NORTHWESTERN
SIMULATION
Research and Innovation Agenda
Our core research program: The Corridor of Innovation Project is, in fact nine educational research projects. These nine projects are led by John Vozenilek, MD as the Pricipal Investigator. The Corridor is a series of studies which evaluate clinical simulation’s impact on patient care. Real patient outcomes are under study. Our interventions are simulations which are designed to impact the cognitive, psychomotor, and affective domains of clinicans. Anesthesiology, Emergency Medicine, Pediatrics, Critical Care, and Surgery from the Feinberg school are co-investigators in this project.
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simulation.northwestern.edu
$1, 500,000 for Educational Research $1,000,000 at Northwestern
simulation.northwestern.edu
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Maintenance of Certification Research and Training Network Northwestern is the designated research center for this U.S. wide initative.
Will simulation change the practice of board-certified emergency physicians?
Establishing a US-wide MOC network will take time and substantial effort to coordinate. With any process of this magnitude, careful planning is key, followed by proof-of-concept testing in the field. Initial steps include: vetting of curricula site visits at prospective centers creation of data-sharing agreements establishing a shared IS infrastructure Already in progress, several potential initial sites are being evaluated, using a rubric adapted from several simulation accreditation bodies. At this time, Northwestern University has been designated the coordinating center for this effort. This is, in part, due to the proximity of SAEM headquarters, and through the leadership of that center’s director in the field of MOC using simulation.
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The goal is to have approximately six centers up and running a series of shared CME-MOC courses within the first year. In future steps, approximately thirty centers will be identified to serve the over 25,000 diplomates in Emergency Medicine. Each center will commit to providing an outstanding learning experience to ABEM’s diplomates, to share data on course and learner performance, and to contribute to future course offerings. Each center will provide, at minimum one SMOCEM course per month.
simulation.northwestern.edu
What are the ‘initial courses’ ? Advances in Emergency Management of Critically Ill patients (adult and peds—non-trauma) Advances in Trauma care
Beginning with seven centers and expanding to 30 over three years, this research network has the potential to drastically impact the practice of emergency medicine nationally.
Advances in Emergency Medicine Procedures Advances in Ultrasound Advances in Airway Management
[not all centers will offer all courses]
What is the evidence for the use of simulation for Maintenance of Certification across specialities? The ABMS seeks to answer this question in its mission to maintain the excellence of care provided in the United States through its member boards. The ABMS Committee on Research and Evaluation Procedures has asked Northwestern faculty to Chair the taskforce on Simulation for MOC. This group is comprised by representative faculty who are experts in simulation from a variety of specialities.
simulation.northwestern.edu
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PIVOT
Determining Patients’ Insights and Views Observing Teamwork-related Behaviors (PIVOT)
PHASE I: RESEARCH PURPOSE The purpose of this study is to determine which teamwork-related behaviors patients may observe and describe that would be helpful to know from a HC-provider perspective. This information will provide the basis for instrument development to measure patient perception of teamwork qualities observed when receiving care in the ED. Future work on this project will include testing of that instrument. Ultimately, research into patient-perceived teamwork-related behaviors and potential ties to clinically relevant markers of quality may be information HC team members feel is helpful to know to improve patient outcomes. Aim 1: To explore what experts in the field identify as teamwork-related behaviors patients may perceive that may be helpful to know for assessment of health care teamwork. Aim 2: To explore which behaviors patients may observe and be able to describe that may be considered teamwork-related during a visit to the ED. Aim 3: To determine how observations of teamwork-related behaviors may vary between patients and their family caregivers. Aim 4: To develop an instrument to measure patient perception of teamwork-related behaviors observed by those who receive care in the ED.
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simulation.northwestern.edu
Distance Learning and Global Health Certified Instruction The Feinberg School has developed a Instructor's Certificate program. This is a formal, faculty development and mentorship program, which emphasizes low-cost, highly distributable, and practical teaching and assessment techniques. Simulation is a component of this program, among a variety of advanced technology tools designed to provide opportunities for deliberate practice and expert feedback. Our cornerstone is educational research founded on accepted principles in cognitive neuroscience. This certification includes a capstone a performance improvement project, completed at the home institution. Certificate Program Topics Operations Risk reduction and human factors Facilitation and debriefing Simulation-based Clinical Education Educational Research Advanced topics in Simulation Education Human performance, skill development and retention Simulation and Technology Adjuncts Clinical Simulation for Team Performance Wawel Castle, Krakow, Poland Michal Nowakowski MD, PhD Head of Department of Medical Education
John Vozenilek, MD Director, Northwestern Program in Simulation Technology and Immersive Learning
Prof. Piotr Laidler, PhD Representative of the Rector of the Jagiellonian University for Scientific Research and International Co-operation at the Medical College. Head of Council of School of Medicine in English Head of Department of Biochemistry
Paul Pribaz, MS Executive Director, Center for Education in Medicine
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Vice-Dean for Educational Affairs Head of Department of Metabolic Diseases
Jagiellonian University College of Medicine Krakow simulation.northwestern.edu
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Selected examples and programs include: David Salzman, MD Emergency Medicine Augusta Webster Educational Innovation Grants Program Michael Wolf, PhD General Internal Medicine Consumer Understanding and Use of Non-Prescription Analgesics
D. Woods, PhD Institute for Healthcare Studies Risk Informed Clinical Information Network for Safe Pediatric Emergency Transfers J. Barsuk, MD Hospitalist Medicine Use of a Simulation Based Mastery Learning Program to Improve Lumbar Puncture Performance
J. Robinson, MD Dermatology Melanoma Trainer Using Simulated Skin: An Innovative Design
EDUCATIONAL
TECHNOLOGIES CENTER FOR EDUCATION IN MEDICINE
innovation.northwestern.edu
Programs supported by gifts Peoria Next Electronic Medical Records and Clinical Workflow Program Studiocode Business Group Simulation Instructorship Program CCARES Chicago Cardiac Arrest Resuscitation Education Service
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simulation.northwestern.edu
Ongoing Grants and Programs
E. Powell, MD MPH Emergency Medicine Improving teamwork, efficiency, and reliability of care in the treatment of severe sepsis and septic shock in the emergency department with risk-informed targeted in situ simulation
New devices in partnership with the McCormick School of Engineering Our team of engineers, an architech and medical subject matter experts design, build, and evaluate novel simulation and training devices. This is ongoing work within the center. Also as part of the McCormick school’s formal curriculum, for BME 390, students may design, build and market devices from our lab.
Innovations Laboratory
Neonatal Surgical Trainer Video capture for distance learning of surgical skills Active management of Labor training devices Pelvic anatomy for emergency surgery simulators Ultrasound-guided Paracentesis Trainer Uterine Massage Simulator Facial plastics repair Airway simulators Shoulder dislocation trainer Suprapubic catheter trainer Bluetooth EEG monitor Melanoma detection trainer
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