The goal and the mission of the Simulation Program at the Department of Anesthesiology at the University of Minnesota is to study, develop and teach peri-operative simulation to medical students, residents and anesthesiologists. The Simulation Program functions as an integral part of the education institute SimPORTAL - Simulation Perioperative Resource for Training and Learning. SimPORTAL is affiliated with the Medical School, Health Care Delivery System and the Academic Health Center.
Our simulation center is endorsed by American Society of Anesthesiologists (ASA) as a Maintenance of Certification in Anesthesiology (MOCA) Simulation Center and is also a Level 1 Accredited Education Institute (AEI) by the American College of Surgeons (ACS).
Being an integral part of a large academic health center provides us with multidisciplinary opportunities to develop educational programs supported by experts in educational, simulation and medical science. It further provides a well-designed learning space, equipment, technical and logistic support for educational activities directed towards the development of cognitive, affective and psychomotor skills required for safe patient care. A strong curriculum with clear goals, evaluation metrics and emphasis on teamwork is an important part of the simulation program.
Our program is dedicated to utilizing simulation techniques as an important, flexible and up-to-date teaching tool to allow learners to develop a strong foundation and to acquire competencies expected of an anesthesiologist.
The educational objective of the undergraduate curriculum is to introduce the learners to routine anesthesia and critical care related knowledge and skills needed to safely assess patient’s vital signs and perform procedures such as mask ventilation, laryngoscopy, peripheral intravenous line placement, arterial line placement, central line placement, rhythm assessment and defibrillation/cardioversion, ACLS, transfusion medicine and routine anesthesia administration.
Graduate Medical Education training
The educational objective is to develop fundamental technical and decision-making skills and competencies culminating with the end of residency.
CA-1 level: Curriculum consists of basic setup and anesthesia machine evaluation, anesthesia machine malfunction and common urgencies encountered during maintenance of anesthesia such as increased peak airway pressure, increased heart rate, decreased blood pressure and decreased oxygenation. Our curriculum continues with standard and rapid sequence induction, laryngospasm, and hypovolemic shock scenarios, to develop cognitive and psychomotor skills for the operating room. A stat C-section scenario prepares the resident for an emergency, which they can encounter during their obstetrics rotations.
CA-2 level: Curriculum consists of the difficult airway, ICU/ward intubation, ACLS/code blue scenario, hyperkalemia, post-operative respiratory distress, local anesthetic toxicity, anesthesia machine malfunction, anaphylaxis, airway fire, malignant hyperthermia, severe hypotension with high spinal, hypovolemic shock. Residents are given an opportunity to develop and show a higher level of clinical skills and knowledge of pathophysiology. We encourage use of all the available resources of personnel and technical support as well as teamwork.
CA-3 level: The residents are given the opportunity to repeat previously encountered scenarios and are evaluated for clinical competency in the management of different conditions. Furthermore, they are given an opportunity to be in the lead role and guide junior residents through different scenarios playing the role of an educator/supervisor.
Maintenance of Certification in Anesthesiology (MOCA) simulation course with Continuing Medical Education (CME)
We are an ASA-endorsed MOCA simulation center and constantly work on developing and enhancing our MOCA simulation course to provide clinical scenarios that are appropriately challenging and relevant to current practice of ASA members. We continually incorporate the most recent standards of practice into the course materials.
More information at http://www.simportal.umn.edu/moca/