Recent news that the ASA is partnering with CAE Healthcare to develop new simulators. I am excited to see the continued product innovation from CAE who are continuing to push boundaries.
High-fidelity mannequin-based simulation is currently available at ASA-endorsed simulation centers. “ASA wanted to expand its simulation offerings, and with screen-based simulation, learners can practice on their own computer when and where they want,” Dr. Philip said. “We expect each scenario will take about a half-hour to explore through once.”
Each scenario will be based on an ASA practice parameter and guideline (e.g., difficult airway algorithm or management of cardiac stents) or a nationally recognized guideline (e.g., MH). “The scenario curriculum content represents performance gaps identified in the literature, closed claim manuscripts, the Agency for Healthcare Research and Quality/Maintenance of Certification in Anesthesiology [MOCA] program simulation study, and the overall MOCA simulation experience,” Dr. Philip said.
Early last year, ASA sent out a request for proposal to the simulation industry as a whole. CAE Inc., a world leader in simulation technologies, was selected this January because of its expertise in developing interactive, immersive simulation for education.
“I believe this is the next step in simulation,” said Robert Amyot, MD, president of CAE Healthcare, in Montreal, one of three divisions of CAE (the other two being Civil Aviation and Defence & Security). The 3-D environment will be layered with physiology, “which we have been developing for the last 20 years or so,” Dr. Amyot said. “Therefore, the response of the medical scenarios to the interventions of the physician will be extremely realistic, thanks to the physiology that is embedded in the scenarios.” For example, if one drug is administered, the reaction to that drug will coincide with real life and in real time.
Although the physiology engine is in real time, it can be accelerated, if needed. “A scenario that takes two days, for instance, can be stretched or shrunk,” Dr. Amyot said. The simulation product is also open-ended, “so it is like a real human being that is modeled into the scenario. There are no limiting factors, other than the condition of the patient, which needs to be programmed.”
The collaboration between CAE and ASA “is a perfect partnership, whereby we bring cutting-edge technology and ASA provides all the knowledge and expertise to define the medical scenarios,” Dr. Amyot said. “This is the first time we are developing purely screen-based simulation for a medical specialty.”
Dr. Amyot said the community has always been on the forefront of creating human patient simulators in partnership with CAE. “It is great that we are now writing a new page in the history book of simulation for this field of medicine,” he said. “To use simulation to maintain the certification and the skills and the knowledge of physicians in practice is very exciting.”