Examples of How the U.S. Military Trains with Medical Simulation

military medical simulation

Today, two news stories on how the US military is utilizing simulation to train for and improve patient care in combat and hospital scenarios: Above, Hospital Corpsman Cameron Carter works on a life-like mannequin during a combat scenario Thursday during Tactical Combat Casualty Care Course at Naval Hospital Pensacola. The training is designed to prepare corpsman for dealing with trauma in the battlefield. (Photo: Ben Twingley). Watch a video recap of this Pensacola News Journal article at “$67K life-like mannequins provide medical training”  by Staff Writer Marketta A. Davis.

Click to watch the video here.Below, Robert DiBiase Jr., Simulation Curriculum Program Coordinator/Center for the Sustainment of Trauma and Readiness Skills (CSTARS) has posted on his LinkedIn wall this reflection by Staff Sgt. Jennifer Gray, an independent duty medical technician, as she discusses the intense training she received at the CSTARS program at the R. Adams Cowley Shock Trauma Center in Baltimore. The C-STARS program helps the Air Force train and maintain the highest caliber of trauma medics for expeditionary duties. (Produced by Andrew Breese and Tech Sgt. Bennie Davis):


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Learn more by reading the PTJ news article or by visiting the C-STARS University of Maryland School of Medicine website.


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You’ll Be Thankful for This Free Medical Simulation Newsletter!

Have you signed up yet for the FREE HealthySimulation.com newsletter? This monthly email provides you with a comprehensive summary of all the latest news, resources, product demos, tutorials and more from HealthySimulation.com’s daily collection of global medical simulation information. Included in this subscription is an access unlock code to the complete HealthySimAdmin video series, eight sessions of administrative content focusing specifically on how to build and manage a healthcare simulation program!

Check out an example and our archive of newsletters!

thanks to simulation

Today in the United States we are celebrating Thanksgiving where we come together to celebrate what we are thankful for. I am thankful that you read HealthySimulation.com and find it useful! When I started this website five years ago I just wanted to learn and share as much as I could about healthcare simulation, and still get excited every month to see just how many others share a similar passion! Thanks for reading HealthySim!

Have a friend and colleague who would benefit from this newsletter? Send them this article through this small link: http://bit.ly/1ClvYwh

Society in Europe for Simulation Applied to Medicine 21st Annual Meeting: Belfast June 24-26

sesam belfast

James Murray MD, Director Clinical Skills Education Centre of the The Queens University of Belfast and friends of SESAM wrote me to share that their next event will be moved to June of 2015 hosted at the Waterfront Hall in Belfast!

About SESAM From Their Website:

Our Mission is to encourage and support the use of simulation in health care for the purpose of training and research. We are not affiliated to any medical or other speciality. Members have a wide and varied background within healthcare and medical education, but all with an interest and passion in medical simulation. If you are using simulation techniques or are considering doing so, please consider supporting the society and join SESAM’s dynamic simulation community as a member.  This will bring you in contact with international protagonists of simulation. Are you planning to host a meeting on medical simulation?  Please consider to make it a SESAM affiliated meeting.  Talk to a member of the EC about the conditions!  Read about the many other networking opportunities, discount options with our affiliated partners and benefits of being a member.

About 2015

Plans for the 21st Annual Meeting of the Society in Europe for Simulation Applied to Medicine in Belfast are progressing and we are looking forward to welcoming you to Belfast in 9 months’ time.  We are taking this opportunity to update you on some important aspects of the conference preparations.

Date Change for 2015: This year we have decided to change the format of the Meeting.We will begin with a half day on Wednesday 24th June 2015 and finish on Friday 26th June 2015.

Announcement of Keynote Speakers: We are very excited to announce three of our Keynote Speakers:

Michael Goode
Michael L. Good,MD, is the ninth and current dean of the University Of Florida College of Medicine, where he focuses on the professional development of nearly 1,000 clinical and research faculty as well as the continued strengthening of the educational curricula for the more than 1,600 learners. Dr. Good serves on the Board of Directors for UF Health Shands and chairs the Board of Directors for the UF Proton Therapy Institute in Jacksonville. In his 20-plus years on the faculty, Dr. Good has held numerous leadership positions at UF and its clinical affiliates. Before being named interim dean of the College of Medicine in May 2008, he served as senior associate dean for clinical affairs in the college and chief of staff for UF Health Shands Hospital and Shands AGH. His leadership experience also extends to the Malcom Randall VA Medical Center and the North Florida/South Georgia Veterans Health System, where he served as chief of staff and system medical director, respectively.

Professor William McGaghie
Bill is the Director, Ralph P. Leischner, Jr. MD Institute for Medical Education
Professor of Medical Education, Loyola University Chicago Stritch School of Medicine. He has published extensively in health professions education, simulation-based education, preventive medicine, and related fields. He holds joint appointments at the Loyola University Chicago Stritch School of Medicine and the Marcella Niehoff School of Nursing. He will offer unique insight into simulation based educational research, faculty development, and interprofessional programs that unite future physicians, nurses, and health science researchers to create a more cohesive team resulting in better patient care.

Pam Kato
Pamela M. Kato, Ed.M., Ph.D. joined Coventry University in the UK in 2014 as Professor of Serious Games to provide strategic leadership to the Serious Games Institute to increase their research impact and create ground-breaking technologies. Dr. Kato received her Masters degree in Counseling and Consulting Psychology from Harvard University and her Ph.D. in Psychology from Stanford University where she also completed her postdoctoral fellowship at the Stanford University School of Medicine. As the founding President and CEO at HopeLab in Silicon Valley, she led the efforts to develop and conduct research on Re-Mission, a ground-breaking serious game shown to improve adherence to cancer treatment among young people with cancer in the most scientifically rigorously designed randomized trial on a video game to date. As the owner of P. M. Kato Consulting, she helped companies make award-winning and effective serious games for health. Her clients included Healthy Solutions, Grendel Games (Netherlands), Sanofi-Aventis (France), Janssen Pharmaceuticals (Belgium), the Ministry of Health Holdings (Singapore) and Halmstad University (Sweden). Her research appears in peer-reviewed journals and she writes about her work in an award-winning blog (pamkato.com). She was a guest professor at the University of Applied Sciences Salzburg in 2012 and adjunct faculty at University College Utrecht. She also held a positon as Adjunct Clinical Instructor at Stanford Hospital in Pediatrics from 2001 to 2008 and was a Visiting Scholar at MIT in their Comparative Media Studies from 2002 to 2003.

Learn more about this meeting at the SESAMBelfast2015.com website!

TeamSTEPPS Online Master Trainer CE Course Now Available for FREE!

teamstepps free training

Thrilled to share that the AHRQ has enabled all of us to take their TeamSTEPPS team-based communication master trainer course for FREE!  TeamSTEPPS is the “healthcare version” of aviation’s CRM communication tool which has proven to dramatically reduce errors in the field. This is the best communication model available for practicing in your healthcare simulation programs!

Our good friend Dr. Timothy Clapper PhD has written numerous articles on how TeamSTEPPS can be utilized in simulation training, as well as presented on the topic as the SimGHOSTS 2013 Keynote Address.

Learn more & register for the next course at the AHRQ.gov website!

What is TeamSTEPPS specifically?

TeamSTEPPS is a teamwork system designed for health care professionals that is:

  • A powerful solution to improving patient safety within your organization. An evidence-based teamwork system to improve communication and teamwork skills among health care professionals.
  • A source for ready-to-use materials and a training curriculum to successfully integrate teamwork principles into all areas of your health care system.
  • Scientifically rooted in more than 20 years of research and lessons from the application of teamwork principles.
  • Developed by Department of Defense’s Patient Safety Program in collaboration with the Agency for Healthcare Research and Quality.

TeamSTEPPS provides higher quality, safer patient care by:

  • Producing highly effective medical teams that optimize the use of information, people, and resources to achieve the best clinical outcomes for patients.
  • Increasing team awareness and clarifying team roles and responsibilities.
  • Resolving conflicts and improving information sharing.
  • Eliminating barriers to quality and safety.

free master trainer communication course

More about the NEW Online Master Trainer Course

The TeamSTEPPS® 2.0 Online Master Trainer Course consists of 11 modules, 8 of which offer continuing education (CE) credits. Learners in a cohort or noncohort group completing the full course of all 11 modules and a coaching session with a TeamSTEPPS Master Trainer (also known as a teach-back session) not only receive CE credits, but can also receive certification as a Master Trainer. Learners can also choose to complete individual modules for CE credits only.

   For example:

  • Reynolds Army Community Hospital in Oklahoma decreased delays in surgery start times, and increased productivity just 6 months after implementing TeamSTEPPS.
  • Montgomery Community Hospital, a critical access hospital in North Carolina, improved efficiency and effectiveness in high-risk pediatric situations.
  • Madigan Army Medical Center in Washington State improved the time from decision to performance of an emergency Cesarean section, with no adverse outcomes for either the mother or the child.

We encourage potential master trainees to review the readiness assessment checklist to determine if this is the right time to begin implementation of the TeamSTEPPS initiative.

While multiple online classes will be made available throughout 2014-2015, the first course offerings include:

  • Self-Paced (Noncohort) 1: Class starts January 7, 2015, limited to 350 participants.
  • Group-Paced (Cohort) 2: Class starts January 12, 2015, limited to 100 participants.

The course timing and activities are:

Group-Paced (Cohort): Complete all 11 modules, view 3 Webinars, and teach a module to at least one Master Trainer in as few as 33 days but no longer than 120 days.

Self-Paced (Noncohort): Complete all 11 modules, and teach a module to at least one Master Trainer within 210 days.

While the course is offered at no cost to participants, AHRQ has committed significant resources to make the class available online. Professionals who want to be certified as Master Trainers will need to create a change team, submit a draft change plan and write a letter of commitment prior to enrolling in the course . Professionals wishing to obtain free continuing education credits but not complete the full course can still complete individual modules to develop mastery of teamwork concepts.

Modules:

1: Introduction (No CE credits) – Provides an overview and examines the science of team performance, beginning in aviation and migrating to health care. Discusses why patient safety is so important and how teamwork can make a difference

2: Team Structure (.75 CE credit) – This is the first step in implementing a teamwork system. Delineates fundamentals, such as team size, membership, leadership, identification, and distribution.

3: Communication (1.0 CE credits) – The focus is on how to communicate effectively through standardized information exchange strategies, such as SBAR, check-back, callout, handoff, and checklists.

4: Leading Teams (1.25 CE credits) – Identifies key behaviors that leaders need to make sure teams perform effectively and attain desired outcomes. Introduces brief, huddle, and debrief skills.

bCE credits) – Discusses gaining or maintaining an accurate awareness and understanding of the situation in which the team is functioning. Results in situational awareness and, ultimately, a shared mental model among team members.

6: Mutual Support (2.0 CE credits) – Reviews backup behavior that allows teams to become self-correcting, distribute workload effectively, and regularly provide feedback. Introduces specific approaches to managing conflict; each team member becomes a part of the safety net.

7: Summary (No CE credits) – Provides an opportunity for participants to review and analyze a video case study.

8: Change Management (1.75 CE credits) – Realizing change is difficult, introduces John Kotter’s eight-step model for successful change efforts. Discussion of each step includes its implications for the change effort.

9: Coaching (2.0 CE credits) – Coaching describes a specific action, such as encouraging, reinforcing, giving feedback, and demonstrating. As coaches are important change agents and assist with implementing teamwork initiatives, the session will discuss aspects of coaching as key components in an organization’s change strategy and plan.

10: Measurement (1.50 CE credits) – Measurement helps determine if TeamSTEPPS® worked. Discusses the Kirkpatrick model of training evaluation and identifies measures that can be used to assess the impact of TeamSTEPPS®.

11: Implementation Planning (2.25 CE credits) – Based on the principle of improving health care quality and safety by improving clinical processes. Focuses on developing an actionable implementation plan for your organization.

Learn more & register for the next course at the AHRQ.gov website!


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Example of Simulation Lab Faculty, Staff and Learner Roles & Responsibilities Breakdown

example of roles and responsibilities in medical simulation program

Available below is one of numerous program policies and procedures guides our team developed while I was director of the  Clinical Simulation Center of Las Vegas. These guidelines were created in-order to maximize the results of simulated learning experiences, which requires the coordination of many “moving parts”. Here are a few excerpts from the document:

Staff responsibilities

  • Approve requested schedules. Verify schedule confirmation to faculty or notify of any conflicts.
  • Prepare necessary supplies, medications, IVs, etc for each scenario
  • Program the scenario
  • Conduct “dry run” of all new cases with each instructor
  • Prepare the simulation room and technology based on assigned cases for the day and faculty’s prep list

Learner responsibilities

  • Arrive on-time for Simulation. Note: consequences for late arrival will be determined by faculty
  • Maintain Dress Code as outlined in CSCLV Policy and Procedures
  • Watch Orientation Videos as appropriate
  • Demonstrate motivation and the necessary cognitive preparedness
  • Demonstrate professional behaviors as outlined in “Participation Agreement” & the CSCLV Learner Policies and Procedures manual.

Simulation instructor responsibilities

Prior to Sim Day:

  • Determine each semester who will be the instructor(s) for the semester
  • Schedule simulation days/times with CSCLV prior to the start of the semester
    • Include the instructor(s) who will be in attending the session
    • Include the scenario(s) to be used

On Sim Day:

  • Lead faculty must arrive at the Simulation Center ½ hour for huddle with staff before the first scenario is scheduled to begin. If faculty are more than 15 minutes late to huddle and do not provide notification, session can be cancelled by simulation staff.
  • Provide learners a brief orientation on their roles and responsibilities and the simulation area at the start of each day
  • Manage the live scenario from the Simulation Control room, and respond appropriate to learners’ actions. This may require altering the scenario as learners’ create their own experience.
  • Serve as the voice of the patient

Download the Complete CSCLV Simulation Roles & Responsibilities Document

Medical Simulation Product Review Website ‘Konsiderate’ Crosses 600 Users

konsiderate

Konsiderate.com, the only resource website dedicated to providing user-created ratings and reviews for medical simulation products and services had crossed over 600 users from around the world. Since launching at IMSH 2014 this January, Konsiderate.com subscribers have written hundreds of reviews on products ranging from $20 boxes of simulated medications to $200,000 A/V recording systems.

This “yelp for medical simulation” website is FREE for simulation champions through their professional work email address or LinkedIn accounts. This verified community ensures legitimate direct-use experience reviews of products and services to better help us all make the best purchasing decisions for our simulation programs. Stay tuned for some big announcements regarding Konsiderate partnerships in the next few weeks!

Are you purchasing 5 Star Products? 

konsiderate-rating-scale

What Simulation Champions & Vendors are saying about Konsiderate:

“Thank you so much for creating this tool. A tool such as Konsiderate is an absolute requirement to improve the research and purchasing decisions of a simulation center. I have spent weeks trying to get a straight answer from many vendors, but only get the canned sales talk. I spend more time researching a $5 power adapter based on reviews than most centers spend on a $100,000 piece of equipment. This site will finally make vendors improve their products instead of just their image.”
-Scott Crawford MD, Instructor -Texas Tech University Health Sciences Center

“I (and my center) would like to be as involved as possible in the advancement of healthcare simulation. We constantly find out the benefits and shortfalls of simulators first hand. Being able to tell other users about what we’ve found would be beneficial to the end user as well as hopefully result in a better product in the end.”
-Scott Wilson, Simulation Center Operations Manager – Carolinas Healthcare System

“We believe our products will receive industry leading reviews on Konsiderate.com and therefore it will be a great tool for the simulation community to evaluate trainers, learn from colleagues, and share experiences.”
-Doug Beighle, President and COO of Simulab

Learn more and sign up today at Konsiderate.com!


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MEdSim Magazine Advances Patient Safety Through Education and Training

medical simulation journal

Have you heard of MEdSim Magazine yet? MEdSim Magazine aims to promote the best education and training practices for the next generation of healthcare professionals. As a division of the world famous simulation group Halldale Media, the MEdSim professional publication covers topics specific to our world of medical simulation. In the past year I have attended two of Halldale’s simulation events including their new Healthcare Education Assessment Training and Technology (HEATT) meeting and their World Aviation Training & Simulation (WATS) conference, both of which were fantastic learning opportunities. Check out the latest copy below or visit the Halldale website to sign up for past and future editions.

About MEdSim Magazine:

MEdSim Magazine is written by professionals in medicine, simulation and training who are recognized leaders with a lifetime of experience.  MEdSim addresses the needs of medical practitioners, educators, and academicians around the world. MEdSim features innovative healthcare practice: it covers the latest simulations developed to train different medical professionals at different stages of their education and curriculum advancement to highlight the knowledge and skills needed to ensure patient safety and reduce healthcare cost.

Check out the latest edition and sign up to receive your MEdSim Magazine today!

Healthcare Simulation Lab Promotional Videos Showcase Facilities, Attract Learners & Donors

simulation lab promotional videos

Highlighting some of the latest medical simulation content on the web, today we view three different approaches to medical simulation program promotional videos from Beaumont Hospital, Orlando Medical Institute, and the University of South Dakota. Such videos not only demonstrate the successful installation of new products and spaces, but act as advertising media for prospective students, patients and donors. Explore the videos below and then learn how to bring media into your own simulation labs through our dedicated “Sim Lab Media Production” post!

Beaumont Hospital:

The Applebaum Simulation Learning Institute at Beaumont Hospital, Royal Oak is one of the most advanced medical training facilities in North America. It’s mission is to provide world-class leadership in education using state-of-the-art technologies to improve skills for all health care providers in a safe environment.


Orlando Medical Institute:

This video is to highlight the Simulation Center and types of scenario’s that are created to enhanced our student’s learning at Orlando Medical Institute. This training is provided to EMT, Paramedic, Nurses, Physicians and Law Enforcement Personnel through the many courses that are provided.


University of South Dakota:

This new center, located in the Andrew E. Lee Memorial Medicine and Science Building on the USD campus, is a 1,700 square foot simulated hospital training center, consisting of three patient simulation rooms with adjacent observation/debriefing rooms. Human patient simulators (high-tech mannequins) can be manipulated from a control room.

Learn how to add media to your Simulation Program website here!


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KWICKScreen Creates Mobile Temporary Walls for Increased Simulation Fidelity

medical simulation mobile walls

At ASPiH 2014 Nottingham I had a chance to see some new innovative products in the medical simulation space. One such product was the KWICK Screen, which is a versatile mobile wall which can help to section off areas or add background settings to help increase fidelity. After seeing the product in person I can attest that it is portable, retractable and printable do your specific needs!

About the Kwick Screen:

Currently used by over 110 trusts, the screens are 1.9m tall, pull out up to anything up to 3.5m in length. They also have a very small footprint for storage. Most recently we have supplied Prof. Kneebone at Imperial College simulation suite and Colette Laws-Chapman at Guys and St Thomas simulation centre.
 
The inner panels can be printed on both sides with any image, and zipped out and replaced in less than 5 minutes to enable quick transition between scenarios.  We have a selection of prints to choose from, and many customers choose to use bespoke images of wards in their own hospitals or images specific to their work.
 
We can also supply ipad and bluetooth speaker holders to place on the front of the screens so you can play ambient noise appropriate to the environment you are creating. The screen can also be used for front or rear projection purposes, and we can even make windows transparent!

Kwickscreen is the first real alternative to Hospital Curtains and Hospital Screens in over 100 years. The Kwickscreen has countless uses in healthcare, hospitality, and marketing; Its innovative design allows it to replace Room Dividers and Privacy Screens. Doctors and Hospitals love the KwickScreen because of its portability, its ability to be customized, and how easy it is to clean, thus enhancing the patient experience while also reducing the spread of Hospital Acquired Infections. The Kwickscreen is also used for emergency and disaster preparedness and response, converting open spaces into temporary triage areas or organizing patients in a hospital’s flu tent during flu season.

MEDICAL EDUCATION & SIMULATION: KwickScreen’s customizable screen panel can be printed with images of everyday and medical surroundings – perfect for creating realistic environments for training and simulation.

TEMPORARY SCREENING: Quickly and easily create partitions for crash situations or pop up side rooms for patients needing isolated care. Portable and retractable, KwickScreen has a small storage footprint when not in use.

PRIVACY & DIGNITY: Construct versatile, adaptable private areas within open-plan wards, with the option of adding printed designs to provide a more pleasant and comfortable, care environment.

PATIENT EXPERIENCE: Alongside solving specific space problems, printed KwickScreens significantly improve the patient experience by incorporating art and design into hospital environments.

Easy to Use

Changing the screens was as easy as unzipping and replacing the canvas. You can order from their library of images or send in your high-resolution photos to create any background you need! The system was easy to move, setup, teardown and clean and so I would recommend anyone looking to create temporary simulation environments consider learning more about this product.

Learn more at KWICKscreen’s Website! (Also available through Pocket Nurse)

Insightful Blog from One of Medical Simulation’s Best: Dr. Paul Phrampus

phrampus

This past week I ran into Dr. Paul Phrampus while attending the UK-based ASPiH annual event in Nottingham. Previously HealthySim has video interviewed Dr. Phrampus during a visit to the WISER center in Pittsburgh, where we spoke about the iSim course, WISER’s connection to the history of medical simulation & Laerdal, and UPMC’s innovative stance on patient safety. In his blog “Simulating Healthcare“, Paul covers the many topics so crucial for our simulation success — usually focusing on the clinical educator / learning elements.

In his most recent post on how “Assessment is the True Value of Simulation”, Paul explains to us:

“Some people profoundly advocate simulation should be used for assessment because it is not appropriate tool, and others feel that it violates the safe learning environment. I think as we shift to a patient centric approach to simulation we should be able to create a reduction in this reluctance that allows assessment forward. In fact, I always find it interesting to point out to people during debriefing training programs, particularly those that are vocal against concepts of assessment, and let them realize that when they watch a simulation and then conduct and/or facilitated briefing they have actually already performed assessment in their minds. The very items that they have formed an opinion on, or “assessed” will play a part in the educational strategy that should ultimately reinforce what participants did well and encourage change in the areas where deficiencies were noted that will lead to an effective debriefing and the accomplishment of learning objectives.

Allowing participants to demonstrate competence could be one of the most important parts of the value equation for simulation. Manager and leaders of healthcare providing institutions are grappling with ways to improve quality and significantly improve patient safety all over the world. A patient centric approach to simulation would certainly suggest that as well.

This inevitably will help us in making stronger arguments for the case for simulation. At the moment many people try to sell the idea of simulation to their leadership. This creates thoughts and visions of expensive investments in technology and the daily pains of leaders. If we shift the point of focus point our sales pitch pivots to the selling of the concept of excellence, improved patient care, and safer patient care it will far better align with the pain points of those running healthcare systems. That becomes harder to deny!”

Some of Paul’s Most Recent Posts Include:

About Dr. Phrampus:

Dr. Paul E. Phrampus is the Director of the Peter M. Winter Institute for Simulation, Education and Research (WISER). He is an Associate Professor in the Departments of Emergency Medicine and Anesthesiology of the University Of Pittsburgh School Of Medicine. He is Vice Chair for Quality and Patient Safety in the Department of Emergency Medicine. He earned a bachelor degree in biology from Old Dominion University, and an M.D. degree from Eastern Virginia medical school in Norfolk, Virginia. He completed residency training and board certification in Emergency Medicine at the University of Pittsburgh.

Dr. Phrampus has been active in patient safety efforts throughout UPMC. He is a member of the Quality Patient Care Committee of the UPMC Board of Directors. He is a Medical Director for the Center for Quality and Innovation. He has overseen the expansion of WISER capabilities in developing a distributive model of management for WISER as well as the satellites centers that have been deployed throughout the UPMC Health System. He led a team to create a simulation based difficult airway management program for emergency medicine that has now been completed by hundreds of physicians.

Dr. Phrampus serves in a leadership role in national simulation efforts through program committee leadership for the Society for Simulation in Healthcare and serves on the editorial board of the journal Simulation in Healthcare. He has previously chaired the International Meeting for Simulation in Healthcare, which is the largest multidisciplinary simulation meeting in the world. He is the 2013 President of the Society for Simulation in Healthcare which has over 3,500 members.

phrampus-blog

 Read Paul’s helpful “SimulatingHealthcare.net” blog here!