Keynote Presentation

Oral

Too Much Silicone, Not Enough Silicon. Too Many Feelings, Not Enough Facts. Where Does Pediatric Simulation Go From Here?

Tuesday, May 15
15:45 - 16:45
Location: Universe Ballroom 123

The field of pediatric healthcare simulation has undergone tremendous growth since the founding of IPSS and the first meeting of IPSSW in Stockholm in 2008. However, it can be argued that this growth has been asymmetric. We have focused primarily on using physical patient simulators to practice technical interventions, either in isolation or as a component of a more complete simulated clinical scenario involving one or more healthcare professionals. Unfortunately the physical patient simulators developed to date do not replicate the key human anatomic features and realistic physiologic responses that reliably engender true-to-life responses in those of us who are training on them. This deprives us of the opportunity to accurately display our strengths and weaknesses and thus limits our ability to learn from them. In addition, when the topic of our debriefings is how we feel about our performance, rather than how we actually perform in the care of our simulated patients, our ability to acquire and refine the cognitive, technical and behavioral skills necessary to deliver optimal patient care is compromised.

The aim of the physiological modeling community is to study and express, in mathematical terms, biologic processes that occur at the organ system, individual organ, tissue, cellular, subcellular organelle and molecular levels. This community has made substantial progress in accurately simulating human physiology and these advances hold tremendous potential to enhance the realism of human patient simulation. Incorporating these developments into physical and virtual patient simulators will enable more highly realistic simulation of patient pathophysiology, induce more true-to-life responses by healthcare professionals, provide richer debriefing opportunities, and enhance skill acquisition. Coupling such advances in technology with debriefings that focus on the actions of the individual, how those actions contribute to the performance of the team, and ultimately how team performance influences the care of the patient will ultimately lead to enhanced human and system performance and improved patient care.

This session will focus on the potential that lies before us, should we decide that the status quo needs to go.

Louis P. Halamek, MD

Professor of Pediatrics, Division of Neonatal and Developmental Medicine
Stanford University, CA

Louis P. Halamek, M.D., is a Professor in the Medical Center Professoriate in the Division of Neonatal and Developmental Medicine, Department of Pediatrics, and the Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics (by courtesy) at Stanford University. He is a graduate of the Creighton University School of Medicine and completed residency and chief residency in Pediatrics at the University of Nebraska Medical Center followed by fellowship in Neonatal-Perinatal Medicine at Stanford University. He is certified by the American Board of Pediatrics in Neonatal-Perinatal Medicine and is a Fellow in the American Academy of Pediatrics. He has a clinical appointment at Lucile Packard Children’s Hospital at Stanford where he works in the level IV neonatal intensive care unit and is the Director of Neonatal Resuscitation.

Through ongoing collaboration with colleagues at NASA Johnson Space Center, NASA Ames Research Center, the Federal Aviation Administration and the Department of Aviation at St. Louis University, Dr. Halamek has learned the benefits of a cross-industries approach to risk assessment, safety and effectiveness. His current work centers on the development of hospital operations centers linked with sophisticated simulation capabilities, optimization of human performance during high-risk activities such as resuscitation, and analysis of human and system error. Dr. Halamek is the founding Director of the Center for Advanced Pediatric and Perinatal Education (CAPE, http://cape.stanford.edu), the world's first center dedicated to fetal, neonatal, pediatric and obstetric simulation-based training and research. He is a current member of the Board of Directors of the International Pediatric Simulation Society (IPSS) and the Executive Committee of the Section on Innovative Learning Methods (SILM) of the American Academy of Pediatrics (AAP) as well as a former member of the inaugural Board of Directors of the Society for Simulation in Healthcare (SSH). He is a former Co-Chair and current Special Consultant to the U.S. Neonatal Resuscitation Program (NRP) of the AAP and is also a member of the Neonatal Delegation to the International Liaison Committee on Resuscitation (ILCOR).

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