University of Virginia School of Medicine
Surgery Conference Room, 4:00 p.m.
Present (underlined) were: Reid Adams, Robert Bloodgood, Anita Clayton, Gene Corbett, Donald Innes (Chair), Vern Juel, Howard Kutchai, Maria Meussling, Jerry Short, Bill Wilson, Brian Wispelwey, Ryan Zaklin, Debra Reed (secretary)
The Curriculum Committee discussed enhancing student/patient interaction in the first and second years of medical school. Course directors in PoM1 and 2 and the preceptorship program will be asked to create a list of interview and physical examination expectations/objectives to be sent to each preceptor prior to the student's arrival in the office/clinic. Students must be allowed to do more than shadow the physician mentor.
- Don Innes outlined impressions of a patient simulation simulation model demonstrated at UVa last week. Dr. Marcus Martin, Director of the Emergency Department, arranged the demonstration. The HPS (Human Patient Simulator) developed by METI is in use in hospitals, medical and nursing schools, community colleges and military bases all over the world. METI's sophisticated simulation model was dramatic and realistic in demonstrations with emergency department residents and attendings. The simulator appears to be an excellent way to introduce simulation technology to the medical student and resident curriculum, eventually creating a Simulation Center for training medical personnel at UVA. Simulators allow 1) practice without risk to a patient, 2) standardization of patient experiences, 3) increased student comfort level during patient interaction and 4) improved efficiency in education.
The METI Human Patient Simulator (HPS) a computer-model-driven, full-sized mannequin allows experience in true-to-life scenarios that can be swiftly changed to meet instruction goals. The HPS blinks, speaks and breathes, has a heartbeat and a pulse, and accurately mirrors human responses to such procedures as CPR, intravenous medication, intubation, ventilation, and catheterization. Pre-programmed systems (cardiovascular, pulmonary, pharmacological, metabolic, genitourinary (male and female), and neurological) provide a teaching "laboratory" where students can practice again and again, until quality patient care becomes second nature. For more information on HPS visit the website at <http://www.meti.com>.
A valuable supplement to the current medical education program a simulator will need a written curriculum for use in all four years of medical school should be developed. Institutions such as Duke, Harvard, and MCV, have simulation software in use and a visit by members of the Curriculum Committee might be helpful in planning how to best use technology and in developing our own simulation curriculum.