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Simulation


The Department of Emergency Medicine, with support provided by the WELLS Simulation Center, utilizes high-fidelity mannequins, standardized patients, task trainers, and associated technologies to support both the educational and quality missions of the department.

 

Simulation-based education is incorporated into several elements of the resident curriculum. Residents collectively participate in simulation at various times throughout the year as part of their didactic curriculum. Simulation-based training scenarios include complex and/or rare life-threatening cardiovascular, metabolic, infectious, traumatic, and toxicologic emergencies for both adult and pediatric patients. In the third-year, emergency medicine residents rotating at University Hospital are provided personalized instruction with dedicated simulation instruction. During this longitudinal simulation experience, residents lead a multi-disciplinary resuscitation team that includes pharmacists and nursing staff in the care of critical patients. Realism is enhanced with actors serving as ancillary staff, patients, or family members in a simulated emergency department resuscitation suite within which training scenarios unfold. Time dedicated to simulation-based training improves resident clinical decision-making and leadership skills.

 

 

To support the ongoing quality improvement initiatives of the department, Rapid Training Events (RTEs) utilizing simulation occur unannounced approximately monthly to test various pathways of clinical care. These inter-professional simulation events involve the entire team (nursing, physicians, techs, pharmacy, respiratory therapy, and social work, amongst others), and many involve other disciplines relevant to the case such as EMS, trauma, OB/GYN, and NICU. These simulations are designed to improve role clarity and communication, and heighten the expertise of our clinical teams by presenting challenging cases. In addition, these events serve both to identify latent safety threats and propose potential solutions whenever possible. Modifications to policies, new pathways, and equipment introduced are then tested in real time to ensure solutions are functional.