Medical Simulation Pro Con A Discussion Dr Agnes

Medical Simulation Pro Con - A Discussion Dr Agnes Ng KK Women’s and Children’s Hospital

First Impressions Set-up Manniquin “Actors” Debriefing

KKH PSTC

Medical Simulation Pro Con - A Discussion (Debate)

Medical Simulation Doctors Trained On Patient Simulators exhibit Superior Skills Beth Israel Medical Centre New Virtual Reality Surgery Simulator hones Surgeons' Skills, Improves Patient Safety Oregon Health & Science University School of Medicine Clinical Simulation Technology Used To Improve Communication Of Medical Teams Washington University School of Medicine Science Daily

Medical Simulation Pro Con - A Discussion (perhaps a debate)

Medical Stimulation Simulation is a technique, not technology, to replace or amplify real experiences with guided experiences……. in an interactive fashion Gaba Qual Saf Health Care 2004; 13

Medical Simulation Role Playing Task trainers Computer patient Manniquin simulators

Medical Simulation Limitations Over-expectations

Individuals or Teams

Medical Simulation Hardware & Infrastructure

Medical Simulation Manpower and Training

Manpower

Teacher……. Trainer, Medical Educator

Medical Educator “SODOTO” n See One n Do One n Teach One

Medical Stimulation Standards & Commitment

Medical Educator “In the Hot-Seat” Medical simulation Communications

Medical Educators Clinical skills Psychological skills (Situation awareness)

Simulation Based Medical Education: an opportunity to learn from errors n n Provide professionals with the correct attitude and skills to cope competently with those mistakes that could not be prevented Reduce occurrences of errors in real life Medical Teacher Vol 27, Issue 3 May 2005

Medical Simulation in professionals Balance between the emotional load associated with the experience and the professional lessons that can be learned.

Medical Simulation “Sharing the Load”

Medical Simulation Trainees “Suspension of Disbelief”

Blurring the boundaries: scenario-based simulation in a clinical setting quasi-clinical scenarios, where inanimate models attached to simulated patients Med Education Vol 39: 6, 2005

Looking at the monitors to prompt next move Monitor focused Looking at the monitor to prompt the next move!

Medical simulation Crises Driven n Crises after Crises n Preventing a Crises n

Medical Simulation Resource Intensive and Time consuming Trainers & Trainees

Medical Simulation Initial exposure raises awareness Repeated exposure to simulation improves performance

Medical Simulation High Impact But does it translate into improved clinical outcomes?

Medical Simulation Assessment of Medical Competency

Medical Simulation Competency Assessment Reliability Validity Predictive validity

Defining Systems Expertise: Effective Simulation at the Organisational Level. Implications for Patient Safety, Disaster Surge Capacity, and Facilitating the Systems Interface 2008 Academic Emergency Medicine Consensus Conference on the Science of Simulation

2008 Academic Emergency Medicine Consensus Conference on the Science of Simulation n n Objective methods and measures to demonstrate simulator training actually improves patient safety Effective feedback of information from error reporting systems into simulation training to improve patient safety Methods and outcome measures to demonstrate teamwork improves disaster response ……………. .

No official instruction manual with the human body

The Patient is complex organism Physical Psyche Behavioural Environs

The Health Care Professional Physical Psyche Behavioural Environs

Reduction of Human errors Patient safety Medical Competence

Medical Simulation A tool, powerful teaching tool We should wield this tool and not the industry !