Traditional Poster Round

Poster

Medical Simulation: A Novel Innovation from Resource Limited Nation

Tuesday, May 15
09:45 - 10:45
Location: The Gate, Atrium Level

Context: : Traditional medical learning was to learn from errors on humans, however during the recent few decades there has been a revolutionary changes in medical education with introduction of Simulation based learning, hence minimizing the medical errors. We can improve patient safety and clinicians are able to learn by their errors without having deleterious effect on live patients.
Medical schools across Pakistan have changed their curricula and are more focused toward problem based learning, however more advance and high fidelity simulation based learning is yet to established in our country.

Description: : Determining whether our innovative exercise on simulation based education and practices in promoting the clinical cases have any impact, is difficult to gauge from society like Pakistan where high fidelity medical simulation centers and trained physicians didn’t exist; hence we simply aim to describe our experience of simulated clinical scenario practice and try to improve with practice and achieve the above mention goal.
The first ever simulation clinical scenario at Aga Khan University Hospital, Simulation center was an integrated. This course was full day, CME accredited. Pre-reading material were email to all registered faculty along with a pretest on the course day. The main learning objectives for this session was to create a safe simulated container, develop and discuss its challenges and debriefing tips.
The session was designed and we practiced a simulation based Advanced Trauma Life Support (ATLS) training course which was conducted at CIME of Aga Khan University Hospital, Karachi. It was first of its kind as it utilizes the High fidelity medical simulation mannequin called as Sim-Man-3G. The exercise room was fully equipped with all the desired items and tools that were to be used during the drill.
After the drill, there was debriefing session, which was basically a feedback response to the participants which included inputs and outputs from the teams. Since then we practiced multiple simulation sessions on different case scenarios and hands-on training slots.

Observation/Evaluation: : There were multiple hindrances and challenges we faced before, during and post session. Firstly the institution developed the infrastructure and had arrange the necessary stuff for simulation, however there was serious technical, administrative and academic deficiency on handling these stuff and to start the practice either for skill station practice or scenario based simulation. Moreover this center at the time of launching was new to all teachers, students, administration and others, hence no one was tune or courageous enough to take initiative step and start to run the program although the author has some prior exposure and training in the field.


Discussion: : We found that most were unaware of any such practice, hence we all need time, commitment and consistency to customize with the infrastructure and the equipment.
Hospital hierarchy realize the deficiencies in terms of training needs and some financial resources to support the faculty in term of development and training. We still need to develop culture of safe patient practice with the introduction of simulation based training. The institution must also focused on developing a team of dedicated and trained simulation educators with small training sessions/workshops and degree programs. The feedback we collected during these multiple session was promising enough to enhance our satiety for more efforts.





Syed Muhammad Mustahsan

Resident
Aga Khan University Hospitals
Karachi, Sindh, Pakistan

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Emaduddin Siddiqui

Clinical Fellow in PEM Sickkids Hospital, Canadam, Associate Professor & Consultant PEM, Director PEM Fellowship Program, Director DEM Simulation Program, Coordinator DEM Residency Program, Focal Person of EM. in CPSP
Department of Emergency Medicine, The Aga Khan University Hospital
Karachi, Sindh, Pakistan

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Peter Weinstock, MD, PhD

Director - Simulator Program
Boston Children's Hospital, MA

PETER WEINSTOCK MD PhD
Chair and Executive Director, Boston Children's Hospital Simulator Program (SIMPeds)
Senior Assoc. Critical Care Medicine
Associate Professor of Anesthesia, Harvard Medical School


A practicing pediatric intensive care unit physician, Dr. Weinstock combines >20 years in surgery, medicine, education and innovation to lead the Boston Children's Simulator Program (SIMPeds) to one of largest most integrated "return on investment" simulator enterprises world-wide. Dr. Weinstock has weaved sustainable medical simulation ecosystems into the fabric of medical centers and regional health care systems on 6 continents and is founding president of the International Pediatric Simulation Society (IPSS). He serves on multiple advisory boards including education, simulation, social robotics and AI, and lectures internationally including "TED" on combining simulation, human factors, 3DP and special effects -- all to prepare world-class clinicians and healthcare systems to perform at their best, as well as to reduce fear and anxiety in patients and families.

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