Simulation Based Learning

Simulation can be classified as the bridge between classroom learning and real-life clinical experience. These courses provide experiential learning opportunities for participants to experience high-realism patient-care scenarios that closely mimic genuine crises, and helps participants to learn how to prevent and respond to these critical events. The reality of manikin-based simulations allows for virtual feedback using computers that regulate the manikin’s compressors, mimicking pulses and chest raising. These life-like manikins simulate heart tones and other vital cues that when connected to monitors, provides real-time information to students. By practicing true clinical skills in a safe and regulated environment, future physicians learn permanent and excellent evaluation and treatment techniques.

What Skills Can Be Learned?

Simulation-based training at the International Medical Graduate CSC (IMGCSC) shares these cutting-edge innovations in technology with medical students and healthcare providers, allowing them to take clinical skills training into their own hands. Within this purpose-built facility, health professionals have the opportunity to practice on the latest un-tethered adult male, female and infant High Fidelity Manikins and various skills trainers to refine their clinical training across the spectrum of active clinical medical care. Offerings range from basic skills such as wound care and suturing through multidisciplinary specialty and critical care real-life scenarios using a wide variety of cases.

The simulation stations can be used to simulate a variety of hospital-based and ambulatory settings including medical and surgical emergencies, Labor and delivery and non-emergency patient care functions. The high fidelity simulators have the ability to model human responses such as eye-tracking, reactive pupils, motion tracking, force sensing, ECG, drug responses, seizures and much more. They have surgical procedure training capabilities including needle decompression of a pneumothorax, tracheostomy, lumbar puncture, placement of chest tubes, IV and intraosseous lines, perform complicated vaginal deliveries and cesarean sections.

The simulations may additionally be used to instruct students on diagnostic, management, team building, and leadership skills, Interprofessional team training, validating and verifying team performance evaluation in a controlled setting though performance metrics and feedback by high caliber, experienced physicians and simulation experts.

Five types of Simulation-Based Training

Standardized Patient Simulations

This type of simulation involves the use of individual actors trained to play the roles of patients, family members, or others to allow students to practice physical exam skills, history taking skills, communication skills, and empathy demonstration among other exercises.

Human Patient Simulation

This uses high fidelity simulators, mannequins (hyperlink) that breathe with breath sounds, heart tones, and palpable pulses etc. In addition, the mannequins provide encounter data via life sign monitors that display EKG, pulse oximeter, blood pressure, arterial waveforms, pulmonary artery wave-forms, anesthetic gases, etc. Procedures can be performed on the simulators such as bag-mask ventilation, intubation, defibrillation, chest tube placement, cricothyrotomy and others.

Task Trainer Simulation

This involves the use of body part simulators to learn or practice a specific skill such as intubation heads, central venous line chests, intraosseous line legs or umbilical artery cannulation trainers.

Virtual Reality Simulations

This uses advanced computerized simulation technology to allow students to learn and practice diagnostic skills, perform cardiac catheterizations, colonoscopy, bronchoscopy, ureteroscopy, laparoscopic surgery, intravenous line placement, and other procedures. Computerized simulation uses computer programs that allow the student to practice decision making skills and specific knowledge sets such as Advanced Cardiac Life Support (ACLS) trainers and trauma management trainers.

Professional/ Humanistic Simulation

This approach takes into consideration a patient’s cultural backgrounds, values, preferences, and sexual orientation, among other things. It is recognized as an equally important component to a student’s performance on the USMLE Step 2 CS Exam as well as the COMPLEX PE Exam.

Origins

Medical simulation is derived from the aviation industry, which has utilized simulation-based learning practices to train pilots since just after the First World War.  Manikin-based simulations use high fidelity simulators, manikins that breathe, with breathing sounds, heart tones, and palpable pulses. In addition, the manikins have monitors that can display EKG, pulse oximeter, blood pressure, arterial waveforms, pulmonary artery waveforms, anesthetic gases, etc. Additionally, procedures can be performed on the simulators such as bag-mask ventilation, intubation, defibrillation, chest tube placement, cricothyrotomy among many other things.

CSC programs assist students in the development of teamwork behaviors and communication, collaboration and crisis management skills that are best learned experientially under realistic conditions. Located at The Presidents Way Education Center in Tucker, GA, the CSC offers students and clinicians the opportunity to practice challenging, immersive simulation training in real-life environments with engaging scenarios that impart important lessons.