The goal and the mission of our Simulation Program is to study, develop and teach perioperative simulation to medical students, residents and anesthesiologists. The Simulation Program functions as an integral part of the Simulation Perioperative Resource for Training and Learning (SimPORTAL).
Being part of a large academic health center provides us with multidisciplinary opportunities to develop educational programs supported by experts in educational, simulation and medical science. It further provides a well-designed learning space, equipment and technical and logistic support for educational activities directed towards the development of cognitive, affective and psychomotor skills required for safe patient care. A strong curriculum with clear goals, evaluation metrics and emphasis on teamwork is an important part of the simulation program.
We operate within the larger physical layout of SimPORTAL. SimPORTAL consists of greater than 4000 square feet of contiguous space. The learning spaces within SimPORTAL are former operating rooms that have been converted to specialty suites accommodating four key skill-sets we have identified to be most relevant to our common mission:
- Operating room/critical care/ICU suite
- Basic surgical skills laboratory
- Emergency room/trauma bay
- Image-guided/endovascular suite
Our simulation center is endorsed by American Society of Anesthesiologists (ASA) as a Maintenance of Certification in Anesthesiology (MOCA) Simulation Center and is also a Level 1 Accredited Education Institute (AEI) by the American College of Surgeons (ACS).
- Undergraduate training
- Graduate Medical Education training
Our undergraduate curriculum introduces the learners to routine anesthesia and critical care related knowledge and skills needed to safely assess patient’s vital signs and perform procedures such as mask ventilation, laryngoscopy, peripheral intravenous line placement, arterial line placement, central line placement, rhythm assessment and defibrillation/cardioversion, ACLS, transfusion medicine and routine anesthesia administration.
Graduate Medical Education training
The educational objective is to develop fundamental technical and decision-making skills and competencies culminating with the end of residency.
CA-1 level: Curriculum consists of basic setup and anesthesia machine evaluation, anesthesia machine malfunction and common urgencies encountered during maintenance of anesthesia such as increased peak airway pressure, increased heart rate, decreased blood pressure and decreased oxygenation. Our curriculum continues with standard and rapid sequence induction, laryngospasm, and hypovolemic shock scenarios, to develop cognitive and psychomotor skills for the operating room. A stat C-section scenario prepares the resident for an emergency, which they can encounter during their obstetrics rotations.
CA-2 level: Curriculum consists of the difficult airway, ICU/ward intubation, ACLS/code blue scenario, hyperkalemia, post-operative respiratory distress, local anesthetic toxicity, anesthesia machine malfunction, anaphylaxis, airway fire, malignant hyperthermia, severe hypotension with high spinal, hypovolemic shock. Residents are given an opportunity to develop and show a higher level of clinical skills and knowledge of pathophysiology. We encourage use of all the available resources of personnel and technical support as well as teamwork.
CA-3 level: The residents are given the opportunity to repeat previously encountered scenarios and are evaluated for clinical competency in the management of different conditions. Furthermore, they are given an opportunity to be in the lead role and guide junior residents through different scenarios playing the role of an educator/supervisor.
Simulators & Equipment
Our program uses the following technologies:
- Human patient simulators: SimMan, SimMan 3G, SimNewB, iStan, Noelle birthing simulator, “TraumaAnnie”STAT C-section, PDI Blue Neonatal Simulator with SmartSKin Technology
- Task-oriented bench model: TraumaMan (2), CentraLineMan (6),FemoraLineMan (2), arterial puncture arms (6), Laerdal IV Model (12), Trucorp AirSim
- Difficult airway training room with extensive variety of adjunct airway devices and tools available for learner practice
- Life/form (Advanced) Child Airway Management Trainer with Stand, Laerdal Infant Airway Management Trainer, 3-Year-Old Airway Management Trainer, Simulaids Pediatric ALS Trainer w/ECG simulator, SImulaid Pediatric ALS Trainer
- Virtual-reality computer based simulators: METI SEP, LTN, DaVinci Robot simulator, TURP Simulator
- Computer based Anes training
- GE Aisys Gas machine
- TEE simulator - Vimedix TTE/TEE Simulator
SimPORTAL has a central control room which serves as the AV hub for the entire institute. 3D recording and display capabilities are available.
Dr. David Beebe – General and pediatric anesthesia
Dr. Kumar Belani – General and pediatric anesthesia
Dr. Jacob Hutchins – General and regional anesthesia
Dr. Mojca Remskar – Cardiac and TEE anesthesia