In collaboration with Dr. Martin Eason, the resident education program has experienced
rapid development in the area of simulation. Approximately 50 scenarios have been
created which allow residents to test their knowledge and skills in all areas addressed
by the six competencies. Highlights include:
The impaired attending scenario in which the residents had an opportunity to witness
a disruptive attending and then discuss physician impairment after the scenario (Interpersonal
Skills and Communication)
The Medico-Legal scenario in which the residents had an opportunity to participate
in a deposition conducted by a plaintiffs attorney and a defense attorney after a
simulated shoulder dystocia event resulting in Erbs Palsy (Systems Based Practice)
The septic abortion scenario in which the residents performed a D&C on a papaya and
the simulated patient then experienced the uncommon crisis of Disseminated Intravascular
Coagulation after an illegal abortion. Residents were encouraged to use all information
and all resources available to them to manage the patient (Practice Learning and Improvement)
Amniotic Fluid Embolism scenario in which the residents have a chance to learn about
a rare catastrophic medical condition (Medical Knowledge)
The No Code scenario in which residents accidentally perform a code after an iatrogenic
event on a no code patient. Residents are forced to make rapid ethical decisions (Professionalism).
More Advancements in Surgical Simulation
An ETSU design team composed of Dr. Marty Olsen, Dr. Martin Eason, Bill Hemphill,
Paul Sims, and Tom Robbins has made significant progress in the area of surgical simulation.
A teaching device has been used to improve resident education and has also been used
to access resident candidate skills in operative technique. Patent applications are
in progress. The design team has contributed to the teaching mission of the institution.
ETSU/QCOM has invested $500,000 in establishing a simulation center. The "Patient
Simulation Lab" (PSL) provides Medical Simulation in two simulated hospital rooms
with state-of-the-art video and audio recording equipment. Additional simulation units
have been purchased such as a urethral sling procedure trainer and a birthing simulator.
We have an excellent team of inventors, who are working to develop a vaginal surgery
simulator to provide opportunities to practice skills involved in performing surgical
procedures in a confined space in a controlled laboratory setting