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Workshop 3: Train the trainer: mobile simulation connecting academic & community sites to bridge gaps in pediatric care.

Monday, May 14
10:30 - 12:00
Location: Universe 3

Course Goal or Outcome: : ImPACTS, Improving Pediatric Acute Care Through Simulation, a collaborative of pediatric simulation experts, focuses on development, execution & sustainment of community based, pediatric specific, Mobile, In-Situ Simulation Programs (MISSP) to engage community partners in improving pediatric acute care. This concept can be applied nationally, internationally, and transnationally in medicine. Our workshop will impart tools to adapt a current MISSP & assist in early development strategies for implementation of participants own MISSP.


Learning Objectives: : The learners will be able to:
-List 3 methods of contact with community sites & plan early engagement strategies
-Review 1 simulation scenario for case development, goals, objectives, & execution
-Review an ignition checklist that will guide key features for a successful program


Intended Audience: : The workshop is intended for providers of moderate experience in simulation training/education interested in interdisciplinary MISSP. It encompasses all disciplines and professions in healthcare.


Relevance to the Conference: : ImPACTS connects pediatric academic medical centers (PAMCs) with community partners through simulation training/education. Community hospital healthcare providers (CHHPs) often lack ongoing exposure to & experience with critical events when compared with PAMCs. PAMCs may have enhanced education/training through their access to subspecialty expertise & simulation specialists/equipment. CHHPs may not have such resources & are handicapped when practicing critical events & team training. Mobile outreach simulation is a great way to bring these critical simulation experiences to CHHP. It allows simulation specialists & multi-professional subspecialty educators to bridge gaps in care by engaging community sites & collaborating with CCHPs. with a goal of sharing expertise using simulation techniques & technology in their own clinical setting.

Our group iteratively developed 4 pediatric (PEDS) cases (seizure/stridor/sepsis/cardiac arrest). We successfully enrolled community & PEDS sites to evaluate care provided to PEDS patients across a spectrum of EDs. in the US. Sessions involved scripted debrief of key points, environment analysis, & safety of care delivered. This work is relevant to the PEDS sim community and those who are interested in mobile simulation. It is work that is available for other institutions to implement at their respective sites. We have started to take this concept to the international level , now conducting outreach simulations in Europe. We are using multiple educational platforms to engage participants.


Workshop Timeline: : Workshop Format:
Introduction: didactic slideshow to discuss the basics of ImPACTS, laying a foundation for hands-on work (0-15 min)
Interactive rotating stations (15-75 min), 20 min each
-Station 1 will focus on engagement of community sites, working through checklists & encouraging participants to create a strategy
-Station 2 will engage learners in review of a simulation – focusing on scripting, goals & objectives, & execution based on Kerns model of curriculum development
-Station 3 will discuss logistics of outreach, understanding pearls & pitfalls to make a program successful, & pearls regarding community simulations bridging cultural differences
Conclusion, an expert panel for questions & answers & to discuss global issues (75-90 min)

Barbara M. Walsh, CMQ/OE, PMP, MD

Associate Professor of Pediatrics, Director, In Situ and Mobile Outreach Simulation
Boston Medical Center, Boston University School of Medicine
Lexington, Massachusetts

Barbara Walsh is a Clinical Associate Professor in Pediatrics (PEM) at Boston Medical Center, BU School of Medicine. She started her career at UMASS PED ED where, during her time there she created a simulation program for the community called COMET: community outreach mobile education training. In this program she used simulation to train community providers on better care of critically ill children. This pilot program served as a segue for a multi-institutional collaborative called ImPACTS – Improving Pediatric Acute Care Through Simulation. This group was funded by R Baby, a private foundation, and were able to study and compare the care provider to acutely ill children across a spectrum of EDS (PEM and community). This work has been published in several journals and multiple national and international workshops have been given on this topic. Barbara is part of INSPIRE the international network of simulation-based pediatric innovations in research and education. She is a simulation expert having taken advanced simulation courses at the Center for Medical Simulation in Charlestown, MA program as well as with Laerdal. She was the Director of Pediatric Simulation at UMASS, then the director at Cohens Children’s medical center and currently the Director of Pediatric Emergency Medicine In Situ and Mobile Simulation. She also is part of the PRIDE group – Pediatric Research In Disaster Education which has created and implemented a pediatric disaster curriculum for prehospital providers as well as created a serious game, 60 seconds to survival. At BMC she is working on creating an outreach network with community sites, community health centers and with local EMS services.

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Travis Whitfill, MPH

Research Scientist
Yale University School of Medicine, CT

Travis Whitfill is an Associate Research Scientist in the Department of Pediatrics. His background began in molecular biology and biochemistry, after receiving scientific training at the MD Anderson Cancer Center and Duke University. He is the co-founder of several additional startup companies, including a Connecticut-based microbiome company, Azitra Inc. He brings strong background in entrepreneurship and business, and is also a partner in a venture capital fund, Bios Partners, bringing experience in public markets, drug development, and venture capital investments.

His research interests are in pediatric emergency medicine and health policy and to improve pediatric acute care across the United States.

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Linda Brown, MD, MSCE

Associate Professor of Pediatrics
Brown University School of Medicine, Director of Lifespan SImulation Center, Rhode Island

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Kamal Abulebda, MD

Assistant Professor of Pediatrics
Riley Children's Hospital, Indiana University School of Medicine

Erin has 10 years of experience in Pediatric Critical Care nursing currently works at IU Health LifeLine Critical Care Transport. She has been involved in outreach and pediatric education with LifeLine in addition to working on transport. Erin has been the coordinator and educator for the pediatric outreach program for Riley Hospital for Children PICU for three years. Erin has assisted collaboration between community EDS and Riley Hospital for Children to help improve the care of children in the state of Indiana through simulation and pediatric readiness.

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Isabel T. Gross, MD PhD MPH

Pediatric Emergency Medicine Fellow
Yale University School of Medicine
New Haven, CT

Dr. Gross was born and raised in Germany. She earned her MD and PhD at the Albert-Ludwigs University Freiburg, Germany. Thereafter, she started her pediatric residency in Germany and then moved to the United States to complete a pediatric residency and chief residency at the University of South Florida. During residency, she completed an MPH with a concentration on Disaster Management and Humanitarian Relief at the University of South Florida, Tampa. Dr. Gross is currently a pediatric emergency medicine fellow at Yale University School of Medicine. She is the Chair of the Scientific Review Committee of the INSPIRE pediatric research network as well as the Trainee Liaison of the Emergency Medicine Section, Society of Simulation in Healthcare. She has been active in simulation education and research for five years with a focus on community outreach simulations, tele-simulations, and international simulations.

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Melinda Fiedor-Hamilton, MD, MSc

Associate Professor of Critical care Medicine and Pediatrics
Childrens Hospital of Pittsburgh

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Jessica Katz-Nelson, MD

Assistant Professor of Pediatrics
Johns Hopkins School of Medicine

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Pegeen Eslami, MD

Associate Professor of Pediatrics
Pittsburgh Childrens Medical Center

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Daniel Scherzer, MD

Clinical Associate Professor of Pediatrics
Nationwide Children’s Hospital

DJ Scherzer, MD is a Simulation Program Medical Co-Director and Pediatric Emergency Medicine Faculty member at Nationwide Children's Hospital in Columbus OH USA.

Current scholarly endeavors include using simulation to assess trauma team dynamics, to assess individual and team approach to anaphylaxis management, to compare pediatric disaster triage teaching methodologies, to vet individual procedural competency, to assess effectiveness of an emergency airway management module, to assess senior medical student progress towards EM Entrustable Professional Activities.

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