medical simulation training initiative (msti)
DESCRIPTION
TRANSCRIPT
TATRC
&
P R O J E C T T E A MP R O J E C T T E A M
Dr. Gerald R. Moses, Projects Supervisor301 – 619 – 4000 / [email protected]
J. Harvey Magee, Project Officer301 – 619 – 4002 / [email protected]
TATRC MTATRC MEDICALEDICAL M MODELINGODELING
P O R T F O L I OP O R T F O L I O
SSIMULATIONIMULATION
Open Source Software Framework for Organ Modeling and Simulation
Conference National Library of Medicine
June 24, 2001
I N F O R M A T I O N B R I E F I N G T O
Presenter: J. Harvey MageePresenter: J. Harvey Magee
http://www.tatrc.orghttp://www.tatrc.org
Fort DetrickFrederick, Maryland
Headquarters U.S. Army Medical Researchand Materiel Command
Major General John S. Parker, Commanding General
Telemedicine and Advanced Medical Technology Program
Mission Apply physiological and medical knowledge,
advanced diagnostics, simulations, and effector systems integrated with information and telecommunications to enhance operational and medical decision-making, improve medical training, and deliver medical treatment across all barriers.
The program scope is to identify, explore, and demonstrate key technologies and biomedical principles required to overcome technology barriers that are both medically and militarily unique.
Telemedicine & Advanced Technology Research Center Cutting Edge Medical Technology
Department of Defense,Joint Warfighting Science and Technology Plan, Chapter IX, Joint Readiness and Logistics, 1999
TATRC
TATRC
Why do we Need Simulation?Why do we Need Simulation?
• Military medical personnel [note: 100,000 of
them] must practice battlefield trauma care
skills (GAO Report June 98).
•Training should replicate combat specific wounds & battlefield
environmental stressors. Civilian injuries are unlike war.
•Traditional “see one, do one, teach one” method is changing.
•There are increased restrictions on animal use for training.
•Cost to conduct mass casualty exercises is prohibitive.
•Health care payors are resistant to reimburse for training.
•There are risks from treatment by care providers-in-training.
TATRC
PLUS………..PLUS………..
Kohn, Corrigan, Donaldson,Institute of Medicine, 1999
• “Every year at least 44,000 Americans die …of medical errors”
• Medical errors are the 7th leading cause of U.S. death, greater than car accidents, breast cancer, or AIDS
• Pharmacy errors are no longer the leading medical error. Surgical errors are.
• “Recommendation 4.1: Congress should create a Center to…develop knowledge and understanding of errors…develop a research agenda…evaluate methods for identifying and preventing errors….”
FUNDING EFFORTSRELATIONSHIPS
COLLABORATIONSPORTFOLIO
TissueModeling
STATCARE(Simulation
Technologies for Trauma Care)
MSTI(Medical
SimulationTrainer
Initiative)
CTPS(Combat TraumaPatient Simulator)
SimulationMeta-
Analysis(Complete)
ENTSurgicalSimulator(Complete)
UreteroscopicEndoscopicSimulator(Complete)
3-D VolumetricImaging, Haptics
Strategic Plan,Good Science, Sound
Business Processes
Strategic Plan,
Good Science, SoundBusiness Processes
Workshop on Surgical Simulation
[Algorithms] (Stanford)
June 01
Surgical Metrics (Yale)July 01
Haptics Users Group
(Colorado)Oct 01
Open Source Framework
(NFAS)July 01
TATRC
T O M E E T M U L T I P L E T R A I N I N G N E E D ST O M E E T M U L T I P L E T R A I N I N G N E E D S
PC-based Interactive VR/Multimedia
MMULTIPLEULTIPLE T TECHNOLOGIESECHNOLOGIES
Digitally EnhancedMannequins
VirtualWorkbenches
Total Immersion Virtual Reality
TATRC
Assessment of MedicalAssessment of MedicalTraining SimulatorsTraining Simulators
• Evaluation methodology• Formulate overall objectives of the evaluation.• Develop general experimental design.• Select and develop appropriate treatment
scenarios.• Develop dependent variables / performance
metrics.• Performance Metrics
• Develop measurable standards against which to assess performance.
• Determine participants & pre-evaluation orientation requirements.
TATRC
Research ChallengesResearch Challenges
• Real-time in vivo tissue property measurement and mathematical modeling
• Tissue-tool interactions• Graphics and visualization• Learning systems• Metrics development and learning transfer
assessment• Open source architecture (Common
Anatomical Modeling Language [CAML], CIMIT)
TATRC
Original Strategy (Feb 00)
•Assess the landscape – “Meta-Analysis”
•Engage the experts – 70-person “Integrated
Research Team”, Feb 00
•Converge the worlds
•Support the science
•Designate the “lead agency” to integrate
efforts – TATRC has been designated.
•Develop & honor professional business
practices at all stages of the process
TATRC
Current StrategyCurrent Strategy
• Expand our consortia to address the core problems facing simulation.
• Constructively collaborate on various aspects of essential research.
• Demonstrate that simulator-based learning actually transfers to patient care, through validation studies and development of training metrics based upon simulator use.
• Identify sufficient funds to answer these needs within the next five years (well…not ALL these needs).
TATRC
Informal Ways We’re Trying to HelpInformal Ways We’re Trying to Help
•Broad Agency Announcement, US Army Medical Broad Agency Announcement, US Army Medical Research Materiel CommandResearch Materiel Command
• http://www-usamraa.army.mil/
• Broad Agency Announcement #99-1
• Section F, Telemedicine and Advanced Technology Program
•Ask to be added to our “Funding Opportunity List”
•Contact me if questions:J. Harvey [email protected]