SIMULATION FOR

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• SIMULATION FOR
• EDUCATION
• AND
• TRAINING
• IN
• ANESTHESIA AND CRITICAL CARE

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OBJECTIVES

• INFORM YOU ABOUT
• What simulation is and who is using it today.
• How simulation can be used for anesthesia
  education, training and research.
• How simulation can bridge the gap between
  specialties
• How performance can be assessed using simulators
• How much does it cost to have a simulation
  facility and what are the models for doing it

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Agenda

• 100- 115 What is Medical Simulation and Why Do
  We Need It?
• Jeffrey Cooper, PhD
• 115- 145 How is Simulation Being Used in
  Anesthesia Education, Training, Patient Safety
  and Research?
• David Gaba, M.D.
• 145-200 How is Simulation Being Used for
  Interdisciplinary Training?
• W. Bosseau Murray, M.B., Ch.B., FRCA, M.D.

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Agenda

• 200-210 Stretch break
• 210-230 Can Simulation be Used to Assess
  Clinical Performance?
• Howard Schwid, M.D.
• 230-250 How Can A Simulation Program Be
  Organized and Operated and What Does it Cost?
• Michael Olympio, M.D.
• 250-345 Discussion

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WHAT DO WE MEAN WHEN WE SAY SIMULATOR?
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Intubation Manikin
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ASC
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Gas Man Picture
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Mannequin
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OR
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Ultrasim
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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

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THE UNDERLYING REASONS FOR USING SIMULATION
TRAINING

• ITS EXPERIENTIAL
• For changing behavior, simulation is better than
  books and lectures
• Its safer to practice on simulators than on
  patients

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USES OF SIMULATORS in HEALTHCARE

• EDUCATION TRAINING OF CLINICIANS
• RESEARCH
• EVALUATING NEW TECHNOLOGIES
• TRAINING ENGINEERS AND ANCILLARY PERSONNEL
• EVALUATING PERFORMANCE
• CREDENTIALING

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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

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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

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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

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MEDICAL SIMULATORS IN 2000

• ACLS
• Cardiology
• Bronchoscopy
• Sigmoidoscopy
• IV catheter insertion
• Laparoscopic skills training
• Surgical skills trainer

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BEST LINK TO SIMULATION WEB SITES

• WWW.BRIS.AC.UK/DEPTS/BMSC

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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

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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?