Medical Simulation

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Medical Simulation

• Pro Con - A Discussion
• Dr Agnes Ng
• KK Womens and Childrens Hospital

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First Impressions

• Set-up
• Manniquin
• Actors
• Debriefing

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KKH PSTC
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Medical Simulation

• Pro Con - A Discussion
• (Debate)

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Medical Simulation
Doctors Trained On Patient Simulators exhibit
Superior Skills Beth Israel Medical Centre
New Virtual Reality Surgery Simulator hones
Surgeons' Skills, Improves Patient Safety Oregon
Health Science University School of Medicine
Clinical Simulation Technology Used To Improve
Communication Of Medical Teams Washington
University School of Medicine
Science Daily
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Medical Simulation

• Pro Con - A Discussion
• (perhaps a debate)

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Medical Stimulation

• Simulation is a technique, not technology, to
  replace or amplify real experiences with guided
  experiences. in an interactive fashion

Gaba Qual Saf Health Care 2004 13
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Medical Simulation

• Role Playing
• Task trainers
• Computer patient
• Manniquin simulators

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Medical Simulation

• Limitations
• Over-expectations

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Individuals or Teams
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Medical Simulation
Hardware Infrastructure
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Medical Simulation

• Manpower and Training

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Manpower
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Teacher. Trainer, Medical Educator
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Medical Educator

• SODOTO
• See One
• Do One
• Teach One

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Medical Stimulation

• Standards Commitment

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Medical Educator

• In the Hot-Seat
• Medical simulation
• Communications

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Medical Educators

• Clinical skills
• Psychological skills
• (Situation awareness)

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Simulation Based Medical Education an
opportunity to learn from errors

• Provide professionals with the correct attitude
  and skills to cope competently with those
  mistakes that could not be prevented
• Reduce occurrences of errors in real life

Medical Teacher Vol 27, Issue 3 May 2005
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Medical Simulation in professionals

• Balance between the emotional load associated
  with the experience and the professional lessons
  that can be learned.

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Medical Simulation

• Sharing the Load

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Medical Simulation

• Trainees
• Suspension of Disbelief

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Blurring the boundaries scenario-based
simulation in a clinical setting

• quasi-clinical scenarios, where inanimate models
  attached to simulated patients

Med Education Vol 396, 2005
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Looking at the monitors to prompt next
move Monitor focused
Looking at the monitor to prompt the next move!
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Medical simulation

• Crises Driven
• Crises after Crises
• Preventing a Crises

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Medical Simulation

• Resource Intensive and Time consuming
• Trainers Trainees

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Medical Simulation

• Initial exposure raises awareness
• Repeated exposure to simulation improves
  performance

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Medical Simulation

• High Impact
• But does it translate into improved clinical
  outcomes?

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Medical Simulation

• Assessment of Medical Competency

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Medical Simulation Competency Assessment

• Reliability
• Validity
• Predictive validity

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Defining Systems Expertise Effective Simulation
at the Organisational Level- Implications for
Patient Safety, Disaster Surge Capacity, and
Facilitating the Systems Interface

• 2008 Academic Emergency Medicine Consensus
  Conference on the Science of Simulation

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2008 Academic Emergency Medicine Consensus
Conference on the Science of Simulation

• Objective methods and measures to demonstrate
  simulator training actually improves patient
  safety
• Effective feedback of information from error
  reporting systems into simulation training to
  improve patient safety
• Methods and outcome measures to demonstrate
  teamwork improves disaster response
• ..

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No official instruction manual with the human body
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The Patient is complex organism
Physical Psyche Behavioural Environs
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The Health Care Professional
Physical Psyche Behavioural Environs
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Reduction of Human errors Patient safety Medical
Competence
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Medical Simulation

• A tool, powerful teaching tool
• We should wield this tool and not the industry !

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