Lahey Hospital & Medical Center, Burlington, MA
Note: This article was previously posted on Healthcare Professionals from Across Beth Israel Lahey Health (BILH) Attend First BILH Simulation Symposium | Beth Israel Lahey Health.
Lahey Hospital & Medical Center (LHMC) hosted the inaugural BILH Simulation Symposium on June 9, 2023 at the Samuel & Nancy Jo Altshuler Simulation Center. The symposium brought together healthcare professionals from LHMC, Beth Israel Deaconess Medical Center (BIDMC), and Beverly Hospital to brainstorm ways experts from across the system can collaborate to leverage simulation technology to improve medical education and training.
The symposium was the brainchild of co-hosts Dmitri Nepomnayshy, MD, director of Simulation and Professional Development at LHMC, and Daniel Ricotta, MD, Senior Director of the Carl J. Shapiro Simulation and Skills Center at BIDMC.
“The goal of this session is to plant the seeds of future collaboration on the topic of education through simulation training, research, and innovation among our centers,” Dr. Nepomnayshy said in his welcoming remarks.
Mirro Advanced Medical Simulation Lab at Parkview Health, Fort Wayne, IN
The Mirro Advanced Medical Simulation Lab at Parkview Health in Fort Wayne, Indiana, recently instituted STOP THE BLEED® hemorrhage control programs aimed at controlling blood loss from severe trauma.
The team utilizes a unique system developed by Strategic Medical Research and Training, comprised of a selection of wearable simulated injuries that will actively bleed. These units can be used on either a manikin or a standardized patient/actor, simulating injuries such as a compound femur fracture, a pelvic firearm injury wound, and a chainsaw laceration, among other.
For group training, the system uses a table that allows the simulated blood to be recirculated back into the simulated injuries. Additionally, the circulating pump includes a heater that will give the learners the sense of bleeding occurring at body temperature, thereby increasing the fidelity of the training. Depending on the type of injury, the wounds can be either packed with gauze or have a tourniquet applied.
This training is being provided to EMS, fire, police, or any group that may encounter these potentially fatal injuries.
RUSH Center for Clinical Skills and Simulation, Chicago, IL
The RUSH Center for Clinical Skills and Simulation vision is to offer a world-class simulation program that promotes sharing of clinical knowledge and skills, in addition to innovation and education, across disciplines and practitioner populations to improve the quality and safety of patient care in the Illinois Medical District and beyond.
Situated in a 20,000-square-foot facility on Chicago’s RUSH University campus, our facility includes a pediatric procedure room, anesthesia operating room, emergency medicine and general medicine room, multi-patient procedure room, 12 outpatient exam rooms, video viewing room, debriefing rooms, SP training rooms, and a surgical skills lab. Our newest addition is a skull-based lab, which is a surgical space with multiple workstations for ENT, head/neck, orthopaedics, ophthalmology, and plastic/ reconstructive training.
We focus on interprofessional healthcare teams as well as on individual practitioners:
- Serving a variety of disciplines
- Benefiting learners of all skill levels
- Defining and measuring competencies
- Enhancing patient and practitioner safety and improving outcomes
- Advancing the science of simulation in healthcare
- Adhering to standards of best practice
Courses currently offered include but are not limited to didactic-based courses, simulation-based courses (task-training, high-fidelity, standardized patient), cadaver-based courses, and hybrid courses blending any of the above. We offer an ultrasound and simulation-based boot camp course, along with an Advanced Trauma Training Program for the US National Guard.
Our newest programs include New Training Method for Lumpectomy and Axillary Sentinel Lymph Node Biopsy for General Surgery Trainees; Standardized Participants - Behavioral Patient situations for the novice learner in a simulated setting: new graduate nurses; Interprofessional Education-mock code blue adult for novice learners in a simulated setting, new graduate nurses, medical residents, pharmacists, and respiratory therapists. Also, assessments of clinical skills occur on an ongoing basis for a variety of disciplines and learner levels.
We emphasize linking simulation with training of learners geared towards their achieving competency: breast program, pediatric sessions, operative procedures: ventral hernia, inguinal hernia, pancreaticojejunostomy, as well as increasing emphasis on non-technical factors such as team training and communication in ICU.
The array and quality of services provided in the RUSH Sim Center will support fulfillment of accreditation criteria for the American College of Surgeons and the Society for Simulation in Healthcare.
Rocky Vista University, Parker, CO
Rocky Vista University's ACS Accredited Education Institute had a successful 2022–2023. Our sister campus in Ivins, Utah, was awarded dual ACS-AEI accreditation status in conjunction with our Colorado campus.
We were honored to host the National American College of Osteopathic Surgeons-Medical Student Section Spring Conference in April of 2023, which included over 150 students from multiple education institutions, as well as a Political Advocacy Boot camp for our military students.
Our Healthcare Simulation Center lab was updated in September of 2022 with the addition of state-of-the-art cameras for enhanced recording and observation of lab events. In addition, Rocky Vista was evaluated to be a test site for the National Board of Osteopathic Medical Examiners in April of 2023. This unique event was hosted on both of our Colorado and Utah campuses, and we look forward to hosting it again in the spring of 2024.
Technology Enabled Clinical Improvement Center, Stanford, CA
The Technology Enabled Clinical Improvement Center (T.E.C.I.) is a multidisciplinary team of researchers dedicated to the design and implementation of advanced engineering technologies that facilitate data acquisition relating to clinical performance. Directed by Carla Pugh, MD, PhD, FACS, the T.E.C.I. Center joined Stanford Medicine's Department of Surgery in March 2018.
Awards/Recognition
T.E.C.I. Center Team presented during Holman Research Day in 2022 and 2023.
Project RADAR at AUA 2022
Project Surgical RADAR uses the latest in simulation technology to help urological surgeons do just that. Inspired by the TECI Center and American College of Surgeons’ Surgical Metrics Project, Project Surgical RADAR (Robust AI-generated Data-driven Assessment of Robotic skills) uses a realistic physical platform that simulates a complex part of a radical prostatectomy procedure involving sparing the nerves responsible for preserving erectile function.
Surgical Metrics Project at ACS Clinical Congress 2023
The Surgical Metrics Project is a collaboration between the T.E.C.I center, the ACS, and the American Board of Surgery (ABS). The Surgical Metrics Project will return to 2023 Clinical Congress, October 22-25, in the Exhibit Hall of the Boston Convention Center. The project gives surgeon participants the opportunity to use wearable technology to digitize their surgical actions and decisions and then compare their approaches to those included in a database of master surgeons.
University of Arkansas Medical Science, Little Rock
Science Camp
The University of Arkansas Medical Science (UAMS) Sono Camp provided hands-on learning for high school students on June 8.
Second Annual UAMS Centers for Simulation Education Research Day
The second UAMS Centers for Simulation Education Research Day was held on November 1, 2022, to showcase the impact and reach of simulation education through a half-day conference of oral presentations and posters.
Facility Improvements
UAMS received $5.5 million supplemental award from the US Department of Health and Human Services to fund training and outreach programs in rural and underserved areas of the state. The Health Resources and Services Administration, an agency in the Department of Health and Human Services, awarded the money under its Value-Based Medical Student Education Grant.
UAMS is using the funding for projects intended to increase the number of primary care physicians practicing in rural and medically underserved communities in Arkansas, specifically to upgrade facilities and simulation equipment for the UAMS Simulation Center to provide support for students as they choose residencies and careers in rural and underserved areas of the state. The goal is to help increase access to primary care and address the specific health issues that affect these communities.
The facility upgrades that have taken place and are planned for the UAMS Centers for Simulation Education include upgraded audiovisual equipment, repainting the entire center, and new storage equipment.
Grants
SONOcamp
SONOcamp 2023 Little Rock is a 4-day, grant-funded camp that is held on the UAMS Little Rock campus for 40 high school students and led by Kevin Phelan, PhD.
Research on Patient Prejudice Toward Physicians
UAMS surgeon Karen Dickinson, MD, MBBS, MEd, FRCS, will co-lead a pilot study with Michael Andreae, MD, PhD, professor of anesthesiology, at the University of Utah, and Anita Fernander, executive diversity officer and professor at the University of New Mexico, to address patient prejudice toward physicians. Each institution will receive $25,000 as part of the Consortium of Rural States Grant Program. The program is funded by the National Institutes of Health National Center for Advancing Translational Sciences through its Clinical and Translational Science Awards (CTSA) Program, which supports TRI.
The project, “Defining, Developing and Disseminating Effective Team Responses for Patient Prejudice Towards Perioperative Physicians through Simulation and Cognitive Task Analysis,” aims to tackle patient prejudice as a barrier to translational science due to its negative impact on diversity in the clinical research workforce.
Other members of the CORES collaborative include the University of Kansas Medical Center, University of KKentucky, and University of Iowa.
