SWMI Sim Lab and VR Room Helps Prepare Students for Real World Patient Encounters

SWMI Sim Lab and VR Room Helps Prepare Students for Real World Patient Encounters

Petty Officer 1st Class Jermia Douglas of the Surface Warfare Medicine Institute recently shared how the US Navy program is utilizing advanced simulation training with his articles “Train like you fight, fight like you train.”, posted on the dvidshub.net website:

In an effort to align training and fighting, Surface Warfare Medical Institute opened its first Simulation Laboratory (Sim Lab) with one simulator in a small room in October 2009. The main purpose for the Sim Lab was to provide a realistic type of training environment for students to safely practice medicine through repetition and hands-on practice. It also provided the capability to better train Independent Duty Corpsmen (IDC) students through the use of advanced technology. This provided the students with the same opportunity that is offered to students of civilian medical fields such as nursing and allied health professional training programs.

A few years after the introduction of the Sim Lab, a Virtual Reality (VR) room was built in December 2013. The VR rooms provided the same experience as the Sim Lab while enhancing simulated environments of the Middle East and onboard ships. Currently the VR rooms are used by instructors and students at SWMI and have the ability to add physical stressors to enhance the experience for the students. Smoke, dim lighting, changes in sound, background videos, and various props can be introduced to heighten the experience. This type of capability is designed to bridge the gap between practical scenarios and real world patient encounters.


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“It’s a controlled environment where students can get hands-on experience before they go out to the fleet,” said Lt. Hope Moore, physician supervisor for trauma at SWMI. “One of the most significant aids is the development of muscle memory, so that when it comes to treating an actual patient it’s a much smoother process.”

Muscle memory consolidates specific motor tasks into memory through repetition and many of the instructors believe that using the Sim Lab and VR room enrich classroom learning through hands-on practice. Students are able to practice procedures and scenarios in a safe and controlled environment as often as they need. This gives students the chance to practice before they are assessed on their abilities.


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23rd Annual SESAM Simulation Meeting Opens in Paris

simulation paris 2017

Yesterday in Paris at the Centre Universitaire des Saints-Pères, the 23rd annual Society in Europe for Simulation Applied to Medicine (SESAM), opened its exhibit floor and sessions to Europe’s medical simulation community. Tonight, attendees will be treated to a candlelight gala dinner on the top of the Eiffel Tower!

Today, François Taddei provided the opening address covering the history and state of education in healthcare. François Taddei is the Director of the CRI (Center for Research and Interdisciplinarity) in Paris, which offers dedicated facilities hosting visiting professors, a wide choice of courses and several student discussion clubs. CRI’s main role is to promote new pedagogies to help creative students take initiatives and develop their research projects, with the help of mentors, research institutions, private companies and foundations, such as the Bettencourt Foundation, which has supported many student-created activities. These activities range from the first French synthetic biology team (for the MIT-sponsored iGEM Competition) to the Paris-Montagne science festival and the Science Académie, an outreach program that allows high school students from deprived neighborhoods to discover the creativity of science.

SimGHOSTS, SoFraSimS and IPSS leadership helped provide additional session content, including a plenary session by Dr. Scott Crawford about the future of technology in healthcare.

Exhibit show highlights include SimCharacters Preterm Simulator Paul, SimforHealth’s VR learning platform MedicActiV, high-fidelity ventilation management with Laerdal’s SimMan 3G, new infant simulators from LifeCast Body, and SAM III from Cardionics.

The event continues through Friday afternoon with full days of keynotes, presentations and exhibit hall news — all of which you can follow along with the hashtag #SESAM2017.

Military Simulates for TeamSTEPPS: Communication Practice is Key

Communication is key for Army Reserve medical professionals

News worthy report today from “defense video imagery distribution systems” on how simulation is being utilized by the 807th Medical Command’s 228th Combat Support Hospital based out of San Antonio, Texas attend a three-day training exercise on 2-4 Jun. at the the Mayo Clinic Multidisciplinary Simulation Center located in Rochester, Minnesota.

ROCHESTER, MN — The medical facility is bustling. Patients are being received and then whisked away from the emergency room to the intensive care unit or operating room or treated and prepared for movement to other facilities. The loud sounds of a helicopter overhead are an audible sign that the medical teams need to prepare for new patients, even as they manage the patients currently in front of them.

Though this chaotic scenario sounds like something from a movie, this is a very realistic environment for military personnel serving overseas with Combat Support Hospitals and Forward Surgical Teams. This is an environment recreated at the Mayo Clinic Multi-disciplinary Simulation Center to provide Army Reserve medical units and healthcare providers the opportunity to work together in a realistic, theater-specific setting that replicates typical injuries and focuses on teaching and incorporating TeamSTEPPS into Army Reserve processes in an exercise environment.

TeamSTEPPS is the Department of the Army’s patient safety framework adopted by the Army Medical Command to enhance healthcare team performance and improve patient safety. The training audience for this particular exercise is the Soldiers from the 807th Medical Command’s 228th Combat Support Hospital based out of San Antonio, Texas. The exercise held 2-4 Jun. provides a crawl, walk, run format for the Soldiers. Col. Elizabeth Anderson, Medical Readiness and Training Command’s exercise director for the simulation center’s TeamSTEPPS exercise, explains why this training is so important.

“My favorite part of being an OC/T is making the experience interactive between the medical personnel and the patient. These are manikins, so we create noises and response to make it more realistic for Soldiers, to make them consider this as a real patient so that their stress level starts to go up, and then we can start to see the reactions we are looking to fine tune,’ said Elliott. The end-state is trained and ready Soldiers equipped with the knowledge and experience to utilize TeamSTEPPs during the delivery of care. “We are looking for the participating unit to apply the teamSTEPPS principles in a variety of combat casualty scenarios. One of the things we did at MRTC is we used some of the information in the joint trauma registry – patients that had actually been cared for and had been uploaded into the registry, and we used those to create scenarios that could be implemented here in the simulation center. We’ve got twenty of those scenarios with all the information that we need to treat the patients and move them through the hospital,” said Anderson.


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Medical Training Magazine Interviews President of Simulab Doug Beighle Regarding Simulation & Patient Safety Industries

doug beighle healthcare training magazine

Recently our friends at Medical Training Magazine (formerly MedSim Magazine) interview Doug Beighle, President and COO of Simulab, regarding the current state of the simulation and patient safety industries. As a board member of key organizations between these industries like the Global Network for Simulation in Healthcare (GNSH), SSH, and NPSF — Doug sits in a unique position to share where the worlds of patient safety and simulation can collaborate to improve healthcare outcomes on an international level. Here below, are a few excerpts from the edition which you can read fully through the link below!

Medical Training Magazine: You are on a number of Boards and important committees at the SSIH, National Patient Safety Foundation and GNSH to name a few and you work very hard to get members of the different associations to work together to achieve common goals. Please discuss the importance of working together and what you would like to see accomplished.

Doug Beighle: At Simulab we have a very experienced management team, which gives me an opportunity to spend almost a third of my time focused on issues external to our company. Nearly five years ago we realized the Patient Safety and Medical Simulation movements were suffering from the same symptom – lack of resources. By this I mean a lack of adequate budget: allocated trainer time, learner time, and training facilities and equipment. The majority of my external work is an effort to support these movements by increasing awareness, working to break down silos, and building partnerships. Medical errors in the United States are a multi-billion dollar annual problem. Yet, two of the most powerful opportunities to reduce these errors, patient safety programs and simulation-based education are under-resourced. Bringing in a business perspective helps healthcare educators and patient safety professionals build a case to get their projects adequately funded. Ultimately, the first step towards reducing medical errors requires that educators, healthcare providers, patient safety experts, and financial officers break down their silos and work together using the same language.

MTM: How could the simulation industry help itself and the healthcare sector to improve training, patient care and results?

DB: There are many initiatives that can help speed up the process of improving patient care. One of the highest impact possibilities is integrating the simulator and curricula into one training system. In these settings learners would use a simulator and modules to self-direct learning. These systems create the ability to easily measure a learner’s path to mastery. This process would not only reduce the cost of educational interventions, but it might increase the likelihood of retention. Additionally, without the need for an instructor to be present, scheduling periodic assessments of adherence would be easier. There are examples of this today from the Resuscitation Quality Improvement (RQI) product from Laerdal, products from SonoSim and many other virtual reality training systems.

MTM: What effect do you think the merger between the Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation will have on patient safety and outcomes?

DB: As a member of one of the NPSF committees I do not know the behind the scenes but everyone believes it will be a very beneficial merger. The new group will continue under the IHI name and one of its goals is to revitalize the issue of patient safety. Derek Feeley, CEO and president of IHI, will lead the combined organization and Dr. Tejal Gandhi, president and CEO of NPSF, will lead the new organization’s patient safety teams. One goal of the new group is to draw greater attention to patient safety across the care continuum and not just in hospitals. It would be beneficial if they work with industry, academia and hospitals to bring innovation to medical education and work together by having state chapters or regional chapters.

Read the full interview with Doug in the latest edition of Medical Training Magazine

Operative Experience Expands Portfolio of Realistic Surgical and Team Training Simulators | IMSH 2017 Video Interview with CEO

realistic skin surgical simulator

At IMSH 2017, HealthySimulation.com had the opportunity to interview Mick Navin, CEO of Operative Experience Inc (OEI) about their expanded range of hyper-realistic surgical simulators with engaging anatomy, as well as to learn about the recent investments and support by Lou Oberndorf — who lead the growth of METI which was acquired by CAE Healthcare. Mick shared that OEI is on a mission to revolutionize surgical and medical team training using medical simulators with unprecedented anatomical and surgical fidelity within a rigorous experiential instructional paradigm. HealthySim provided a video interview about OEI during the 2012 IMSH event, suggesting it would only be a matter of time before the technology was expanded by investment support — and we are glad to see it was by one of our industries commercial pioneers!

OEI provides a range of simulation-based systems for surgery and pre-hospital training:

  • Fetal Extraction Simulator
  • Postpartum Hemorrhage Control Trainer
  • Emergency Hysterectomy Trainer
  • Emergency C-Section Delivery Simulator
  • C-Section Skills Trainer
  • Emergency Thoracotomy
  • Craniotomy
  • Fasciotomy
  • Disaster Legs
  • Surgical Legs
  • Various Tactical Casualty Care Simulator

HealthySim also spent some time learning from Mick about how the company has grown since our 2012 interview, following years of prototype development and testing, collaboration with materials expert Jeffrey Ellis led to the creation of the world’s first physical simulators upon which major surgical hands-in-the-body operations could be performed using standard surgical instruments. A series of SBIR grants from the U.S. Army Medical Research and Material Command capitalized the company and enabled Operative Experience Inc. to advance its product development.  OEI products offer a different type of simulator, providing unique surgical experiences that mimic combat or other trauma based emergencies with realistic anatomical feeling.

Learn more at the OEI website!


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KbPort’s simCabRx Provides Realistic Medical Cart Simulated Training | IMSH 2017 Video Interview

med cart simulator from kbport

During the recent IMSH 2017, HealthySimulation.com learned more about the simCabRx med card simulator from Kbport which was located at the Pocket Nurse booth. KbPort’s Simplicity solution combines medication dispensation with the power of SimLabConnect and SimEMR to provide a more complete, more realistic simulation experience. The integration of medical simulation devices provides a critical context for the data generated, in the form of patient history and patient records, which form the foundation for support for future treatment. Improve bedside medication administration education with KbPort SimCartRx mobile medication cart solutions — which you can see in our video interview below!

SimCartRx works as part of the KbPort simplicity Solutions System!

Both SimCartRx, Kbport’s mobile medication dispensing solution, and SimCabRx their decentralized medication dispensing solution, integrate with SimEMR, allowing students to access patient records during simulations, which is a critical component of real patient care. The temporal capability of Simplicity, with SimLabConnect and SimEMR, adds an invaluable, true-to-life dimension to your simulation-based training, advancing your program’s effectiveness while promoting proper communication and patient safety.

Begin simulations with SimEMR for realistic med cart learning experiences:

  • Log in/out with student cart credentials (LDAP compatible)
  • Patient record lookup via barcode scan
  • Medication scanning

Control medication dispensation through SimEMR and view cart/cabinet events within SimEMR & ETC FusionHD

  • Log in/out
  • Patient lookup via barcode scan
  • Drawer open/close
  • Medication scanning
  • Administer via bedside with SimCartRx

Log simulator vitals into SimEMR patient record in real time

• Creates an accurate, complete and evolving patient history
• Improves critical thinking by presenting and integrating comprehensive patient data

Certainly those programs looking to integrate EMR, medcart, and patient charting into one system across the learning program should check out KbPort’s simplicity systems!

Learn more on the Kbport website today!

ECS Leads the Way with VR Training for Healthcare Simulation | IMSH 2017 Video Interview

ecs clinical skills medical simulation

Rounding out HealthySim’s interviews from the IMSH 2017 trade show floor, today we are taking a look at the VR learning system “Clinical Skills” from Engineering & Computer Simulations (ECS). Clinical Skills training application provides medical professionals the ability to easily access scenario-based learning and practice their clinical skills within a clinical environment. Watch the video below to see it in action through the HTC Vive:

The Clinical Skills Mobile App uses a variety of conversation-based scenarios in a deep learning environment, which prompts learners to use specific approaches while conducting patient interviews. The mobile app includes essential environmental cues, such as patient feedback, as well as instructional feedback. The user is evaluated at each step of the clinical exam and cannot progress until the correct action is performed.

Benefits to medical professionals:

  • Interact with medical inventory items to take vital signs and perform physical examinations on realistic patient avatars
  • Proper sequencing of events
  • Reinforces patient interview techniques
  • Incorporates productive patient dialogue
  • Helps hone diagnostic reasoning skills that can be applied to a number of situations — both in regular checkups and even in more severe cases, where extreme sensitivity is required

Learn more about Clinical Skills on the ECS Website today!


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OSSimTech Demonstrates Hybrid Learning of 3D and Haptics Surgical Simulation with Sim-Ortho | IMSH 2017 Video Interview

open knee surgical simulator

Continuing HealthySim’s coverage of the IMSH 2017 Exhibit Tradeshow floor, today we are sharing our video interview with OSSimTech, who provide the Sim-Ortho, a virtual reality training simulator to teach and train orthopedic open-surgery. As the world’s first of its kind, the Sim-Ortho simulator offers unique possibilities to expand medical education of orthopedic surgery. Getting to test the simulator was an amazing experience as the real-time haptics push back from the hardware felt very realistic — and matched the 3D animations exactly.

The Sim-Ortho enables simulation training of complex orthopedic procedures in knee and spine surgery as well as trauma surgery. Situated in a highly realistic 3D environment with detailed imaging, the trainee practices “hands-on” in a risk-free environment. The Sim-Ortho training simulator offers haptic feed-back (applied force and resistance) and allows handling and manipulation of multiple orthopedic tools. The Sim-Ortho training simulator is leading the path in high-fidelity simulation. The company has a highly skilled multi-disciplinary team comprising engineers, doctors, programmers, developers, industrial designers as well as management professionals.

The Sim-Ortho open platform allows for these modules:

  • Knee
    • Left, right and lighter cases of total knee replacement
    • Fibial and tibial osteotomies (Open and closed wedges)
    • Tibial tubercule osteotomy
    • Unicompartmental knee replacements (Lateral, medial and patellofemoral)
  • Spine
    • Realistic use of rongeurs, pedical probe, screwdriver, bone nibbler and kerrison
    • 30 cases of spinal fusion
    • 30 cases of discectomy
    • 30 cases of laminectomy
  • Tool Handling
    • User-friendly tutorial to the Sim-Ortho
    • 15+ cases of hands-on training
    • Several tools in several environments

Recently the company posted a blog article by Dr. Niranjan Sathivel on The Power of Teamwork & Sim Efficiency:

Multidisciplinary team simulations have several benefits for the parties involved; learners, educators and the simulation centre staff. In these scenarios learners have the unique opportunity to tackle problems using a team approach, which in many ways mimic real life settings. Communicating, learning and understanding the perspective of each team member is a vital aspect for patient safety, which can be built into training scenarios.

I understand that it’s challenging for educators to collaborate and integrate goals and objectives for their individual teams, in-order to create simulation scenarios for team training. By making this happen they are able to add a whole new domain which could enhance the simulation education experience for learners. There are three benefits to the simulation centre and the staff: The first being the optimum use of the centre’s space and equipment. From my experience in the industry, I have observed that in many simulation centres, the training equipment often remain under-utilized. Bringing a multidisciplinary team for training, into one simulation theatre, sometimes provides the context for putting such equipment to use, by hybridizing simulation platforms. At this point you probably might have guessed the other two benefits. There is a positive impact on staff work flow efficiency and operational costs. Running the sessions in one simulation theatre as opposed to multiple simulation theatres can save you money and time. Read the full article here.

Custom Simulators!

Is your program looking for custom simulator solutions? OSSimTech allows you to differentiate your organization with a customized OSSimTech virtual reality training simulators– featuring your own procedures and surgical devices. As the world’s first of its kind, OSSimTech simulators offer unique possibilities to expand medical education, market your products and train your employees.

Learn more about the Ortho-Sim on the OSSimTech website today!

Tobii Pro Brings New Learner Perspectives to Healthcare Simulation Experiences and Research with Eye Tracking Glasses

eye tracking systems healthcare simulation

Continuing our coverage of IMSH 2017 with video interviews, today we are sharing a demonstration of the eye tracking systems available from tobiipro! tobii pro helps medical simulation programs gain real insights into human behavior with leading eye tracking solutions and services. Imagine rewatching your healthcare simulation experience from the first person perspective of the learner AS they engage with your simulator? Not only that but the device provides a realtime indicator of exactly what the wearer is focusing on during the recording!

About the Tobii Pro Glasses 2

The Tobii Pro Glasses 2 are a wearable eye tracker designed to capture natural viewing behavior in any real-world environment while ensuring outstanding eye tracking robustness and accuracy. It is also possible to combine these glasses with biometric devices for even deeper insights into human behavior. The Tobii Pro Glasses 2 gives researchers deep and objective insights into human behavior by showing exactly what a person is looking at in real time as they move freely in any real-world setting . Understand how people interact with their environment, what catches their attention, drives their behavior, and influences decision making. Wearable eye tracking opens up entirely new opportunities for behavioral studies.

With a unique first-person perspective and true measurement of visual attention and cognitive engagement, Pro Glasses 2 can be also used as a tool for training, skills transfer, and performance enhancement. The real-time observation of participants’ gaze data provides quick and actionable insights. Whether the eye tracking study is conducted in a lab, shopping mall, manufacturing facility, home, or sports field, you will achieve accurate and reliable results in human behavior research. Quickly and easily analyze large volumes of the eye tracking data with the automated Real-World Mapping tool available in our Tobii Pro Lab software.

Learn more by visiting the Tobiipro website!

SimulationIQ Enables Use of Smart Phone Cameras to Record Simulation Experiences | IMSH 2017 Video Interview

simbrowser for healthcare simulation recordings

SimulationIQ unveiled several new innovative simulation products at IMSH 2017, and HealthySimulation was on hand to interview them first hand with this video to show you all the latest! It seems like a no-brainer, but why haven’t we taken more advantage of the cameras we all carry in our smart phones as a means to capture in-situ simulated experiences? SimulationIQ is creating new tools to enable us all to do just that! Check out our video below to see the system in action:

SimBrowser is a secure, permission-based web application that allows users to view their live or recorded simulation training videos. SIMULATIONiQ SimBrowser is a web-based application that allows users to view live or recorded videos for all standalone SIMULATIONiQ products deployed within their institution. It provides easy access for instructors and administrators to monitor their medical training units from anywhere, on any device, within their institution’s network. SIMULATIONiQ SimBrowser is compatible with EMS’ SIMULATIONiQ Training in Motion (SIMULATIONiQ Mobile and SIMULATIONiQ Portable), an ideal solution for in-situ and on the go training environments; and SIMULATIONiQ One Room, a powerful recording and debriefing solution for clinical simulation management in one-room environments.

Learn more at the SimulationIQ website today!