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Medical Simulation Centre
Research & Innovation Centre
Clinical Skills Centre

Friday, 24 November 2017
Introduction

Welcome to the AIMSi Medical Simulation Centre, a hospital based facility providing a powerful realistic environment for delivering professional multidisciplinary healthcare training. Excellence in clinical health outcomes is an increasingly prevalent community and professional expectation, particularly with regard to safety in the hospitalized patient. Adverse events in patient care, apart from jeopardizing the individual's likelihood of complete recovery, triggers escalated responses which intensively consume scarce health resources. In the current Australian environment where health threatens to absorb higher percentages of G.D.P (comprising up to one third of the current NSW (Australia) state budget - minimizing the burden of financing avoidable adverse clinical events by maintaining a highly trained workforce, is pivotal to cost efficient delivery of safe patient care.
We use a suite of interactive human patient simulators and manikins to give clinicians the opportunity to learn, rehearse and perfect procedures from the simple to the highly complex. Thus, our main purpose is to train medical professionals to reduce adverse events in health care during surgery, medical emergencies, major incidents, drug delivery and other critical situations . We train medics, nurses, dentists, general practitioners, paramedics, emergency practitioners, physiotherapists, safety officers and dental/medical students.

The objectives of the Medical Simulation Centre are:
  • To enhance skill developement for health care providers through immersive simulation
  • To employ a range of learning scenarios and opportunities to obtain prespecified performance objectives using adult learning principles
  • To offer structured and focused training as required, regardless of an individual's specific undergraduate educational background
  • To utilise formative assessment tools to gauge knowledge retention in individual doctors
  • To create a database to facilitate performance trending over time for individuals and also for groups
  • To attain predefined skills levels according to doctors' designated job descriptions
  • To instruct doctors such that they develop problem solving skills translatable into clinical crisis resolution
  • To cover the range of clinical scenarios commonly associated with "the deteriorating patient"
  • To develop verbal communication and listening skills in the "one on one" patient interview setting
  • To provide a facility where coordinated emergency team responses can safely and reliably be observed, critiqued and optimized (e.g. emergency multidisciplinary team interactions such as Medical Emergency Teams and Trauma teams)
  • To create an environment where non - emergency team interactions can be reviewed and analyzed : e.g. communication between Operating Room team members,
  • To allow training for larger scale multidisciplinary events - such as bus crash triaging , or Code Yellow's
Simulation
Medical simulation is a branch of simulation technology related to education and training in medical fields. It can involve simulated human patients or manikins in a variety of simulated environments as well as online resources involving interactive educational documents with detail simulated animations and software.

A high level human patient simulator is a whole body mannequin with driving mechanical and computer software. This type of simulator used by AIMSi has sophisticated modeling of the cardiovascular and respiratory systems of a human. Fluid status, acid-base and temperature are also modeled along with the pharmacodynamic effects of a number of intravenous drugs. The whole body mannequin can be instrumented and has a full monitoring interface. The simulator can be programmed to represent different types of patient, the young and fit or the old and frail. When a drug is administered to the mannequin it is recognized by the system and the appropriate pharmacodynamic response seen for the chosen physiological patient. The simulator allows rehearsing of events rarely seen in everyday practice. Through simulation different clinical personnel are taught about awareness and avoidance of error prone situations. The simulator can be used to clarify difficult concepts and help bring principles learned in the classroom to life.

Centre Description
The AIMSi Simulation Centre comprises sixteen computer linked full simulation rooms, allowing the staging of eight synchronous, linked but potentially divergent scenarios. Full immersion of the maximum number of participants is thus achievable - uniquely distinguishing this Medical Simulation Centre from classical set ups, where only 10 % of participants participate in each scenario. Debriefing would subsequently occur in one of the debrief rooms facilitated by a state-of-the-art touch panel AV system which incorporates interactive whiteboards with wireless audience responce technology. All rooms have networked, appropriate audiovisual recording and replaying capability. Four combinable simulation rooms allow for major incident/disaster training, and a further 500 m 2 is allocated for co-coordinating office space, computer/ I.T storage and future development completes the 2000 m2 facility. Portions of the Centre are security coded to allow 24 hour access privileges, according to allocated and codified key card access of the particular personnel.



Our Speciality: Competency Assessment
AIMSi Medical Simulation Centre recognises that upskilling is paramount in delivering a safe, high quality and sustainable solution for a medical workforce that may be dependent on locums, registrars and overseas trained doctors wherein it has been proven that safety and efficiency is often compromised.

AIMSi Medical Simulation Centre specialises in competency assessment, upskilling and re-credentialing of medical professionals. Through the use of advanced video analysis software AIMSi is able to reliably review and analyse individual or team performance using validated technical performance and behavioural marker tools allowing formative feedback to learners. AIMSi also recognizes that these areas are confounded by often a lack of fluency in verbal expression in colloquial English amongst foreign graduates. Such communication issues can be reliably, reproducibly and safely be addressed in the non judgmental atmosphere of the Simulation Centre.

The key objectives of this AIMSi Speciality are:
  • To offer structured and focused training as required, regardless of an individual professional’s specific undergraduate professional background
  • To employ a range of learning scenarios and opportunities to obtain prespecified performance objectives using adult learning principles
  • To utilize formative assessment tools to gauge knowledge retention in individual doctors
  • To create a database to facilitate performance trending over time for individuals and also for groups, according to scenario’s catalogued
  • To attain predefined skills levels according to the medical professional’s designated job descriptions

OUR TEAM