Presentation on theme: "Washington State University College of Veterinary Medicine"— Presentation transcript:
1Washington State University College of Veterinary Medicine Clinical and Technical Skills Simulation Center
2DisclaimerThis proposal is a result of conversations within WSU and within and outside of the profession.Credit for ideas presented here includes, but is not limited to: WSU DVM candidates, WSU faculty (Drs. Fransson, Ragle, Farnsworth, Campbell, Nelson, Dernell, Hines, Slinker, Barrington, Gay, Parish, DeBowes, Keegan. . .) and house officers (Marsh, Lund, Lutter, Kennedy, Might, Ackerman, Gablehouse, and many others.) Staff members like Daniel Haley, Rachel Jensen, Lethea Russell, all of anesthesia, and CIS, Influential educational researchers and clinicians outside of WSU (Sarah Baillie, Emma Reed, Kent Hecker, the many participants at INVEST) and the list goes on!
3the challenges Student and employer expectations Decreased VTH caseloadIncreased student numbersLimited faculty timeGraduates needing to have “life long learning” skills
4How would we benefit from a clinical and technical skills center? Provide an educational environment for the benefit of veterinary students, house officers, and staff trainees.Encourage innovation in veterinary medical education.Develop and implement research related to technical and clinical skill proficiency.Encourage collaborative educational program development and research projects to enhance our training program.Advance understanding of the benefit of simulation for the practice of veterinary medicine.Provide facilities and staffing for formative and summative assessment events.Contribute to integrated learning efforts.
5RationaleSurgical Skills Equivalent or Superior to Live Animal Laboratories.Carpenter, et al. Vet Surg 20:373–378, 1991.Greenfield, et al. JAVMA 206:1840–1845, 1995.Griffon, et al, Vet Surg 29:309–316, 2000.Core Component of Human Anesthesia TrainingWSU College of NursingFuture Availability ofLive & Cadaveric Materials?
6Research/Scholarship American Association of Respiratory Care“…students who learned the CLINICAL topic via thesimulation outperformed students who learned bytraditional lecture.”
7Open Skills Lab Influence on OHE time (data courtesy of SSRG1) Jr Sx spay closure time (min)ClassClassClass * (p<0.02)Jr Sx spay total time (min)ClassClassClass * (p<0.02)Open Lab attendanceand applied Anatomy associatedWith faster times
8What Simulation/Clinical Skills Elements Exist? Colorado StateCornellMichigan State-MSU Med SchoolRoss UniversityUniversity of CalgaryUC DavisUniversity of IllinoisNearly every UK school
9Open Skills Lab Influence on OHE time (data courtesy of SSRG) Jr Sx spay closure time (min)ClassClassClass * (p<0.02)Jr Sx spay total time (min)ClassClassClass * (p<0.02)Open Lab attendanceand applied Anatomy associatedWith faster times
19Simplest Structural renovations to the space Purchase some new and rebuilt equipment to provide spaces for students to work independently on simple models and cadavers(Along the lines of what is currently called the “Open Skills Lab” that happens twice a week)New space is needed to accommodate expansion of LA junior surgery needs with the addition of the USU students
23Resources Development of simple models Building and maintaining supply of simple modelsAssessing impact and effectiveness of modelsAllocating time for using resources (avoiding free-for-alls and “play time”)
24More Advanced Technical and clinical skills area Simulation area (Pratt Lounge and mock OR in Radiology renovation)Simple and advanced models for clinical and technical skill trainingHaptic technology
26Assistant professor of emergency and critical care Daniel Fletcher has led the creation of the simulation vet care center at Cornell University
27SimMan® MannequinsSimMan® is a portable and advanced patient simulator for team training. With realistic anatomy and clinical functionality, SimMan® provides simulation-based education to challenge and test students’ clinical and decision-making skills during realistic patient care scenarios. The interactive, technologically advanced mannequin includes well-proven software allowing learners to practice the emergency treatment of patients.
28Haptics http://www.youtube.com/watch?v=ephvAcFeGnU Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare:October Volume 5 - Issue 5 - pp
29Resources Specialty knowledge TechnologyUse of simulationEducational methodologyConstant presence in lab area during open timesContinued development of technologies, implementation, etcCareful evaluation of impact/efficacy/effectiveness
30Investment $250,000 estimated for renovations Equipment costs vary depending on extent of program development ($250,000 estimated for “More Advanced” set-up)Right people in place to build relationships will influence financial and resource costs
31Leadership and Management Structure Will need to be determinedSimple could be done under existing CIS structure with additional helpMore Advanced requires a new modelThis may be our most critical decision
32InvitationMcCoy Radiology will be open for viewing during work day for next weekIdeas or suggestions to RK or JCSurgical sink requestsOther equipment requests and ideasFunding/granting ideas/contributions