Center for Medical Simulation Hosts Alaskan Healthcare Providers for Frontline Training

CMS Hosts Alaskan Healthcare Providers

The opportunity to train for frontline medical cases in rural areas is limitless with simulation. Recently Harvard’s CMS hosted Alaskan healthcare educators to provide a master course in the latest simulation learning best practices:

Recently, Harvard’s Center for Medical Simulation hosted two Alaskan healthcare providers, Susan Davis, EMT, CHP-c, and Danita Koehler, MD. Susan and Danita came to CMS representing Eastern Aleutian Tribes , a healthcare corporation working alongside the Alaska Native Tribal Health Consortium to provide health services to communities in the Aleutian Islands and on the Alaska and Kenai peninsulas. These programs are part of the Alaska Community Health Aide Program, which provides resources to a network of more than 550 healthcare providers serving more than 170 rural villages throughout Alaska. ANTHC is Alaska’s second largest healthcare employer, with over 2,500 employees.

Susan and Danita attended the CMS Comprehensive Instructor Workshop in order to further their goal of bringing simulation training to these healthcare programs. The Community Health Aides / Practitioners who work in the CHAP program are the primary providers in their communities, working with limited resources to provide health education, prevent disease and injury, and ensure safe water and sewer services. These community providers work in conjunction with remote providers at hospitals, using teleconferencing to examine patients, discuss treatment options, and determine whether medevac resources are required in critical situations.



Simulation training will allow these frontline providers to safely train on and improve response times to many potential clinical situations, including early recognition of crucial signs and symptoms for issues like shock, sepsis, and psychiatric distress. Having spent a week at CMS training with an international and interprofessional team of healthcare providers, Susan and Danita are now better equipped to create, operate, and evangelize simulation programs for their healthcare organizations and their communities.

Do you train for rural healthcare with simulation? Tweet us @HealthySim and let us know how!


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Clinical Educator Buy-In & Training for Healthcare Simulation – HealthySimAdmin Video Series Part 3

free simulation resources for nursing faculty

Recently we publicly launched that the highly praised HealthySimAdmin video series with Part 1: Collaborative simulation program development and Part 2: Simulation Program Funding Models Initial and Ongoing.

Today we continue our ongoing exploration of how to start and expand a healthcare simulation program with Part 3 of HealthySimAdmin: Clinical Educator Buy-In and Training for Healthcare Simulation, which you can now watch for free below:

About this HealthySimAdmin Session:

We’ve got the manikin – now what? At times this new technology has been purchased without consideration for the time, training or support necessary to effectively engage faculty in simulation. How then do we pick up the pieces, roll up our sleeves and get simulation to work? This session will enlighten us about how to get your educators up and running with medical simulation through the encouragement of simulation champions, training platforms and controlled program expansion.

As well we learn how to increase learner performance outcomes through advanced debriefing instruction and facilitation/scenario standardization. This presentation will be followed by a HealthySimAdmin panel discussion to share strategies and tactics for starting, continuing and increasing educator utilization and program implementation. Topics to be discussed include how to reward simulation champions, simulation facilitation styles, currently available training resources, implementation strategies for the simulation methodology, internal marketing campaigns to capture interest and disseminate information, as well as gaining mandates and other administrative support. Audience question and answer period to follow panel discussion. Learn how build a successfully utilized simulation lab with quality learning outcomes with this dedicated lecture and panel discussion session.

Session Presentation Lead By:

Jane Kleinman RN, MAOM
CEO Performance Gap Solutions
Founder Medical Simulation Design

Jane Kleinman, RN, MAOM, is the CEO of Performance Gap Solutions, LLC and founder of Medical Simulation Design, Inc. both of which specialize in the strategic, operational, and sustainable planning and implementation of simulation education programs for diverse clients world-wide. She is a respected leader and developer of Inter-Professional Immersive Patient Care Management simulation experience standards for specialty team training, crew resource management, and operational system modeling designed to identify performance gaps for immediate pro-active mitigation with measurable, improved patient care across the continuum.

In addition, as a Master Trainer for the Agency for Healthcare Research and Quality TeamSTEPPS Program she trains hospital resource teams to function as in-situ coaches for transformational InterProfessional communication behavioral changes. As an active participant in simulation based research, Faculty training, daily operations and innovative program development she understands the challenges, pitfalls, needs, and realities of the Simulation Program development journey.

With expertise in health care administration, education, space design, human factors, and product line development Performance Gap Solutions provides comprehensive expertise to clients as diverse as Community Colleges, large multi-site hospital systems, architect firms and statewide alliances.Her Simulation Program development motto is: “It’s about the methodology not the technology. Methodology impacts planning. Planning impacts outcomes. Outcomes create sustainability”. Her goal is ensure organizations help their Learners: “Turn what they know into what they do”.

Watch all the HealthySimAdmin Videos Now by
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Iqarus Provides Fully Immersive Live Action Combat Medicine Training Center in UK

iqarus medical simulation combat training center

Imagine walking into a building in UK and instantly being transported to a combat zone in Iraq. Well, with Iqarus training center that is now possible as they just opened a fully immersive environment with live actors in Hereford, UK. It’s like a real life haunted house!

A new training centre which can replicate a medical emergency in a Middle Eastern street has been opened in Hereford, in collaboration with the film studios which are responsible for the James Bond franchise. The Immersive Training Centre has been opened at Rotherwas and combines replicated street scenes, professional actors, sound, weather and other special effects to allow front-line medical professionals to be put through their paces in high-risk, high-pressure situations.

Iqarus, a global provider of intelligent health solutions in remote and difficult operating environments, has designed the centre with Pinewood Studios, which is home to the Bond films. The 8,000 sq.ft of dynamic simulation space can be used to create bespoke training environments, with any scenario, anywhere in the world. Facilities include:

  • Desert, jungle and arctic training rooms with simulated weather conditions and sound effects
  • A street scene with collapsed, two-story building, with explosive special effects, dust and smoke
  • A changeable street scene which transports users from Europe to the Middle East, and beyond
  • A burnt-out building with collapsed upstairs and flooding area
  • Realistic home structure with false wall, escape hatch and tunnel
  • Area for road traffic collision simulation
  • Stereo surround speakers with four sound zones
  • State-of-the-art cameras and a two-way communications system allowing trainees to work independently, without the support or intrusion of an instructor
  • Professional actors and accurate and realistic prosthetics
  • Overhead drones and HD CCTV throughout.

Learn more at the Iqarus Training Center Website!


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Aviation’s Black Boxes Are Coming to Healthcare Training

black boxes in healthcare

This summer I was thrilled to provide the SESAM closing plenary address where I shared the past, present and future of healthcare simulation — and made direct calls for healthcare to integrate a “blackbox” into healthcare. The argument is simple: recording devices have been successfully improving aviation training and performance outcomes since the 1970s — and in a day and age where police body cameras are becoming affordable for every single officer, clearly healthcare is on a similar path. Today here is more support for such a conversation from Richard Corder, Partner at Wellesley Partners which provides Executive Coaching in Boston and throughout the Northeast:

There are many industries, other than healthcare, that work in complex environments where the actions of one human can impact the life of another. Healthcare leaders need to acknowledge the reality that we have much to learn from other industries. While we cannot mimic others entirely, the same general operating principles (including mindfulness that serves as the overarching organizational spirit) that are the foundation for other high reliability organizations (i.e.: aviation, nuclear power) can work just as well to prevent harm from occurring in health systems.

One example of a safe practice or technology that could shared across industries is the in-flight data recorder found on all commercial airliners. It was because of the in-flight data recorder on board the two Boeing 747s that crashed into one another on the island of Tenerife in 1977 that we learned so much about the decisions and behaviors resulting in that game-changing airline disaster.  The time stamped voice commands of those at the controls were captured in real-time, and provided a blueprint of what “not to do” along with a snapshot of what needed to be changed.

Now envision this: following a surgical procedure, regardless of the outcome, we have the opportunity to review every piece of data related to the procedure.

Read the full article on Healthcare Executives Network

Debrief2Learn Aims to Improve Healthcare Outcomes with Effective Debriefing Practices

debrief 2 learn

Sharing the recent announcement of the collaborative project Debrief2Learn, aims to improve healthcare outcomes by fostering effective feedback and debriefing practices.

About Debrief2Learn:

Effective feedback and debriefing play a critical role in healthcare education in both simulated and workplace-based environments. Debrief2Learn supports clinical educators by sharing resources to guide faculty development and exploring the latest innovations. We aim to create an online community of practice for health professions educators while advancing knowledge through cutting-edge collaborative research. Debrief2Learn aims to improve healthcare outcomes by fostering effective feedback and debriefing practices. Effective feedback and debriefing play a critical role in healthcare education in both simulated and workplace-based environments.

We have designed Debrief2Learn with both educators and researchers in mind. This website will eventually be a comprehensive, one-stop resource for everything related to debriefing and feedback in healthcare education—and it will all be free to access. Internationally recognized experts in the field comprise our advisory board, who will help shape the content, format, and future direction of this website. Our collaborators are well-published leaders and innovators in the field who also share their ideas and expertise through presentations and workshops presented around the world.

To improve access to research, the research page lists relevant debriefing and feedback articles published by our team members. Each article can be accessed in a number ways: a link to PubMed, link to source journal, or a free PDF link (or a ResearchGate link to request a free PDF when this is not readily available). To assist with translating and using our research in your own setting, we offer resources and other helpful content, such as PDFs of our workshop slides and presentations.

To help you follow our research, we offer links to each paper’s Altmetric page (which provides links to online discussion about the research), a link to articles that cite our research, relevant blogs to innovative ideas, as well as social media accounts to keep you updated on the latest work. Finally, podcasts will feature leading international experts discussing recent papers in our field.

We have developed Debrief2Learn for you! Let us know if you’d like to get involved. You can contribute content (eg. Blogpost), collaborate in research, or become a team member. We’d love to hear from you!

Learn more about this innovative project and its team on Debrief2Learn.org!


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Virtual and Augmented Reality Market To Reach $162 billion by 2020

virtual-reality-utilization-engagement

Sim Champs before you know it AR and VR technologies will become a mandatory part of our healthcare educational programs. The opportunities to learn and train in high-cost risk-heavy environments in a safe and affordable manner will continue to expand through advanced learning technologies like augmented and virtual reality. HealthySim will continue to report tidbits of progress in this arena as its applications to healthcare become ever clearer. Today, we share the expectations of the industries growth to demonstrate the upward trend in utilization:

BusinessInsider.com reports that the total revenue for virtual reality (VR) and augmented reality (AR) is projected to increase from $5.2 billion in 2016 to over $162 billion in 2020, according to the IDC:

  • More than half of the revenue will come from VR/AR hardware sales. Additionally, service revenues are projected to increase over the period as demand grows for enterprise-class support. Software was also mentioned as a smaller, but notable revenue source, growing more than 200% year-over-year (YoY) in 2016. Nevertheless, services revenue will quickly surpass it, largely due to demand in the enterprise segment.
  • AR systems will ultimately contribute more revenue than VR systems. Games and paid content will be strong sources of revenue for VR systems, particularly in the next two years. However, this revenue will be eclipsed as AR systems are integrated into healthcare, product design and management-related uses.
  • Most revenue through 2020 will come from the US. The US, Western Europe, and Asia Pacific (excluding Japan) are projected to account for three-quarters of revenue for VR and AR. The US is projected to contribute a larger amount as time progresses.

The adoption of AR and VR headsets will be driven primarily by the introduction of less expensive models to the market, first powered by smartphones before mainstream adoption of stand-alone headsets. While early adopters will drive the initial wave of purchasing, sustainable growth will likely come from VR and AR app developers building a robust and engaging ecosystem of content that entices slower adopters. Lastly, as the underlying technology powering these devices increases, so too will the capabilities, creating new use cases in entertainment, workplaces, and education.

Read the full Market Report on BusinessInsider

Does Residency Simulated Training Have an Impact on Patient Outcomes in Robotic Surgery

simulated training

Christopher Simmonds from Mimic Technologies recently shared on LinkedIN some interesting research statistics regarding the patient results from simulated training in surgery.

Join the World’s Largest LinkedIN Medical Simulation Group

Like any new technology, a lot of focus has been placed on ensuring that new users of robotic surgery are adequately trained. Simulation has had a large part to play with this. As the technology has become more mainstream, training requirements have moved from not only training existing surgeons but to ensuring that residents and fellows develop the required skill levels to ensure that they can adapt to the new technologies used in their practice.

Earlier this year we discussed a paper published by the EAU on their curriculum aimed at ensuring that fellows followed a clear curriculum at the end of which they would be deemed to be safe and competent to operate on patients independently. As with many ways of teaching surgery, the procedure is broken into specific steps that the trainee must master before being allowed to carry the whole procedure.

There were no differences in some key clinical outcomes such as positive margins, length of stay, catheter days, readmissions or re-operations when comparing surgeon only to resident –involved cases. There was, however, a difference seen in mean operative time between procedures that were surgeon only cases vs. resident involved (190.4 Min vs. 206.4 Min, P= 0.003)

Read the full article on LinkedIn


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WISER Provides Simulation Courses For All Staff Positions

healthcare simulation training program

Did you know that UPMC’s WISER Simulation Center offers several courses and programs to help those in the simulation community improve their skills. Our iSIM course is offered in various worldwide locations and we have had preceptors from all over the world spend time watching and learning at WISER.

Courses include:

iSim: This 3-day internationally renowned program, created in collaborative effort between WISER at the University of Pittsburgh and the Gordon Center for Research in Medical Education at the University of Miami, is designed as an introduction to fundamental skills and abilities for delivering simulation-based healthcare education through a variety of techniques and technologies. The program emphasizes hands-on activities and active participation to maximize simulation-based instruction skill acquisition. Class group sizes are kept small to allow for maximum participation. The primary audience for this course are healthcare educators wishing to improve their skills as instructors in simulation education.

Designing or Enhancing Your Simulation Center: Welcome to “Designing or Enhancing Your Simulation Center”. This one day course is designed to assist those individuals or centers who are interested in designing new or updating existing simulation centers. This is an 8 topic course that will guide the participants, step by step, through the process of identifying their training needs and designing a world class simulation center to meet those needs. Topics include:

  • Introduction to WISER and Course Overview
  • Identifying Your Center’s Training Missions
  • Blueprints to Build Out, Designing Your Center
  • Identifying your Center’s Audio and Video Needs
  • Administrative Considerations
  • Job Descriptions
  • Creating Environments
  • Additional Tips for Success

WISER Fellowship Program

The WISER Fellowship Program is available for individuals who are interested in an in-depth learning experience on all aspects of healthcare simulation. Fellowships typically last from one year to 18 months. The fellowship is a self-directed immersive journey into the world of healthcare simulation. Focuses for this fellowship program often include research, curriculum development, operations, or a combination of topics. All fellows will complete a curriculum (or project) based upon their specific needs that will support their focus.

How to Run a Successful Simulation Center: Participants of this two day program will learn best practices associated with the operations of a simulation center. Key operational, administrative, and technological elements of a successful simulation center will be reviewed. Topics such as creating budgets, staff considerations, daily operations, course development, and simulator programming will be discussed. Interactive exercises will allow participants to practice what they learned during course sessions.

TechSim: A variety of topics will be covered that are designed to educate simulation technicians / operations personnel on the key tasks associated with the daily operations and maintenance of a simulation center. The content topics were mapped to the SSH CHSOS Examination Blueprint. Topics include:

  • Simulation Center Technology
  • Scenario Creation
  • Repair and Maintenance Considerations
  • Running Sim Sessions and much more.

Visit the WISER Courses page to learn more!

Virtual Reality Simulation System Now Available for ACL Reconstruction

acl reconstruction simulator

VirtaMed has developed a virtual reality simulation for ACL reconstruction. This new orthopedic training module for knee arthroscopy will be available for the VirtaMed ArthroS simulator, and the company will introduce it at the AAOS 2016 conference in Orlando, FL.

Apparently, most of the technical skills of ACL reconstruction are currently learned on patients during clinical care delivery.

“It is challenging to translate three dimensional concepts into efficient and accurate surgical performance, especially when the procedure is visualized with two dimensional video arthroscopy. We need safer and more effective methods to reinforce these concepts of ACL anatomy and reconstruction – such as the VirtaMed ArthroS ACL Reconstruction Module.” – Dr. Robert A. Pedowitz, who was an invaluable help during the development of the ACL repair simulation.

In addition to simulating the actual procedure, the VirtaMed simulator provides trainees with extensive, high-quality didactic reading material created by Dr. Pedowitz. Furthermore, the simulator comes with a special 3-D training module, where trainees can easily explore the knee from all sides, shift the location of the replacement ACL with a simple click, and experiment how these adjustments affect the joint function. This unique teaching material, the use of original instruments, the tactile feedback provided by the anatomic knee model, and the highly realistic virtual reality environment make the VirtaMed ArthroS ACL reconstruction module the most advanced ACL repair training tool available.

Learn more on the News Medical Website!

Action Training Provides Video Recording Services for EMS/Fire Fighter Training Departments

video recording training fire department

Is your EMS or Fire Fighter department seeking video production services for your training program? Then you have to check out the awesome team from Action Training Systems! Action Training Systems’ focus is providing superior training programs for emergency responders in both the private and public sector. They started out with linear programs on VHS as companion products to written manuals and have branched out to include Online interactive courses, streaming video and DVDs. Providing training programs at all levels makes them effective at program delivery regardless of your training style or needs. Check out this example below for safety procedures:

The above video is Fireghter Safety: Part I. This Essentials of Fire Fighting series presents an overview of fire department and firefighter responsibilities under NFPA 1500. Describes the Incident Command System, control zones at emergency response scenes and how to meet the physical demands of the job through fitness and wellness programs. I wish we had more videos like these during my fire academy!

Learning Opportunities From the Action Training Website:

We offer over 200 Fire and EMS training programs. Our programs are designed to be used as instructor resources in and out of the classroom. Each course thoroughly covers a distinct set of learning objectives with high quality visual examples. For example our EMT training series has 27 titles, each of the videos run between 17 and 28 minutes, short enough to hold learners attention, but also long enough to cover necessary information. Interactive courses take approximately 1 hour to complete. The courses contain the same video content as the DVD but also include interactive questions, chapter quizzes and final exams.

Learn more about Action Training System on their website,
and be sure to tell them HealthySimulation.com sent you!