medical simulation industry overview (technet 2012)

Bob Heinlein Medical Simulation Associates

20 Jan 2012 TechNet

Speaker Background   Education

  BS Engineering (Mechanical)   Masters Business Administration   Master Science (Acquisition) Logistics Management   Doctoral Work at UCF, Industrial Engineering (M&S), ABD

  Military   USAF (Ret O-5) Experience in Flight Ops, Acquisition, OT&E,

Simulation   Last USAF Liaison in Orlando prior to AFAMS standup

  Industry   Experience in Immersive VR, Simulation, Logistics, IT, Program

Management and Business Development   Independent consulting since 2008

  MedSim total focus since 2010   No Clinical Background

1/19/12 2 Medical Simulation Associates

About Medical Simulation Associates   Specializing in connecting the medical simulation

industry with the defense simulation industry to rapidly advance the state of the art and the use of simulation technology in healthcare.

  Business Development & Marketing Support   Medical & Technical SME Support   Proposal & Program Development Support   Related Services


Disclosures

 Recent MedSim Clients  General Dynamics Information Technologies,

Health Solutions Division, Frederick MD

 Hudson Simulation Services, Delmar NY  CHI Systems, HapMed R&D, Ft Washington PA

 National Center for Simulation, Orlando FL


Presentation Context

  Defense simulation & training solution provider with interest in Medical Simulation

  FAQ   Where do I start?   Where are the customers?   Who are the players?   Where is the $$?   Where can I play?

  MedSim Business Development for dummies   Based in my experience and perceptions as a newbie to

medical simulation


What is Medical Simulation? (Some Definitions)

  …a training and feedback method in which learners practice tasks and processes in lifelike circumstances.

  …a cross-disciplinary effort that brings together providers, including nurses, physicians, and allied health professionals across a variety of disciplines with computer scientists, researchers, educators, and human factors engineers.

  …an interactive way to further educate and train medical or health professionals.

  ...an all-purpose term covering everything from using a block of resin or wood for would-be surgeons to get the feel of handling a drill to a surgical simulation so sophisticated that it reproduces an individual patient's anatomy perfectly


Many Application Areas   Schoolhouse, Refresher, Skills Maintenance, Re-qualification,

Certification, Assessment, Training, Education, Practice, Warm-up, Rehearsal

  New Equipment, Product Procedure, Process   FDA Approval, Research and Development, Training

  Architecture and Design of Facilities, People Orientation, HR   Medical IT applications, Medical Records, Telemedicine   Medical Scenarios and Simulated Illness   Team Training and Group Exercises   Develop & Practice Interview Skills, Cultural Training, Empathy

Training   Doctor-Patient Interaction Skills   Triage/Trauma/Disaster Response   Rehabilitation/Therapy   Patient Education & Patient Actor Training


Many Users & Domains

  Anesthesia, Radiology, Neurology, Cardiology, Audiology, Opthamology, Orthopedics, Urology, Obstetrics and Gynecology, Oncology, Proctology…..+++

  Surgeons, Physicians, Nursing, Dental, Pharmacy, Allied Health…   Emergency Medicine, First Responders, Veterinarians….   Therapy, Rehabilitation, Psychology, Psychiatry, Mental Health   Medical Teams & Patient Actors   Medical Equipment Vendors   Substance Abuse Education & Rehab   Special Needs Children/Families   General Public, Patient, Care Providers, Patient Educators   Office Staff, Human Resources, Utilization Reviewers, Insurers


Multiple Customer Groups   151 Medical Schools plus many more education programs   90 Professional Societies   400 Teaching Hospitals

  98 Health Systems (National, Regional, Local)   68 VA Medical Centers, 173 Military Medical Facilities

  Individual Hospitals (hundreds)   Military Units (medics, combat life savers, etc.) – (thousands)   First Responder Units – Fire, Police, EMS – (millions)   Clinicians & Specialists – (millions)   Commercial Training Providers – (tens)   Medical Equipment Vendors (hundreds)   Patients/Consumers – (hundreds of millions)


Medical Simulation Clusters

CAMLS – Tampa Mayo, UF CoM - Jacksonville Gordon Center (UM), Ryder Trauma, ATTC- Miami NCSA, VA SimLearn, UCF – Orlando Nemours, PEO STRI - Orlando

Phoenix AZTEC (Uof AZ) Banner Health Mayo

Stanford CISL Goodman Sim Center Palo Alto VA Sim Group CAPE USC

San Franisco UC Davis, Travis AFB Sutter Health

Seattle U Wash ISIS, Simulab, Red Llama, Mimic, Swedish MC, Madigan AMC

Texas MITIE (Methodist) Childrens Texas A&M HSC

Ohio Cleveland Clinic, Simbionix, Surgical Theater, Case Western

Minnesota CREST (U Minn) Mayo City Health Partners IME

Boston CIMIT Harvard Mass Gen Brigham Womens Beth Isreal, MIT Boston Medical, Draper et.al.

Pittsburg WISER (U Pitt.) SimMedical

Va EVMS ODU NH Portsmouth

NC Duke ARA Therasim RTI

DC Area SiTEL, USUHS, Johns Hopkins

Apologies to anyone that didn’t make the slide!


Multiple Solutions and Technologies

  Human Patient Actors (standardized patients)

  Virtual Patient Avatars   Human Cadavers (whole

to individual parts/organs)   Live Animals/Animal

Cadavers (organs)   Human Patients   Virtual Patients   Part task trainers   Mannequins   Human Patient Simulators   Surgical Simulators

  Virtual Worlds   Immersive Virtual Reality   Haptic-enabled Devices   Interactive Courseware   Web Based Training   Mobile Devices   Serious Games   Video Recording   Video

Training,Teletraining, Telementoring, Live broadcasts, etc.

  Learning Management Systems


Multiple Solutions and Technologies   Synthetic Cadavers/Tissue   Synthetic Tissue   Virtual Tissue   Moulage   Wearable Cut Suits   Bleed Simulations   Environmental / Special

Effects   Imaging   Video/Data Recording

Systems   Performance Assessment

Applications   After Action Review/Debrief

Systems

  Projection and Display Systems

  Wearable Displays and Devices

  Scenario and Simulation Control Systems

  Curriculum Development Tools   Courseware/ISD Development

Tools   Electronic Classrooms   Interactive 3D   Instructor Control Systems   Simulation Centers   Transportable/Mobile Units


Broad Base of Solution Providers   Human Patient Actors (standardized patients) -- Usually

contracted directly with individuals   Virtual Patient Avatars - Universities (UCF, USC/ICT, UF, etc.)

Industry - VCom3D, ECS, Breakaway LTD, ARA, Kognito, etc.   Human Cadavers – Science Care or direct donation to academic

or research organizations   “Living” Cadavers - Connecting Cadavers to fluid pumps to

simulate a living human or animal   Live Animals/Animal Cadavers – Limited use in medical

education now, except for combat medics and vets   Human Patients – Yikes, me and you!   Virtual Patients - Therasim, Innovation in Learning,

Healthstream, Decision Simulation, Medbiquitous.org


Broad Base of Solution Providers   Part task trainers - Limbs & Things, Simquest, Simulab, Nasco, CHI

Systems, CAE, etc.   Specialty trainers - IngMar Medical (respiratory), Ventrioloscope

(cardiac), MedSim (Ultrasound), CAE (Ultrasound), HAL (UM/Laerdal) (cardiac), etc., etc.

  Mannequins - Simulaids, Gaumard, Laerdal, KGS, etc.   Surgical Trainers - Simbionix, Mentice, Medical Simulation Corp,

Surgical Science, CAE, Red Llama, Simulated Surgicals, Mimic   Human Pt. Simulators - CAE/METI, Laerdal, Guamard, Simulaids,   Virtual Worlds - ECS, VCom3D, Breakaway, ARA, Innovation in

Learning, SAIC, MYMIC, Kognito   Immersive Virtual Reality - UCF/IST, Siemens, USUHS   Haptic-enabled Devices - CHI Systems, Touch of Life, Simbionix,

Mentis, CAE, Immersion, Medical Simulation Corp, Simulab


Broad Base of Solution Providers   Interactive Courseware/Web Based training – Healthstream, Medical

Curriculum Technologies, Medical Simulation Corp, Interact Medical, Websurg

  Mobile Devices & Apps - VCom3D, ECS, Interact Medical, Websurg… + 4700 apps on iTunes!

  Serious Games - ECS, VCom3D, Breakaway, ARA, Innovation in Learning, SAIC, MYMIC, 360Ed

  Video/Data Recording/AAR- Education Management Solutions, B-Line Medical, KbPort, CAE, IVIR

  Video Training, Teletraining, Telementoring, Live broadcasts, etc. – Websurg, NCSA (FL Hosp), Universities & Hospital Systems, Websurg, iTunes (Yale Health and Medicine, UC Davis Medical School (UCTV), Univ of Arizona, Stanford)

  Learning Management Systems – Syberworks, Interact Medical, Medical Research Management Healthstream

  Performance/Assessment Applications - IVIR, Design Interactive, Kronos


Broad Base of Solution Providers   Synthetic Cadavers/Tissue - Syndaver Labs, Operative Experience,

ASTEC (Univ of AZ), CIRS (imaging)   Virtual Cadavers/Tissue - U Minn (CREST), Red Llama, Touch of Life,

Cyber Anatomy, Elsevier, BioDigital   Moulage – Skedco, Enasco, Military Moulage, Moulage Sciences…   Wearable Cut Suits – Strategic Operations   Bleed Simulations – Skedco (wearable), embedded in other products   Simulated Blood – HPS vendors, multiple sources and varying fidelity   Environmental / Special Effects – Strategic Ops, KBZfx, Military Wraps….   Imaging – Digital Art Forms, GE Healthcare, Able Software, Simbionix &

Surgical Theater (pt. specific), Siemens, Phillips, MedicVision   Display Systems - Barco, Intevac, VDC, RGB, DP, Panasonic   Scenario, Instructor and Simulation Control Systems – METI, CAE, B-Line

Medical, EMS, GDIT, Laerdal   Curriculum Development – SimMedical, Medical Sim Corp, MCT…


How do I get smarter?


Multiple Conferences   Int’l Meeting on Simulation in Healthcare (IMSH) – 27 Jan 12 San Diego (ORL 2013)   Military Health System Conference (MHS) – 30 Jan 2012 Washington DC   Medicine Meets Virtual Reality (MMVR) – 9 Feb 2012 Newport Beach CA   Healthcare Information & Mgmt Systems (HIMSS) – 20 Feb 2012 Las Vegas   CAE/METI Human Patient Simulation Network (HSPN) – 28 Feb 2012 Tampa FL   Accreditation Council Graduate Med Education Conference – 1 Mar 2012 Orlando   Laerdal Simulation User Network (SUN) – 10 April 2012 Mashantucket, CT   Medical Technology, Training & Treatment (MT3) – 9 May 2012 Orlando   Patient Safety Conference – 23 May 2012 Washington DC   AUSA Medical Symposium – July 2012 San Antonio TX   Adv. Tech. Applications for Combat Casualty Care (ATACCC) – 13 Aug St Pete Bch   American College of Surgeons Annual Clinical Congress – 30 Sept Chicago   MODSIM (Healthcare Track) – 11 Oct 2012 Virginia Beach   EMS World – 29 Oct 2012 New Orleans   IITSEC 2012 – 3 Dec 2012 Orlando   Other Professional Society Conferences – Too many to list


Various “How To” CoursesFrom the Ground Up: Simulation Center Building BlocksCreating a Simulation Center

Course Description:The purpose of this course is to provide the opportunity for participants to gain knowledge and skill in planning and designing.

Course Topics:

Intended Audience:

Course Directors:William Dunn, MDGreg Coltvet, MBA, MHSM

Course Faculty:Jacqueline Arnold, MSN, RNThomas Belda, BA, RRTBrian Brost, MDDonny Dreyer, MBA, BBA, CPMRoger Nelson, BArch, AIA, LEED, APMatt Morgen, BA

Course dates and registration deadlines are listed on the Web site at:Log on to:

http://www.mayo.edu/simulationcenter/

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Mayo Clinic# Harvard Center for Medical Simulation#

WISER Center#(U Pitt)


Useful References

  Documents   VA SimLEARN compendium   AAMC Survey of Medical Simulation in Medical Education   MedSim Magazine   SSiH Journal   Professional Society Journals

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Association of American Medical Colleges

Learn

Serve

Lead

Medical Simulation in Medical Education: Results of an AAMC Survey

September 2011


Useful References

  On the Web   ACS Education Division   Medical Modeling and Simulation Database (EVMS/

ACS)   Harvard Center for Medical Simulation (1048 papers)   Bristol Medical Sim Center (UK)   Vendor White Papers & webinars (e.g., ems-works.com)

  Websurg   iTunes!!


Business Opportunities


Joint Program Committee

  JPC-1   Chair: COL Karl Friedl, PhD   Tri-Service Programmatic Committee   TATRC is primary execution agent (tatrc.org)

  JPC-1a Medical Simulation & Training   Grew from Orlando/NCS supported JMST-IPT   Efforts spawned AFSIM

  JPC-1b Health Information Technology   JPC-1c Decision Support Tools & Modeling   JPC-8 Clinical and Rehabilitative Medicine


JPC-1a Voting Members

  US Army – PEOSTRI   US Air Force - Air Education Training Command   US Army - Central Simulation Committee   USUHS – Nat’l Capital Area Medical Simulation Center   AMEDD C&S - Directorate, Combat Medic Training   AMEDD C&S - US Army EMS Office   US Navy - Office of Naval Research   US Air Force - Air Education Training Command   US Army - RDECOM / STTC   DARPA   Medical Education and Training Campus (METC)   Office of Naval Research


UNCLASSIFIED

JPC-1a Structure

Combat Casualty Training Initiative

Medical Practice Initiative

Developer Tools for Medical Education

Patient Focused Initiative

AFSIM


FY 10 Combat Casualty Training Initiative

  Live tissue / sim - metrics research - $370K   BCT-3 live tissue / sim study - $250K   Multiple Amputee Trauma Trainer - $756K   Rapid trauma skills - $498K   COMETS improved capabilities - $450K   Maxillofacial & Ophthalmology Trauma Trainer -

$3.1M

  Award TOTAL:~$ 5,550,000


FY 11 Combat Casualty Training Initiative

  Awardees:   Univ of Minnesota (PI: Rob Sweet, MD) -

$11.0M   Univ of Missouri (PI: Stephen Barnes, MD) -

$5.3M   Critical Research Areas ○  Trauma Airway ○  Hemorrhage ○  Emergency Medical Skills (Nerve Agent Casualty)

  Goals ○  Live Animal/Simulator Comparative Research ○  Curriculum Development ○  Simulator System Gap Analysis


UNCLASSIFIED

Medical Practice Initiative Strategic Building Blocks (MPI)

Advanced Doctor

Education System

(COMRADE)

JPC-1b EHR

Education &

Reference Integration

Virtual Human

Standardized Patients

JPC-1c Decision Support

Integration

Loss of Skills.

Retraining &

Competence

Serious Games for Training

Common Curricula & Metrics

(Tri Service Consortium

)

Military Medical Lifecycle

Counselor (DKO)

Military Medical

Simulation Masters

Development of medical training systems & competency assessment for sustained military medical readiness.

Continuous Observation of Medical Records for Advanced Doctor Education (COMRADE)

Real-time specialty specific evaluation for loss of skills & knowledge

Real world benefits:-Reduced cost for training-Reduced liability-Cost savings by replacing expensive standardized live patient teaching cases with reusable virtual human patients-Improved Tri-Service medical interoperability-Leverages Electronic Health Record system as training portal

-Can use AHLTA or another EHR

PFIDTME

CCTI

EducationalContent


FY10 Medical Practice Initiative Projects

  Medical Training Evaluation and Review (MeTER) -$515K

  Training Outcomes Research Metrics - $450K   Hospital disaster simulator – CBRNE Based – $2.6M   Redeployment skills evaluation -$800K   Tri Service Medical Simulation Training Consortium -

$2.5M   Anesthesia and Anaphylaxis for Physicians $1.9M   Virtual Sick Call - $773K

  Total: $9.6M


FY 11 Medical Practice Initiative Projects   Navy Redeployment Skills Degradation   Multiple Amputee Trainer (MATT) final year   Olfaction training device & study   Medical Simulation Training Consortium Years 2-3   Simulation for Futuristic Surgery (VR Urology)   CBRNE Hospital Incident Management Radiological

Scenarios   Ocular Craniofacial Manikin Advanced Development   Medical Simulation Master’s Degree Program   Student Innovations in Medical Simulation (Skunk Works)   Unfunded request for large web portal hosted by Air Force   Total ~$13.5 Million


FY 12 Medical Practice Initiative Program Announcements   Breadth of Medical Practice & Disease Frequency Exposure

(MPI-BMP) W81XWH-12-JPC1-MPI-BMP - $8.0M   Cognitive Skill Focused

  Procedural Skill Decay and Maintenance (MPI-PSD) W81XWH-12-JPC1-MPI-PSD - $4.0M   Psychomotor and Procedural Skill Focused

  Scope   1) Identify when and why degradation of cognitive/psychomotor and

procedural clinical skills occurs.   2)Create validated analytical tools that can predict the probable onset of

skills degradation and determine, with specificity, when skills have degraded or will be likely to degrade

  3)Propose methods and tools which will enable physicians or surgeons to preemptively refresh the expected psychomotor/procedural competencies for their specialty or to preemptively refresh knowledge and maintain familiarity and fluency across the expected competencies for their specialty.


UNCLASSIFIED

Patient Focused Initiative Strategic Building Blocks (PFI)

Advanced Virtual Reality & Augmented

Reality Training

Technology

Mobile Technology

Integration for Health & Training

Virtual Human Patients & Coaches

Physical & Neurocognitiv

e Therapy Applications

DARPA –Healing Heroes

NIH – Virtual Reality for Obesity & Diabetes

Game Industry

Technology

JPC-8 Rehabilitation, Physical and Neurocognitiv

e Rehabilitation

ICT simCoach& Emotionally

Expressive Characters

Advanced user interface and interactive technologies for healthy living, medical practice , patient rehabilitation & training

Advanced technology for training applications leveraging investments of DoD and Government Partners

Adapts therapeutic technology targeting warfighter readiness and mental health

Real world benefits:-High impact development at reduced costs, especially for VR-based training-Technology highly adaptable to training-Direct injured warfighter benefit

-Traumatic Brain Injury-Psychological Health (PTSD, Suicide)-Physical Therapy

-Adaptation of mobile and tele-health technology

MPICCTI

PARTNERSHIPS


FY10 Patient Focused Initiatives

  Vitalize Game Based Wellbeing (Kinect-based Physical Therapy Coach) $4.3M

  Refining medical outcomes deployment $500K

  TBI Rehabilitation Surface -$1.4M   Olfaction & Resilience Research - $4.0M

  TOTAL:$10.2M


FY11/12 Patient Focused Initiatives

  FY11   Natural Language Processing for Virtual Humans   3D motion tracking for rehabilitation   DARPA: Healing Heroes   TOTAL: ~$5.0M

  FY 12 Possibilities (stay tuned)   Virtual Humans for Coaching   Assessment of off the shelf and easily hacked

technology for the rehabilitation, assessment and therapy environments

  Mobile Technology ○  Constantly proposing SBIR topics in this area


UNCLASSIFIED

Developer Tools for Medical Education Strategic Building Blocks (DTME)

Affordable Training Content Creation

Surgical VR Training System

Standards

Character AI

Advanced Displays & Interfaces

OS Natural Language Processing

OS Practical Physiology

Engine

OS VR Anatomy &

Haptic Platform

OS Speech & Motion

Recognition

OS Medical Asset Library

Transformational open source advanced developer tools to reduce development costs and democratize access to technology.

Based on the need to greatly reduce the burden to develop interactive medical & surgical training content.

Open Source (OS) promotes low cost and innovation

Real world benefits:-Greatly reduced development costs-Saves development time-Facilitates content creation

-Greatest need as program matures-Opens development to a more diverse and wider community-Reduced system procurement costs-Reduces redundant development

CCTI

MPICCTI

OnlinePortal


Developer Tools for Medical Education

  FY 10   Dynamic Holographic Displays & 3D in medical

education - $2.0M   Tri-Service Open Platform for Simulation $3.0M

  FY 11   Advanced VR Eyewear Display - $4 Million

  FY 12   Public Physiology Research Platform (DTME-PRP)

W81XWH-12-JPC1-DTME-PRP - $7.0M ○  Creation of publicly accessible, free, open-license,

and/or open-source physiology platform


Army and VHA Opportunities

  Medical Simulation Training Centers   TC3 MedCenters

  VA SimLEARN Program Support

  www.SimLearn.va.govww.simlearn.va.gov/index.asp


Navy Opportunities

  U.S. Navy is developing an R&D Agenda and Roadmap for Medical Modeling Simulation and Training   The approach included a series of facilitated

workshops and a literature review completed in 2011

  Findings to be briefed to senior leadership over next couple months

  Stay tuned for resulting initiatives   ICF supported initiative; similar to previous

USAF efforts


Air Force Opportunities

  Virtual Medical Center   Request For Information (RFI) (Aug 11)   Solicitation #:

N65236_SNOTE_00025EBE   Agency: SPAWAR

  AF Medical Modeling and Simulation Training Portal

  Other VW Efforts   Uses an IDIQ w/Dept of Ag.

  POC is LtCol Dominquez ○  [email protected] ○  407-208-5663


Other MedSim Opportunities

  SBIRs – Write a topic and pursue it!#  BAAs#

  USAF AFRL BAA 11-01-HPW ○  Aerospace Medicine, Clinical Research, Human

Performance Research, and Expeditionary Medicine   USA, ARL W91CRB-08-R-0073, Amdt 5, Topic 6B ○  A--Virtual Patient technology with Virtual Worlds

technology Sources Sought - $1.6M #  Commercialization of SBIR developments#

  Many good solutions donʼt transition for lack of a solid business approach and investment#

  Buying the IP may be a good market entry strategy….


Simulation Market Drivers

  Sim Center access mandatory requirementfor program accreditation and physician certification#  http://mountsinai.academia.edu/EthanBryson/Papers/1289874/

Role_of_Simulation_in_US_Physician_Licensure_and_Certification#

  Rapid expansion in simulation centers#  Growing need for simulation center services#  Sim Center sustainability business models#

  HR 855/S616?????   Proposal to allocate $50M/yr for medical simulation

assets #


Simulation Research Opportunities

  Overarching Architecture and Systems Engineering Approach

  Standards and Interoperability (vs. Open Source??)

  Modular Design Concepts (enabling a market for sub components)

  VV&A Concepts   Common Definitions and

Enumerations

Graphic Presented by Dr Roger Smith at MT3 June 2011 http://www.modelbenders.com/papers/RSmith_MT3_Interop_Panel.pdf


Simulation R&D Opportunities

  Smart Integration between Simulation, Electronic Health Records & Telemedicine

  Integration of Virtual Worlds/Games with other systems


Collaboration Opportunities

  EDGE Innovation Network   Sponsored (facilitated vs. controlled) by GDC4S

  Not a profit center for GD   Members collaborate amongst themselves at will

  Open, Virtual, Collaborative Network of Industry & Academia   Many GD competitors are members; over 200 members   $0 full mbrship for academia/non-profits/$0 limited industry   Not a funding source, no contracts or obligation with government

  EDGE has multiple domain foci   Currently establishing a Healthcare domain focus and recruiting

members (~50 to date)   Kickoff meeting coming soon


EDGE Innovation Network

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EDGE® Innovation NetworkKnowledge Management System

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Network MembersIndustryAcademiaNon-ProfitsBusiness Services

Vast Network of Technology Providers

End Users & CustomersGapsRequirementsNeedsFeedback

Identifying Needs & Providing Feedback on Innovations

EDGE® Innovation Centers (EIC)

Reception and Gathering AreasVisioneering & Collaboration FacilitiesPrototyping & Integration LabsDemonstration Areas & Tech Shelves

Worldwide Network of Innovation Centers to Facilitate Collaboration

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www.edge-innovation.com


Summary   Significant medical and healthcare simulation, training and education

industry exists (~200 US entities), plus foreign#  Lots of applications, customers, needs to be filled#

  We have a lot of existing capability to focus on the market#  Many diverse and disconnected players#

  Many small mom & pops (or Drʼs and Engineers)#  Lots of academic players (grant vs. mentality)#  Some academic business spinoffs#  No medical simulation industry coordination/organization#

  Simulation is by and large an accepted method for medical education, but…#

  Diverse customer base with multiple constituents and drivers#  Fragmented market makes business pursuits challenging#  No civilian Government regulating agency (no FAA equivalent) driving

the requirements#


Summary   Simulation in Healthcare/Medicine where DoD simulation was 25

years ago#  Point solutions & stovepipes#  Lack of integration, limited to no interoperability#  No standardization in design concepts#  Limited standardized curriculum#

  Lots of opportunity to apply DoD M&S lessons learned to medical#  If theyʼll listen and let us!#  We must learn to speak and understand the language of the customer!#  Realize medical IS different! (although much is the same!!)

  Orlando is a late bloomer in medical simulation#  But we can make a HUGE difference in moving the timeline to the left!#


Questions?

Bob Heinlein

Medical Simulation Associates [email protected]

407-719-6212 http://www.linkedin.com/company/medical-simulation-

associates


medical simulation industry overview (technet 2012)

Health & Medicine