Icahn School of Medicine’s Dr. Khouli Presents on Integrating Medical Simulation into Training and Curriculum

sim center

A Department of Medicine Grand Rounds presented by Hassan Khouli, MD, Chief, Critical Care Section; Director, Center for Advanced Medicine Simulation, Mount Sinai West and Mount Sinai St. Luke’s, Professor of Medicine (Pulmonary, Critical Care and Sleep Medicine), on Integrating Medical Simulation into Training and Curriculum.


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Dr. Khouli founded the first simulation laboratory at Roosevelt Hospital through philanthropic support. The simulation lab expanded to a full institution-wide simulation Center in 2010 and was named the Center for Advanced Medical Simulation (CAMS) with three state-of-the-art simulation laboratories, two full-time simulation specialists,and several faculty from critical care and other departments with specialized expertise and certifications in simulation education and training. The Simulation center has grown exponentially to gain regional and national reputation. The center obtained a rare 5-year full national accreditation status from the Society of Simulation in Healthcare in 2015 to become one of only few accredited simulation centers in the United States. Dr. Khouli established the first simulation fellowship in New York City in 2011. Dr. Khouli has been an invited lecturer regionally, nationally, and internationally. He is on advisory boards and committees of several regional and national organizations and societies. He has been a member of the New York State Task Force on Life and the Law. He has directed several local and regional symposiums. He has received many teaching and community awards.

Learn more about the Center for Advanced Medicine Simulation at Mount Sinai West


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SSH Simulation in Healthcare Journal August 2017 Research Articles Released

medical simulation research journal

The Society for Simulation In Healthcare (SSH) has recently shared their latest Journal publication of “Simulation in Healthcare”, August 2017 – Volume 12 – Issue 4 pp: 207-278 which contains the following peer-reviewed articles:

Empirical Investigations

  • Publication of Abstracts Presented at an International Healthcare Simulation Conference – Cheng, Adam; Lin, Yiqun; Smith, Jeremy; Wan, Brandi; Belanger, Claudia; Hui, Joshua
  • Improved Retention of Chest Compression Psychomotor Skills With Brief “Rolling Refresher” Training – Niles, Dana E.; Nishisaki, Akira; Sutton, Robert M.; Elci, Okan U.; Meaney, Peter A.; O’Connor, Kathleen A.; Leffelman, Jessica; Kramer-Johansen, Jo; Berg, Robert A.; Nadkarni, Vinay
  • Feedback Simulation for Acupressure Training and Skill Assessment – Noll, Eric; Romeiser, Jamie; Shodhan, Shivam; Madariaga, Maria Cecilia; Guo, Xiaojun; Rizwan, Sabeen; Al-Bizri, Ehab; Bennett-Guerrero, Elliott
  • Breaking Down the Objective Structured Clinical Examination: An Evaluation of the Helping Babies Breathe OSCEs – Seto, Teresa L.; Tabangin, Meredith E.; Taylor, Kathryn K.; Josyula, Srirama; Vasquez, Juan Carlos; Kamath-Rayne, Beena D.
  • The Role of Extracorporeal Membrane Oxygenation Simulation Training at Extracorporeal Life Support Organization Centers in the United States – Weems, Mark F.; Friedlich, Philippe S.; Nelson, Lara P.; Rake, Alyssa J.; Klee, Laura; Stein, James E.; Stavroudis, Theodora A.

Concepts & Commentary


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  • Serious Gaming in Medical Education: A Proposed Structured Framework for Game Development – Olszewski, Aleksandra E.; Wolbrink, Traci A.
  • Simulation Faculty Development: A Tiered Approach – Peterson, Dawn Taylor; Watts, Penni I.; Epps, Chad A.; White, Marjorie Lee

Economic or Health Policy Articles

  • Simulation-Based Evaluation of the Effects of Patient Load on Mental Workload of Healthcare Staff – Rusnock, Christina F.; Maxheimer, Erich W.; Oyama, Kyle F.; Valencia, Vhance V.

Case Report/Simulation Scenario

  • An Innovative Approach: Using Simulation to Teach Primary Care Gynecologic Procedures – Hellier, Susan D.; Ramponi, Denise R.; Wrynn, Alexander; Garofalo, Stephanie
  • Common Complication of Sickle Cell Disease in a Resource-Constrained Environment: A Simulation Scenario – Binotti, Marco; Genoni, Giulia; Carenzo, Luca; Ferrero, Federica; Bona, Gianni; Ingrassia, Pier Luigi

Read the latest SSH Simulation in Healthcare journal edition here!

University of Birmingham Provides Queen Elizabeth Hospital Patients with VR Physical Therapy

patient vr bicycle pt excercise

Recently ITV created a video report on how researchers from the Human Interface Technologies (HIT) Team at The University of Birmingham have developed a virtual reality cycling program for Queen Elizabeth Hospital. It won’t be long before all physical therapy departments utilize video games for healing patients — as results show that patients remain self-motivated for longer with better rates of improvement.

Patient recovering from major surgery are being given the chance to cycle the Devon coast path from their hospital bed. 


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They are now working alongside medical professionals at the Queen Elizabeth Hospital to help patients like Paul Kavanagh in their recovery. Patient in a hospital bed Paul Kavanagh recently had a dual-lung transplant. Credit: ITV News Central It took the team over three years to design and develop ‘Virtual Wembury’, which is based on the village on the south coast of Devon.

Professor Robert Stone who has been working in the field for 30 years, chose the area because he was born and bred there. He says it offers the perfect mix of green, sand and sea for an attractive virtual reality landscape. ‘Virtual Wembury’ landscape The landscape can reflect both day and night scenes. The virtual reality program has been designed to enable doctors and nurses here to use it alongside traditional rehabilitation techniques. If this trial is successful, they are hoping that it might be used in other hospitals across the UK.

We can’t embed the ITV video here, so be sure to check it out on ITV!


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7th Annual SimGHOSTS 2017 USA Opens at WakeMed Center for Innovative Learning in Raleigh North Carolina

simghosts 2017 usa

This morning at the WakeMed Center for Innovative Learning in Raleigh North Carolina, the 7th annual Gathering of Healthcare Simulation Technology Specialists (SimGHOSTS) meeting opened its doors with two simAlliance sponsored keynotes. 200 Registrations from simulation champions across North America and the World came together with 17 vendors to spend 4 days with hands-on training in the operation of healthcare simulation technologies.

The first keynote was by Carol F. Durham, EdD, RN, ANEF, FAAN, Professor of Nursing Director, Education-Innovation-Simulation Learning Environment (EISLE) and Past-President of INACSL on the most recent update to the industry-wide Standards for Excellence in Simulation. Carol presented about the creation, evolution, and benefits of the Standards which healthcare simulation champions can utilize to convey to managers, clinical educators, department heads and administrators the best possible guides to creating successful outcomes and programs. From debriefing, to staff, space considerations, outcome identification, methodology selection, and more — the INACSL standard is a MUST-READ for anyone providing healthcare simulation education and training programs. You can download the new Healthcare Simulation standards here on the INACSL website.

Following this, Dr. Brian Gillett, MD CEO & Founder of SimCore provided the official keynote address “Partnership, Creativity and Innovation: Successful Management, Support and Growth in Healthcare Simulation”. Dr. Gillet covered the challenges of innovation within healthcare. Dr. Gillett’s presentation also explored new technologies designed to improve healthcare performance through innovative, intuitive, and high impact solutions from within our community. Brian shared how effective and sustainable healthcare interventions must be developed in a genuine partnership with those who will ultimately utilize the systems. For simulation to succeed it has to first be managed and supported in an effective way, and this presentation showed us how through creative approaches and innovative solutions. You can learn more about the innovative management of simulation at simAlliance.com!

About WakeMed

WakeMed Center for Innovative Learning is designed to facilitate realistic multi-disciplinary clinical training and education using human patient simulators, educational gaming and other technologies. Funded by The Duke Endowment, the WakeMed Center for Innovative Learning offers education for all levels of healthcare providers throughout the region, including: • WakeMed Health & Hospitals employees • Wake AHEC students • Capital Regional Advisory Committee members • Wake Technical Community College students • Southern Atlantic Healthcare Alliance (SAHA) affiliated hospitals The Center for Innovative Learning features a nurses station, intensive care/trauma suite and a flexible patient care room that can be used for general medical or birthing. Each area is designed to mimic a typical inpatient unit and features the same technology, supplies, equipment and design found in units throughout a hospital. In the Center, healthcare providers administer treatment to human patient simulators that can bleed, cry, breathe and die. The goal is to allow clinicians to practice their skills, learn from their mistakes and gain confidence.

They also have the opportunity to keep their skills current for those high-risk procedures in which they need to maintain proficiency but rarely have the need to perform. Based on the concept that “hindsight is 20/20” and that two thirds of the learning process occurs in reflection, the Center for Innovative Learning also features an extensive A/V system where every sound and action is recorded. Following a simulation experience, students and educators go immediately to the debriefing room to review the video and critique themselves. Learn more about the Center for Innovative Learning here!


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Other Program Highlights So Far:

Yesterday during the pre-conference workshops, EMS SimulationIQ provided sponsorship of the Industry’s first organizationally sponsored Hackathon event. Three teams competed to solve an industry-wide problem with 8 hours of project development utilizing hardware, software, electronics, moulage systems and 3D printers. The winning group will be announced later today!

Bobbie Merica from Moulage Concepts provided multiple hands-on training courses in moulage application, providing simulation champions the means to be able to demonstrate better patient presentations through advanced makeup application.

Later today, Laerdal Medical Gold Sponsored a talk by WakeMed Sim Center Director Dr. Amar Patel entitled “Here Today Gone Tomorrow” on overcoming the technological hurdles of healthcare simulation.

Tomorrow, CAE Healthcare provides a sponsorship of the plenary address by SimGHOSTS President Dr. Scott Crawford, entitled “We Are State of the Art” which will outline the current state of healthcare simulation technology and operations including the many advancements and innovations in this field. Stay tuned for more coverage here!

Follow along with #SG17USA, and the SimGHOSTS Live Stream for Keynote Addresses

A Sim Tech Shares Why You Should Come to SimGHOSTS 2017 USA

simghosts sim training

Simulation Operator Rachel Bailey  recently shared with the simulation community why she suggests attending SimGHOSTS.


There is still time to register for the 2017 USA Event
Next month at WakeMed in Raleigh, NC August 1st-4th

From Rachel: SimGHOSTS is a community of hard working technicians that adapt to any environment given to them.    As technicians we work over 8 hours a day, and when we are not working, we are thinking about what we can do better in the simulation community.  We volunteer for projects, we come in early and stay late.  You have to love the job in order to stay in the field.  The hours we work and the constant struggle to ensure things operate well, can weigh heavily.  Sometimes we are in a no- win situation but it never prevents us from thinking of how to improve simulations for educators and learners.


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Being a sim tech is not the easiest job, nor the most rewarding, we do the job because we love it.  The demand of the job can leave us discouraged and burnt out, but when August comes around, we get to meet with people that are just like us and experience the same highs and lows of simulation operations.  I have attended several SimGHOSTS conferences, I get the pleasure of meeting new technicians, hearing their ideas, and seeing there fabrications.  The passion of this community is something to experience.  It is not about where you went to college, it is not about who you know, this conference is strictly about the job that we all love.

A fellow sim tech stated her experience at SimGHOSTS, as her “date night” with her job.  I couldn’t agree with her more.  This conference is more than educational, it is empowering.  When I thought I could not take one more reminder of what didn’t work , or how much time I spend at my job, that a select few really understand, I go to SimGHOSTS as a reminder that I really love what I do, and I love the community I am involved in.  I have attended SimGHOSTS as a presenter and a participant, and the community is the most inquisitive, intelligent, and involved in simulation technology that I have ever experienced.  People are proud and willing to share ideas and projects.  Every time I attend I am empowered to do my job for another year.

Whether you are tech, educator, coordinator, or director, the education you receive at SimGHOSTS is as unique as the people sharing what they have learned.  If you haven’t been to a conference, I urge you to try to persuade your leadership to invest in your education and your professional development.  See you in Carolina!

Learn more about joining Rachel at SimGHOSTS 2017 USA this Aug. 1-4!


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Modern Healthcare Covers Growth of Healthcare Simulation Field

modern healthcare simulation

In the most recent addition of Modern Healthcare, the publisher covered the growing field of healthcare simulation with key interviews to help outsiders better understand the benefits of the emerging methodologies and technologies. This is a GREAT article to introduce others to the field of healthcare simulation, so be sure to share this link!

Simulation can save lives and limit patient harm by ensuring physicians young and old alike follow protocols and complete all the necessary steps in order to safely perform a procedure. In a study of 44 final-year medical students in Frankfurt, Germany, students who participated in a three-day simulation-based training course were found to have more thoroughly followed protocols for CPR and a trauma enactment in comparison to students who shadowed emergency physicians for three days. Students trained on simulators scored an average of 90% on their ability to complete steps required on a standard CPR checklist, while the other students scored 62%.

It’s not just students. Another study found that anesthesiologists who engaged in simulation-based training on how to properly wean patients from cardiopulmonary bypass performed better in real-life procedures than those who received traditional interactive seminars. Simulation-trained physicians scored over five percentage points higher when assessed two weeks later by senior staff on their ability to adequately complete necessary steps on a technical checklist. Similar results were shown five weeks after training. Researchers seeking to understand whether simulation could help improve training for ultrasound-guided central venous catheter cannulation found that 51% of simulation-trained residents were successful on the first try of cannulating a patient, as compared with the traditionally trained group’s success rate of 37%, according to a study published in the journal of the Association of American Medical Colleges.


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Medical malpractice payouts have begun climbing upward since 2012, reaching $3.9 billion in 2016. Connecticut’s payout rate per capita is among the highest in the nation. In hopes of reversing this trend and reducing risk, Connecticut-based Hartford HealthCare sought to improve simulation-based training for obstetricians, who are at a particularly high risk for malpractice suits. The health system’s Center for Education, Simulation and Innovation (CESI) developed a simulation-based training program that evaluates physician effectiveness in preventing shoulder dystocia, a high-risk labor complication in which labor is obstructed by the infant’s shoulder. The project utilized technology that measures the amount of force being applied to a simulated baby, eliminating the subjectivity of a doctor-to-doctor evaluation. “Verdicts in the state of Connecticut have been steadily increasing, with some exceeding $20 million,” said CESI Director Stephen Donahue. The device has given physicians more confidence in their abilities, and protected them from preventable risk that can result in lawsuits.

Read the full Modern Healthcare Simulation Article here!

Simulaids Unveils Industry’s First Patient Communication Simulator ALEX

alex patient communication simulator simulaids

Recently we covered the innovative ‘Next Gen Geri’ as seen at IMSH 2017 — but even more recently Simulaids unveiled the industries first “Patient Communication Simulator (PCS)”! Newly launched, ALEX recognizes questions and responds with scripted answers related to his condition allowing simulation educators to use speech synthesis or your own voice for responses. Alex is also the first patient simulator with an HD camera streaming live, low latency video from his right eye. Debrief with a patient point-of-view experience! Check out this video below to see more:


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  • Develop critical thinking, decision making and priority setting skills
  • Conduct initial patient assessments and clinical interviews
  • Acquire foundational nursing skills
  • Meet high-level simulation goals
  • Evaluate Nursing competencies in procedures such as injections, IV administration, and wound care
Core Features of Alex:
  • Breathing: Moving chest in sync with set respiratory rate. Set various respiratory profiles with varying depth of breath.
  • Airway: Oral, digital, and nasal intubation, as well as all other standard airway procedures.
  • BVM Ventilation: Rising chest measures and records airflow over time when done during CPR.
  • Circulation: Pulses (carotid x 2, brachial x 2, radial x 2 and pedal x 2): sensing touch and providing pulse sensation in sync with set heart rate and blood pressure.
  • CPR: CPR abilities with metrics of chest compression force/depth and timing. Automatic detection and logging of CPR procedures.
  • IV Injection Arm: Practice intravenous injections and positioning a butterfly catheter. Puncture veins and dorsal venous network of hand.
  • Patient Monitor: Direct control of HR, RR, SpO2 and TEMP to set target value and transition length.
  • Waveforms: Normal and abnormal simulated cardio, respiratory and SpO2 waveforms in virtual patient monitor.
  • Blood Pressure: Measure blood pressure with any sphygmomanometer attached to the included SmartCuff™, equipped with wireless pressure sensor.
  • IRISCAM: An HD camera built into the eye of ALEX, providing digital video for live streaming and recorded review. (patent pending)
  • SPEECH: Advanced speech recognition and speech synthesis to support fully automated medical interviewing exercises. (patent pending)
  • SOUNDS: Listen to normal or various abnormal lung/heart/bowel sounds and Korotkoff sounds using any stethoscope when attached to the included SmartScope™ accessory.

Simulaids began producing trauma moulage products in the town of Woodstock in 1963 and now operates out of an 83,000-square-foot facility in Saugerties New York.

Learn more about Simulaids Innovative Products on their website today!

Summary of Product Demo Video Interviews from IMSH 2017 Trade Show Floor

imsh 2017

Hey Simulation Champions! Today we are sharing a comprehensive review of all the product demonstration interviews HealthySimulation produced exclusively from the International Meeting for Simulation in Healthcare 2017 Orlando Tradeshow floor! These videos will help you to catch up with the latest news and information about innovative new products and services entering the field of healthcare simulation, so be sure to watch them all!


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Exclusive IMSH 2017 Exhibit Hall Video Interviews:

Finally, here is the HealthySim staff writeup about our favorite products from IMSH 2017!

SimforHealth Introduces MedicActiV: Innovative Platform to Create & Share Virtual Clinical Cases, at SESAM 2017 Paris

medicactiv

During the opening of SESAM 2017 in Paris this week, SimforHealth is unveiling MedicActiV, an innovative new platform to consult, create & share virtual clinical cases. Learn how for a LIMITED TIME you can gain free access to this new global resource by reading more below…

We all know there is a gap between theoretical clinical training and physicians’ real-life experience. Students and health professionals must be given the opportunity to work on as many real-life cases as possible, before facing a real patient. Current classical training methods do not fit the rapid growth of medical knowledge. And clearly, medical education needs more realistic and immersive instructional technologies to prepare tomorrow’s clinicians.

SimforHealth, a leading provider of virtual solutions for medical education has created a new way to enhance medical education: The MedicActiV Platform.

MedicActiV is a digital simulation platform, like an international library of virtual clinical cases in any discipline. Healthcare education institutions or healthcare professionals can consult them, and also have the opportunity to create their own virtual clinical case with MedicActiV authoring tool. Once created, they can share it on the platform.


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The best way to understand how a virtual clinical case looks like on that platform is to watch a video of a vascular medicine case created with the cooperation of Doctor Aalami, Clinical Associate Professor and Vascular Surgeon at the prestigious University of Stanford Medicine. This video is a great way to understand the potential of MedicActiV’s and its compatibility with virtual reality using HTC Vive.

With this launch of the new version of the MedicActiV platform, SimforHealth calls healthcare professionals and institutions to participate in the project, by creating virtual clinical cases and sharing them with the healthcare community. Such a global resource can quickly increase the volume and quality of international medical knowledge.

Those attending SESAM 2017 Paris should stop by SimforHealth Booth EX31 to demo MedicActiV.

Gain FREE access to the system and its already strong library of resources until September!

Learn more on the MedicActiV.com website today!

Curtin & George Washington Universities Collaborate to Build Jim: Simulated Virtual Reality Patient

jim empathy simulator

Recently the website Study International spent some time with the Faculty of Health Sciences at Curtin University in Australia to learn more about their collaborative project Jim. Build with George Washington University in the US, Jim is a virtual reality creation, designed to simulate patients for healthcare sector trainees.

Study International Interview Excerpt:


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Ranked in the world’s top two percent by the Academic Ranking of World Universities 2016, Curtin University has trained more health professionals than any other tertiary institution in Western Australia. The use of state-of-the-art training tools and high-tech simulation experiences is central to the curriculum at Curtin’s Faculty of Health Sciences. Such technologies enable students to gain confidence and competence in their clinical skills without putting actual patients at risk, challenging them to deal with real-world clinical situations in a safe and supportive environment. 

“Jim gives students the opportunity to practice in a safe, controlled, repeated way, so they’re less at risk to the general public when they go into their clinic training,” says Dr Janet Beilby from the School of Psychology and Speech Pathology. Students studying Speech Pathology, Psychology, and Physiotherapy, along with many other health degrees, get the chance to interact with Jim and learn from their mistakes before encountering real patients. The Faculty takes virtual reality a step further with their Virtual Home Visit (VHV) Training Tool, or as Curtin calls it, “a serious game”.

This innovation from the Curtin research team, in partnership with software developer Learnbrite, is a game-based learning system that allows physiotherapy students to simulate a home visit to elderly people, offering support to allow them to remain at home and independent. The learner interacts with client avatars, identifies fall risks and hazards and then formulates a specific management plan that will allow the client to remain at home. Students can do this online, or via a laptop or iPad, but – even better than that – can immerse themselves in the virtual world with a VR headset.

Read more about Jim and the Curtin Simulation Program on the Study International Website!