resuscitate patients per ACLS protocols

2 hours 4 sessions, Over 1 year

New Resident Procedural Skills Assessment

198 Procedural Task Trainer

Assessment of four basic procedural skills, with remedial instruction if needed

3 hours 26 sessions, Over 1 year

OB/GYN Communication Skills Assessment

8 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 2 sessions, Over 1 week

Oral & Maxillofacial Surgery Workshop

6 Mannequin Interns practice obtaining an H&P and recognizing abnormal findings, and participate in mannequin simulation scenarios

3.5 hours 2 sessions, Over 2 weeks

Pediatrics Communication Skills Assessment

26 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 5 sessions, Over 2 weeks

Pediatric Procedure Skills Workshop

80 Procedural Task Trainer

Practicing and assessment of seven pediatric procedure skills

2.5 hours 8 sessions, Over 6 months

Pediatric Mannequin Workshop

90 Mannequin and Standardized Patient

Assessing and treating pediatric mannequin scenarios while practicing team communication

2 hours 12 sessions, Over 1 year

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GrahamCPC 2015 Annual Report Page 21 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Surgery Communication Skills Assessment

25 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 5 sessions, Over 3 months

UIC College of Pharmacy History Workshop 108 Standardized

Patient Learning to take a history from a patient

1.5 hour 7 sessions, Over 1 day

Patient-Centered Communication Workshop

164 Standardized Patient

Learning to communicate effectively with a patient

Two .5 hour sessions

18 sessions, Over 1 month

Other UIC Projects

College of Dentistry – In Class History Taking Practice Scenarios

90 Standardized Patient

Practicing taking a history

1.5 hours 4 plenary sessions, Over 1 year (GCPC provided SPs only)

College of Dentistry –Faculty Conference

60 Standardized Patient

Practicing faculty/student communication

1 hour 1 plenary session (GCPC provided SPs only)

Department of Occupational Therapy

36 Standardized Patient

Practicing client interview and problem solving

1 hour 1 plenary session (GCPC provided SPs only)

Biomedical Visualization (BVIS) Group Workshop

15 Procedural Task Trainer

Developing BVIS projects using task trainers

2 hours 1 plenary session

COM Rockford – Breast & Pelvic Exam Workshop

44 Gynecological Teaching Associate (GTA)

Learning proper techniques and communication for the breast and pelvic examinations

2.5 hours 3 sessions, Over 2 days

CON Rockford – Male G/U Exam Workshop

35 Male Urogenital Teaching Associate (MUTA)

Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 2 sessions, Over 1 day

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GrahamCPC 2015 Annual Report Page 22 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

CON Rockford – Pelvic Exam Workshop

35 Gynecological Teaching Associate (GTA)

Learning proper techniques and communication for the pelvic examination

2.25 hours 2 sessions, Over 1 day

External Clients

Advocate Chaplaincy Project (new in 2015)

16 Standardized Patient

Practicing counseling patients with difficult situations

6 hours 1 session (GCPC provided SPs only)

HRET – Health Research and Educational Trust (new in 2015)

390 Standardized Patient

Communication workshops held onsite around the country for hospital staff on the subject of adverse outcomes and giving care to the caregiver

3 hours 6 sessions, Over 4 months

Lewis University – Male/Female Exam Workshop

64 GTA and MUTA Learning proper techniques and communication of invasive male and female examinations

4 hours 4 sessions, Over 1 day

Mt Sinai Resident Communication Assessment

24 Standardized Patient

Assessment of patient-centered communication skills

3.5 hours 4 sessions, Over 2 weeks

Norwegian American Hospital Central Line Insertion Workshop

6 Procedural Task Trainer and Standardized Patient

Assessment and practice of central line placement, removal and time out procedures

4 hours 1 session

St. Anthony University Male G/U Exam Workshop

13 MUTA Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 1 session

St. Anthony University Breast/Pelvic Exam Workshop

13 GTA Learning proper techniques and communication for the breast and pelvic examinations

2.25 hours 1 session

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GrahamCPC 2015 Annual Report Page 23 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Research

Department of Ear Nose and Throat – Cricothyroidotomy Research Project (new in 2015)

22 Procedural Task Trainer

Researching procedure and protocol standards for performing an emergency cricothyroidotomy

1.5 hours 4 sessions, Over 1 month

Distance Education – Telemedicine (new in 2015)

17 Standardized Patient

Practicing the application of telemedicine skills learned in online modules

1 hour 8 sessions, Over 4 months

Hernandez Melanoma Detection

221 USP – Unannounced Standardized Patient

Using USP in the field to determine the detection of melanomas by residents

1.5 hours 62 sessions, Over 1 year

UIC Hospital and Health Sciences System

Central Venous Catheter Workshop

53 Procedural Task Trainer and Standardized Patient

Assessment and practice of central line placement, removal and time out procedures

2.5 hours 12 sessions, Over 1 year

Code Team In-Situ Simulation

60 Mannequin Hospital staff work as a team to resuscitate adult patients and debrief to improve critical decision making skills and reinforce proper ACLS protocol

1 hour 11 sessions, Over 1 year

Ebola Screening Workshop (new in 2015)

17 USP -Unannounced Standardized Patient

USP presented to clinics with Ebola symptoms to evaluate clinical staff in screening and isolation procedures

1 hour 3 sessions, Over 1 week

Emergency Medicine In-Situ Simulation

7 Mannequin and Standardized Patient

Interprofessional teams practicing critical care scenarios on-site in the ED

1 hour 3 sessions, Over 1 year

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GrahamCPC 2015 Annual Report Page 24 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Family Medicine Injections Workshop (new in 2015)

12 Procedural Task Trainer

Practicing proper techniques for knee aspiration and shoulder joint injections

1.5 hours 1 plenary session

Global Health Workshop (new in 2015)

12 Standardized Patient

Practicing team based scenarios in various global environments

2.5 hours 1 plenary session

Interprofessional Surgery Suite In-Situ Simulation

44 Mannequin Medical center staff teams practicing critical care, surgery based scenarios on site

1.5 hour 4 sessions, Over 2 months

Moderate Sedation Simulation Scenarios

7 Mannequin Hospital units (GI or IR) and Out Patient In-Vitro clinic practice with their teams to prepare for possible adverse events during moderate sedation

2 hours 1 plenary session

Outpatient In Vitro Clinic In-Situ Simulation

17 Mannequin Clinic staff practice responding to adverse events

2 hours 3 sessions, Over 9 months

GCPC Professional Development Programs

American Heart Association Basic Life Support - Heartcode Certification Course

5

Procedural Task Trainer

Certification in Healthcare Provider BLS through a didactic and hands-on process

1-2 hours Sessions Scheduled as Needed

Debriefing Workshop

37 Mannequin and Standardized Patient

Faculty and staff learn techniques of effective debriefing for mannequin simulations

Two 4 hour sessions

8 sessions, Over 1 year

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GrahamCPC 2015 Annual Report Page 25 of 25

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

Certificate Program in Standardized Patient Based Education

18 Standardized Patient

An intensive course for faculty and SP educators from around the world who learn to create compelling educational programs using standardized patients

36 hours 4.5-Day Program, Once a year

Videography

American Board of Psychiatry and Neurology (ABPN)

Standardized Patient

Producing Psychiatric Disorder vignettes used for ABPN certification exams

20 - 45 minutes per

vignette

24 vignettes filmed, Over 8 days