Simulation Based Training
The simulation-based training at the Department of Internal Medicine is geared to enhance residents' skills and affect their attitudes and behaviors during patient care and when interacting with their families across the continuum of care, ranging from ambulatory setting though inpatient crisis events. Training is carried out at the local Simulation Center.
Training sessions are designed to improve performance and transform trainees' approach by creating a high-fidelity, immersive experience, coupled with a 3600-type debrief process and deliberate practice. The sessions focus on planning, teamwork, leadership, communication and execution of prioritized clinical tasks.
The F. Marie Hall Simlife Center at Midland College
The simulation center is a state-of the art learning environment, with the training process and debrief remaining at the forefront nationally. MORE
The Louise and Clay Wood Simulation Center
The state-of-the-art center provides multiple realistic health care environments designed to assist students and residents in acquiring the competencies necessary, to provide safe, culturally sensitive, quality patient care. MORE
Key simulation sessions include acute respiratory failure, hemodynamic instability, cardiopulmonary arrest and family conference for an acutely ill patient. Separate task-specific training is provided involving placement of central venous catheters, mask-bag ventilation, and endotracheal intubation.
The residents complete pre- and post-session (pre-debrief) self-assessment questionnaires addressing their performance and level of confidence.
The 3600 debrief approach has been shown to broaden residents' insight of the complexities involved in-team-based delivery of health care in crisis events and during routine care. The direct "lay person" input from simulated family members/patients offers residents a unique, generally unavailable, direct and timely perspective on their performance and means to improve, complementing faculty input. Following debrief, each resident is provided with a recording of his/her session allowing follow-up replay to facilitate deliberate practice.
Simulation training consistently includes interprofessional interactions with nursing staff and team members, as appropriate, and debrief sessions routinely incorporate structured interprofessional interactive feedback. Similarly, sessions focusing exclusively on communication (i.e., patient and family counseling) include debrief feedback by simulated family members/patients, covering predetermined key performance domains. Structured post-session evaluations are completed by faculty for each resident, with input by simulation confederates and are included, along with their self-assessments, in resident's performance portfolio.