Simulation Modeling – From SimNET to the Internet of Simulations


internet of simulations

From time to time we share stories from other industries that utilize simulation. There are plenty of lessons healthcare simulation can learn from the military, and today’s blog post provides a peak into the history and current status of simulation modeling. Here are some excerpts from Jose-Maria Lopez of Spanish operated Simware touching highlighting the history from “SimNET” to the Internet of Simulations. Such modeling tools enable programs to simulate future events and better plan for unforeseen scenarios. Imagine the applications for healthcare if we could simulate an entire hospital in real time and change just one wall placement at a time.

The Internet of Simulations Excerpt:

I read first about the origin of LVC simulation: the DARPA’s SIMNET program. The origin of LVC simulation for training as it is demanded now, based on high fidelity simulations, very inmersive 3D graphics and connected simulators in a network, was this SIMNET project. SIMNET was a DARPA sponsored and funded project and it is origin and importance for the readiness of the military forces is explained in the book : “The Pentagon’s Brain. An uncensored history of DARPA, …” by Annie Jacobsen. In her book, Ms Jacobsen explained how Capt (later Col) Thorpe, in 1978, got a very radical idea in that time : to link two flight simulators in order to allow a pilot and its wingman to train together in a common virtual world. Based on this first experiment made at Williams Air Force in Arizona, Capt Thorpe proposed the development of a network of flight simulators that would allow for ” real time dress rehearsals”. This idea was very radical in that time because the Internet’s predecessor, ARPANET, was only an small experiment in the late 70s. Capt Thorpe was able to go back to his idea in the early 80s when he was assigned to DARPA as a program manager.

Featured Advertisement:

In that moment he was aware of the classified work in ARPANET and was able to transform its idea in a new program in 1983 using the new technologies for networking developed at ARPANET; this project was named SIMNET and was focused on the main military priority in the early 80s: how to train and rehearse tanks battles as could be performed on Europe against the soviet armor forces. Now, 30 years later, SIMNET has evolved to LVC simulation and it is demanded  worldwide as a a basic tool to keep the operational readiness of the military and security forces. This reading has made me to compare how different has been the evolution of Arpanet and Simnet since they were created as DoD funded programs under the umbrella of DARPA:

  • Arpanet has evolved to Internet and has expanded its presence  everywhere, Internet has been able to offer an open platform to communicate people and machines located anywhere. Internet has been a big success, being able to position itself as the main platform to do any kind of business between companies and consumers (B2B, B2C, C2C, etc.) 
  • Meanwhile, SIMNET was the origin of many new technologies, not only for networking simulators but also to create impressive 3D virtual worlds. 3D has been able to go to the mainstream and now everyone has more 3D power in its smartphone than SIMNET had in its tank simulators in the 80s. But networking simulators is still a big issue even now in the 21th century, requesting large budgets and a lot of work performed by many skillful engineers, especially for high-fidelity simulators in the military or aerospace markets. The only market niche in which networked simulation has been able to go to the mainstream has been with the massive online multi-player games, but in this case each game is a propietary platform itself, closed to any external application.

About Simware:

Simware is leading the introduction of Open platforms into the Simulation & Training markets. Our platform Simware leverages the new Layered Simulation Architecture or LSA to fulfill the requirements of the lead users of the industry, which are demanding open architectures, better interoperability and increasing economical returns for their investments in simulation and training solutions.

First release of Simware was available at 2006. At the beginning Simware was the in-house simulation platform used by NADS to develop their own simulation & training solutions for customers in Spain and USA, such as Flight Training Devices, simulation components for Full Flight Simulators, Land Based Test Sites for Naval Combat Systems or interoperability solutions for the Spanish MoD. At 2011, NADS decided to evolve Simware in a Commercial-off-the-Shelf product (COTS). Since that moment, Simware has demonstrated its traction in the market with near 50 users in 15 countries located in 3 different continents.

Read the full blog post on SimWare’s website!

Sponsored Advertisement:

Lots of New Medical Simulation Jobs Posted!

i-human patients

There have been an uptake of job postings in our healthcare simulation jobs listings page! The featured job from i-human patients is still available:

i-Human Patients are looking for a Sr. Strategic Account Executive located in the Continental U.S! Apply today at this link here.

Sr. Strategic Account Exec. Job Description

We are looking for an exceptional sales executive dedicated to high performance, personal excellence and a strong work ethic, who shares our passion for transforming medical education and our commitment to teamwork.

Reporting to our Director of Sales, this position can be based anywhere in the continental U.S..

The primary purpose of this position is to establish relationships with medical and graduate nursing schools, and to sell our web-based simulated patient services to their administration, faculty and simulation lab staff on a consultative sales basis. Future products will extend customer relationships to other healthcare professional schools as well as large healthcare provider organizations, hospitals and health systems.

Other Featured jobs:

Company Name: FIU – Herbert Wertheim College of Medicine
Job Title: Simulation Operations & Research Manager
Location: Miami, Florida, United States, 33199

Institution: Cook Children’s Health Care System
Title: Simulation Operations Specialist
Location: Fort Worth TX

If you are not a private recruiter you can post your job for free on our medical simulation jobs page. You can also invest to feature your job to our main article listings and our newsletter!

Laerdal SUN Save The Date: May 23-25 in Atlantic City, NJ


Save the Date Save the Date for the 2016 Atlantic City SUN Conference and expect another year of successful Simulation User Network events! Mark your calendars now for the 2016 Atlantic City, NJ event taking place May 23-25, and look for registration opening soon.

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

Connect with others who are just like you and connect 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.

Learn more at the Laerdal SUN website!

Sponsored Advertisement:

Peoria, IL Hub For Advanced Simulators in Education & Military Training

simulator peoria


Peoria Illinois is an innovative hub for simulation companies and organizations. Not only is the city home to the impressive Jump Trading Simulation Center (host of SimGHOSTS 2016 USA), but also CSE Software — which produces advanced simulators for educational and military training purposes. Furthermore, Medical Simulation company SimNEXT has already produced a product now being distributed internationally by Limbs & Things! Journal Star Business Editor Steve Tarter recently covered some of the simulated developments of Peoria

PJStar Article Excerpt:

One of the area’s most successful products coming out of central Illinois is a device that provides behind-the-wheel experience before you ever get behind the wheel. The simulator isn’t just a machine to test jet pilots anymore. “Two of our largest markets are educational institutions and the military,” said Nate Hurn, an account manager for CSE Software, which has 70 employees on two floors at 316 Washington St. in Downtown Peoria. A typical CSE simulator replicates the cab of a modern Caterpillar earthmoving machine. The hand controls, the pedals, even the motion are designed to prepare one for the real machine. The company has developed 13 different simulators and something else — the simulator van. The simvan, as it’s called, allows the company to transport its simulator to the potential customer no matter the location. “We have one now but we hope to soon have four or five. It allows us to give our simulator so much more exposure,” said Hurn.

The simulator allows for learning to occur without the risk of injury — to person or machine. “It helps the user get down the basics before they get behind the wheel of a quarter-million-dollar machine,” Hurn said. CSE CEO Ken Pflederer, whose company celebrated its 25th year in 2015, said he’s excited about the simvan. “Now we can get out all over,” he said. Simulators range in price from $25,000 to $100,000 depending on the bells and whistles customers want — such as a motion platform that duplicates the feel of an moving machine, said Hurn. Some 100 to 200 simulators manufactured in the Peoria are sold each year by the CSE division, formed in 2009 using the Caterpillar name, he said.

Simulators used in medical field made in Peoria, too

Not all simulators involve seats and steering wheels. Another growing category is medical simulators. Dr. Doppler, a portable medical training simulation device designed to improve clinical ultrasound training, was recently unveiled in Chicago. “This is a dynamic training tool for primary care physicians,” said Dr. John Vozenelik, chief medical officer at the Jump Trading Simulation and Education Center in Peoria.

Vozenelik is also chief strategy officer for SIMnext, a Peoria-based simulation division that looks to develop other medical simulation units. “I’m excited about the economic development in this community. It’s a whole new business model,” he said of the development of medical simulators in central Illinois. Paul Pribaz, the executive director of SIMnext, said the Dr. Doppler unit would soon be distributed internationally, thanks to a partnership with U.K.-based Limbs & Things.

Read the Full Article on PJStar’s website!


Simnovate International Summit May 5-6 at Montreal’s McGill University


Save the date for Simnovate International Summit at McGill University this May!

This May 5-6 2016 at McGill University in Montreal, QC, Canada the Simulation Team will be putting on a 2nd annual Simnovate event to bring together simulation, education and innovation in the healthcare arena. With a focus on four domain areas (patient safety, pervasive learning, medical technologies, and global health), they are undertaking a broad review of current strengths and areas of focus, determination of future directions and zones of importance, and prescription of defined approaches to improve health care.

About Simnovate:

The summit is intended to be dynamic, interactive, engaging, and above all, an opportunity for the global community to come together with the common aim to improve the health of people across the world. The official launch of Simnovate took place on 25 May 2015, at the Steinberg Centre for Simulation and Interactive Learning. An academic symposium, followed by an innovation showcase, was well attended by the local McGill community.

The event also publicly launched the four domain groups, and the two co-chairs for each group. Since May 2015, the domain groups have each engaged seven to ten renowned individuals, who have passion, drive and enthusiasm for this process.

Each group is tasked with undertaking four teleconference calls, to be completed by January 2016. During each call, topics of the current status, future perspectives, and paths to achieve prospective gains, are discussed. The culmination of the teleconference discussions is first, for each group to produce a white paper, which summarizes the dialogue, thoughts and considerations of each groups’ conversations.

We have the honor and pleasure of inviting three highly distinguished guests to deliver keynote addresses at the summit. Dr. Victor Dzau, President of the National Academy of Medicine, will be opening the summit on the morning of May 5. On May 6, Dr. David Asch, Executive Director of the Penn Medicine Center for Health Care Innovation and Dr. Kedar Mate, Senior Vice President of the Institute for Healthcare Improvement will also share their insights from decades of work in healthcare innovation.


Learn more about Simnovate at the McGill Steinberg Centre for Simulation and Interaction Learning Wesbite 

CAE Healthcare Announces Update to Muse Patient Simulator Software & Reminder About Upcoming HPSN in Tampa Feb

muse software update

Received this announcement regarding an update to Muse patient simulator software from CAE Healthcare which looked important enough to share with you here! Don’t forget that the Human Patient Simulator Network event is taking place next month Feb. 16th-18th in Tampa Florida.This event is for simulation champions around the world so be sure to consider attending!

Dear CAE Healthcare Customer:

We’re pleased to introduce the latest version of our patient simulator user interface, Müse 2.4, which is now available for your METIman as a free update, if you have Müse 2.0 (version 2) or above, as well as an active support and maintenance plan.

Müse 2.4 offers:

  • CPR Analysis compliant with AHA 2015 guidelines – With the addition of Chest Compression Fraction, Müse 2.4 now includes all of the AHA-recommended metrics for quality of cardiopulmonary resuscitation (e.g., compression depth, compression rate, chest recoil, compression fraction, ventilation volume and rate).
  • More flexibility for scenario creation – We added variants of ST-Elevation Myocardial Infarction (STEMI) cardiac rhythms, adjustable Premature Ventricular Contractions (PVCs) and lower respiratory rate values.
  • Overrides for EtCO2, CVP and PAP – Facilitators can now override these parameters within Müse 2.4.
  • Metric and imperial units – Both unit types are now available for patient height and weight.
  • Compatibility with OS X 10.10 Yosemite
  • Significant improvements to these languages: German, Portuguese, Russian, Simplified Chinese, and Traditional Chinese versions.

Update Information
If you have a patient simulator under an active service agreement and Müse version 2, your update will be free. If you are on Müse version 1 and would like to install 2.4 please contact customer service. The cost is $575 per simulator for those without an active support and maintenance plan.

We value our customer relationships, and we strive to ensure that we are delivering quality products and responding to your needs. 

hpsn world

Visit for more info!

3D-Printed Hearts — A Training Tool for Canadian Surgeons via Norfolk News

3d printed heart

Interesting article today out of Canada and the Sick Kids Hospital in Toronto, which is working with 3D printing technology to help with clinical education:

About a dozen trainees — from Canada and such countries as Norway, Oman, Mexico and the United States — have come to watch master surgeons demonstrate the highly complicated techniques used to repair a number of congenital heart abnormalities and to safely practise those skills on models of their own. Three-dimensional copies have been created of five hearts from real infants with cardiac anomalies using a high-tech 3D-printer, which almost perfectly reproduces the organ’s structure using a photopolymer resin, based on sophisticated MRI and CT imaging.

“Each of the models represents a very specific form of disease that is very different,” says Dr. Glen Van Arsdell, chief of cardiovascular surgery at Sick Kids. “I can look at the model and tell you what the diagnosis is.” The 3D-printed hearts — some orange, others whitish in colour — were produced by Dr. Shi-Joon Yoo, a cardiac radiologist at the hospital.

Depending on its size, a duplicate of a child’s heart can take anywhere from four to 12 hours to produce, as layer upon layer of the resin is built up, he says. While the current cost is somewhat prohibitive – estimated at about $2,000 per model — Yoo says the technology means hundreds of copies can be printed after imaging a single child’s heart to demonstrate a particular defect.

“Anybody can practise on the same structure, so that is the real value of that.” Van Arsdell says the trainees have come to Toronto to learn procedures that would typically take years to learn by watching and assisting senior surgeons before they would be allowed to perform the operation on their own. For some, such expertise isn’t available in their home countries.

Read the full article on the Norfolk News website!

BioMedCentral Interviews Advances in Simulation Editor Debra Nestel on Launch of New Journal

advances in simulation

Exciting news announced at IMSH 2016 by Debra Nestel and SESAM that a new Journal “Advances in Simulation” was launched during the event! interviewed Professor Nestel about this new publication and the future of medical simulation. Debra Nestel is Professor of Simulation Education in Health Care at Monash University, Australia. For over 25 years she has used simulation as an educational method in the context of health care. Professor Nestel has a particular interest in human-based simulations and is experienced in research and development of several simulation modalities. Asked Debra, “What do you hope will be achieved in the field in the next ten years”?

The seeds of the achievements for the next decade are likely to be planted now. I’ll offer five ideas:

  • First, there is already sufficient simulation research to enable meaningful reviews. This is likely to lead to new theories (of the middle range rather than unified) that will shape further research and the work of simulation practitioners.
  • Second, we will see simulation embedded in curricula for all health and social care professionals. Access to simulation will widen and a greater breadth of modalities will be adopted.
  • Third, professional development for simulation practitioners will lead to greater simulation specialism with a parallel advance of all clinical teachers at minimum thinking about using simulation to design learning activities.
  • Fourth, there will be really exciting developments in technology-based simulations, especially with augmented and virtual realities.
  • Fifth, simulation will form part of patient (and where appropriate their carers) education as well as providing ways of giving the wider community access to health and social care practices such that they may help improve the very services designed for them.
  • Finally, all of these achievements will contribute directly or indirectly to improving patient safety.

Learn more about the new AiS Journal here and Read the Full BioMedCentral Article here!

Supported Organization:

Washington Post Highlights B-Line Medical & President Hartley Thompson


A fantastic behind-the-scenes look at the leadership behind B-Line Medical, one of the world’s most innovative groups behind medical simulation recording technologies, by Thomas Heath of The Washington Post. This insider look reveals the challenges and successes that have defined the company, from startup to now over 70 employees worldwide.

Having met many of the team from B-Line Medical I can attest that they are innovative people dedicated to improving learning outcomes at simulation centers around the world. had the opportunity to interview B-Line Medical Co-Founder Chafic Kazoun about the latest innovations unveiled at IMSH 2016 — and as I am every year — I left impressed! Stay tuned for more but in the mean time check out this great article:

“Thompson grew up in the Bahamas, in Freeport. His easygoing nature belies his ambition. His parents pushed him early on to learn the importance of money and entre­pre­neur­ship. His father has started various businesses. His mother owns an event-planning company. “My dad really pushed me and my brothers to go out and make your own money,” he said. “At 8 years old, we started a window-washing and car-washing business.”

“I fell in love with just providing a service to somebody and a product and actually getting paid for it,” he said. He attended Liberty University in Lynchburg, Va., on scholarship, graduating with a degree in management information systems.

Thompson joined B-Line Medical in 2007 as employee No. 12. The company was 18 months old. He found the job on “We were not making money when I got here,” he said. “Like any start-up, we were having lean days. Some bills didn’t get paid.”

Thompson’s plan was to get experience, then start his own company in a few years. But he loved B-Line. “I just showed a passion for the business and a hunger to take on more responsibility and keep learning,” said Thompson, who has a master’s degree in information management from the University of Maryland. B-Line’s breakthrough came when its technology was purchased by Washington University in St. Louis and by Johns Hopkins University in Baltimore.

“When we landed those two, things started snowballing,” Thompson said.”

Read the full article on The Washington Post website

Abstract Submission Deadlines for SimGHOSTS Simulation Technology Summer Events End Soon!

sim tech course presentations

Sim Champs! The time is almost here to submit your courses for SimGHOSTS Summer events taking place around the World! Get discounted registration to your regional event by being accepted to present at the meeting. Highlight your program success stories and support your community by submitting awesome content today!

Due Dates:

USA – February 1st Extended Until February 8th!

AUS – February 8th

UK – February 15th

We are accepting proposals in the following categories:

  • Podium Presentations (20 minute, 50 minute or 110 minute lecture with photos, videos and demos)
  • Workshops (2 – 4 hour hands-on training course)
  • Poster Presentations (“Science Fair” type of explanation of project, program, research, etc)
  • DIY Contest Entry (live demonstration or online video of a technology hack, unique design or other project)

 SimGHOSTS topic categories for all events are:

  • Audiovisual Technology
  • Information Technology
  • Management
  • Medical/Clinical Topics
  • Moulage
  • Simulation Technology

They are also looking for presentations in VR, augmented reality, patient safety, and other specialized simulation technologies in 2016!

Presentations can be of varying length: 20, 50 or 110 minutes; or a 4-hour workshop. They are looking for content that covers many experience levels, from Beginner to Advanced.Accepted 20 minute proposals earn presenter a $25 discount on event registration. 
Accepted 50 or 110 minute proposals earn a $50 discount for one of the presenter(s).
Accepted 4-hour workshops earn a $50 discount for up to 3 presenters.

Presentation Proposal Links by Event:

SimGHOSTS 2016: Australia