New ‘EHR Tutor’ Enables Simulated Learning From Cloud

ehr tutor

Today I was made aware of a new Electronic Health Record Training System called “EHR Tutor”. Their website suggests that “EHR Tutor provides functionality and features that will give your students the experience they need to confidently enter today’s technology based workplace and the world of electronic records.” Have you started teaching EHR in your simulation lab yet? Direct integration into your simulation scenarios can be challenging so I would love to hear how you do it!

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EHR Tutor Features:

  • Similar to EHR systems currently in use at medical facilities including flowsheets for common workflows
  • Preloaded patients for easy lesson creation
  • Patients’ charts and activities can be added or modified to meet instructors’ needs
  • Instructors can view and grade student activities

Learn more about on the EHR Tutor Website!

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Learning Through Simulation: A Blog Dedicated to The Methodology (Outside of Medicine)

simulation learning

Late post today sharing a blog post from Robin Clark of The QMT Group entitled “Embracing Simulation” on his blogpost “All Things Simulation”. Although it is not about medical simulation per se, this resource website has some interesting perspective on simulation in education and should be explored by clinical educators interested in furthering the learning opportunities in their programs:

“Over the last 10 years, more than a thousand students have attended one or more of my simulation classes. I have seen successful and not so successful students. There are ways to help ensure success and here I provide some guidance on avoiding the most common mistakes.

Simulation modeling can be challenging for a beginner.  There is a sharp learning curve not only on the mechanics and nuances of the software, but also with managing a simulation project.  However, there is a magic formula and here it is in a nutshell. Make sure you have…

  • Training on the software
  • Support from a mentor
  • An appropriate first project
  • Support from the rest of the company
    • Access to data
    • Subject matter experts to educate yourself on the process
  • Time to work on the project
  • Time to verify and validate the project
  • Time to measure its success”

Read the Full Article and many like it on Robin’s “All Things Simulation” Blog today!

Simulation Technology Training Meeting “SimGHOSTS” Launches Registration for Dubai Nov. 23rd-25th Event!

sim tech 2015 dubai

Registration Now Open for Dubai SimGHOSTS Event!

Location: Mohammed Bin Rashid Academic Medical Center
Pre-Conference: Monday November 23rd, 2015
Main Conference: Tuesday November 24th & Wednesday November 25th, 2015

World Famous Simulation Technology Training Event Comes to Dubai 

Join an estimated attendance of 100 other Simulation Technicians from around the world this November 23th – 25th for the global healthcare simulation industry’s “Gathering of Healthcare Simulation Technology Specialists” hands-on training event.  Answering an overwhelming call by the international community for continued simulation technician specific events, the SimGHOSTS non-profit 501(c)3 organization are thrilled to invite simulation technicians from around the world to join one another in Dubai, UAE.

The 2015 “SimGHOSTS” event will provide a meeting place for you to exchange ideas and network with technical peers as well as receive specialized training in manikin hardware repair & software programming, audiovisual equipment debugging, IT infrastructures, moulage makeup, team communication & leadership techniques, medical physiology and much more. As well, meet with simulation-based vendors to engage with the latest in healthcare education technology.

The event was made primarily possible by the support of Simulead.

About Simulead


A unique business model in the HealthCare Education field, Simulead offers a wide range of solutions for end users and manufacturers of simulation technologies:

  • Healthcare Education Simulation solutions: Design, equipment and operation. Advanced manufacturer “Train the trainer programs” in our Dubai based regional training center.
  • Highly equipped “Mock-Up” High Fidelity Simulation Lab which showcases our partners’ products and allows end users to Demo before purchasing.
  • A Free Zone Stock & Spare Parts storage facility, with a Maintenance & Repair Duty Free workshop. A strong alliance with our well-chosen manufacturers ensures that Simulead One-Stop-Shop provides the most advanced and qualitative products to its clientele.
  • Our turnkey solution services ensures that all your ambitions in the HealthCare Education Simulation are brought to reality from Infrastructure to operation.

Situated in the highly dynamic Jumeirah Lake Towers area in Dubai, our head office operates in a Free Zone Facility and caters for the Middle East and Africa Region, with expansion plans to other areas around the globe.z

About the Host Mohammed Bin Rashid Academic Medical Center

Mohammed Bin Rashid Academic Medical Center, Dubai Healthcare City (DHCC) Dubai Healthcare City (DHCC) was launched in 2002 by the UAE Vice President, Prime Minister and Ruler of Dubai, His Highness Sheikh Mohammed Bin Rashid Al Maktoum, to meet the demand for high quality, patient-centered healthcare. Today, DHCC is home to over 3700 licensed professionals occupying 4.1 million square feet in the heart of Dubai. DHCC combines the leading expertise of medical institutions and pre-eminent healthcare providers to deliver the A-Z of medical services.

Mohammed Bin Rashid Academic Medical Center (MBR-AMC) is the education and research arm of DHCC and aim to establish an integrated academic and advance the healthcare industry in the Middle East.

Khalaf Ahmad Al Habtoor Medical Simulation Center (KHMSC) is the leading center for medical simulation in the UAE and an institution of the Mohammed Bin Rashid Academic Medical Center, located in Dubai Healthcare City.

sim tech training dubai

Who Should Attend SimGHOSTS-ASPiH 2015?

Healthcare Simulation Technology Specialists (“Sim Techs”) or those permanently responsible for the technical operation and maintenance of a low to high-fidelity healthcare simulation facility.

Although the event is open to everyone, SimGHOSTS is designed for technology specialists or those responsible for the physical day-to-day operations and maintenance of simulation equipment and labs.

The SimGHOSTS event is hands-on training for healthcare simulation technicians (or sim lab operators) needing to successfully operate a medical simulation lab. Other events (like ASPiH November 2015)  are better suited for those responsible for clinically educating learners through simulation.

What are the SimGHOSTS Sim Meeting Objectives?

  • Meet with other Simulation Technology Specialists and share best practices
  • Network and build long term industry relationships with peers and vendors
  • Receive specialized training in:
    • High-fidelity manikin hardware & software operation, maintenance and repair
    • Audiovisual production techniques and debugging
    • Learning Management System troubleshooting
    • IT networking
    • Team leadership and communication techniques
    • Manikin moulage and makeup
    • Basic medical terminology, physiology, pharmacology and the latest in healthcare education practices.
    • Much more….
  • Discuss and develop professional community needs and standards.

Learn more and register now at the SimGHOSTS 2015 Dubai Page!

Whitepaper from EMS: How to Strengthen Simulation Center Operational Efficiency.

ems whitepapers on medical simulation operations

Continuing our recent series of medical simulation ‘How To’ articles, today we are pointed in the direction of an EMS whitepaper entitled “How to Strengthen Simulation Center Operational Efficiency”. The article covers several major areas including:

  • Staffing Needs Identification
  • IT Department Communication
  • Simulation Staff Salaries

About the SimulationIQ WhitePaper:

Your institution has just opened a state-of-the-art simulation center complete with all the bells and whistles the industry has to offer. However, just as a car needs fuel and maintenance to run effectively, a simulation center requires investment beyond the initial technology purchase. A sim center does not operate and manage itself – people do. And these people should be hired long before the ribbon-cutting ceremony of your new center!

But what skills should you look for during the hiring process?

A sim center requires a similar type of operational knowledge as driving a car. One must first know how to drive a car in order to do so safely. This includes an understanding of the rules of the road and the actual physical movements required to operate the vehicle. Similarly, there are many administrative and educational tasks that need to be taken care of in order to have a smooth-running simulation center.

Get the FREE Whitepaper now from EMS!

Registration Still Available for Laerdal SUN Louisville Kentucky September 9th-11th

laerdal sun

Recently received word from Laerdal Western Regional Sales Manager Mark Carlson that on September 9th-11th Laerdal is hosting a Simulation User Network Conference in Louisville, Kentucky. SUN stands for Simulation User Network and is a forum for learning about simulation and Laerdal systems. I have attended and spoken at many Laerdal SUNs and always find them to be a useful learning and networking opportunity for simulation champions!

Here are some of the specific event highlights for the Kentucky show:

  • Dr. Sheila Melander, Professor at the University of Kentucky College of Nursing will share personal insights on proven techniques on how simulation may be utilized in an education setting to assess the achievement of competencies.
  • Historically, hands-on sessions are highly attended such as Optimizing the Total Learning Experience and Simulator Maintenance which are geared towards helping improve the efficiency of simulation labs.
  • An award winning moulage artist will demonstrate how to enhance realism in a simulation center by creating simulated bodily fluids and wounds.

What Can You Expect at the SUN?

  • Connect with others who are just like you and mingle with industry leaders and subject matter experts.
  • The Simulation User Network Conferences offer best practices to help advance simulation training programs across all healthcare disciplines.
  • Discover innovative strategies
  • Unite with industry leaders Learn new techniques

It is Laerdal’s goal that you leave the SUN Conference invigorated, inspired and equipped with practical tools that can be easily incorporated into your training programs. If you are new to simulation and in the region this is a must-attend event that is extremely affordable!

Reserve your spot at Laerdal’s SUN website today


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CAE Healthcare ‘Vivo’ Android Software App Allows for Intuitive Manikin Control & Debriefing

cae healthcare replay

At SimGHOSTS 2015 USA I had a moment to connect with Pamela Azevedo, Patient Simulation Product Manager for CAE Healthcare, who showcased the new Vivo tablet software which now enables CAE Healthcare customers to better manipulate and control their simulation equipment and debriefing processes. With colorful intuitive buttons it was easy to start controlling the nearby METIman and setup ongoing timeframes for patient vital sign changes. I was thrilled to see how simple it could be and fun to operate! Below is some more information about the Vivo which is now available as an upgrade for all current METIman users, and will ship standard with tablet for all new METIman purchases. The software is currently android only but I imagine it will be ported over to iOS in the future.

With Vïvo, you are in full control of the simulation. Create an evidence-based scenario or operate the simulator on the fly. Vïvo places you in the center of the simulation environment and connects you with your learner.

  • Your Patient, Your Way – Invent the patient you need to prepare learners. With a touch, change one patient parameter, or design a pathway.
  • Assess in Real Time – Quickly capture learner-patient interactions within Vïvo’s integrated checklists and with instructor notations.
  • Get Started in Minutes – Vïvo’s intuitive, inviting interface allows you to feel your way with little need for training or technical support.
  • Designed for Tablet – Launch a simulation anytime and anywhere. Write scenarios on the tablet or design new scenarios.

You can sign up for a webinar or learn more now at CAE Healthcare Vivo Website today!

Lessons from Last Week’s Scuba Diving Tragedy That Can Be Incorporated into Simulation

lessons from dr garman

As a PADI DiveMaster I have spent hundreds of hours training above and below water to further develop my skills and experience the thrills of deep water diving. Yet my 200+ dives are nothing compared to those professionals out there some with 10,000+ dives in their log book! You may remember a previous article entitled “What Can Medical Simulation Learn From Scuba Diving?” where I compared the classroom, pool lessons, shallow dive, and deep dive experiences of the scuba training to the higher and higher levels of medical simulation fidelity. As a trained fire fighter and a rescue diver I can attest that there are a lot of similarities between the utilization of simulation, yet I would say the standardization of PADI regulations did provide a more structured education. But sometimes even that structured education and community support can fail. Last week on August 15th Dr. Guy “Deep Doc” Garman died during a record breaking attempt as the World’s Deepest Diver.

Excerpt from About the Incident:

Early reports from the St. Croix Source indicate that Dr. Guy Garman, known as “Doc Deep” to the technical diving community, died on Saturday while attempting to break the world record for deepest scuba dive. Garman’s plan was to descend to a depth of 1,200 feet off the coast of St. Croix on Saturday, August 15th, exceeding the current record of 1,090-feet set by Ahmed Gabr in 2014. A social media post reported that everything was going to plan as he and his support team (along with his son) reached the 200-foot mark, where he continued descending solo. Thirty eight minutes later, he was expected to have reached the bottom of his dive and ascend to the 360-foot mark, where a separate support team was waiting for him, but he never arrived. Read the full article here.

At first glance we might expect tragedy with a world record breaking attempt at becoming the deepest scuba diver ever. With a team of 24 behind Dr. Garman and two years of preparation for this dive, it seems as if the due diligence and training was adequate. But as I learned more I was seriously convinced otherwise.

On his website Consultant Technical Diving Instructor Andy Davis provides 9 key psychological areas that lead to this tragedy which I think as healthcare professionals and medical simulationists we can all learn from. I am going to only focus on two for this article but you can read Andy’s full article here.

Andy starts by reminding us “Now, I would like to consider some psychological factors that seem pertinent to the failed, and fatal, world depth record attempt. I am not seeking to attribute blame, nor to define a cause for the tragedy. I am writing purely for educational purposes in the hopes that the information shared may help prevent future accidents.” 

1) Dr. Garman, known amongst his friends as ‘Doc Deep’, had only been diving for 4 years and accumulated less than 600 dives. Only 200 of those dives being below 200 ft, and a mere 35 dives below 450 ft. (Note: Recreational dive limits are 130 feet.) To many, in the technical diving community (or professional recreational diving industry, for that matter) this experience total would be considered woefully small; his profession extremely fast and without pause for consolidation. Speaking only for myself; my humble diving experience is more than 10x that of Dr. Garman. I’ve been diving more than 25 years; 10 years in technical diving as full-time, professional instructor and diver. Yet, I wouldn’t currently consider myself ready to attempt breaking a world depth record. Far from it.

2) Competency needs to be proven at one level, before progression to subsequent levels and challenges. Proving that competency can only occur through accumulated experience. A technical diver must have had the chance to encounter and overcome a full breadth of real (NOT SIMULATED) foreseeable and unforeseeable problems… and must prove to themselves their ability to deal with these issues.

3) Normalization of Deviance describes a dangerous facet of human nature. It goes something like this: We do something that does not follow the accepted (and acceptable) rules or guidelines – for example we skip certain steps in a “standard” procedure because it saves time. The trouble stems from the unfortunate fact that we get away with taking the shortcut. Then, believing it’s safe to make the same safety shortcut next time around, we do the same thing.. we ignore safe and established practice.

Other key areas that Andy covers in his article:

  • The issue of giving unrealistic positive feedback
  • The issue of groupthink
  • The issue of destructive goal pursuit
  • The issue of support team mindset
  • The issue of normalization of deviance
  • The issue of ego and over-confidence
  • The issue of glorifying deep diving
  • The issue of experience

I think these points can speak well to our community. At SimGHOSTS 2015 Australia Dr. Kenneth Gilpin Shared Why Sometimes We Can Do More Harm Than Good Through Medical Simulation. Direct experience is the best teacher, and that even with simulation as a tool on our belt for education, training, and certification — we still need to find ways to tip our hats to the experience of hands-on time.

When it comes to healthcare education and medical simulation, Andy’s key points about the Dr. Garman Tragedy should have us asking:

  • Are healthcare team-members of my institution professionally challenging one another when there are possible mistakes being made?
  • What prevents our healthcare culture from evolving past 440,000 patient deaths a year?
  • How are we glorifying individuals or processes in our institution that are risky?
  • What kind of simulation experience can prepare learners and professionals to better speak up when errors are being made?
  • Has my simulation scenario been reviewed by other educators?
  • Should there be a role assigned to quality assurance in the simulation space?
  • How can we use simulation to demonstrate competency accurately enough to progress the learner to advanced skillsets?

Do you have a simulation scenario that doesn’t require many skills demonstrations by the primary learner, but rather to simply call out when an error is being made? Share on the HealthySimulation Linkedin group about some of the ways your simulation and educational programs deal with such psychological factors.  This is a very powerful read and I suggest you make time for it!

Read Andy’s full article on

SIMED Simulation Education Resource Portal Launches at Simulation Australia

simed australia

This week in Adelaide Australia Simulation Australasia is taking place which is a collaborative event between SimHealth and SimTech which combines multiple simulation disciplines into one giant international meeting! I just heard from Australian Sim Champ Kirrian Steer that a new Simulation Education Resource Portal ‘SIMED’ launched at the event! This looks to be a fantastic new online and simulation center resource for our expanding global community so be sure to check it out!

SimEd aims to provide high-quality resources for Clinicians, Educators, Students, Technicians and Simulated Patients who are engaged in simulation-based education and training. Supporting a community of practice in regional Victoria and beyond, SimEd provides a platform for sharing ideas, knowledge and experience of all current and future practitioners. SimEd provides a hub for discussion around the technical and educational aspects of simulation in healthcare education and for students, supports just-in-time learning and the development of work-ready skills. SimEd has been created and developed by La Trobe University, as part of a broader commonwealth funded simulation project. This project received funding from the Australian Government

Educator resources

Find resources on how to plan and deliver successful simulation sessions. Latest articles:

  • Scenarios Confidentiality/Media Consent forms
  • Scenario development templates
  • Case studies
  • The role of narrative in debriefing

Student resources

Find simulation scenarios, articles, testimonials and helpful hints on what simulation is and how you can use it throughout your education and future career in health. Latest articles:

  • What equipment might I use in simulation?
  • What happens in a debrief?
  • How to get the most out of simulation
  • Student testimonials
  • Benefits of feedback

Simulated patient resources

Learn about the SP profession and how to give back to health professionals. Latest articles:

  • Interview with a simulated patient
  • Simulated patient testimonials
  • Simulated patient testimonial video
  • Simulated patient session evaluation form
  • How to leave it behind you after the session

Technician resources

Find tips for moulage, equipment, reviews and maintenance and how you can apply it in your career as a simulation technician. Latest articles:

  • Maintenance Resources available
  • SimMan3G maintenance checklist
  • Simulation apps
  • Blood clots

Learn more about Simulation Australasia here and then
Visit the SIMED website today for all these great resources and more!

Supported Organization:

SynDaver Labs Provides FREE EKG Simulator Software App for Android Devices

android ekg app

The SynDaver EKG simulator can be run along with any medical training manikin to add another layer of realism to your simulations. The app offers a standalone mode where variables can be set by an intuitive slider based interface.

Visit Google Play to Download the App for Free today!

Variables that are currently able to be set include beats per minute, systolic pressure, diastolic pressure, respiration rate, SPO2, and temperature. These values are displayed both numerically and by color coordinated dynamic waveform with mutable audio indicators for the heart rate.

It also offers Bluetooth control, when the same app is installed on two paired android devices, allowing an instructor to update the display remotely in real time in response to student interactions or to modify the training scenario on the fly. The app currently offers three preset states with more planned in the future. Plans for other future additions include changing variables over time and preset creation.

Additional instructions for usage can be found on Syndaver’s Website!


Ultrasound Simulator from Schallware

ultrasound simulator from schallware

Today while exploring medical simulation vendors I came across Schallware’s Ultrasound Simulator. Schallware was founded in Berlin in 2001 and came out of the Medical High School of Hannover. I have not had the opportunity to see this device in person – have you? If so please visit medical simulation product ratings and review website KeyIn to share your thoughts!

“The Schallware Ultrasound Simulator allows your doctors to practice ultrasound diagnostics just as under real conditions. Moving one of the four dummy transducers over the dummy torsos produces the exact B-scans of the selected case. Our exclusive lossless multi-volume re-slicing algorithm computes these B-scans in real-time from the actual patient scan data. The scan data are organized into thematic modules ranging from beginner to advanced difficulty. With two dummy torsos and four dummy transducers available, our system covers ultrasound diagnosis scenarios in the internal medicine, emergency, cardiology and gynaecology departments. The Core System includes one dummy torso, three modules and corresponding transducers. Various add-on modules are available from our continuously growing library produced by our affiliated clinics. Each module is served with a tutorial including documented patient cases.”

Simulator Features:

  • Real ultrasound data simulator, high resolution by free hand technology
  • Multivolumes to scan whole abdomen and sides
  • Focus on pathology database with over 200 cases
  • Any multivolume patient is acquired with own data
  • Continuum ultrasound volume with 3D segmentation objects
  • Loading of huge 3D original ultrasound data, multivolumes > 4GB
  • Fusion data window (MRI,CT), synchronized to ultrasound window -scan data is organized into thematic modules ranging from beginner to advanced difficulty
  • Tracking of probe movement and real time calculating of reslice B-image, M-Mode
  • Realistic non impression function for probe color doppler volumes, color doppler cineloops, spectral doppler images
  • Documentation: all cases are documented with patient history, remarks what to find in case for ultrasound diagnostic
  • Regions of interest with autonavigation (bubble in space), separated in anatomy and pathology -objects of interest, make visible segmented 3D objects
  • Easy submodule creation
  • Print function for findings report, as well pdf export
  • 2 years of guarantee
  • Yearly update of content 2 years on-site training of department members

Learn more at!