The Simulation Center
Department of Medicine Simulation Center and Procedural Training
The Department of Medicine has had its own Simulation Center for many years. Residents have an opportunity to practice and perform hands-on skills on the simulators. The Department has been utilizing SimMan which enables residents to learn ACLS and a variety of procedures on a very life-like simulator. New simulators including Eye Examination Simulator, Ear Examination Trainer, Clinical Female Pelvic Trainer, Rectal Exam Trainer, Central Venous Catheter Insertion Simulator, Knee Aspiration Model, and Thoracentesis and Paracentesis Trainer have been added to the Center recently. The simulators help teach our residents and students physical examination skills as well as provide them with an opportunity to master the technical skills needed to perform a variety of procedures..The residency program has developed and incorporated a new curriculum for procedural training. This curriculum includes computer based educational modules, hands-on simulator training and the performance of procedures under direct supervision.
Einstein Simulation and Learning Center
Einstein has completed construction on a 6500 square foot Simulation and Learning Center that is located in the Korman Research Building. The Simulation and Learning Center will provide residents, physicians, nurses, allied health professionals and students "real life" patient experiences with guided, artificially created scenarios and procedures that evoke or replicate actual patient care. At least six types of training will be available at the Center: Human patient simulators, simulated clinical environments, virtual procedure stations, procedure training, certification courses, and team training. Training in simulated environments is an emerging additional step in the learning process--a step between classroom instruction and actual clinical instruction with real patients. As an academic medical center, Einstein is committed to teaching excellence and to the full integration of simulation into everyday residency training.
Harvey® and The SimulScope®
The Department of Medicine has Harvey®, the cardiology patient simulator. Having this extraordinary teaching tool for the cardiovascular physical exam places Einstein in a group of elite training programs. Harvey aids learning by simulating the bedside findings of a normal cardiovascular exam and over 20 abnormal cardiovascular disorders. Blood pressure, jugular venous wave forms, arterial pulses, precordial movements, heart sounds, and respiration can be studied to give the learner a complete understanding of the cardiovascular examination. We also have the UMedic® computer assisted interactive instruction system in cardiovascular physical diagnosis that residents can use to compliment the learning experience with Harvey. The SimulScope® is used for teaching heart, breath and bowel sounds. A stethoscope with a wireless infrared transmitter can pick up heart, breath or bowel sounds and transmit them to wireless infrared headphones worn by a number of different listeners. The SimulScope® allows our residents to all hear the same sounds at the same time, which facilitates the instruction of physical diagnosis.
SimMan®
This simulator provides an experience which will challenge and test residents’ clinical and decision-making skills during realistic patient-care scenarios. This simulator is very realistic, and affords residents the opportunity to learn and practice airway skills, intravenous access techniques, tube thorocostomy, bladder catheterization and nasogastric tube placement. "Mock Code" training is provided for residents on this life-like patient simulator. All aspects of ACLS can be learned and practiced on SimMan.
AccuTouch® Endoscopy Simulator
Residents and fellows have the opportunity to learn hands-on about endoscopic procedures with our endoscopy simulator. Modules on upper and lower endoscopy (including ERCP), bronchoscopy and airway management are available. This simulator is a realistic, computer-based system which allows residents and fellows the opportunity to master both the motor and cognitive skills necessary to perform these advanced procedures. The simulator uses real-time computer graphics, including anatomic models developed from actual patient data and a robotic interface device, where force is transmitted through a flexible scope to provide tactile sensations mimicking the actual feel of a procedure.
CathSim Vascular Access Simulator®
Residents and medical students have the opportunity to master the techniques of intravenous line insertion and phlebotomy with our vascular access simulator. CathSim provides cognitive and motor skills training into an integrated learning experience which can greatly benefit each individual learner. This simulator provides a variety of patient types which are encountered in real life and even creates complications. With this simulator, the learner is able to feel the needle and catheter insertion from the "pop" as the needle enters into the vein lumen. Also included in this module is the ability to learn and practice PICC line insertion.
VentAid TTL®
Teaching the principles and practice of mechanical ventilation is easy with use of this training test lung. Residents have an opportunity to work directly with a mechanical ventilator and the training test lung. This module allows residents to directly understand and visualize the different modes of mechanical ventilation. Residents can develop a better understanding of ventilator alarms and complications by utilizing this excellent teaching tool.
