Established in 2014, the Orthopaedic Surgical Skills Laboratory affords residents the opportunity to practice basic and advanced surgical motor skills in a simulated environment. The laboratory was funded by grants from the Diveley Resident Education Fund at St. Luke’s Hospital Foundation and Children’s Mercy Hospital.
The lab is equipped with a full range of skills simulators, specific to orthopaedic surgery. During the PGY-1 year, residents complete 17 basic surgical skills modules, as suggested by the American Board of Orthopaedic Surgery. These modules have been integrated into the department’s core curriculum, and residents have protected time to complete them.
The laboratory is open to all residents 24 hours a day/7 days per week with key-card access.
The lab is equipped with a capital equipment arthroscopic tower, which includes a camera, light source, arthroscopic shaver, and fluid pump. This setup allows “dry lab” experiences with models and the AANA FAST system, as well as the ability to perform arthroscopic procedures on cadaver specimens. The lab has both 30° and 70° arthroscopes available.
ABOS/AANA/AAOS FAST System
The lab also has 2 complete FAST (Fundamentals of Arthroscopic Surgery Training) systems allowing simulated arthroscopic skills that build hand-eye coordination for arthroscopic surgery. Included is a laptop, which functions as camera and light source, a 30° scope, all eight FAST modules, and a FAST knot tester.
The lab houses several orthopaedic implant tools for residents to become familiar with and to practice proper technique. These include: two complete Stryker Operating Room power hand pieces, a small fragment fixation set, external fixation set, traction bows and pins, Gardner-Wells tongs, and K-wires. The lab is also equipped with a variety of simulated bones which can be used for tactile feedback.
The lab is equipped to teach the basic principles of microsurgery using fine suture and latex tissue analog. Residents are provided surgical loops during their PGY-1 year for microsurgery training and surgery.
Operating Room Equipment
Residents can practice prepping, draping, casting, and suturing in the lab. The lab has an OR table and the availability of C-arm fluoroscopy.
Available in the lab are joint injection models for shoulders, elbows, wrists, hips, knees, and ankles. There is also a compartment syndrome tester to develop the ability to correctly place a needle in each of the four compartments of the lower leg. A Stryker intra-compartmental pressure monitor is available to obtain accurate pressure readings.
National Emergency Services Week celebrates the community and medical personnel who have dedicated their careers to lifesaving services. The School of Medicine will have several events throughout the week. Emergency medicine residents and Emergency Medical Services (EMS) education program staff will be host to the Airway Management and Video Laryngoscopy Workshop at 6 p.m. on Tuesday, May 20, in the Clinical Training Facility.
The highlight of the week is on Wednesday, May 21. Those at the School of Medicine and in the Kansas City community will get the opportunity to see the documentary, Freedom House – Street Saviors, which tells the story of the Freedom House Ambulance Service experiment in 1960s Pittsburgh that taught “unemployable” individuals from the poorest parts of the city how to run an ambulance. This experiment lead to the first formally trained paramedics in the United States and formed the paramedic curriculum taught for the next 40+ years. The film has only been shown in select cities throughout the United States, and this is the only way to view it. Those who attend will be able to meet the producer of the film and two of the original Freedom House paramedics. Faculty, staff and students are invited to view the documentary at 1:30 p.m. in Theater C, and a showing at 6 p.m. in Theater A is open to the public.
The week wraps up on Thursday, May 22, with “Intraosseous and Central Lines for the EMS Provider” with Chris Davlantes, M.D., F.A.C.P. at 6 p.m. in the Clinical Training Facility.
Paul Ganss, M.S., NREMT-P, NCEE, manager of the School of Medicine’s Youngblood Medical Skills Laboratory, recently became part of the first group of Certified Healthcare Simulation Educators through a Society for Simulation in Healthcare (SSIH) pilot program that began last summer.
The organization launched its certification pilot program in June of 2012. Ganss was one of the more than 270 people who applied to take part in the pilot phase of the program. Participants are selected based on their work experience and personal recommendations.
“One of the goals of the Society for Simulation in Healthcare has been to work toward validating simulation centers with certification in simulator education,” said Ganss, a nationally certified paramedic, who also serves as the School’s Emergency Medical Services (EMS) education program director in cooperation with the Truman Medical Center emergency medicine department. “It shows that you have the body of knowledge necessary to provide an effective simulation program.”
Ganss took the 115-question certification test in September and was notified in December that he had passed. He prepared by reviewing articles provided by the SSIH and traveled to Sedalia for the exam. The tests are offered through college-based testing centers.
“A lot of the information, I had already learned through instructor courses and when I tested for my EMS Educator certification,” Ganss said. “It wasn’t too terribly stressful. The questions were straightforward, so the the only stress involved was what one places on themselves to be successful.”
The certification is valid for three years, at which time one can be recertified by taking the exam again or by submitting evidence of continued professional development throughout the previous certification period.
“They needed at least 200 people to be part of the charter group, and we wound up with more than 270 in our first group,” said Ganss, who was the only person from Missouri or Kansas selected to participate in the pilot phase of the certification program.
In addition to recognizing expertise in simulation, the certification program strives to improve health care simulation education by identifying, sharing and providing a standardization of leading practices in the industry.
The SSIH was created in 2004 to represent the growing number of researchers and health care educators utilizing the vast array of simulation technology available for health care education, testing and research.
A team of students from the School of Medicine participated in an emergency medicine simulation competition, SIM WARS, at the Great Plains Regional Society for Academic Emergency Medicine Meeting on Sept. 29 in St. Louis.
The contest puts four-person teams in an emergency patient scenario in which they must work together to assess the patient, intervene and manage a medical emergency working on a human simulator. Judges review teamwork, communication and clinical decision-making skills.
Teams from schools throughout the region compete against one another in a single-elimination tournament format. The School of Medicine team of Chirag Patel, MS 6, Samantha Novaha, MS 6, Andrew Spencer, MS 6, and Meena Subramanian, MS 5, won its first-round match and lost to the eventual SIM WARS champions in the second round of competition. Three students, Brandon Elder, MS 5, Will Enochs, MS 4, and Megan Litzau, MS 4, trained and prepared for the competition with the team and served as alternates.
“The experience was a success,” said Stefanie Ellison, M.D., associate professor of emergency medicine and associate dean of curriculum. “The students said they learned a lot. They felt more confident in their diagnostic, patient management, and procedural skills.”
Ellison said students in the School’s Emergency Medicine Interest Group would continue to train throughout the year with the goal of entering two student teams in the contest at the 2013 Great Plains Regional Meeting. The UMKC School of Medicine and Truman Medical Center will be host to the 2014 meeting.
Students met twice a week with faculty and residents in the Youngblood Medical Skills Lab throughout August and September to practice and train for SIM WARS using the SIMman simulator and low fidelity procedural models. The training focused on case development skills, defining team member roles and responsibilities and the deliberate practice of patient management skills.
Throughout the training, students learned to manage adult and pediatric patients presenting with respiratory distress, traumatic injuries, sepsis, heart attack, and patients in cardiac arrest. They also learned procedural skills in airway management, Advanced Cardiac Life Support, intraosseous line placement, lumbar punctures and trauma care.
Sessions also included training experiences with EMT students, responding to an emergency, providing care and handing off that care to the UMKC medical students. Following the sessions, both medical students and EMT students gathered as a group for a discussion of student professional roles, case management and debriefing.
Emergency medicine faculty involved in the training for SIM WARS included Ellison, Jake Kesterson, M.D., assistant professor of emergency medicine, Emily Hillman, M.D., assistant professor of emergency medicine, and Jordana Kaban, D.O., assistant professor of emergency medicine. Residents who participated in the training included Bryson Bowman, Rob McCullough, Eric Canady, Scott Campbell, and James Hall.