1	Simulation Education Michael Seropian MD, FRCPC Co-director OHSU Simulation and Clinical Learning Center Associate Professor, School of Medicine and School of Nursing Department of Anesthesiology and Pediatrics
2	A success Story in Aviation A New Tool in Healthcare
3	Simulation
4	Experiential Learning
5	Simulation and Patient Safety An Opportunity
6	Simulation A Different Methodology Using technology to provide experiential learning Coupling technology with learning facilitation Facilitating versus teaching A “hook” for learning Generation appropriate
7	Simulation A New Paradigm A new level of learning expectation By students By faculty Active Learning group process self evaluation Hands On Development of meta-cognitive skills
8	Simulation - History Sim One Gaba 1987 CAE Simulator Harvard Center 1994 Stanford Center 1995 METI late 1995 (orginally Link) Sarasota in collaboration with Univ of Florida Nursing Hershey Pennsylvania Maryland Laerdal Aug 2000 Re-defined simulation pricing Expanded into multiple simulation domains Virtual reality start-ups Computer based simulation – Laerdal, publishers, etc…
9	Simulation Areas of Use
10	Simulation Different Models Multidisciplinary Groups acting in parallel Goals of groups do not knowingly intersect Peaceful (hopefully) co-existence Tough to achieve but not as tough as interdisciplinary Several centers throughout the US
11	"Interdisciplinary" Interdisciplinary Parallel and intersecting goals Peaceful symbiosis Unusual More likely to be part of health training in future Tough to achieve
12	What Can Be done
13	The Tools of The Trade
14	What to Simulate We Can Simulate Most Physiologic States Desired competencies Current disease trends Current treatments and procedures Common situations Unusual clinical situations Normal and abnormal physiology Pharmacokinetics Unpredictable clinical situations Program concept reinforcement Common errors Common stumbling blocks Resource management Team Safety Communication Delegation & roles Policy Leadership Reflection Delegation Pain End of Life
15	The Difference Between Knowing and Doing
16	Cardiac Arrest Using Full Scale Simulation Certification :
17	Simulation… Real People Real-Time Real Drugs Real Actions Real Stress Real Video
18	Teach in Circles
19	Does Simulation Change Outcome The core competencies make the assumption that: If you are proficient in professionalism, system based thinking, communication, etc… Then the patient will have a competent provider.
20	What to Validate Show that the tool is effective in teaching specific skills Regulatory bodies have already made the leap of faith that these skills improve patient outcome
21	“When Can We Do This Again”
22	Program Development
23	Simulation A Change of Perspective Skills Lab → Simulation facility
24	Simulation…Not just a Manikin
25	The Oregon Model - Implementation -
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29	The Oregon Model - Local Level -
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31	Oregon What’s Happening in Simulation -The Oregon Model-
32	A National First A collaboration of health systems and education facilities in the state of Oregon A unified approach to education and patient safety using simulation A powerful and progressive group of simulation leaders An efficient mechanism to facilitate access and direction for program development
33	Simulation in Oregon - Before Statewide Implementation – 2002 Oregon Map
34	Simulation in Oregon - Simulation Alliance Founded Nov 2003 -
35	Simulation in Oregon - Initial Goals -
36	Oregon Implementation Strategy
37	The Oregon Model What Are The Outcomes
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39	Statewide Simulation Readiness Assessment
40	Simulation in Oregon - Outcomes I -
41	The Oregon Model Lessons Learned
42	What We Learned – Practical Stuff False!!!
43	What We Learned – Practical Stuff False!!!
44	What We Learned – Practical Stuff False!!!
45	What We Learned – Practical Stuff False!!!
46	What We Learned – Practical Stuff False!!!
47	What We Learned – Practical Stuff True!!!
48	Discussion What models are in place? Is it a valid methodology? What are the existing alliances? How do you want to be involved? Is there a mechanism for ongoing sustainability? What other questions do we need to address?