Top Medical Simulation Articles of Summer 2014

healthcare simulation article reviews

Took the summer off? Went to Disneyland? Go on holiday? No matter, HealthySimulation.com has you covered with the most-read articles from this past summer. We tallyed the clicks from our newsletter and reviewed the analytics from the 37,000+ visits to this free healthcare simulation resource website to see what were the “hottest” summer articles. Don’t miss out on future updates by signing up for our free simulation newsletter then catch up with the articles below!


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  1. Medical Simulation Job Listings - Looking for a new gig or need to post your open simulation staff position? This is the most comprehensive list on the internet!
  2. 3D Printed Anatomy To Revolutionize Medical Training - Check out this amazing story coming out of Australia where 3D Printers are being used to create anatomical models for medical education!
  3. Simulated Patient “Allergic to Ink” Warning Sign – Download to Save Your Manikins! – Will Enfinger, Simulation Specialist at Des Moines University, has created a nifty “Allergy Warning Sign” which simulation champions can use to help prevent ink stains.
  4. The National Council of State Boards of Nursing Releases Results of National Simulation Study – A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education,” which concluded that substituting high quality simulation experiences for up to half of traditional clinical hours produce comparable end of program educational outcomes.
  5. Bridging The Gap Between Clinical and Non-Clinical Simulation Technicians – If you are a non-clinical Sim Tech you may be asking what you can do to learn more about the pathophysiology of the human body. Here are many apps for the ipad/iphone for assisting with this process.
  6. Free ECG Simulator Game – SimGHOSTS President James Cypert forwarded along a great 6-second ECG Simulator game where healthcare learners can practice identifying one of 27 most common rhythms.
  7. More Free Nursing Simulation Scenarios – The Kansas State Board of Nursing has a free library of simulation scenarios designed by nursing faculty for nursing and allied health programs.
  8. “And, Scene!” – Some More Great Places to get Simulation Scenarios – Programming is worth every difficult minute as the over efficiency of your Simulation Program increases ten fold with each successfully programmed and permanent scenario, but here’s a list of places to get started with your scenario library.
  9. Clinical Skills Lab Coordinator Standard Operating Procedures Example – Recently I shared the Standard Operating Guide developed at the Clinical Simulation Center of Las Vegas for both the IT and Clinical Simulation Technology Specialists. In this article I share the “SOPs” for the position of Skills Lab Coordinator.
  10. CAE Healthcare Updates – CAE Healthcare’s News Feed has been a popular destination for medical simulation champions this summer!

Lastly, if you are looking for more great clinical simulation articles check out HealthySim’s:

Gaumard Scientific Completes First U.S. Installations of New Victoria Birthing Simulator

noelle birthing simulator

Today I received word that Gaumard’s new birthing manikin “Victoria S2200″ has been successfully installed in the first of many simulation centers. Think of Victoria as the “2.0” version of Noelle – with features looking so lifelike you are sure to keep questioning if what you are seeing is actually a manikin. Victoria can simulate low and high risk deliveries with an endless variation of clinical presentations and she can do so with precise repeatability. The patented fetal delivery system, powerful control software and a library of preprogrammed scenarios combine to allow learners to resolve situations in a safe environment, improve performance in specific situations and gain valuable experience. As a manufacturing pioneer in realistic manikin skins, it’s no wonder that Gaumard continues to push our industry to new heights. I hope to see Victoria at ASPIH UK this November, and for sure at IMSH 2015 New Orleans!

Gaumard Scientific Company today announced completion of the first U.S. installations of its new Victoria birthing simulator. The installation sites are:

  • Adena Health System, PACCAR Medical Education Center, Chillicothe, Ohio
  • Carolinas HealthCare System, Carolinas Simulation Center, Charlotte, N.C.
  • Billings Clinic, Simulation and Experiential Learning Lab (SELL), Billings, Montana

Introduced earlier this year, Victoria is the latest addition to the family of NOELLE maternal and neonatal care simulators. Victoria has a patented, precision life-like delivery and birthing mechanism that births a life-like, full-term baby with sophisticated monitoring capabilities. The Victoria system includes comprehensive clinical scenarios, including shoulder dystocia and postpartum hemorrhage. With articulating endoskeletons and silky smooth elastomeric skin, Victoria is the most realistic, fully tetherless and wireless maternal/fetal simulator for use in actual point of care training.

John Eggert, Gaumard’s executive vice president, said: “Hospital administrators, insurance companies and educators are looking for ways to improve patient care, reduce medical errors and reduce costs, especially in the area of obstetrics. More than 200,000 Americans die from preventable medical errors each year, and the cost to the healthcare system exceeds $17 billion. One third of medical errors by trainees involved the care of obstetrics and gynecology patients. When medical errors happen in obstetrics, settlements of cases may cost millions of dollars. Victoria represents true innovation in patient simulation based on input we obtained from health care educators worldwide. Most importantly, Victoria enables the simulation of care as it would be in real practice and stands as a platform on which Gaumard will develop other simulation applications.”

About Gaumard Scientific

Gaumard Scientific Company has designed, manufactured and marketed simulators for health care education for more than 60 years. Users worldwide – the military, emergency medical services, major teaching hospitals and nursing schools – recognize Gaumard products for their innovation in simulation in the pre-hospital, obstetrics and gynecology, surgical and nursing care segments. In 2000, Gaumard launched the revolutionary family of NOELLE maternal and neonatal care simulators that changed the way training is conducted. In 2004, Gaumard pioneered the use of fully tetherless technology with the introduction of the family of HAL simulators. In 2014, the company introduced Victoria™, its most advanced, mobile maternal/fetal simulator as part of the NOELLE family. Gaumard manufactures its products at its world headquarters in Miami.

For more information, visit Gaumard’s Victoria Page!


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“New Validation for Simulation Education” ANA Article from INACSL VP Lori Lioce

american nurse simulation

A recent article on the American Nurse by Lori Lioce Clinical Associate Professor & Simulation Coordinator at the University of Alabama Huntsville entitled “New Validation for Simulation Education” covers the continued evolution of healthcare simulation, the recent NCSBN landmark research study results, and the INACSL standards — all of which are helping to support the increase of medical simulation in healthcare education. Lori is also a Family Nurse Practitioner, Vice President of operations for INACSL and a Certified Healthcare Simulation Educator. Below is some excerpts of this must-read article:

Technology and improved teaching and learning strategies are changing education as we knew it. A 2013 review conducted by David Cook of more than 1,000 individual studies with more than 50,000 participants revealed that “technology-enhanced simulation is consistently associated with large, statistically significant benefits in the areas of knowledge, skills and behaviors.” And “for direct patient effects, such as major complications, mortality, or length of stay, the benefits are smaller but still significant.” These findings, published by the Agency for Healthcare Research and Quality, underscore what many nursing educators and students have experienced firsthand.

Keys to successful simulation training experiences

loriHealth care simulation is used in a variety of settings for student and employee orientation, physiologic assessment, deliberate practice, on-demand clinical experiences, reflective exploration, competency validation, communication and teamwork development, remediation, and high-stakes testing. The beauty of simulation-enhanced learning is that it uniquely and deliberately allows participants to make mistakes at the bedside in a controlled environment with no risk to a patient. Health care simulation shouldn’t replace all clinical experiences. However, specific and purposeful integration of simulation can be an incredible process to witness. Further, the subsequent debriefing, whether at the bedside or in a formal debriefing room, allows participants and peers to safely discuss competent practice, rehearse peer-to-peer communication, identify and correct errors and explore the implications for patients, apply clinical practice protocols, and examine clinical reasoning with a knowledgeable facilitator. Personally, I enjoy seeing the “light go on” in the face of the participants when they really “get it.” The rapid discussion of how they made the connection from their reading or didactic education to clinical application is the key. They are excited, and it is contagious. That’s when I know we have had a positive experience.

Successful simulation requires planning and practice. A programmatic framework with specific steps is essential to support successful repeatable outcomes. The process may include a theoretical framework, orientation to the simulator, an explanation of the facilitator and participant roles and expectations, and preselection of specific achievable and measurable objectives. Participants should understand this process. The participant should lead and be empowered through pre- and post-briefing to achieve true change in practice through discovery learning.

Often administrators, staff, novice facilitators, course managers, clinicians and even participants may underestimate the preparation needed. In the educational environment, where you may have multiple groups repeating the same simulation, I am an advocate for a simulation expert and facilitator-led “dry run” of all simulations before implementation with participants. The dry run without participants allows the facilitator to see the experience from the participants’ perspective and ensures selection of a pre- and post-simulation process, especially when there are different facilitators within a course for each clinical group. This deliberate planning provides a vital opportunity for selection of learning preparation assignments, didactic coordination, review of and emphasis on objectives, coordination of vital equipment and medications, altering of the scenario, and agreement on a scenario stopping point. Most important, it verifies the presence of all physical and verbal cues that enable the participants to follow the clinical reasoning. Without these, simulation may not be aspirational or improve patient outcomes. Several vital components of a successful simulation learning program are dedicated simulation staff, effective coordination and scheduling, and an experienced debriefer — one who can guide the participants in discovery learning and not steal the “aha” moment. In fact, once a facilitator sees that light come on for the participants, he or she may never want to lecture again.

National and state regulation

Be aware that rules and regulations are being considered in various states regarding the use of simulation. In fact, in June 2013, the National Council of State Boards of Nursing (NCSBN) completed data collection for a three-year multisite study on the use of simulation in prelicensure programs. The results are being released Aug. 13 at the NCSBN annual meeting in Chicago. I encourage you to periodically check with your state boards for specific updates.

Standards for best practice

With the rapid expansion in the field of health care simulation, standards for best practice have become increasingly important for quality, consistency, outcomes, and improvement of simulation programs and learning strategies.

In 2011, the International Nursing Association for Clinical Simulation and Learning (INACSL) published the seminal work Standards of Best Practice: Simulation. This document includes seven standards, and each standard includes specific criteria, outcomes and rationales. The standards provide a vital framework for decreasing clinical variability, planning strategically, initiating research and providing faculty development.

Four new standards, identified in 2013, are currently being prepared for publication in 2015 to address simulation design, research, standardized patients and interprofessional education.

Read Lori’s Full Article here on The ANA Website and order a copy of the Standards of Best Practice: Simulation at www.inacsl.org.

Australia’s Clinical Skills Development Service Celebrates 10 Year Anniversary

csds-10-years

Earlier this week The Clinical Skills Development Service (CSDS) celebrated 10 years of providing healthcare simulation training throughout Queensland, Australia. The Queensland Health Clinical Skills Development Service (CSDS) is one of the world’s largest providers of healthcare simulation. We deliver education and training to Queensland Health staff and external healthcare providers at the Skills Development Centre and state-wide. The focus of our education and training is on clinical skills, communication, and crisis management, delivered via eLearning and face-to-face simulation. Based at the Royal Brisbane and Women’s Hospital campus, our centre covers over 3500m², with 26 session rooms, laboratories, and a fully functional operating theatre and hospital ward. As part of the celebrations, CSDS held an open day at the Skills Development Centre located on the RBWH campus which shared simulation experiences, Pocket Simulation Centre Showcases, Timeline displays and immersive scenarios!

One of the genius models the CSDS has implemented is their “hub-and-spoke” model of equipment utilization:

CSDS provides a large range of support services to Pocket Simulation Centres and Skills Centres to improve state-wide simulation education access across Queensland, using a hub- and-spoke model.

The hub–and-spoke model consists of the Brisbane Skills Development Centre (hub) linking to the other Queensland Skills Centres and Pocket Simulation Centres, providing in situ training within Hospital and Health Services across Queensland.

The services and tools provided include:

  • setting up and maintaining audiovisual equipment
  • providing access to a large pool of simulation equipment
  • access to an online curriculum and resource sharing database
  • accreditation tools that provides a quality framework for simulation education sites.

Learn more about this model and the CSDS through the Free-To-Watch Plenary Session Address provided by CSDS Director Dylan Campher recorded at SimGHOSTS 2014 Australia at the University of the Sunshine Coast!

More information on the CSDS 10 year celebration can also be accessed via the CSDS Homepage!


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NAEMSE Symposium Takes Place Next Week in Reno, NV — EMS Educators Don’t Miss Out!

naemse-2014

Next week is the annual National Association for Emergency Medical Service Educator Symposium, taking place the 16-21st at the Peppermill Resort Hotel in Reno, NV. The Annual Symposium is an event that is held each year in different cities around the country. It is an opportunity for EMS Educators to come together and network with other EMS educators. The symposium consists of educational pre-conferences and general/break-out sessions that are designed to help the educator better hone their teaching skills and take those new ideas back with them to the classroom. It also gives attendees the chance to visit the Exhibit Hall where EMS exhibitors will give attendees one-of-a-kind face to face time and information regarding their respective products.

About NAEMSE:

The National Association of EMS Educators is a 501 ( c ) non profit educational association that has been incorporated since 1995. It is a professional membership organization that is made up of over 3,000 EMS educators, both nationally and internationally, that include Instructors, Program Directors, Deans, Training Officers, EMS Physicians, EMS Nurses and EMS State Officials. It is governed by a board of directors and the home office headquartered in Pittsburgh, PA. The staff of NAEMSE is made up of an Executive Director, Business Manager, Education Coordinator, Membership Coordinator, Project Coordinator and Communications Coordinator.

 

The annual NAEMSE Symposium is the premiere educational event that is held each year in different locations around the country. It is an opportunity for EMS Educators to come together and network with other EMS educators. The Symposium consists of educational pre-conferences, general sessions and break-out sessions that are presented to help the educator advance their teaching skills and take those new ideas back to the classroom. In additional to learning new skills and networking, all participants receive “take home” resources to use in their classrooms.  Also there is an exhibit hall where educators can view the latest in EMS equipment, textbooks and educational technology. Visit Symposium to find out more information.

Are you attending the show? Email or Twitter @HealthySim to connect!

There’s still time to Register – Learn more at the NAEMSE 2014 Symposium Website

The Ultimate Job Guide to Healthcare Simulation Technology Specialists

healthcare sim tech

About once a week I get an email from a simulation champion asking about the position, job description, responsibilities, hiring, career path or administration of a Healthcare Simulation Technology Specialist. Because of the frequency of this question I have started to compile a list of TOP posts we have shared here on HealthySimulation.com regarding this specific topic. Of course, the #1 source for Sim Tech information is SimGHOSTS.org, but below is a great place to also get started on the topic!

First, check out this DACUM Simulation Job Analysis work accomplished California Healthcare Workforce Initiative

Simulation Technology Specialist - Job analysis in MS Word for technician working with high fidelity patient simulation manikins.

Simulation Program Coordinator - The Simulation Program Coordinator is a healthcare professional who is responsible for the development, implementation and evaluation of the integrated simulated clinical experiences to enhance participants learning outcomes.

Below is the Material HealthySimulation.com has written or recorded on the Topic of Healthcare Simulation Technology Specialists:

  1. What to REALLY look for When Hiring a Healthcare Simulation Technology Specialist – Speaks to the types of backgrounds and skill-sets that work well as Sim Techs.
  2. Avoid the Number One Sim Tech Hiring MistakeDon’t jeopardize your program by hiring for the wrong position, this article extensively covers the question: Why Do Healthcare Simulation Programs Hire Sim Techs Without Technical Backgrounds?
  3. Community Feedback Agrees: Sim Techs Need Technical Background – Lots of community response regarding the article above in support of the conversation.
  4. How to Start a Career as Healthcare Simulation Technology Specialist - Want to get a job as a Sim Tech to operate Healthcare Simulation Technology? Do you have a background in IT, technology, AV, healthcare, theater or education and want to change careers? Are you interested in using your technical experiences to help train healthcare professionals? Check out this 1 hour webinar provided by Lance Baily, founder of HealthySimulation.com about how to start a career as a Sim Tech!
  5. Best Practices For Medical Simulation Hiring: The goal with hiring for your simulation-based positions is to not necessarily find candidates with the most simulation experience, nor even the most medical experience, but rather the person who has demonstrated the most passion for the position. No matter how strong the core of your simulation program is, we are talking about a technology and methodology that will continue to evolve and disrupt your training program. Thus, finding individuals who are comfortable with change and go to work everyday looking to “learn something new” will far far better serve your program.
  6. Great Interview Questions When Hiring a Sim Tech – Specifically looking to hire a Medical Simulation Technician? Read this practical guide  for hiring individuals to run your medical simulation lab technology.
  7. Simulation in Healthcare Education, A Best Evidence Practical Guide – Dr. Barry Issenberg, Director of the Gordon Medical Simulation Center at the University of Miami Miller School of Medicine and co-author of AMEE Guide #82 “Simulation in Healthcare Education: A Best Evidence Practical Guide PART-2″ reminds us here of the importance of considering the practical implementation of medical simulation.
  8. Stream 15 Hours of Sim Lab Administrative Content – Hundreds of Sim Lab Managers from around the world have watched this “How-To” content of Medical Simulation Administration.
  9. How to Increase Sim Lab Staff without Increased Budgets – Imagine having four extra staff members to help with the hands-on work necessary to make a special event run smoothly, or additional sim techs to help run multiple labs at the same time.  Expanding your medical simulation staff support can be easier and more affordable than you think.  To find out how read this article!
  10. Medical Simulation Staff Needs? Webinar on Program Development Overcoming the challenges of being a medical simulation program administrator. New resources for managers of simulation labs, simulation technicians, developing a collaborative simulation program, expanding your simulation program within your organization and with external partners, staff needs regarding moving into a new building and weekly operations, developing new policies and modifying old ones and scheduling suggestions for simulation labs.

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Timothy Clapper PhD Articles on TeamSTEPPS Communication Training Opportunities for Medical Simulation Programs

dr timothy clapper

Just received an email from my good friend Timothy Clapper, PhD regarding yet ANOTHER great article he has produced regarding TeamSTEPPS communication practices with regards to healthcare simulation. TeamSTEPPS was developed by the Agency for Healthcare Research and Quality utilizing CRM communication models from the space and aviation industry. Timothy’s work continues to innovate within our community, helping simulation champions better recognize and utilize simulation as a medium for revolutionary change within healthcare.

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.

Timothy’s Letter and Article Links:

Dear Lance & HealtySimulation.com Readers,

Just an update on my latest article for TeamSTEPPS. You may recall that my first article described TeamSTEPPS and the need for this tool to improve patient safety. I am happy to share that this article is still at #25 on ScienceDirect’s top 25 articles!

This was followed by a second article that outlined some reasons why TeamSTEPPS programs fail and ways to work through those issues. My latest one, just released, focuses on next steps in TeamSTEPPS, including the observation that must be done to assess additional simulation training needs.

Clapper, T. C., & Kong, M. (2012). TeamSTEPPS: The patient safety tool that needs to be implemented. Clinical Simulation in Nursing, 8(8), e367-e373. doi:10.1016/j.ecns.2011.03.002

Clapper, T. C., & Ng, G. M. (2013). Why your TeamSTEPPS program may not be working. Clinical Simulation in Nursing,9(8), e287-e292. doi:10.1016/j.ecns.2012.03.007

Clapper, T. C. (2014, in press). Next steps in TeamSTEPPS®: Creating a just culture with observation and simulation. Simulation & Gaming. doi:10.1177/1046878114543638

Enjoy!

Tim

Timothy C. Clapper, PhD

TeamSTEPPS Master Trainer and American College of Surgeons Advanced Trauma Life Support (ATLS) Educator
Editor, Healthcare Section, Simulation & Gaming (S&G): An International Journal of Theory, Practice and Research
Public Member, Accreditation Council for Graduate Medical Education (ACGME) Review Committee for Anesthesiology
Adjunct Professor & Sr. Instructor, Graduate Instructional Technology Certificate Program University of Colorado at Colorado Springs, College of Education
Dissertation Chair Grand Canyon University, College of Doctoral Studies
Simulation and Education Consultant – TC Curriculum & Instructional Design, LLC

If you are interested in learning about TeamSTEPPS and how it can be used by not only your healthcare staff, but simulation team staff as well, check out the Laerdal sponsored SimGHOSTS 2013 Opening Keynote address provided by Dr. Timothy Clapper, which is permanently available for free on SimGHOSTS.org thanks to Laerdal!

Also, connect with Timothy through his website TC Curriculum & Instructional Design

Texas Hospital Gains Local Media Attention… And How Yours Can Too!

Joe Gaza, Clinical Simulation Technician from Baylor Scott & White Health in Texas shared this recent local news coverage of his simulation program from KDHNews.com. Gaining local media attention helps to promote your simulation program for community awareness, adds positive PR about your institution and can even attract serious donors!

scott white simulation texas

Photo by Janice Gibbs of FME News Service: Dr. Harry Papaconstantinon, left, interim chairman of the department of surgery, Alisa Carnes, director of nursing, and Dr. Michael Hofkamp, an anesthesiologist, simulate a surgical timeout at Scott & White Hospital in Temple.

From KDHNews.com: “At certain times of the year, one or two operating rooms at Scott & White are taken out of circulation and become simulation sites. When personnel are being trained in new procedures, or competencies are being assessed, a couple of operating rooms are devoted to the tasks, said Dr. Harry Papaconstantinon, interim chairman of the department of surgery and a colorectal surgeon. The simulation project was spearheaded by Dr. Timothy Stallard, director of simulation education and emergency physician; Dr. Michael Hofkamp, co-director of anesthesia simulation and anesthesiologist; Dr. Jose Pliego, medical director for clinical simulation and reproductive endocrinologist; and Annilyn Donnell, vice president of patient services for perioperative and women services. Papaconstantinon, Alisa Carnes, director of nursing, Hofkamp and Stallard demonstrated a simulation of a surgical timeout, a preprocedure verification process.

Using simulations allows for practicing a lot of different procedures in a relatively short period of time, Stallard said. “If there are going to be mistakes, this is time to do it so we can correct those things and make sure everybody is on the same level,” he said. “It’s a unique opportunity to practice and hone skills.” Scott & White has a mobile simulation unit that travels to the smaller hospitals in the system. Scott & White was awarded a grant to purchase iPads and monitors for participants to review their simulation efforts. Between 350 and 500 people go through the Scott & White operating room simulations annually, Papaconstantinon said.”

Read the full local news story on KDHNews.com and then read the following articles to learn how to gain media attention for your Sim Lab:


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Last Month to Take Advantage of Huge Cardionics Auscultation Manikin Upgrade Savings!

cardionics sales

“Back to School” Special — Cardionics is offering huge savings on Auscultation Manikin Upgrades with Purchases before October 1st!

About Cardionics:

Cardionics products range from Simulation & Education to Clinical FDA approved devices being used in diagnostic and tele-health fields. For over thirty years, Cardionics has been an innovator and leader in auscultation products and services which facilitate and support classroom education, clinical, and tele-health programs in medical institutions and universities throughout the world.

 

Cardionics was founded by the late Dr. Abe Ravin, M.D., FACC in 1969. Dr. Ravin was a cardiologist and professor of clinical medicine at the University of Colorado in Denver. Dr. Ravin developed the first heart and sound simulator to assist his students in learning to identify and differentiate normal and abnormal cardiac and pulmonary sounds. The American College of Cardiology acknowledged Dr. Ravin’s contribution with the distinguished Gifted Teacher Award. Today and into the future, Cardionics approach continues to set the pace for auscultation products and services through the development of unique, interactive, and experiential systems that integrate seamlessly into classroom, clinical, and tele-health applications.

 

Discounts on Upgrades to:

The SAM BASIC™ trainer engages the technology of the SimScope™ stethoscope to simulate adult heart, lung and bowel sounds from an extensive library of sounds.

The PAT BASIC™ trainer engages the technology of the SimScope™ stethoscope to simulate pediatric heart, lung and bowel sounds from an extensive library of sounds.

With the new SimScope WiFi™ upgrade, users are able to utilize wireless communication between the Simscope™ and their computer.

SAM II

Receive a Cardionics Classroom Infrared Emitter and two HeartMan Headphones (Rebate) with any SAM II purchase prior to September 30th, 2014!

SAM II, the Student Auscultation Manikin is a new innovation in teaching and learning heart, breath, & bowel sounds. Containing the largest sound library available, SAM II is a portable and easy to use manikin. While SAM II is used in many simulation centers, it is also easily moved into a classroom or auditorium for group instruction.

Learn more now at Cardionics.com!

Cedars-Sinai Women’s Guild Simulation Center For Advanced Clinical Skills Empowers Team to Achieve Legendary Vision

Since starting my career in medical simulation in 2008 I have had the pleasure of touring hundreds of healthcare simulation centers around the world. As a simulation enthusiast I am always excited to tour these learning healthcare education technology spaces to capture the unique aspects that come together from different teams, cultures, needs assessments, budgets and styles. Very rarely, however, do I come across such magnificent healthcare simulation design innovations that my jaw drops while goosebumps crawl up my arms. The Women’s Guild Simulation Center For Advanced Clinical Skills at Cedars-Sinai of Los Angeles provided several of such spine-tingling moments.

women's guild simulation center

Does this look like a Healthcare Simulation Lab?

When Russell D. Metcalfe-Smith, Manager of the Women’s Guild Simulation Center For Advanced Clinical Skills, rounded the corner with me into their high-fidelity simulation hall I could barely believe my eyes. Entering the first room I didn’t feel like I was walking into a sim lab but rather a fully-functional ICU. Every detail was identical to the ICU room across the bridge; from the walls, floors, ceilings, and lights to the equipment, furniture, dressings and supplies — in fact the only item that was simulated was the patient, a Gaumard HAL 3201 wireless manikin. “Russell”, I said staring at the future of healthcare education, “this… this is how simulation is supposed to be look!”. Room after room brought the same quality of detail as we toured through the OB/GYN, ED Trauma, NICU/PICU, Stortz OR and Olympus OR sim lab rooms. The center also includes a fully equipped computerized simulation room with simulators for practice in GI/ bronchoscopy procedures; laparoscopic, hysterscopic, urologic, neurologic and cardiovascular procedures; and ultrasound procedures and robotic surgery.

My tour made it abundantly clear that top leadership of Cedars-Sinai that included Dr. Bruce Gewertz, MD Surgeon-in-Chief, Chair of the Department of Surgery, VP for Interventional Servicess & Vice Dean of Academic Affairs; Dr. Shlomo Melmed, MD, MACP, FRCP Senior Vice President of Academic Affairs & Dean of the Medical Faculty; and Dr. Linda Burnes Bolton, DrPH, RN, FAAN, Vice President of Nursing & Chief Nursing Officer took the investment into a state-of-the-art medical simulation program very seriously. Such vision took an incredible partnership with the Women’s Guild of Cedars-Sinai, a group dedicated to supporting patient care, vital medical programs and equipment, biomedical research, and education at the hospital. The Women’s Guild “provides resources for a wide range of programs, supporting the pursuit of knowledge and the development of diagnosis and treatment methods that will make a difference in the lives of countless patients for generations to come”. By constantly improving the skills of clinical staff, Women’s Guild is providing a resource that benefits every department at Cedars-Sinai and the patients they serve. The Guild plans to fulfill a pledge of $10 million to the Simulation Center within five years providing for the ongoing acquisition and maintenance of vital equipment, robotics, and new technology — ensuring the Simulation Center will remain state of the art for generations to come.

While such financial investments can go a long way to ensure that healthcare professionals are utilizing the latest training technology in the most realistic settings, Russell and I both agreed over lunch that the team behind the simulation program is where all the “magic of Hollywood” really happens.

HealthySimulation.com’s Lance Baily (HS): In this managerial role tell us how you utilize your background as an Executive Healthcare Simulation Consultant and the Operational Manager of NHS London’s Resuscitation, Simulation and Clinical Skills Centre as well as extensive experience in resuscitation and paramedic training program development?

Cedars-Sinai’s Russell Metcalfe-Smith (RMS): Expanding upon the knowledge and skills that were already here I was able to see where Cedars-Sinai was and add my experienced perspective to improve upon the design and development plans. Initial misidentifications which occurred before I was hired were corrected by having the team re-examine the end user requirements and then going back to them, again and again. We found we needed a way of translating the leadership’s “plain English” vision of the space to high-level technical jargon. In-house specialist and Media Systems Engineer Thavaro Soeur was instrumental in providing this translation by utilizing his extensive background in a/v production and electronic engineering to convey the leadership’s needs to external hardware installer/integrator Level 3 Healthcare.

HS: I have seen the execution of some incredible visions today, to make simulation as real as possible. Tell me about the simulation program that’s been built here?

RMS: Cedars-Sinai is a 896 bed hospital with approximately 11,000 employees which also focuses on academic research, education, student nurses and residency programs.  The simulation program here mostly focuses on residency and post graduate training with a strong focus on team management and communication practices through proven systems like TEAMSTEPPS, SBAR, SCORE, and CUS.

Cedars-Sinai has been one of the most positive experiences of my career, it’s an exceptional organization to work for as they do want to make a difference for patient safety. Invested leadership is so important to developing a simulation program, as its a two way street where staff and administration must work hand and hand. The goal of the simulation program is to improve patient safety initiatives by bringing teams together from nursing, RT, medicine, residency programs and other allied health staff. While new healthcare learners do utilize the simulation center, the majority of our 1500 people attending training events a month are focused on ongoing training for our qualified healthcare professionals.

Beyond orientations and general ongoing education, we’re doing some very highly complex simulation training scenarios here including congenital heart surgery, hysterectomy, open laparotomy, pediatric thoracotomy, and OR fires / earthquakes with moving floors. To train for these high acuity cases the actual surgical teams will come down to the simulation center and utilize rooms that are carbon copies of their clinical environments to experience the procedure in its entirety, going as far as to utilize our 3d printer technology to build the patient’s unique anatomy. Simulation at The Women’s Guild Simulation Center for Advanced Clinical Skills is special because it is completely real, an exact replica of what our healthcare professionals will be working with. By visualizing reality, talking through the case and then running a nine hour long simulation our surgeons and healthcare teams are better prepared.

HS: So our audience of healthcare simulation champions is aware, give us the key statistics about the simulation space.

RMS: Of course, the Women’s Guild Simulation Center for Advanced Clinical Skills….

  • Opened October 1st 2013 after 18 months of planning & development by nursing, allied health, medical and administrative stakeholders
  • 10,000 square feet
    • 2 fully equipped and functioning operating rooms
    • 1 intensive care unit
    • 1 obstetrics/genecology room
    • 1 trauma bay
    • 1 prenatal intensive care unit/neonatal intensive care unit
    • Multiple rooms for skills training and development with computerized simulators for practice in gastrointestinal/bronchoscopy procedures; laparoscopic, hyterscopic, urologic, neurologic and cardiovascular procedures; and ultrasound procedures and robotic surgery
    • 3 debriefing rooms equipped to receive and project live video feed from the simulation rooms
  • Approximately 1,500 users per month
  • Operating 6 days per week
  • A/V Installation by Level 3 Healthcare
  • Utilizing B-Line Medical for A/V Recording & Debriefing
  • Holds 13 Gaumard manikins that can blink, bleed, talk, hyperventilate and give birth
  • 1 Syndaver anatomical simulator that looks and feels completely real and allows for the practice of surgical techniques

HS: Seems like the Women’s Guild Simulation Center is already doing so much — where is the program going next?

RMS: There’s two exciting arenas we will be focusing on in the future: Building more research programs specifically examining human-factors using simulation to reduce adverse events and working with healthcare industry to help improve their products with increased reliability.

HS: What advice do you have for others building a healthcare simulation program?

RMS: Every organization needs to look at what their training needs are and hire staff from there. For example, at Cedars-Sinai we have dedicated IT support staff so we hired healthcare simulation technology specialists with stronger backgrounds in areas we were lacking including moulage, A/V, and manikin operation.

HS: An ounce of prevention is worth a pound of cure.

RMS: Exactly. It’s the behind the scenes staff that makes simulation work. Only 10% of simulation is the clinical component, the 90% of simulation work is done by staff “behind-the-scenes”. It’s also crucial to work with an A/V integrator like Level 3 Healthcare where you can make a direct phone call to CEO Brad Peterson and know that even though his team is in another state, they will fly out next day if there is an issue that needs immediate correcting. Because of their assistance, our audio capture is in a premium class — people forget that “audio” is half of “audiovisual”. You need a team of professionals to make simulation work. Fuse the IT, A/V, Medical, Nursing, Allied Health, Administration, Facilities, and simulation staff together and marry their work to the vision.

HS: Steven Spielberg, a major contributor to Cedars-Sinai, once attributed his success to hiring the right people and getting out of their way.

RMS: And not only has Cedars-Sinai leadership hired the best, but they have also endorsed the best with unparalleled support.

Women’s Guild Simulation Center for Advanced Clinical Skills

Learn more about the Cedars-Sinai Women’s Guild Simulation Center For Advanced Clinical Skills through the following links: