Optimally applying a full range of simulation modalities to experienced healthcare providers across a VHA Vertically Integrated Service Network

May 20, 2014 8:00 - 10:30am

Rosalyn Scott, MD,  Micheal Stogsdill, PA-C   
Dayton VA Medical Center

With the recent formation of the Veterans Administration Healthcare System of Ohio (VISN 10) Simulation Consortium, a coordinated effort is under way to provide more robust education than could be developed by each medical center on its own. VISN 10 has been particularly supportive of simulation, funding a 46 ft. custom mobile simulation trailer and the renovation of a 17,000 sq. ft. space for a simulation center. The mobile trailer delivers state-of-the-art task-trainer, high- fidelity mannequin, standardized patient and virtual technologies directly to providers in more than 34 facilities. Particularly effective have been hybrid simulations incorporating virtual patient (VP) cases and mannequins. The use of a VP case provides enhanced clinical context and decision-making than is generally afforded during a mannequin scenario. The clinical environment and patient is introduced to the learner in a VP case projected on a large screen in the simulation training room. Instead of providing the history and physical findings, the learner interviews and examines the mannequin- patient. Subsequent care is conducted within the virtual environment with reexamination or interview of the patient as needed. Branching case design is an important component of the experience. Incomplete history taking, incorrect symptom interpretation, and/or inaccurate examination change the path in the VP case. Illustrations of this technique will be included in the presentation.