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Education Simulation

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Clinical Training

Education

Simulation

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Teaching and learning via simulation education is well established at the UW School of Medicine and Public Health, and UW Hospital and Clinics. In 1997, clinical simulation became formalized when the Department of Anesthesiology purchased its first high-fidelity patient simulator, established a 700 square-foot simulation laboratory, recruited simulation instructors, and initiated a simulation education program. In 2011, the UW Clinical Simulation Center, a 6,500 square-foot facility, was opened. It provides expanded space and support to enhance individual practitioner training and enables true inter-professional team training.

During the clinical anesthesia years, simulation education is utilized to develop and/or enhance procedural knowledge and efficiency, teach crisis management, and provide formative sessions dealing with difficult patient, patient family, and colleague situations. Samples procedures include central line placement, bag-mask ventilation, direct and videolaryngoscopy, supraglottic airway device placement and exchange, double lumen tube and endobronchial blocker placement, supraglottic jet ventilation, flexible bronchoscopic intubation, retrograde intubation, and invasive surgical airway procedures. Sample crises scenarios include malignant hyperthermia, anaphylaxis, pulmonary embolus, massive surgical hemorrhage, airway fire, intra-operative ischemia, local anesthetic systemic toxicity, difficult intubation/cannot intubate-cannot ventilate, and out-of-operating room airway management. Sample difficult patient scenarios include relaying bad news, disruptive patients, disruptive family members, difficult colleagues, and ambiguous Do Not Resuscitate situations. A HeartWorks simulator is used to enhance knowledge of and proficiency with transthoracic and transesophageal echocardiography. Residents also now experience introductory and full length exemplary anesthesia objective structured clinical examinations (OSCEs) in preparation for the ABA APPLIED Examination, the third and final exam in the Staged Exams series leading to board certification.