Medical Simulation News From Around the World

healthcare simulation news from around the world

General Surgery News: Surgeon Suggests Combo Approach When Training For Robotic Bariatric Surgery – “When we start getting a sense of what movements (in robotic surgery) generate good outcomes, we can start grading surgeons through simulation, putting them on a simulator before they even operate,” said Dr. Wilson. “We can continue to grade them while they operate.”

NCBI: Factors relating to the perceived management of emergency situations: A survey of former Advanced Life Support course participants’ clinical experiences - “The results of this survey emphasise that ALS providers’ perceived ability to apply ALS skills were substantially affected by teamwork skills and co-workers’ skills. Team related factors associated with successful outcome were related to clear role distribution, clear inter-personal communication and attentive listening, as well as respectful behaviour and positive team atmosphere. Although intensity of setting was attributed to ability to apply ALS principles, this did not affect management of emergency situations to the same extent as individual and team factors.”

National Defense Magazine: Simulation, Training Industry Executives Optimistic About Future – “The reality we’re arriving at is that the modeling, simulation and training industry actually offers a lot of mitigation for declining budgets and [opens] opportunities for warfighters to hone their capabilities in a virtual environment, in a much more fiscally responsible way,” Naval Air Captain Etz said. The division has found that there is often a 10:1 cost ratio between training live and training in a simulated environment. Live exercises are important and necessary, but virtual can also enhance them, he said.”


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Federal Times: Simulation is the real thing for Air Force training – “The defense sector’s interest in simulation capabilities is surging, with the confluence of improved technologies and shrinking defense budgets creating a perfect storm of interest from the Pentagon, in particular, the US Air Force.”

The Lantern: Simulation Encourages Students to Think About Hardships of Poverty – “Members of the OSU student organization Buckeye Civic Engagement Connection led a poverty simulation for OSU students Tuesday to expose them to what it might be like to live in poverty in Ohio’s capital. The simulation was hosted by student service group Pay It Forward as part of the month-long Battle Against Hunger initiative. “The poverty simulation is an interactive three-hour program that allows participants to begin to think about poverty and discuss how communities can address (these) problems collectively,” Pay It Forward adviser Jake Cohen said in an email.”

NPR: Anesthesia Miracle: No Power, No Oxygen Tanks, No Problem – “The result was a prototype for the Universal Anesthesia Machine (UAM), which delivers anesthesia without oxygen tanks or the need of stable power grid. The device sucks regular air from a room using a compressor and turns it into purified oxygen for a patient’s lungs. The UAM uses electricity when it’s available, but if the power goes off, a healthcare worker can run the machine with a hand-powered pump on top. At the same time, an electronic display, which tracks the amount of oxygen the patient receives, can switch to a ten-hour backup battery.”


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17th Annual National Patient Safety Congress Launches Early-Bird Registration

patient-safety-congress

Announced today was the launch of early-bird registration fro the 17th Annual NPSF Patient Safety Congress taking place Wednesday, April 29 – Friday, May 1, 2015 in Austin, Texas at the JW Marriott Austin.

About NPSF and Their Congeress

We envision safe health care as a network of pursuits extending throughout the continuum of care and the spectrum of stakeholders. From patients to care providers, from the front lines to the executive suite, from the patient and family advocate to the corporate solutions provider — we are all united in the goal of keeping patients and those who care for them free from harm.

Join us at the 2015 NPSF Patient Safety Congress for educational breakout sessions led by industry experts, thought-provoking keynote sessions with national thought leaders, and an engaging and interactive Learning & Simulation Center. The additional, optional Pre-Congress Day provides in-depth full- and half-day sessions on specific areas and issues in health care safety. Experience an invaluable program that will help you renew and nurture patient safety in your organization. In addition, we’ll also have more than 100 posters, 3 live and interactive medical simulations, 75 solutions providers, 2 networking receptions, daily breakfast and lunch—and more.

As the only conference dedicated solely to patient safety, the NPSF Annual Congress is a unique opportunity for practitioners, leaders, and experts around the world to come together and share their knowledge.

There are many ways to address issues in patient safety, and Congress participants explore them by attending a variety of breakout sessions, workshops, demonstrations, and plenary presentations. The NPSF Congress is noted for its Learning & Simulation Center, where attendees gain understanding of situations, reactions, and interactions through participation in interactive simulations of health care scenarios. Congress participants also gain the opportunity to network with other professionals passionate about patient safety and to share best practices. They go home armed with tools and information they can use to make a direct impact.

Join leading experts to share emerging patient safety evidence and best practices, experience interactive presentations, enhance your expertise, network with the best and brightest in the industry, and transform your organization’s patient safety efforts.

Who Should Attend

  • Patient safety, quality, and risk professionals
  • Hospital executives and board members
  • Frontline clinicians, including nurses, physicians, and pharmacists
  • Patient advocates, payors, researchers, and policy setters
  • All those united in safety across the continuum

Read more details on the NPSF Website & Register Online Now and Save $200!

Australia’s HETI Provides Education and Training Requirements for Simulation Professionals Report

heti medical simulation australia

Last week we reported on the amazing Simulation Based Education Report produced by Australia’s Health Education and Training Institute (HETI) which is available as a free download on their website. Simulation Program Lead Chris Moore tweeted a reminder that also available for download was another useful report on the Education & Training Requirements for Simulation Professionals.

heti simulation training requirements report

About the Education & Training Requirements for Simulation Professionals Report:

The NSW Health Education and Training Institute (HETI) aims to support effective and targeted use of simulation based educational methodologies and technologies to support a capable workforce delivering excellent patient care. In partnership with the Federal Department of Health, HETI is responsible for implementing Schedule 4 of a Multi-Schedule Funding Agreement – Simulated Learning Environments. This report aims to respond to Key Performance Indicator 1.1 of the Agreement ‘… develop and implement a process for identifying, and reporting, priority education and training requirements for simulation educators.’

This report sets out priorities derived from an online survey of simulation professionals. The priority areas identified will inform simulation based education and training developed and delivered by HETI. It is also hoped this report will be used by education and health providers to inform local simulation based education activities. This report can be read in conjunction with ‘Simulation based education: Professional entry student education and training’.

About HETI & Simulation:

Simulation is an important and effective education modality in HETI’s approach to training NSW health professionals. HETI supports a wide variety of simulation based educational methodologies and technologies – from specialised simulation centres to actor based learning – to support a capable workforce delivering excellent patient care.

The Health Education and Training Institute (HETI) undertakes a core role in supporting the NSW Health system in its education and training requirements. HETI’s vision is for A world class NSW Health Workforce supporting excellent patient care. Working closely with local health districts (LHDs), specialty health networks (SNs), other public health organisations and health education and training providers HETI ensures education and training across the system: – supports safe, high quality, multi-disciplinary, team based, patient centred care – meets service delivery needs and operational requirements – enhances workforce skills, flexibility and productivity. HETI has an inclusive approach to education and training. The application in practice means education and training provided is cross-sectorial, inter-professional and fully utilises a range of education methodologies and technologies.

Download the Education and Training Requirements for Simulation Professionals Report from the HETI Simulation Page today!

Dr. John James, Author of Shocking 2014 Patient Safety Article on Medical Errors, Calls for National Patient Safety Board

patient safety regulations

To mark the anniversary of the Institute of Medicine’s watershed report “To Err Is Human: Building a Safer Health System,” West Health is running a series of interviews between their Chief Medical and Science officer Dr. Joe Smith and IOM committee members who helped produce the report (which estimates 440,000 lethal errors each year including hospital acquired infections), as well as other national health experts to examine what progress has been made in reducing medical errors in the US. Do you agree that we need a National Patient Safety Board to better regulate healthcare? Leave a comment and let us know!

This week’s Q&A features John T. James, PhD, former chief toxicologist for a federal agency, who has dedicated his life to patient safety after the loss of his teenage son to medical errors in 2002. He is the author of “A Sea of Broken Hearts: Patient Rights in a Dangerous, Profit-Driven Health Care System” and founder of Patient Safety America, a website that provides information for patients on the quality of healthcare in the U.S.

Excerpt from the West Health Article:

Joe Smith: Your recent publication on medical errors in the Journal of Patient Safety has achieved widespread notice, leading to medical errors being identified as the third leading cause of death in the United States, though your background is different than many involved in patient safety efforts. Could you please describe your background and what drove your interest in this important area?

John James: I recently retired from a federal agency where I was the chief toxicologist for 25 years. I am board certified in toxicology and earned a PhD in pathology in 1981 from the University of Maryland while working at a Baltimore hospital and doing research at the National Cancer Institute. In 2002, my 19-year-old son died while running. Three weeks earlier he had been evaluated by cardiologists for five days, primarily as an in-patient after experiencing a non-fatal collapse while running. After obtaining a complete set of his medical records, I realized that multiple, catastrophic medical errors had been made by his doctors. These included failure to follow a widely published guideline for potassium replacement in patients with heart arrhythmias, failure to make an obvious diagnosis of acquired long-QT syndrome and failure to communicate to him that he should not be running. He was also denied informed consent because he was deceived about the outcome of his cardiac MRI, which had not been properly performed. I did not find this information out until long after he died.

While reading medical literature and looked for root causes, I realized that lethal medical errors are not all that uncommon. In 2000, the late Barbara Starfield, MD, estimated far more lethal medical errors than in the 1999 IOM report. I also discovered that cardiologists board certified before 1990, such as my son’s lead cardiologist, are certified for life with no requirement to demonstrate continuing competency. Furthermore, the Texas Medical Board verifies Continuing Medical Education in only one percent of doctors each year. I also learned that getting doctors, especially cardiologists, to follow evidence-based clinical guidelines is a challenge and that diagnostic errors are common, but often go unrecognized. Doctor-to-doctor and doctor-to-patient communication errors are also common and occurred in my son’s case.

JS: What role do you think government plays in combating medical errors? What agency should have oversight and be charged with reducing medical error deaths?

JJ: Overall government agencies, including Congress, have not been assertive in addressing the problem of medical errors. In some ways, the Affordable Care Act has addressed some patient safety concerns without changing the fundamental culture that permits errors to continue. Government officials can be heavily influenced by money originating from medical industry special interests. Harmed patients or their survivors contribute little to political campaigns or PACs. A new agency controlled by leaders in the patient safety movement is needed. It could be called the National Patient Safety Board, modelled to some extent after the National Transportation Safety Board or Consumer Product Safety Commission. The goal of such an agency would be to discover, track and analyze medical errors, and where appropriate, enforce changes – all in a completely transparent way. The well-known limitations and secret-keeping of state medical boards and hospital accreditation organizations would become history. In addition, the agency would enforce a national bill of rights for patients. Violations of those rights would be as serious as civil rights violations or violations of OSHA standards that put workers in harm’s way.

Other West Health Series Articles on “To Err is Human”:

  • A Look Back, Behind the Scenes of the IOM’s Report on Errors: By William Richardson, PhD, Former Chair, IOM Committee
  • A Mother’s Perspective: Q&A with Sorrel King, Founder, The Josie King Foundation
  • 15 Years Later: Q&A with Molly Coye, MD, MPH, UCLA Health
  • Uniting for Patient Safety: Q&A with Tejal Gandhi, MD, MPH, CPPS, National Patient Safety Foundation

Read the full interview and other Patient Safety Articles on WestHealth.org!


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Otosim Launches ‘OtoSim2′ Otoscopy Trainer with $700 Discount Offer — This Week Only!

otosim2

OtoSim CEO Andy Sinclair wrote in to share that this is the final week to get $700 off the pre-order price on their new OtoSim2! Andy shared We want to remind you of the opportunity to purchase OtoSim2 at a $700 discount, if you pre-order by December 22, 2014. The first shipment you receive will be the current, study-validated OtoSim system. The second shipment will include the instrumented otoscope, sensor box and OtoSim2 software upgrade. Under this offer, you can receive the discounted pricing until March 31,2015. For those attending The International Meeting for Simulation in Healthcare (IMSH) we invite you to join us at Booth #906 for a demo of Otosim2 in person. “

About the OtoSim2:

OtoSim Inc. continues to innovate with a new simulation and training technology for otolaryngology. Interest and feedback gathered over the past 3 years from various healthcare practitioners has proven to be the catalyst for a novel breakthrough in otoscopy simulation: OtoSim 2.

OtoSim 2 is the upgraded version of OtoSim with new software and hardware, and increased capabilities:

  • Verify student progress via the instrumented otoscope. Trainees can point with this device to complete the learning feedback loop.
  • Expand student knowledge through reviewing 380 high resolution images from the Hawke Library to instruct, practice, and test students
  • Save instructor time by connecting up to 14 OtoSim units to a single trainer laptop to effectively instruct groups at the same time
  • Supplement classroom instruction with 150 pre-annotated images for self-directed learning
  • Improve viewer retention through immersive full-screen experience with a simple, easy-to-use graphical user interface
  • Further increase student capability through advanced quizzes with randomized, realistic clinical scenarios that test both medical and patient interaction skills
  • Build student confidence through the use of the instrumented otoscope, allowing students to practice and improve their otoscopic technique

otosim comparison

You have heard from our team with more frequency lately. The reason is that the launch of the OtoSim2 is big news for the simulation industry and we want everyone to experience the tremendous value it will deliver to your medical education program.

Do you have the OtoSim 1? Write a review of the Otosim and other products on Konsiderate.com!

Visit the Otosim2 page to learn more now!

Alabama Modeling and Simulation Conference: May of 2015

alabama simulation

AMSC G&A Chair John Hughes wrote in to introduce the Alabama Modeling and Simulation Council (AMSC) in Huntsville, AL which held its annual event recently which had medical simulation participants and exhibiters. John reminds us here about the 2015 event!

May 2015 AlaSim International Conference

The 2015 AlaSim International Conference & Exposition brings together the greater modeling and simulation community from Alabama, North America, and the world. The conference is designed both to showcase the breadth and depth of simulation activity in Alabama and to collect, document, display and discuss the current state of simulation technology throughout the world. AlaSim allows a variety of formats for attendees and participants to see, be seen, hear, be heard, teach, and learn about the science and technology of simulation. Elements planned for AlaSim 2015: Plenary speakers, papers, project briefings, panel discussions, workshops, tutorials, and exhibits displaying simulation products and services. AlaSim International is organized by the Alabama Modeling and Simulation Council.

  • Speakers: Plenary speakers and industry experts will present project and program papers/briefings about simulation work planned and in-progress. Papers are of the high academic quality capable of surviving rigorous review.
  • Panel Discussions: Opportunities for open discussion with simulation subject experts.
  • Workshops: An open and collaborative environment for the definition and creation of modeling and simulation products.
  • Tutorials: To provide introductory and advanced training in current simulation technology.
  • Exhibit Area: Where industry exhibitors will be displaying their latest simulation products and capabilities.
  • Sponsorship Opportunities: Opportunities for sponsors to promote their products, message, and/or brand.

Who Should Attend: AlaSim offers a variety of opportunities for practitioners, vendors, and academia to see, be seen, hear, be heard, teach, and learn about the science, technology, and business of modeling and simulation.

Date & Time: May 5-7, 2015

Location: University of Alabama in Huntsville


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More Great Simulation Video Sessions, Whitepapers & Document Templates from Mentice User Meeting

mentice vascular simulation

After my post last month about the recorded Implementing a Multidisciplinary Simulation Based Training in Interventional Radiology session by Dr. Winokur, Mentice AB’s Director of Global Marketing Daniel Nilsson just let me know his team has uploaded all the recorded course sessions and material from their User Meeting. Gathering at the Mentice US headquarters, the following sessions have been made available to watch online:

Technical Innovation, the Learning Environment and the Vascular Fellowship – A Mandate for Change: Dr. Dall’Olmo is a Vascular Surgeon in Flint, Michigan and practices at the Michigan Vascular Center and McClaren Medical Center. Dr Dall’Olmo presented.

Southwest Florida Transradial Project – A Collaborative Effort: Mr. Davis is Program Director of Cardiovascular Technology and Respiratory Care at SouthWestern State College and has over 20 years experience in Cardiovascular Technology Education. Jeff spoke about a unique and developing program taking place in the state of Florida.

Curriculum Considerations for Simulation Integration: Dr. Schindler is a Vascular Surgeon in Skokie, Illinois and is affiliated with multiple hospitals including NorthShore University Health System and Glenbrook Hospital. Dr. Schindler presented.

Required Open and Endovascular Skills Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): Dr. Mark Mattos, M.D is a Clinical Professor of Surgery and Education Planner for the Wayne State University Department of Surgery, located in Detroit Michigan. Dr. Mattos presented.

Train the Trainer Workshop ”So I bought a VIST – Now What?” Dr. Mark Mattos, M.D. lead this interactive program designed to help educators achieve global immersion and integration of simulation into their training programs. Dr Mattos is a Clinical Professor of Surgery and Education Planner for the Wayne State University Department of Surgery, located in Detroit Michigan.

All participants got some amazing material and we want to share it with HealthySim audiences too. Register and we will send the following material to you:

  • Whitepaper: How to design a curriculum for healthcare simulation
  • Mentice TTT Simulation Module Template Outline
  • Train the Trainers – Evaluation Form- Ips CIA Stenosis (Mid)
  • Train the Trainers – PBSAS – Skill – Slip knots at surface
  • Train the Trainers – PBSAS – Skill Task – Continuous Running Closure
  • Train the Trainers – PBSAS-Procedure – Ipsilateral ILiac PTA-Stent
  • Train the Trainers – Syllabus Ipsilateral CIA PTA-Stent
  • Train the Trainers-open skills assessment-skill
  • Train the Trainers-open skills assessment-skill task
  • Training the Trainer – endovascular skills assessment

Visit the Mentice User Event Page to watch these free recorded sessions and register to download the helpful materials!

 

First Ever Practicum Week of Drexel University MS in Medical Simulation Program Deemed True Success

medical simulation masters

“Quite simply, this was by far the best, most outstanding education or professional event of my career.”
Elizabeth Horsley, RN MEd from Ontario, Canada.

“The on campus sim practicum week was amazing and mind blowing. Outstanding faculty and staff.”
Bettina Schmitz, MD from Texas.

These quotes were from the first of three Simulation Laboratory Practicum courses required for the Master Medical Simulation degree at Drexel University College of Medicine’s Graduate School of Biomedical Sciences and Professional Studies.  The remainder of the program is held completely online focusing on the many facets of simulation-based medical education while simultaneously providing students with multiple options to pursue related areas of interest upon graduation. This first week gave a broad overall look at the many areas of medical simulation that exist today. The students were introduced to both high and low fidelity forms of simulation, the costs involved and what simulation scenario best fits the educational needs.

ms in medical simulation

Beyond the actual simulation there was a heavy focus on writing goals and objectives, developing scenarios and cases, along with plenty of discussion on debriefing and evaluation.

The students were asked to take what they learned and create full scenarios that included goals and objects and a full debriefing session. The students then presented their projects on Friday and received instant group feedback.

One of the unique features of the MSMS program at Drexel is the heavy focus on being interprofessional and the projects were required to have a variety of professional roles.  Due to the fact that the students come from different backgrounds, including medical doctors, nursing and EMT, they were able to better understand why interprofessional simulation and communication is so important in medical education.

suzan kardon-edgren

It’s not very often you get to learn one-on-one from INCASL Clinical Simulation In Nursing Journal Editor Dr. Suzan Kardong-Edgren!

Learn more about the Drexel University College of Medicine MS in Medical Simulation.


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Magnum Services Provides Realistic Additions to Military and Casualty Simulations

military simulation services

Looking for Trauma Simulation Services in the US or UK? Magnum Services adds realism to Casualty Simulation (CAS SIM) training through professional amputee actors and makeup specialists. Their actors have many years of experience including being featured in film and television. By utilizing the unique combination of realistic prosthetics and expert CAS SIM effects, Magnum Services role players expertly and appropriately use their skills, experiences and simulated injuries to mimic the emotions and actions of a casualty, resulting in realistic and very definitive clinical training delivery!

Magnum Services Provides:

Moulage Makeup: We use professional, trained makeup artists who have years of experience. All our makeup is used in films and TV and is the same they use in Hollywood. It is washable so it doesn’t stain uniforms and can wash off the skin easily.

Simulation: We specialize in providing realistic military and medical training through high quality casualty simulation using trained and professional makeup artistes as well as skilled and experienced amputee actors.

Actors: All of our actors are skilled and trained in a variety of scenarios from the ‘unseen’ injuries to the traumatic amputation. They are skilled in performing both physical and emotional symptoms for each role presented.

Experience: The directors of the company have combined over 10 years of experience working with the British armed forces as well as with the German and American forces on tri-service exercises in Germany. We have also worked with emergency services over the years

Casualty Simulation Specialists:

Our capabilities of Casualty Simulation (Cas Sim) effects range from the un-obvious and not visible to the physical and traumatic injuries such as:

  • Primary health care simulation – rashes, blisters, bites and shock
  • Closed/healing wounds including lacerations, bruising and scarring Infected and necrotic wounds
  • Head and facial injuries, including avulsions and abrasions Fractures, both open and closed
  • Amputations, partial and full
  • Catastrophic hemorrhaging
  • Perineal and pelvic injuries
  • Abdominal and chest injuries; including sucking chest wounds (pneumothorax) and eviscerations
  • Blunt trauma, de-gloving injuries and entrapment injuries
  • Ballistic injuries, such as; gunshot wounds, blast injuries, fragmentation wounds and large cavity wounds
  • Burns (1st, 2nd & 3rd degree) superficial, partial and full thickness
  • Bioterrorism, such as; Chemical, Biological, radiation and nuclear (CBRN) and other toxins and plagues

Learn more about these Simulation Training Services at the Magnum Services Website!

HETI Australia Shares Comprehensive ‘Simulation Based Education’ Report

heti australia

Simulation Champion Kirrian Steer wrote in this weekend to share a recent Report entitled produced by Health Education and Training Institute (HETI) and Health Workforce Australia entitled “Simulation Based Education: Professional Entry Student Education and Training”. This 40 page report details the benefits, applications and reasons behind simulation which finishes with a showcase of multiple simulation sites already successfully integrating the technology and methodology. I highly recommend you read, download, and share this report and learn more about HETI today!

About HETI:

HETI supports and promotes coordinated education and training across NSW Health. We work to ensure that world-class education and training resources are available to support the full range of roles across the public health system including patient care, administration and support services. HETI’s mission is to pursue excellence in health education and training and workforce capability to improve the health of patients and the working lives of NSW Health staff.

HETI undertakes work in the following areas through programs, courses and initiatives:

  • Medical
  • Nursing and Midwifery
  • Allied Health
  • Rural and Remote
  • Leadership
  • Clinical Supervision
  • Online Learning
  • Simulation
  • Statewide Programs

About the Report:

This report highlights the key reasons to use simulation in student education and training and explores the most effective use of simulation in student curricula. It is intended to be a useful resource for simulation professionals wanting to optimise their work with students and to people involved in designing and delivering student curricula to identify new areas where simulation can be used to enhance education and training.

A variety of sources were used to inform the report, including:

  • An evidence review facilitated by the Sax Institute for HETI titled ‘Simulated Learning Technologies in Undergraduate Curricula: An Evidence Check Review for HETI’ (The Review)
  • The HETI Simulation Priorities Report Reference Group
  • Consultations with simulation providers across NSW
  • HETI’s Simulation Priorities and Operational Plan 2014-2015.
  • HETI’s report on the ‘Education and Training Requirements for Simulation Professionals in NSW – Priorities identified from a survey of simulation professionals’ (2014 in press).

heti simulation report

HETI’s Summary of key findings:

  • Simulation is currently most often used in student education to:
    • support learning of commonly performed skills and procedures
    • manage acutely ill (and deteriorating) patients
    • orientate students to practices on clinical placements and for entry to registered practice • assess skills
  • The application of simulation based education varies considerably between professions and educational institutions.
  • Simulation includes a wide variety of educational techniques that are used throughout health education and training.
  • Why use simulation in student education?
    • There are many reasons to use simulation in student education including ethical imperatives, the potential to help address training system capacity issues and changes in the health system.
    • Simulation leads to clinical skills acquisition and retention when ongoing practice is offered and these skills are able to be transferred to clinical settings. There is moderate evidence which shows simulation can lead to learning faster when compared with other methods and that it is effective when used in conjunction with other methods.
    • There is moderate evidence that patient safety, knowledge, attitudes and skills are improved or enhanced by a range of simulation modalities when integrated in curricula for medicine, nursing, pharmacy and dentistry.
  • What is the most effective way to use simulation in student education and training?
    Simulation in student education should be used to:

    • Address core graduate outcomes
    • Support the National Safety and Quality Health Service (NSQHS) standards
    • There are several factors that those involved in student education should consider including:
      • the best environment for simulation based education
      • the most suitable modalities, tools and resources
      • program design
      • organisational considerations

Download the full Simulation Based Education Report off the HETI Simulation website today!