NORTHWESTERNSIMULATION

Research and InnovationAgenda

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Our core research program:The Corridor of Innovation Project is, in fact nine educational research projects. These nine projects are led byJohn 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 a!ective 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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$1, 500,000 for Educational Research$1,000,000 at Northwestern

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Maintenance of Certi"cation Researchand Training NetworkNorthwestern is the designated research center for this U.S. wideinitative.

Establishing a US-wide MOC network will take time and substantial e!ort to coordinate. With any process of this magnitude, careful planning is key, followed by proof-of-concept testing in the "eld.

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 sitesare being evaluated, using a rubric adapted from several simulation accreditation bodies.

At this time, Northwestern University has beendesignated the coordinating center for this e!ort. This is, in part, due to the proximity of SAEM headquarters, and through the leadership of that center’s director in the "eld of MOC using simulation.

The goal is to have approximately six centersup and running a series of shared CME-MOC courses within the "rst year. In future steps,approximately thirty centers will be identi"edto serve the over 25,000 diplomates in Emergency Medicine.

Each center will commit to providing an outstanding learning experience to ABEM’sdiplomates, to share data on course andlearner performance, and to contributeto future course o!erings.

Each center will provide, at minimum one SMOCEM course per month.

Will simulation change the practice ofboard-certi"ed emergency physicians?

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What is the evidence for the use of simulation for Maintenance of Certi"cationacross specialities?

What are the ‘initial courses’ ?

Advances in Emergency Management of Critically Ill patients (adult and peds—non-trauma)

Advances in Trauma care

Advances in Emergency Medicine Procedures

Advances in Ultrasound

Advances in Airway Management

[not all centers will offer all courses]

Beginning with seven centersand expanding to 30 over three years, this researchnetwork has the potentialto drastically impact the practice of emergencymedicine nationally.

The ABMS seeks to answer this question in its mission to maintain the excellence of careprovided in the United States through its member boards. The ABMS Committee on Research and Evaluation Procedures has asked Northwestern faculty to Chair the taskforceon Simulation for MOC. This group is comprised by representative faculty who are expertsin simulation from a variety of specialities.

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PIVOTDetermining Patients’ Insights and Views Observing Teamwork-related Behaviors

(PIVOT)

PHASE I:RESEARCH PURPOSEThe 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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Distance Learning and Global Health

Certified InstructionThe 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

Michal Nowakowski MD, PhDHead of Department of Medical Education

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 EnglishHead of Department of Biochemistry

3URI��0DFLHM�0DáHFNL��0'��3K' Vice-Dean for Educational AffairsHead of Department of Metabolic Diseases

John Vozenilek, MDDirector, Northwestern Program in Simulation Technology and Immersive Learning

Paul Pribaz, MSExecutive Director, Center for Education in Medicine

Jagiellonian UniversityCollege of MedicineKrakow

Coming Soon

Wawel Castle, Krakow, Poland

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Ong

oing

Gra

nts

and

Pro

gram

s

David Salzman, MD Emergency MedicineAugusta Webster Educational Innovation Grants Program

Michael Wolf, PhD General Internal MedicineConsumer Understanding and Use of Non-Prescription Analgesics

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

D. Woods, PhD Institute for Healthcare StudiesRisk Informed Clinical Information Network for Safe Pediatric Emergency Transfers J. Barsuk, MD Hospitalist MedicineUse of a Simulation Based Mastery Learning Program to Improve Lumbar Puncture Performance

J. Robinson, MD DermatologyMelanoma Trainer Using Simulated Skin: An Innovative Design

Programs supported by gifts

Peoria NextElectronic Medical Records and Clinical Workflow Program

Studiocode Business GroupSimulation Instructorship Program

CCARESChicago Cardiac Arrest Resuscitation Education Service

EDUCATIONAL TECHNOLOGIESCENTER FOR EDUCATION IN MEDICINE

innovation.northwestern.edu

Selected examples and programs include:

Inno

vatio

ns L

abor

ator

yNew devices in partnership with the McCormick School of Engineering

Neonatal Surgical TrainerVideo capture for distance learning of surgical skillsActive management of Labor training devicesPelvic anatomy for emergency surgery simulatorsUltrasound-guided Paracentesis TrainerUterine Massage SimulatorFacial plastics repairAirway simulatorsShoulder dislocation trainerSuprapubic catheter trainerBluetooth EEG monitorMelanoma detection trainer

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.

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