STAFFING

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INFRASTRUCTURE

THE DEAN

CLIENTS

FINANCES

Summer 2015, no.1

Welcome to Issue no.3 of the (A&M) Administration and Management Committee newsletter and the upcoming close of 2016. Just before we are all off and enjoying the holidays, take a few minutes and learn about the work of the American College of Surgeons Accredited Ed-ucation Institutes’s A&M Committee and upcoming plans for 2017.

This newsletter continues the exploration and sharing of topics that would benefit anyone involved in a simulation center administration, management or operations.

As always, we ask for your input into our future issues. This newsletter is for the benefit of AEI management personnel, so we need to know what you want to know! What topics are of interest? What should we explore or share? You can email any ideas or suggestions to Jennifer Calzada at jcalzada@tulane.edu.

We’ll close with your chance to stay on top of trends from around the world with a comprehensive list of all AEI Centers and associated web addresses and social media accounts.

Administration and Management Committee Newsletter

inside the of an

Welcome to the A&M Newsletter

Fall 2016 PG Recap and March 2017 Meeting Preview

Hot Topics

Events of Interest

D.I.Y. Recipe

Tips and Tricks: AEI Resources

A&M Committee MembersMeet a Member - Melinda Klar

Trending the World

Find more information online . . .

ACS Accredited Education Institute Consortium Portal

Welcome

Clients

Finances

Staffing

Infrastructure

Stakeholders

Technology

ACS-AEI A&M Newsletter Editor: Jennifer Calzada

administrator

January 28-February 1, 2017. IMSH, Simulation in HealthcareOrlando, FLAnnual simulation conference for Society for Simulation in Healthcare.ssih.org

March 17-18, 2017. 10th Annual Meeting of the Consortium of Accredited Education InstitutesChicago, ILfacs.org

September 8-9, 2017. ACS-AEI Postgraduate CourseOregon Health and Science University (OHSU)Portland, OR2017 PG Course will focus on the attainment of com-petency for tomorrow’s health care professionals.facs.org

Fall PG 2016The September 2016 PG course brought everyone to Boston, hosted by Harvard Medical School and the Carl J. Shapiro Simulation and Skills Center and the Beth Israel Deaconess Medical Center.

The A&M Committee met on Thursday before the start of the PG Course and discussed ideas and planned the 3rd annual A&M Track for the March 2017 Spring meeting. There’s a sneak peek in the next column.

Day 1 of the PG Course included presentations and panels around the general theme of Perfect Practice Makes Perfect.

Saturday brought everyone to the Carl J. Shapiro Simulation and Skills Center and started with a sur-prise presentation to Carlos A. Pellegrini, MD, FACS, retired Co-Chair of the ACS-AEI program, accepting his award for recognition of 10 years of exemplary leadership.

The rest of the morning rotated participants through workshops that included: Developing Immersive Environments to Teach - taking participants to the edge of tech with VR FLS, VEST, and VAST Development of High Fidelity and Low Cost Simulation using Silicon, Molds and 3D Printers - demonstrating lap hernia, pelvic models, and suture tying boards Mock OR Crisis - Acute Hemorrhage and Fire

Spring PreviewThe annual March ACS-AEI meetings are getting a new name! The March 2017 meeting will be the 10th annual ACS-AEI Spring meeting, called The Annual ACS Surgical Simulation Meeting. The meeting will again take place at the Swissotel in downtown Chica-go on March 17-18, 2017.

The March surgical simulation meetings are no longer just for consortium institutions and members. If you’re involved in or interested in surgical focused simula-tion, you should attend the 10th annual meeting.

This meeting will provide unparalleled networking for those focused on surgery simulation and will present the latest innovative research and education from accredited institutions. Learn more on the topics of curriculum and faculty development, research, tech-nology, and management of surgical simulation.

The Administrative & Management Committee will present the 3rd annual A&M Track which in 2017 will focus on Managing the Business of a Simulation Cen-ter: A Round Table Discussion.

More information, agenda, registration and travel information on the March 2017 Annual ACS Surgical Simulation Meeting can be found at:ACS website

Pack your green, get ready to see the Chicago River dyed green and join us in March 2017 to learn and ad-vance the field of simulation for surgical specialties.

Events of Interest

Fall 2016, no.3

Hot TopicsHot Topics Webinars has been one of the major projects of the Administration & Mangement Commit-tee. Since December 2011, different members have lent their expertise and presented a live webinar to all ACS-AEI members. Because we know everyone’s schedule is different, Hot Topic webinars have been recorded and archived as a podcast, so there is no excuse to miss any of these great learning opportunities!

Past webinars available online HERE (log in required) http://web4.facs.org/aei/home.mvc/index

11-2011 High Fidelity Simulators and High Stakes Exams (Lisa Satterthwaite) 02-2012 Staffing: What Does It Really Mean? (Sandi Feaster, Deborah Rooney)03-2012 Billing Your Courses: How to Build Your Own Pricing Model (Pamela Leonard)05-2012 Skills Lab Equipment Decontamination and Sterilization (Lisa Satterthwaite)12-2012 Using SPs in Simulation: Patients? Family Members? Confederates? Hybrid? (Sandi Feaster)02-2013 Hybrid Simulation: Using All the Tricks to Enhance the Experience (Sandi Feaster)06-2013 Don’t be a Technologically Impaired Duck: Gain Knowledge and Competence with Office and IT Solutions (Troy Reihsen) 09-2013 Taking Your Center’s Operations Online (Jennifer Calzada) 11-2013 Research - Challenges and Triumphs of Implementation into your AEI (Lisa Satterthwaite, Janis Cannon-Bowers)05-2014 Got Kits? An Example of an Open Skills Kit and Curriculum for your PGY1s (Bonnie Bouchér, Melissa Brunsvold)08-2014 Integrating Simulation into TeamSTEPPS/Team Training (Jennifer Calzada, Ross Ehrmantraut)12-2014 Cadaveric Specimen Use in Bio-Skills Training and Research Settings (David Irvin)03-2015 How to Train Your Dragon...Why Standardized Patients are Valuable Assets in Educating our Clinicians (Karen Thomson-Hall, Sandi Feaster) 05-2015 A Checklist for Using Crisis Checklists in a Simulation Program (Pamela Leonard) 09-2015 How to Manage, Prepare, Evaluate and Deliver Effective Boot Camp Programs (Lisa Satter-thwaite, Bonnie Bouchér)05-2016 Lacing Your Boots Before They Hit the Ground: Preparing for a Meaningful Bootcamp (Ruth Braga)12-2016 Good Lab Practices (GLP) (Katie Lehner and Mark Moyer)

Upcoming Hot Topic webinars are scheduled on the dates below at 10-11AM PST / 12-1PM CST / 1-2PM EST. To register for future Hot Topics sessions, email ajohnson@facs.org and instructions to join will be sent to participants the week before each scheduled session.

Coming in 2017:Conflicts of InterestAdvanced Trauma Life Support (ATLS) will be presented after version 10 of the guidelines are official

We’re looking for more Hot Topic ideas and presenters. Please send your ideas to Amy Johnson at ajohnson@facs.org.

Fall 2016, no.3

This issues Tips and Tricks come directly from the ACS-AEI website. During 2016 many new resources were added or enhanced, based on work by the various AEI committees. Just in case you’ve missed them and also to highlight the great work all the committees do, we’re includ-ing highlights of AEI resources as our latest Tip!

So take a tip from us, learn from your fellow AEI, learn, copy, and share!

Check out the Resources for AEIs link.

Research & Development Committee:ACS-AEI R&D Research Manual provides guid-ance, education and an enhancement of the quality of scholarly work emerging from simu-lation and surgical education. ACS Principles and Practice for Simulation and Surgical Educa-tion Research. ACS-AEI members pay $25 and non-members $50. Shipping included.

Consortium Abstract Research Database in-cludes all since 2008. Currently viewable by tables based on various criteria, the next phase will make the database searchable.

Technology & Simulation Committee:Guidelines for Simulation Development is a document available for download that provides recommendations for preferred characteristics of surgical simulation. New to surgical simula-tion? Expanding to new areas? Check out the recommendations from AEI members.

From the ACS:Presentations and Podcasts from AEI Consor-tium meetings, starting with 2013.

Planning to apply for AEI accreditation? Check out the AEI User’s Guide and the Glossary of Terms to get started.

DIY RecipeLow Cost Thoracentesis Model(Beth Sobba, WWAMI Institute for Simulation in Healthcare)

Objectives: This model will enable the learner to practice performing a thoracentesis using porcine ribs secured to an adjustable and sturdy frame created from materials commonly found in hospitals and hardware stores. The assembled frame can be used to secure porcine ribs for other procedural practices, such as surgical or Seldinger chest tube placement.

Ingredients: • Porcine ribs• (6) Black pipes 1/2” diameter, 48” length• (2) Pipe clamp 1/2 diameter• (6) 10” zip ties (many) or s-hooks• (8) Jumbo IV pole clamps• 1L IV fluids (optional)• Medical tape• Towels and fluid basin• Plastic wrap (optional)

Final look showing lateral approach set-up

Notes:The goal of the set-up is to maintain stability. Zip ties can be used to puncture the meat, preferably behind a rib bone for secure attachment. Fluids are optional depending on learning objectives. Fluid bag should be replaced every 2-3 learners. For add-ed realism, pig skin can be used as the outer layer. U/S can be used with this model.

Step by Step Instructions and Images follow as the last three pages of this newsletter.

Interested in more DIY model making ideas and recipes? So are we! Submit one of your center’s DIY model ideas for the late Spring 2017 newsletter.

Tips & Tricks

Fall 2016, no.3

Committee Co-ChairFarrah F. Leland, JDWWAMI Institute for Simulation in Healthcare atUniversity of Washingtonbatchel@uw.edu

Committee Co-ChairJennifer Calzada, MA, MPHTulane Center for Advanced Medical Simulation & Team Trainingjcalzada@tulane.edu

Committee Vice ChairJeffrey D. Howells, MS, MBALSU Health Sciences Center at Shreveportjhowel1@lsuhsc.edu

Ruth Braga, MSN, RNUniversity of Utah, Division of General Surgeryruth.braga@hsc.utah.edu

Beverly Hughes, BSN, RNUSF HEALTH Center for Advanced Medical Learning and Simulation (CAMLS)bhughes@health.usf.edu

David C. Irvin, BS, RLATNorthwestern Center for Advanced Surgical Education (NCASE)d-irvin@northwestern.edu

Melinda Klar, RNUniversity of Tennesseemklar@utmck.edu

Katie Lehner, BS, CSTLegacy Institute for Surgical Education and Innovationklehner@lhs.org

Valerie Overholt, DOSurgical and Procedural Skills Training Centervalerie.overholt@stjohn.org

Jonathan P. Pearl, MD, FACSMaryland Advanced Simulation, Training, Research and Innovation Center at University of Maryland jpearl@smail.umaryland.edu

Lisa Satterthwaite, RPN, ORTMount Sinai Hospitalskills.centre@utoronto.ca

Dawn Swiderski, MSN, RN, CCRN, CHSECarolinas HealthCare Systemdawn.swiderski@carolinas.org

Lizzy H. WooleyBaylor University Medical Center at Dallaslizzy.wooley@baylorhealth.edu

A&M Committee Member List

Summer 2015, no.1

Melinda Klar @ Shreveport, LAUniversity of TennesseeACS-AEI A&M Committee Member

Melinda is the Administrative Director of the University of Tennessee Center for Advanced Medical Simulation, she has been in the role for 7 years since the center was established. Previously, Melinda was Clerkship Education Coordinator, Clinical Trials Coordinator, Pediatric Surgery Nurse Specialist and Pediatric Trauma Coordinator for the Department of Surgery at the Medical Center. Before UT, she practiced pediatric critical care and general surgery nursing in Kentucky, Florida and Tennessee.

As a throwback to her previous pediatric trauma days, Melinda has maintained Instructor status for the National Child Passenger Safety Technician Certification Program. Her personal time can often include participating in car seat checkpoints, teaching certification courses, and pro-viding community and professional CPR awareness.

A&M Committee VisionThe Administration and Management Committee of the Consortium of American College of Surgeons Accredited Education Institutes (ACS-AEI) will support the credo of the ACS AEI by offering guidance, education, support and knowledge transfer between global members of the as-sembly to enhance growth and development of manage-ment and administration of surgical simulation centers.

A&M Committee MissionDevelopment and dissemination of operational strate-gies to the assembly for establishing or established AEI Centers to:

• Discuss best practice values• Discuss and develop fundraising approaches• Review legal and liability issues• Discuss human resource guidelines and other busi-

ness development practices

Meet a Member

Fall 2016, no.3

Trending the World

Fall 2016, no.3

State City Accredited Education Institute

AZ Phoenix Banner Simulation System

CA La Jolla UCSD Center for the Future of Surgery

CA Los Angeles Cedars-Sinai Simulation Center for Advanced Clinical Skills

CA Los Angeles UCLA Center for Advanced Surgical and Interventional Technology (CASIT)

CA Los Angeles USC Surgical Skills Simulation and Education Center

CA Orange UC Irvine Surgical Education Center (SEC)

CA Palo Alto Stanford Department of Surgery Education Institute

CA Pasadena Huntington Memorial Hospital Skills Lab

CA Sacramento UC Davis Health System, Center for Virtual Care

CA San Diego Bioskills and Simulation Training Center at Naval Medical Center San Diego

CA San Francisco UCSF Surgical Skills Center

CO Parker Rocky Vista University Institute of Surgical Simulation

CT Hartford Center for Education, Simulation and Innovation (CESI)

DE Newark Christiana Care Health System Virtual Education & Simulation Training Center (VEST)

DC Washington DC MedStar Simulation Training and Education Lab (MedStar SiTEL)

FL Tampa USF Health Simulation Consortium

GA Atlanta Center for Surgical Anatomy and Technique (CSAT) at Emory University

HI Honolulu Tripler Medical Simulation Center

IL Evanston Grainger Center for Simulation and Innovation (GCSI)

IL Peoria Jump Trading Simulation & Education Center

IL Chicago Northwestern Center for Education in Medicine

IL Chicago UIC Health Sciences Simulation Consortium

IL Chicago University of Chicago Center Simulation Center

IA Iowa City University of Iowa Hospitals and Clinics Center for Procedural Skills and Simulation

LA New Orleans LSU Health - New Orleans School of Medicine Learning Center

LA New Orleans Tulane Center for Advanced Medical Simulation & Team Training

LA Shreveport LSUHSC Shreveport Clinical Skills Center

MD Baltimore Maryland Advanced Simulation, Training, Research and Innovation Center

MD Bethesda The National Capital Region Simulation Consortium

MA Springfield Baystate Simulation Center

MA Boston Carl J. Shapiro Simulation and Skills Center

Fall 2016, no.3

Trending the WorldState City Accredited Education Institute

MA Boston Center for Medical Simulation

MA Burlington Lahey Center for Professional Development and Simulation

MA Boston MGH Learning Laboratory

MA Boston Neil and Elise Wallace STRATUS Center for Medical Simulation

MI Detroit Henry Ford Health System Center for Simulation, Education and Research

MI Royal Oak Marcia and Eugene Applebaum Surgical Learning Center

MI Southfield Simulation and Education Center

MI Ann Arbor University of Michigan Clinical Simulation Center

MN Rochester Mayo Clinic Multidisciplinary Simulation Center

MN Minneapolis University of Minnesota SimPORTAL

MO St. Louis Washington University Institute for Surgical Education (WISE)

NC Charlotte Carolinas Simulation Center

NC Durham Duke University Medical Center Surgical Education and Activities Lab (SEAL)

NC Chapel Hill Learning Institute of North Carolina (LINC)

NJ Morristown Institution of Bioskills Training and Innovation (IBTI), Atlantic Health System

NM Albuquerque BATCAVE Healthcare Simulation Program

NY New York Hospital for Special Surgery

NY New York NYU Department of Surgery Surgical Skills Laboratory

NY New York Weill Cornell Medical College Skills Acquisition and Innovation Laboratory (SAIL)

OH Cleveland Cleveland Clinic Multidisciplinary Simulation Center

OH Columbus Clinical Skills Education & Assessment Center at the Ohio State University

OH Columbus OhioHealth Learning

OH Toledo The University of Toledo Interprofessional Immersive Simulation Center

OK Oklahoma City Clinical Skills Education and Testing Center

OR Portland Legacy Institute for Surgical Education and Innovation

OR Portland VirtuOHSU Simulation & Surgical Training Center

PA Allentown Lehigh Valley Health Network Surgery Education Center

PA Johnstown Medical Skills Learning Center - Memorial Medical Center

PA Hershey Penn State Milton S. Hershey Simulation Center

PA Philadelphia PENN Surgery Simulation Center

PA Philadelphia Thomas Jefferson University

State Accredited Education Institute

PA Philadelphia William Maul Measey Institute for Clinical Simulation and Patient Safety

SC Charleston Medical University of South Carolina - Healthcare Simulation Center

TN Knoxville University of Tennessee Center for Advanced Medical Simulation (UTCAMS)

TX San Antonio BAMC Simulation Center

TX Dallas Baylor University Medical Center Academic Simulation Program

TX Dallas Southwestern Center for Minimally Invasive Surgery

TX Temple Texas A&M Scott and White Surgical Skills Program

TX Houston The Methodist Institute for Technology, Innovation and Education (MITIE)

TX Galveston UTMB Laboratory for Surgical Training, Assessment and Research (LSTAR)

UT Salt Lake City Utah Center for Innovation and Simulation in Education

VA Falls Church Advanced Surgical Technology and Education Center

VA Norfolk EVMS / Sentara Center for Simulation and Immersive Learning

VA Portsmouth Naval Medical Center, Portsmouth

VA Richmond VCU Center for Human Simulation and Patient Safety

VT Burlington Clinical Simulation Laboratory at the University of Vermont

WA Tacoma Charles A. Andersen Simulation Center, Madigan Army Medical Center

WA Seattle WWAMI Institute for Simulation in Healthcare (WISH)

WI Madison UW Health Clinical Simulation Program

Argentina Buenos Aires Centro de Entrenamiento Quirurgico y Endoscopico

Canada London, ON Canadian Surgical Technologies & Advanced Robotics (CSTAR)

Canada Vancouver, BC Centre of Excellence for Simulation Education and Innovation (CESEI)

Canada Montreal Steinberg Centre for Simulation and Interactive Learning

Canada Toronto University of Toronto Surgical Skills Centre at Mount Sinai Hospital

France Nice Medical Simulation Center University of Nice - Sophia Antipolis

France Strasbourg Research Institute Against Digestive Cancer (IRCAD)

Greece Athens Medical Physics Lab - Simulation Center (MPLSC), University of Athens

Italy Pisa EndoCAS

Saudi Arabia Riyadh King Saud University, Clinical Skills and Simulation Center (CSSC)

Spain Santander Hospital Virtual Valdecilla

Sweden Stockholm Center for Advanced Medical Simulation and Training at Karolinska University Hospital

Sweden Helsingborg Practicum - Lund / Malmo Clinical Skills Centre

U.K. London Imperial College London, Division of SurgeryFall 2016, no.3Add or update your center’s information by emailing Jennifer Calzada.

Trending the World

Content ideas? This is issue no.2 of the ACS-AEI Administration & Management Committee newsletter. Future issues are planned each January and June. Send questions, suggestions, ideas,

content sections to Amy Johnson at ajohnson@facs.org.

1

HowtoBuildYourOwn:LowCostThoracentesisSimulatorBethSobba,BS;AmyMorris,MD;DavidPark,MDUniversityofWashingtonSchoolofMedicine,SeattleWAMaterialsMaterialscanbefoundeitheratyourlocalhardwarestoreorwithinahospitalsetting.Theporcineribscanbeacquiredfromagrocerystore.Hardwarestore:½”pipe48”length(6),½”pipeclamp(2),ziptiesorS-hooks(6).Hospital:perpendicularIVpoleclamp1(8),fluidbasin,medicaltape,1Lintravenousfluids.Setup:

1. Securethetwopipeclampstoatableapproximately2’apart.Inserta½”pipeintoeachoftheclampssobothpipesarenowpositioneduprightperpendiculartothetablesurface.SecuretwoperpendicularIVpoleclampstoeachofthepipes.

2. Securetwomorepipesperpendicularandhorizontaltotheverticalpipes,usingtheperpendicularpoleclamps.Youshouldnowhavearectangularframethatisadjustableinheightusingtheperpendicularpoleclamps.Forthelateralapproach,orpatientlyingdown,proceedtothenextstep.Fortheposteriorapproach,orpatientsittingupproceedtostep4b.

3. Securetwomorepipesperpendicularandverticaltothepreviouslypositionedhorizontalpipes.Youshouldnowhavearectangularframewithinaframethatisfullyadjustableinbothheightandwidthusingtheperpendicularpoleclamps.

4. Securingtheporcineribstothesimulator:a. Lateralapproach:Using6ormoreShooks(orzipties),piercethemeat

ononeendandsecuretheotherendtotheadjustablepipesinvariousdirectionssothattheribsaresecureandtaut.Youcanadjustthewidthandheightoftherectangularframetopulltheribstauttoreducemovementuponneedleinsertion.

b. Posteriorapproach:Using4Shooks(orzipties)piercethemeatononeendandsecuretheotherendtotheadjustablepipeaboveandbelowtheribs.Youcanadjusttheheightofthesepipestopulltheribstautandreducemovementuponneedleinsertion.

5. Usingthemedicaltape,1Lfluidbag,Shooks(orzipties)andplasticbasinyouwillnowsecurethefluidstotheribs.Positiontheplasticbasinunderneaththeribstocatchfluids.HangthefluidsbehindtheribsusingtheShook(orzipties).Tocreateatightseal,wrapmedicaltapearoundthefluidbagandribstominimizeairbetween.Instructstudentstoworkfromtoptobottomastheypracticeneedleinsertions,asthiswillminimizefluidleakage.

Contact:Forfurtherinformationonthesimulatorsetupanddesign,pleasecontactBethSobba,sobbab@uw.edu.IfyouwouldlikeinformationregardingchestprocedurescurriculumpleasecontactDr.AmyMorris,amorris@medicine.washington.edu.1Ifnotavailableinyourhospital,thesecanalsobepurchasedonlinethroughFisherScientificas“Castaloy™ClampJumboHolder.”https://www.fishersci.com/shop/products/thermo-scientific-castaloy-clamp-jumbo-holder/05757q)

2

Step1–Securethepipestothetable Step2–Createframeforposteriorapproach

Step3–CreateframeforlateralapproachStep4a–Secureribsforlateralapproach

Step4b–Secureribsforposteriorapproach

Step5a–Securefluidsforlateralapproach

Step5b–Securefluidsforposteriorapproach