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Medical Simulation and Training Cali Fidopiastis, Gwen Long, Brian Goldiez

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Surgical Planning. Traditional Procedures. Penfield 1950's Electrical stimulation ... Medical Instruments. Tracking devices. Haptic gloves. Hardware and ... – PowerPoint PPT presentation

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Title: Medical Simulation and Training Cali Fidopiastis, Gwen Long, Brian Goldiez


1
Medical Simulation and TrainingCali Fidopiastis,
Gwen Long, Brian Goldiez
http//www.medsim.com/
2
Benefits of Medical Simulation
  • Current Situation in Certification and Training
  • Advantages of Medical Simulation
  • Disadvantages of Medical Simulation

http//www.musculographics.com/
3
Goals of Medical Simulation
  • Accelerated Learning
  • Minimizing Patient Exposure
  • Maximizing Access to Rare Situtations
  • Diminished Need for Cadavers and Lab Animals
  • More Cost Effective than Traditional Methods

Graphic simulation of a person playing volleyball.
4
Medical Simulation Effectiveness
  • Will Only be Effective if
  • It is Built on underlying Theory
  • Structured Exercises are Provided
  • Performance can be Assessed
  • Feedback can be Provided.

UltraSim used to simulate sonograph procedures.
5
Medicine Simulation
  • 4 Domains Successfully Utilizing Simulation VE
  • Medical Education
  • Visual Human Project, Simulated Surgery
  • Surgical Training Planning
  • Computer Aided Designs
  • Rehabilitation and Therapy
  • Phobias
  • Head injury
  • Medical Treatment Assessments

6
Medical Education
  • Medical Students Traditionally Use
  • Rote learning of lecture
  • Apprenticeship
  • Cadaver/animal model examples
  • Visible Human Project
  • National Library of Medicine
  • Examples of use

7
Surgical Training
  • Laparoscopic procedures
  • Traditional training
  • Laparoscopic trainer
  • Pig
  • Real thing
  • Virtual Reality
  • Surgery trainer

8
Surgical Planning
  • Traditional Procedures
  • Penfield 1950s Electrical stimulation
  • MRI, CT Scan, X-Ray
  • Augmented Reality
  • See-through HMPD
  • Computer Aided Graphics

9
Exposure Therapy
  • Traditional
  • Psychoanalysis
  • Flooding
  • Virtual Reality
  • Phobias
  • Fear of heights
  • Arachnophobia

10
Medical Assessments
  • Relevant in Todays Environment
  • Managed care
  • Homeland security
  • Discrete Event Simulations
  • Outcomes Assessments
  • Staff Planning
  • Facility Planning
  • Treatment Strategies

11
Problematic Areas
  • Higher Fidelity
  • Realistic Models of Organs
  • Improved Registration of Images
  • Incorporating Patient Specific Data
  • Reduction of WAN Delays
  • Higher Level Skills Training
  • Cost

12
Current State of the Art
  • Patients
  • Simulation Uses
  • Procedure Experience
  • Procedure Explanation
  • In-situ Diversions
  • Examples
  • Self Injections
  • Self Examination
  • Calming During Invitro Fertilizations
  • Limited Interactivity

13
Current State of the Art (cont)
  • Care Givers
  • Principle Users (Drs., RNs, EMTs, Admin,)
  • Settings
  • Universities
  • Military
  • Major Med Centers
  • Example Users
  • Anesthesiology
  • Colonscopy
  • Trauma
  • Example Uses are Psychomotor Tasks that Lack
    Tactical Response

14
Hardware and Software Components
  • Hardware
  • Patient model
  • Display
  • Head mounted or computer monitor
  • Medical Instruments
  • Tracking devices
  • Haptic gloves

15
Hardware and Software (cont)
  • Software
  • Virtual Reality of operation or procedure
  • ExampleGrid of polygons to build skin model
  • Devices
  • Cult-3D
  • Phantom
  • Haptic gloves

16
Gaps
  • Ease of Use by Care Givers
  • Robust Models
  • Systems Supporting Cognitive Tasks
  • Validated Models and Systems
  • Malpractice Liability Issues
  • Standards of Performance
  • Affordable Systems

17
Need Comprehensive Research Agenda
  • Modeling (e.g., Deformable Tissues, Anatomical
    Variation)
  • Visualization, Haptics, Olfaction
  • Fused and Overlayable Data Sets
  • Training Efficacy
  • Composable Components

18
Summary
  • Benefits
  • Prior Research
  • Technology
  • The Future

http//www.musculographics.com/
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