Medical Simulation

Pro Con - A Discussion

Dr Agnes Ng

KK Women’s and Children’s Hospital

First Impressions

Set-upManniquin

“Actors”Debriefing

KKH PSTC

Medical Simulation

Pro Con - A Discussion

(Debate)

Doctors Trained On Patient Simulators exhibit Superior SkillsBeth Israel Medical Centre

New Virtual Reality Surgery Simulator hones Surgeons' Skills, Improves Patient SafetyOregon Health & Science University School of Medicine

Clinical Simulation Technology Used To Improve Communication Of Medical TeamsWashington University School of Medicine

Science Daily

Medical Simulation

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” See One Do One 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

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 Crises after Crises Preventing a Crises

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

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

PhysicalPsycheBehaviouralEnvirons

The Patient is complex organism

PhysicalPsycheBehaviouralEnvirons

The Health Care Professional

Reduction of Human errors

Patient safety

Medical Competence

Medical Simulation

A tool, powerful teaching tool

We should wield this tool and not the industry !

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