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http://anesthesiology.duke.edu 1 Story continues on page 4. News Monday, April 12, 2010 • Volume 12, Issue 15 Learning in a Virtual World This scene from the 3DiTeams video game features some of the realistic medical environment users experience as they practice working together to care for their virtual patients. PHOTO COURTESY JEFF TAEKMAN First person video games have been all the rage for years, with better and more sophisticated graphics making on-screen movements increasingly life-like. This winter’s blockbuster film “Avatar” was a science-fiction tale of characters who controlled representations of themselves to maneuver on another planet. Jeff Taekman, M.D., assistant dean of education technology, envisions another, more useful application for video game simulation: training clinicians. Students use their avatars, the user’s computerized alter ego, to work with other clinicians to take care of virtual patients.He’s currently investigating this prospect with a prototype game called 3DiTeams. Users are assigned an avatar in a virtual hospital setting and tasked with different patient care responsibilities. “The purpose of this program is to practice working together. The beauty of it is that trainees can work remotely from anywhere, as long as they have a computer with internet access,” said Taekman during a recent demonstration. He’s noticed that most students take to the game rather quickly. “I can tell almost immediately who plays video games for fun,” said Taekman, as those folks usually start exploring their virtual world off the bat. During the game, team members must establish who’s in charge and learn to communicate with each other to accomplish a medical procedure. The U.S. Army, which has used such virtual environments for over a decade to help train soldiers, helped fund 3Di Teams. The game is still being studied to measure students’ knowledge, skills, and attitude gains versus the use of other simulation technology and iron out bugs before it can be used en masse, commented Taekman. 3DiTeams is the first step in Taekman’s larger vision for a Duke- wide Immersive Learning Environment called ILE@D. Funded by the Nanaline Duke Trust, with Ed Buckley, M.D., vice dean of medical education, as P.I., ILE@D is a 5-year grant to work on an interactive virtual world for the School of Medicine, Graduate Medical Education, and the School of Nursing. “There is a pressing need for new and innovative methods of health care education that can reduce yet enhance faculty-student interactions, increase flexibility with respect to the time and location where the educational activity occurs, and keep students engaged and excited about learning,” wrote Taekman in the proposal. Department of Anesthesiology Research Conference Monday, April 12, 2010 5-6 pm in 5685-HAFS “Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies” Andrew Shaw, BSc, MBBS, FRCA, FCCM Associate Professor Anesthesiology-Cardiac Division Upcoming: Monday, June 14th Hyperbaric Grand Rounds MEDICINE AND WORK PERFORMANCE AT HIGH TERRESTRIAL ALTITUDES Stephen R. Muza, Ph.D. U.S. Army Research Institute of Environmental Medicine Natick, MA USA 5 PM, Monday, April 19 Joseph & Kathleen Bryan Research Bldg, Room 103 311 Research Drive

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Page 1: 04-12-10

http://anesthesiology.duke.edu 1

Story continues on page 4.

NewsMonday, April 12, 2010 • Volume 12, Issue 15

Learning in a Virtual World

This scene from the 3DiTeams video game features some of the realistic medical environment users experience as they practice working together to care for their virtual patients. PHOTO COURTESY JEFF TAEKMAN

First person video games have been all the rage for years, with better and more sophisticated graphics making on-screen movements increasingly life-like. This winter’s blockbuster film “Avatar” was a science-fiction tale of characters who controlled representations of themselves to maneuver on another planet. Jeff Taekman, M.D., assistant dean of education technology, envisions another, more useful application for video game simulation: training clinicians. Students use their avatars, the user’s computerized alter ego, to work with other clinicians to take care of virtual patients.He’s currently investigating this prospect with a prototype game called 3DiTeams. Users are assigned an avatar in a virtual hospital setting and tasked with different patient care responsibilities.

“The purpose of this program is to practice working together. The beauty of it is that trainees can work remotely from anywhere, as long as they have a computer with internet access,” said Taekman during a recent demonstration. He’s noticed that most students take to the game rather quickly. “I can tell almost immediately who plays video games for fun,” said Taekman, as those folks usually start exploring their virtual world off the bat.

During the game, team members must establish who’s in charge and learn to communicate with each other to accomplish a medical procedure. The U.S. Army, which has used such virtual environments for over a decade to help train soldiers, helped fund 3Di Teams. The game is still being studied to measure students’ knowledge, skills, and attitude gains versus the use of other simulation technology and iron out bugs before it can be used en masse, commented Taekman.

3DiTeams is the first step in Taekman’s larger vision for a Duke-wide Immersive Learning Environment called ILE@D. Funded by the Nanaline Duke Trust, with Ed Buckley, M.D., vice dean of medical education, as P.I., ILE@D is a 5-year grant to work on an interactive virtual world for the School of Medicine, Graduate Medical Education, and the School of Nursing. “There is a pressing need for new and innovative methods of health care education that can reduce yet enhance faculty-student interactions, increase flexibility with respect to the time and location where the educational activity occurs, and keep students engaged and excited about learning,” wrote Taekman in the proposal.

Department of Anesthesiology Research ConferenceMonday, April 12, 20105-6 pm in 5685-HAFS

“Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies”

Andrew Shaw, BSc, MBBS, FRCA, FCCMAssociate ProfessorAnesthesiology-Cardiac Division

Upcoming:Monday, June 14th

Hyperbaric Grand RoundsMEDICINE AND WORK PERFORMANCE

AT HIGH TERRESTRIAL ALTITUDES

Stephen R. Muza, Ph.D.U.S. Army Research Institute of Environmental

MedicineNatick, MA USA

5 PM, Monday, April 19Joseph & Kathleen Bryan Research Bldg, Room 103

311 Research Drive

Page 2: 04-12-10

CALL FOR ABSTRACTSDEADLINE MONDAY, APRIL 19, 2010

Eighteenth Annual Academic Evening

Tuesday, May 18, 2010 at 5:45 pmMillennium Hotel

Durham, NC

ACAD

EMIC

EVE

NING

5:45 pm – Poster Presentations7pm – Dinner, Guest Speaker, AwardsGuest Speaker: Dr. Nancy Andrews

Residents, Fellows, Medical Students, CRNAs, and Junior Faculty are invited to submit abstracts of work they have

performed for presentation at Academic Evening.

Abstracts may represent original clinical, laboratory scientific or case reports. Submission to other scientific organizations

(e.g. ASA, Gulf Atlantic Residents’ Conference) does not preclude acceptance for Academic Evening. In fact, we

encourage submission of abstract that have been submitted to national meetings such as the ASA.

Abstracts must be no more than one page (8.5” x 11”) including diagrams and tables.

All abstracts submitted will be accepted for presentation. The Abstract Selection Committee will choose a set of abstracts to be judged for prizes. Complete, specific abstract submission

instructions are on the Abstract Cover Sheet.

Questions? Contact June Santa - [email protected], 684-6252 or

Cathleen Peterson-Layne, PhD,MD - [email protected], 970-6408 (pager)

2010

2

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ThIS MonTh In The DepARTMenT of AneSTheSIoLogy

April 2010MonDAy TUeSDAy WeDneSDAy ThURSDAy fRIDAy12 13 14 15 16

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Conference

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSDepartment Research Confer-ence: “Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies” - Andrew Shaw, MD

5:30-6:30 p.m., 5680APerioperative Leadership Group Meeting

5-6 p.m., 5685-HAFSCT Conference

5-6 p.m. 6686-HAFSGVTCCM Conference: “Domestic Volunteerism” - John Scarbor-ough, MD

IRB Deadline: Submit 1 originaland 3 copies to Dr. Gan’s office by 5 p.m.

6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar

6:30 a.m., 2001DNResident Conference Lecture: “Basic Pharmacology & Coagula-tion Effects of Plasma Volume Expanders” - Tony Roche, MD

7:15 a.m., 2001DNGrand Rounds: “Statewide Research Infrastructures in South Carolina – The Journey, Status Report & Implications for Mean-ingful Use” - Iain Sanderson, MSc, FRCA

5 p.m., 5685-HAFSThe Regional Division presents...“Infection Control Practices in the OR”- Luke Chen, Infectious DiseasesAll Faculty Invited to Attend

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club

12:00-12:45 p.m., 2003DNCritical Care Conference: CANCELLED

4-5 p.m., 5680A-HAFSPediatric Conference: CANCELLED

5-6 p.m., Location TBAEducation Executive Committee Meeting

19 20 21 22 23

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Conference

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSCT Conference

5-6 p.m. 6686-HAFSGVTCCM Conference: “History of ICU and Transplantation” - Jeff Baker, MD

6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar

6:30 a.m., 2001DNResident Conference Lecture: “DNR Orders: Legal & Ethical Is-sues” - Holly Muir, MD

7:15 a.m., 2001DNGrand Rounds: “Perioperative Blood Transfusion” - David Martin, MD

12:00 p.m., 5685-hAfSoffICe pRofeSSIonALS DAy

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club

12:00-12:45 p.m., 2003DNCritical Care Grand Rounds: “Endocrine in the ICU” - Dr. Shiva Sarraf-Yazdi

4-5 p.m., 5680A-HAFSPediatric Conference

5-6 p.m., 7683A-HAFSResident Education Session: “Thoracic Epidural Anesthesia/Analgesia - Clinical Pearls” - Mark Stafford Smith, MD

26 27 28 29 30

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Conference

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSCT Conference

5-6 p.m. 6686-HAFSGVTCCM Conference: “TBA” - Minou Pham, MD

IRB Deadline: Submit 1 originaland 3 copies to Dr. Gan’s office by 5 p.m.

6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar

6:30 a.m., 2001DNResident Conference Lecture: “Vascular Keywords Review” - Kerri Wahl, MD

7:15 a.m., 2001DNGrand Rounds: “Clinical Case Conference: Obstructive Sleep Apnea” - Drs. Ronald Olson, Rich-ard Moon & Andrew Krystal

5 p.m., Chen Conference RoomNeuroradiology Conference

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club

12:00-12:45 p.m., 2003DNCritical Care Conference

4-5 p.m., 5680A-HAFSPediatric Conference

Upcoming:2010 Academic evening: Tuesday, May 18, 2010. | Millennium Hotel | Durham, NC2010 Resident graduation Banquet: Saturday, June 12, 2010 | Hope Valley Country Club | Durham, NC2010 ASA Annual Meeting: October 16-20, 2010 | San Diego, CA2010 Annual Alumni Reception: Sunday, October 17, 2010 | San Diego, CA | More information TBA!2010 Annual Departmental holiday party: Saturday, December 11, 2010 | 7 p.m. to 11 p.m. More details to come.

http://anesthesiology.duke.edu 3

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“Virtual World” continued from page 1.

http://anesthesiology.duke.edu 4

AneSTheSIoLogy neWS

“Virtual reality environments can serve to facilitate learning in a very dynamic and interactive way. The current generation of students is comfortable with games, Facebook, and the like. Using these concepts to facilitate learning makes prefect sense and may be superior to our current practice. We hope to be able to create a platform like Powerpoint, but for virtual learning. Individuals interested in using virtual learning environments can utilize a set of tools to develop a robust educational experience. Dr. Taekman has extensive experience in this arena and we are excited about the possibilities going forward,” said Buckley.

While video games will never take the place of hands-on procedural training, they can add to skills developed through face-to-face instruction and help unite students here in Durham, at Duke’s Singapore campus or elsewhere in a virtual 3-dimensional medical school.

Virtual environments are already in use in the School of Nursing and School of Medicine. The School of Nursing built a virtual school using Second Life, a free online 3-D virtual world as a platform. Students working remotely in the 3-D world reported feeling less isolated and feeling more engaged with the instruction. The School of Medicine offers similar online experiences for students in Durham and in Singapore with shared digital lectures and video.

“Our hope is to engage people throughout the university to look for commonalities toward a virtual approach to learning,” said Taekman. “Right now we’re working on specifications with the help of students, faculty, and industry. We plan to develop specifications and an RFP from these sessions.”

new Departmental Research publicationsSwaminathan M, Mahmood F. Combined valvular disease: when echocardiography provides the questions and the answers. J Cardiothorac Vasc Anesth. Apr 2010;24(2):366.

Congratulations to our Anesthesia Techs!Gayle Moyer, CRNA, MS

Hope everyone had a chance to thank the anesthesia technicians on their national anesthesia technician day, March 31st. We CRNA’s had an opportunity to celebrate their contributions with them with a potluck breakfast, some ice cream sundaes and awarded each a gift card from the CRNA’s.

Something you may not realize about the techs is that we have 6 nationally certified technicians right here at Duke. They are Helen Trotter, Jessie Swain III, Dwayne Thompson, J. Todd Rogers, Les Manning, and Taya Brown. This represents professional effort above and beyond any Duke requirements. We congratulate these fine professionals and all the excellent technicians here at Duke who do so much for all of our patients and all of us. Thank you!!!!

Academic evening - Calling All ArtistsAcademic Evening will also celebrate artistic talents of members of the department - EVERYONE is eligible to participate. You are welcome to display any art you have created --- framed photos, paintings, bead-work, weaving, crochet, knitting...whatever you wish to share.

Please send to Bridget White ([email protected])1) photographs (electronically) 2) description of your article of artwork you wish to display.

Include with all submissions: Your name:Name of artwork:Any points you want to make about the piece:Size: (e.g. framed size, need for easel - floor or table, amount of table space required to display)

Artwork will be displayed at Academic Evening on Tuesday, May 18th, 5:45pm. There are NO exclusions. You are allowed to display the same artwork as previous years.

*If you have a photograph you would like to be considered for the Ae program cover, please submit early. To keep deadlines consistent, please send information by Monday, April 19th.

Save the Date: Duke Surgery global health Symposium, April 24, 2010The Duke Department of Surgery and the Duke Global Health Institute invite you to attend a symposium on global health issues in surgery on Saturday, April 24, 2010 at Duke University. Thought leaders will address important issues related to providing surgical care to underserved populations including public policy, funding, governance, and disparities in access to care.

For more information and to register, please visit:http://globalhealth.duke.edu/news-events/conferences/global-health-surgery-symposium

Deadline for Registering: April 10, 2010.

Comings and goings in the DepartmentPlease welcome David Kramer to the department. David is a new Student working in the Basic Science division effective March 29, 2010.

Beilei Lei, Research Scientist has changed labs within the Basic Science division effective April 1, 2010.

Mat Henderson, Lab Assistant transferred from our department effective today, April 12, 2010.

Robin Hicks-Dickerson, Staff Assistant transferred from our department effective March 26,2010.

We wish a fond fare well and good luck to Cindy Cho, Staff Assistant who terminated her employment with the department on January 4, 2010.

April 12 - 18 Birthday Wishes

Dr. Miwa Izutsu Ricky SellarsDr. Robert Lobato Steven ZieglerDr. Scott Runyon

Note: If you do not want your name listed here, please send a removal notice to [email protected].

Page 5: 04-12-10

Upcoming CMe Activities

Carolina Cadaver CourseMay 22-23, 2010 | The Duke School of nursing, Durham, nCfor more information, contact Kate Shaw: [email protected].

This activity is designed to educate or refresh the knowledge of practicing anesthesiologists, critical care specialists, and certified registered nurse anes-thetists (CRNAs) in the anatomical requirements, techniques, and side effects of ultrasound-guided regional anesthesia and peripheral nerve blockade.

3rd Annual emerging Technologies in the oRJune 6-9, 2010 | Disney’s yacht and Beach Club Resort, Lake Buena Vista, fLfor more information, contact Katherine Siler: [email protected].

13th Annual Duke Cardiothoracic Update and Tee Review CourseAugust 5-8, 2010 | Sea pines Resort, hilton head Island, SCfor more information, contact Jaime Cooke: [email protected].

Mark your calendars for another year of cutting-edge research and updated information designed for medical personnel of all skill levels. NEW FOR THIS YEAR! Critical Care Track!

Ultrasound guided Regional Anesthesia preceptorship Course2010 Dates Available | Duke University Medical Center, Durham, nCfor more information, contact Katherine Siler: [email protected].

Participants in the Duke Preceptorship will spend three days in the regional block area, operating rooms and on the floor with post surgery patients observ-ing ultrasound guided single shot nerve blocks and catheter techniques in a wide variety of clinical scenarios. They will learn how to set up the block area for maximum efficiency in the OR environment, improve their decision making ability and make choices in the performance of regional anesthesia. A one-on-one discussion with the Duke Faculty member reviewing cases, scanning techniques and the image library as well as covering handout materials will augment the preceptorship experience.

Visiting preceptorship in Intraoperative Transesophageal echocardiography2010 Dates Available | Duke University Medical Center, Durham, nCfor more information, contact Jaime C. Cooke: [email protected].

Participants in the Duke Intraoperative TEE Preceptorship spend one three-day session in the cardiac operating suites, observing techniques of intraop-erative TEE and interpretation of images. Preceptors will participate in active discussions with cardiothoracic anesthesia faculty and fellows, and learn the basic TEE exam. They will also learn how to troubleshoot difficult cases and enhance their decision-making skills in the operating room. Cases will be reviewed with fellows and faculty and images from pathology libraries will be used to augment the preceptorship experience.

http://anesthesiology.duke.edu 5

The BACK pAge

SAVE THE DATE

2010Office Professional Day

Celebration

Wednesday, April 21, 20105685-HAFS Building

new Stork Delivery!Chris Merritt, MD

Ariel and I are thrilled to announce the birth of our baby boy, Jude Karlsson Merritt, 6lbs, 5oz on April 7, 2010. Both mom and baby are doing great!

ClassifiedsRentals

Department-member owned 3 floor luxury townhouse in Kure Beach NC available for rent. Six bedroom, four bath townhouse with private elevator, granite kitchen, stainless appliances, fully-stocked chef’s kitchen (All-Clad pots and Kitchen Aid appliances). Master has private balcony, King bed, walk-in closet with ocean views, spa -like bathroom with jetted tub, glassed-in shower, other bedrooms have two twins, one queen, one queen, one queen and two twin

sleeper chairs. flat panel HD TVs and wireless internet. 2 blocks to the Kure beach pier and restaurants, beach access diagonally across the street. Ocean views from living room and master bedroom. May 1 to October 31 $2300/week November 1 to April 30 $1800/week. Visit http://web.mac.com/bford71/Brad_and_Neil/the_Sand-piper/the_Sandpiper.html for more info.

Wanted

Loan of exercise bike for impending ACL surgery. If you have a bike that is col-lecting dust or an unfulfilled New Year’s resolution, please contact David MacLeod (812-3201 / [email protected])