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


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

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

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

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

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

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

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

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

Learn more on the website today!

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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

ASSIST-U Digital Rectal Examination Simulator from Imperial College London

rectal exam simulator

Recently the Imperial College London put together some research regarding the education of DREs utilizing ASSIST-U haptics simulator system, built by the program. The video below shows the progress of the simulated environment which provides a safe environment to repeatedly perform DREs including: 3D meshes, CTA decision making (state machine), internal view, modeling of coccyx, prostate gland and rectum, as well as haptic effects are integrated. Colored spheres indicate next steps to perform. An internal view shows patient-specific anatomy (from left to right: coccyx, rectum, prostate and bladder). Controls (right-centre) integrate CTA actions. Other controls (top) are set to fine-tune haptic force effects.

Advanced Simulation System for Training Unsighted Examinations and Procedures (ASSIST-U):

The Research Project

Colorectal and prostate cancers are some of the most commonly diagnosed cancers accounting for 13% and 12%, respectively. The early detection of these diseases is essential and Digital Rectal Examination (DRE) plays a crucial role for diagnosis, screening and clinical outcome. During a DRE, a clinician inserts his/her index finger through the back passage in order to examine the rectum and the prostate, while the patient is usually lying on their side with both legs up to their chest. Such examinations are conducted almost entirely by feel as visual cues are minimal. As a result, DRE is uniquely challenging to learn and teach as there is no connection between trainer and trainee. On the one hand, the trainee is unable to see what the trainer is doing and, on the other hand, the trainer is unable to feel what the trainee is feeling resulting in an ineffective assessment of performance. Simulation offers obvious benefits by allowing learners to practice repeatedly and build up skills in safety. Notwithstanding, current models have major deficiencies as the wide range of normal and abnormal findings is not adequately reproduced, and the rehearsal on isolated bench top models lacks crucial elements of the clinical encounter.

Main Objectives

By changing the way the skills of internal examination are taught and acquired, this research project aims to augment the learning experience based on solid cognitive, analytical, technological and educational studies. This learning experience will be achieved 1) by allowing the learner to playback and graphically observe what an expert palpates (visual mode) in order to appreciate patient-specific organ differences and understand the steps involved during examination, 2) by asking the learner to playback and haptically follow what an expert palpates (expert-guided mode) in order to start building a mental representation of the internal structures and understand the exertion of forces when touching internal regions, and 3) by asking the learner to perform the examination independently (interactive mode) in order to be able to assess his/her performance. The implementation of real-time and realistic models for deformation, haptics, friction, classification and assessing will be fundamental for interactivity and realism.

Learn most about the ASSIST-U DRE Simulator
on the Imperial College London Website

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New Mobile App ‘Serious Games’ Help Train Surgeons

dr game medical simulation

Yesterday we covered how useful a LinkedIn account is for finding medical simulation resources, which you can read about here. Today another fascinating article popped up on our feed regarding two new games that are designed to improve the performance of Surgeons!

Marlies Schijven is a Professor of Surgery who is also the Chair on Serious Gaming, Simulation and Applied Mobile Healthcare. In close collaboration with Dutch game companies, she developed two apps that surgeons in training can use to practice their skills with a mobile game. According to Schijven, “Lots of people like playing a quick game on their smartphone. You can take advantage of that.” The apps are designed for professionals; you need to have medical expertise to be able to answer the questions correctly. The first, Medialis from game company Little Chicken, helps you learn how to quickly make decisions. You race against the clock to answer multiple choice questions about medical issues, such as removing a gallbladder using keyhole surgery or respiratory problems. At the end of the game, you can share your score with colleagues or with your instructor, says Schijven. You can challenge other players, and keep track of your score or share it by SMS, WhatsApp, Twitter, LinkedIn or Facebook.

The game “Medialis’ can be downloaded in Google Play and the Itunes Appstore.

The second app is called “Dr Game: Surgeon Trouble” and was developed by the game company “WeirdBeard” in close collaboration with the experts from AMC. During the game, something goes wrong with the equipment that is essential for a laparoscopic surgeon. The player needs to go into trouble-shooter mode to solve the problem. According to Schijven, it’s the first time that apps like this are available which have been thoroughly medically evaluated in advance – both games have been validated by the AMC. “We have shown that surgeons perform better thanks to gaming. That’s why it’s logical to develop mobile games. For example, in a test situation, surgeons in training who play Dr Game re ­ cognise problems more quickly, and are better at solving them than surgeons who were trained the ‘old -fashioned’ way. As from 2016, both games are obligatory for our medical residents to use in preparation for laparoscopic training”

The game ‘Dr. Game Surgeon Trouble’ can be downloaded for free in Google Play and the Itunes Appstore.

Read the full article about the games on LinkedIn!

Recent News Regarding Virtual Simulation Learning Environments

Previously has covered various innovations in virtual reality training departments like the MODSim birthing room simulator and these Industrial Plant Simulators. Today we learn about a few new virtual environment training projects already working in training programs:

At THE VOID you will walk into new dimensions and experience worlds without limits. From fighting intergalactic wars on alien planets, to casting spells in the darkest of dungeons, THE VOID presents the future of entertainment. Only limited by imagination, our advanced Virtual-Reality technologies allow you to see, move, and feel our digital worlds in a completely immersive and realistic way.

Learn more at:


MURSION is the virtual training environment, where professionals rehearse and master the essential interpersonal skil ls required to be effective in high-stakes careers. Mursion offers educators unl imited opportunities to practice their craft. Teachers can rehearse a questioning strategy, try out routines to better manage their classroom, or practice the introduction of a challenging concept to simulated student s who mimic the actual behaviors and learning styles of student s in their class. Learn more at:


USMC 3rd Battalion, 1st Marine Regiment, confront avatars, or virtual humans, while clearing a room at the Office of Naval Research Infantry Immersion Trainer (IIT) located at the I Marine Expeditionary Force Battle Simulation Center at Marine Corps Base Camp Pendleton. “For a long while a lot of the simulators out there provided a great capability but weren’t necessarily linked to training and readiness standards, and that’s where a lot of this effort is currently underway to look at that,” Adams said. To that end, the Marines are launching a massive effort at Camp Lejeune, N.C. this month to assess more than 20 warfighting areas to ensure the simulators available match the requirements laid out in the training and readiness (T&R) manuals.

Learn more at:


Clemson virtual training program gets $3M in federal funding. Virtual reality work being undertaken by Clemson University is getting a boost from a $3 million National Science Foundation grant. Clemson’s Center for Aviation and Automotive Technological Education Using Virtual E-School, along with technical colleges around the state, will use the grant to advance the talent pipeline in aerospace, automotive and advanced manufacturing. Collaborators include S.C. Advanced Technological Education, Greenville Technical College, Florence-Darlington Technical College and Spartanburg Community College.

Learn more at:

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Innovation in Healthcare Showcase Event Washington D.C. April 23-24 Includes Serious Games Contest

serious games in healthcare

Managing Member of Clinical Playground Eric B. Bauman, PhD, RN, Paramedic, wrote in to share about an upcoming Serious Games Showcase during an upcoming Innovation in Healthcare event being hosted in Washington D.C at the Keck Center on April 23rd & 24th. There is also an innovation contest:

Hi Lance – We are holding a Serious Games and Virtual Environments Arcade as part of a Free Workshop on Innovation in Healthcare Clinical Education on April 23rd. There is an associated contest with a 1st place and runner up in Innovation. The winner will be invited to give a short presentation at the Institute of Medicine Workshop on the morning of April 24th. 

An ad hoc committee under the auspices of the Institute of Medicine will plan and conduct a two day public workshop to explore recent shifts in the health and health care industry and their implications for health professional education and workforce learning.  The workshop will likely explore such topics as:

• Opportunities for new platforms of communication and learning.
• Continuous education of the health workforce.
• Global health professional education, training, and practice and the role of culture in perceptions and approaches to health and disease.
• Opportunities for team-based care and other types of collaborations.
• Social accountability of the health professions.

These issues will be examined in a 2 day public workshop that will be planned and organized by an ad hoc committee of the IOM. The committee will develop a workshop agenda, select and invite speakers and discussants, and moderate the discussions. Following the workshop, an individually authored summary of the event will be prepared by a designated rapporteur in accordance with institutional guidelines.

The workshop is free and open to the public, but registration is required and is not yet available. This workshop will also be webcast.

Join them in person or online by learning more at the Institute of Medicine Website

Virtual TeamSTEPPS Online Program Enables Collaborative Training Opportunities

At IMSH HealthySim interviewed Rachel Umoren about her team’s Virtual TeamSTEPPS Simulation training system from the Institute for Digital Intermedia Arts at Ball State University. Watch the video below to learn all about it:

Dr. Rachel Umoren is a practicing neonatologist, a clinician educator and researcher in medical education. She is an Assistant Professor of Clinical Pediatrics at the Indiana University School of Medicine, a Faculty Fellow at the Ball State University Institute for Digital Intermedia Arts, and a visiting Scientist Scholar in Health Services Research at the Regenstrief Institute, Inc. in Indianapolis, Indiana. In these various capacities, she investigates the best practices and outcomes of educating health professional students through collaborative 3D virtual environments. Her particular interests are in interprofessional teamwork in both local and global health settings. In this capacity, she has developed simulations for teamwork, public health training, and traveler safety in global health settings.

Learn more about the project through this research report which utilized the Virtual TeamSTEPPS application.

‘Born To Be Alive Birthing’ VR Simulator Educates Patients and Healthcare Learners

birth vr simulator

Showcasing some awesome VR technology, “Born to Be Alive” is a french birthing simulation system to provide new mothers, clinical students and healthcare professionals with a better way to learn about birthing scenarios.This 3D Experience was designed by iLumens, the Medical Teaching University Laboratory at the University of Paris-Descartes in partnership with Dassault Systèmes and its brands 3DVIA and Swym. The following groups also supported the development of this 3d project: Fondation de coopération scientifique, assistance publique hopitaux de paris, société française de médecine périnatale and collège national des gynécologues et obstétriciens français.

About Born To Be Alive

“Born To Be Alive is a realistic, interactive, educational serious game aimed at the largest possible audience which allows you to test your knowledge of different topics such as pregnancy, labor, postpartum care and much more by taking you through a variety of storyline scenarios.

3D modeling and simulation have, for several decades, enabled companies to create, optimize and manufacture their products with a physical representation that matches reality. Meanwhile, the global video game market has proved, within massive multi-player online environments, the advantages provided by scripts and artistic representations of imaginary virtual worlds. By bringing these two concepts together on a Cloud collaborative platform, developing new innovative 3D uses and publishing global 3D experiences on different terminals has never been easier.

That’s how Dassault Systems came to re-inject physically-exact 3D simulations, which used to be limited to professional users, into experiences made for a much larger audience, accessible from web browser or tablets. 3D Experiences, also known as Serious Games, open the world to new uses, such as communication and experiential marketing, documentation, training and education.

Learning by doing in a virtual world also provides a better retention of information. For instance, in the medical sector, living a 3D Experience as a virtual patient helps ones understand how to treat others more efficiently. The gamification of the situation also transforms the learning dynamics, promote team spirit and competition between users.

Digitalized medical equipment and 3D assets behave like their real-life versions. They provide relative-time learning experiences and leverage the abilities of an effective teacher. They do not replace the physical version but let an unlimited number of users play and replay actions, grow and perform in a hostile environment, act on a virtual patient, etc.”

Learn more at Born To Be Alive’s English Translated Website!

Industrial Plant Operators Now Train for Safety with Virtual Simulators

plant operation simulator

The International Society of Automation (ISA) is a leading, global, nonprofit organization that is setting the standard for automation by helping over 30,000 worldwide members and other professionals solve difficult technical problems, while enhancing their leadership and personal career capabilities. ISA develops standards, certifies industry professionals, provides education and training, publishes books and technical articles, and hosts conferences and exhibitions for automation professionals. Recently their writer Peter Richmond shared how “Operator training simulators raise operator competency, improving plant performance and reliability“.

This article is a great read because it demonstrates that the same process we use in medical simulation for learning outcome identification and, design, implementation and evaluation is also utilized in their industry. Furthermore, the advancement of 3d technology enables them to train operators like never before.

Using 3-D Virtual Simulators:

Process Automation: Operator training simulators in the modern plant 4

Once reserved for cutting-edge engineering and creative industries, 3-D visualization is being used in new and innovative ways across a number of industrial sectors, helping to safely and effectively train plant operators and staff.

The emergence of 3-D visualization as a method of training has grown out of the need of many industrial companies and organizations to instruct their employees in a safe and secure environment. In addition, the nature of continuous process plants necessitates minimal downtime, and there are often few opportunities for initial training of new staff and for ongoing training for experienced staff, particularly in scenarios that may only occur rarely.

Five-phase, performance-based training approach

Plant operators can benefit from incorporating 3-D visualization into their training systems in many ways. Chief among these is the ability to have high-fidelity operations, maintenance, and safety training in a cost-effective, low-risk setting. Putting people in the field in dangerous and often remote locations, such as offshore energy platforms, strictly for training purposes, is not only costly, but also risky to platform operators, their co-workers, the facility itself, and the environment. Because of advances in simulation, visualization, and interactive gaming technology, it is now possible for offshore operators to learn much of their craft in a safe, realistic training environment.

Virtual reality simulation is particularly well-suited for industrial training, where remote, unsafe, and pressure-filled sites are increasingly common. This type of technology enables platform operators to receive a large portion of their training in a virtual environment, reducing cost and risk. For example, risk of injury can be eliminated because operators are not immediately placed in an unfamiliar environment. After going through such training programs, operators are less likely to make mistakes such as spills or shutdowns, which could have serious consequences. They are also less likely to encounter emergencies they have never before experienced. In situations where units are shut down only once every year or less often, virtual reality training is an invaluable practice tool for staff at all levels.

Many believe this approach fits especially well with the new generation of engineers and plant operators who are already familiar with this technology and who are used to an entirely different learning environment than previous generations experienced. In addition to providing a more realistic training environment, 3-D virtualization training ensures a more interactive and hands-on experience.

It is a very exciting time for many industrial companies and organizations as they help drive virtual reality solutions and create innovative and practical applications directly relevant to their staff’s needs. As the conditions and demands on the industry evolve, plants of all kinds are increasingly using virtual environments to help plant operators and staff rapidly adapt and hone their skills.

Read the Full Plant Operator Simulator Article here.

CliniSpace Offers Healthcare Training Applications & Engine Platform


Continuing my exploration into medical simulation technology platforms beyond high-fidelity manikin environments, today we take a look at Clinispace which provides both stand alone healthcare education training applications and a fully immersive game engine to build your own training programs. As a hosted application, accessed over the Internet, CliniSpace is a cost-effective and scalable addition to all simulator training. Check out this introductory video to Clinispace below:

The CliniSpace application offers the next generation of training environments for healthcare professionals – immersive, authentic, 3D virtual environments that replicate the familiar surroundings of daily work.Logging into these environments, learners encounter realistic scenarios and problems. They practice alone and in teams, learning to make decisions, to communicate effectively, and to recover safely from errors.As a hosted application, accessed over the Internet, CliniSpace is a cost-effective and scalable addition to all simulator training.

CliniSpace is a also platform for development of a wide range of immersive medical applications. Its modular design supports rapid design of spaces, reconfiguration of equipment and furniture, and reuse of its many characters (avatars). The virtual patients in CliniSpace are represented by detailed physiologic and 3D graphic models. The models exchange data with the instruments and devices using a modular approach that also supports addition of devices and tests as appropriate. Work with Clinispace to build custom applications for various organizations.

operating room healthcare training application

Recently Clinispace launched BattleCare, which was built with the goal of training in the basics of battlefield trauma triage. The target audience is the 18-24 year old medic who is familiar with interactive technology and expects to receive both fun and learning through the same device.

In BattleCare, the learner plays the role of Airman Collins, who is the medic on duty in Gardez near the Afghanistan border. In the episode shown, Airman Collins learns the basics of A-B-C in triage, that is, checking for Airway, Breathing and Circulation in a trauma patient. His mentor, Sergeant Rodriguez, allows Collins to make his own choices (Discovery Learning) but provides feedback on the choices (Guided Discovery). The episode begins with the arrival of the trauma case and ends with successful stabilization and helicopter evacuation of the patient. The rendering style, character positioning, and page layout is based on graphic novel conventions. Gesture-based interaction makes the learner feel like they are touching the patient. Exploration gives a sense of game play while the mentor’s guidance means the learner does not get lost.

Without a doubt you can see how powerful Clinispace is to teach and build learning programs for healthcare providers above say generic development systems such as SecondLife. While SecondLife may be a more affordable option, the time saved in learning how to develop and build your specific learning environments will probably end up costing more than utilizing an application like Clinispace. However, this is an estimation on my part — so I would love to hear from experienced users of either of these systems!

Learn more about Battlecare here, and be sure to visit for more details!