1. Simulation: Love it! Sonya Malekzadeh, MD Georgetown University SUO 2015

3. Simulation Based Education Deliberate practice Safe environment Learn from mistakes Direct feedback Achieve proficiency

4. “See one, do one, teach one…” Traditional surgical education – Apprenticeship – Unstructured – Subjective Evolution – Limited work hours fewer operative cases – Patient safety – Budgetary constraints

5. Traditional vs. SBME Comparative Effectiveness McGaghie et al. Does Simulation-based Medical Education with Deliberate Practice Yield Better Results than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence. Acad Med 2011; 86:706-711.

6. Translational Outcomes Improved skills (T1) – Procedural, communication, medical DM, teamwork, professional behavior Improved patient care practices (T2) Better patient outcomes (T3) – Reduction complications, LOS, admissions Collateral Effects (T4) – Transfer of skills – Healthcare costs McGaghie et al. A critical review of simulation-based mastery learning with translational outcomes. Medical Education 2014: 48: 375–385.

7. Catheter Related Blood Stream Infections Improved CVC insertion in skills lab (T1) Improved procedure competence on pts (T2) Decreased infections and hospital stays (T3) Decreased costs (T4) Cohen ERmet al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc 2010;5:98–102. McGaghie et al. A critical review of simulation-based mastery learning with translational outcomes. Medical Education 2014: 48: 375–385.

8. Success! Tompkins JJ. JAMA Otolaryngol Head Neck Surg. 2014;140(5):1-2.

10. Hate It ?!? Effective Supplement Enhance Board Certification MOL and MOC Ethical Imperative Ziv et al. Simulation-Based Medical Education: An Ethical Imperative. Acad Med 2003; 78:783-8.

11. Otolaryngology Growing body of evidence Virtual reality (Fried/Wiet) Boot Camps SimTube study (AAO-HNS)

12. Barriers Space Simulators Faculty

13. Cynic is one who - Knows the Cost of Everything… but the Value of Nothing – Oscar Wilde