A Novel Radial Artery Line Simulation Training Model

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Brian P. Fletcher ◽  
Connor C. Wang ◽  
James G. Drougas ◽  
William P. Robinson

Abstract With the growing Accreditation Council for Graduate Medical Education (ACGME) regulations, studies have increasingly reported decreased technical proficiencies by clinical trainees. One major way programs have addressed this is by adopting proficiency through simulation training. One such crucial technique is radial artery line cannulation, an invasive procedure performed by trainees across multiple medical disciplines. The objective of this project was to design a high-fidelity, pulsatile, automated radial artery line simulation model that supports ultrasound (US) guided insertion and pressure transduction that could potentially be used for technical skill development and training purposes. A radial artery line simulation model was designed using a pulsatile, arterial circuit with an alginate silicone cast molded artificial hand that supported cannulation under US guidance. The radial arterial circuit pressure was transduced to display a simulated arterial waveform and pressure. Five radial artery lines were successfully cannulated under US guidance followed by pressure transduction. The results, although qualitative, demonstrate a proof of concept. Further studies are needed to determine if the radial artery simulation model can be used as an educational tool to help train medical professionals.

Communicology ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 73-93
Author(s):  
OLESYA GLUSHCHENKO ◽  
◽  
NIKITA GRISHANIN

The paper describes the practice-oriented model of training for bachelors and masters in the field of advertising and public relations, analyzes the new conditions for the transformation of training model, provides justification for the model of simulation training. The authors describe two models in simulation training, and consider the features of interaction of participants in the educational process in simulation training. This article is a logical continuation of the previous publication1, hence, it has appeared as a result of the authors’ experience of building a simulation model in this field of training.


2013 ◽  
Vol 5 (4) ◽  
pp. 662-664 ◽  
Author(s):  
Maureen K. Baldwin ◽  
Julie Chor ◽  
Beatrice A. Chen ◽  
Alison B. Edelman ◽  
Jennefer Russo

Abstract Background Simulation training may improve patient safety, decrease trainer and trainee anxiety, and reduce the number of cases needed for competency. Complications associated with dilation and evacuation (D&E) have been directly related to provider skill level, yet no low-fidelity model has been formally described or evaluated in the literature for second-trimester D&E training. Objective We report physicians' assessments of the realism of 3 D&E models to establish a composite training model. Methods We surveyed experienced providers at 2 national conferences to evaluate 3 D&E models and rate each model's components on a Likert scale. Results Fifty-five obstetrics-gynecology and family medicine physicians completed the survey. Most respondents rated 4 components of 1 model as somewhat realistic or very realistic. The components rated highest were the fetal parts (82% [45 of 55]) and placenta (60% [30 of 50]). This model was rated as more likely to be used in training by 80% (43 of 54) of participants than the 2 other models, as rated by 28% (15 of 54) and 9% (5 of 54) of participants. Conclusions A model made from a plastic bottle containing a stuffed fabric form with detachable parts has tactile similarity to a D&E procedure and should be further developed for testing and training.


2008 ◽  
Vol 23 (2) ◽  
pp. 204-207 ◽  
Author(s):  
Antonio Cavalcanti de Albuquerque Martins ◽  
Marcel Autran Cesar Machado ◽  
Álvaro Antonio Bandeira Ferraz

PURPOSE: The aim of the study is to evaluate the porcine liver as a teaching and training model for the glissonian approach. METHODS: Ten livers were removed from domestic adult white pigs weighting 35 to 45kg. Based on anatomical landmarks, the glissonian pedicles of each liver segments were dissected and biopsies were taken for histological examination, to analyze the presence of the glissonian sheath. RESULTS: During microscopic examination, a sheath of conjunctive tissue was observed wrapping each segmental pedicle in porcine liver. This could be clearly seen when histological preparation for connective tissue was obtained (Masson technique). CONCLUSION: The morphological arrangement of glissonian pedicles in porcine liver makes this model a useful tool for training the intra-hepatic glissonian approach.


2013 ◽  
Vol 79 (2) ◽  
pp. S24.e1-S24.e4 ◽  
Author(s):  
Mubashir Mahmood Qureshi ◽  
Jose Piquer ◽  
Paul Henry Young

2010 ◽  
Vol 5 (1) ◽  
pp. 28-39
Author(s):  
Agus Sutiyono

This research aimed to find out the influence of competence-based education and training (CbET) and motivation on the performance of civil service. This research was conducted from November 2008 to April 2009 at Dinas Ketrentaman dan Ketertiban DKI jakarta. A quasi method using stratified cluster random sampling was applied to involve 80 civil service out of 8000 members. The result of this study shows that (1) motivation influences the civil service's performance, (2) the form of CBET influences the civil service's performance; (3) the interaction between the training model and the motivation determines variations in civil service's performance; (4) there are differences between those who join CBET and those who do not. Those who join CBET have higher motivation to perform better. It is expected that these research findings can be used as a guidance to produce a new concept and strategy in education development and training for civil service.


2020 ◽  
Vol 70 (1) ◽  
pp. 54-59
Author(s):  
Zhi Zhu ◽  
Yonglin Lei ◽  
Yifan Zhu

Model-driven engineering has become popular in the combat effectiveness simulation systems engineering during these last years. It allows to systematically develop a simulation model in a composable way. However, implementing a conceptual model is really a complex and costly job if this is not guided under a well-established framework. Hence this study attempts to explore methodologies for engineering the development of simulation models. For this purpose, we define an ontological metamodelling framework. This framework starts with ontology-aware system conceptual descriptions, and then refines and transforms them toward system models until they reach final executable implementations. As a proof of concept, we identify a set of ontology-aware modelling frameworks in combat systems specification, then an underwater targets search scenario is presented as a motivating example for running simulations and results can be used as a reference for decision-making behaviors.


2001 ◽  
Vol 68 (4) ◽  
pp. 217-227 ◽  
Author(s):  
Penny Salvatori

In the middle of the twentieth century, the role of occupational therapy assistant was introduced in North America. Although the role, utilization and training of assistant personnel have raised much controversy and debate within the profession, Canada and the United States have taken very different paths in terms of dealing with these issues. This paper focuses on the history of occupational therapy assistants in Canada, using the experience in the United States for comparison purposes. The occupational therapy literature and official documents of the professional associations are used to present a chronology of major historical events in both countries. Similarities and differences emerge in relation to historical roots; training model and standards of education; certification, regulation, and standards of practice; career laddering and career mobility; and professional affiliation. The paper concludes with a summary of issues which require further exploration, debate and resolution if the profession is to move forward in Canada.


2000 ◽  
Vol 22 (4) ◽  
pp. 383-396 ◽  
Author(s):  
David M. Lane ◽  
Zhihua Tang

The effectiveness of simulations for teaching statistical concepts was compared to the effectiveness of a textbook. The variable Medium (simulation versus textbook) and Question specificity (Specific versus Non-specific), were manipulated factorially. Question specificity was defined as follows: Subjects were presented with a scenario in which gumballs were sampled from an urn. Subjects in the “Specific” condition were given a specific question about the outcome of the sampling procedure to consider; subjects in the “Non-specific” condition were asked generally to consider what would happen. A no-treatment control was included. The subjects consisted of 115 college students. The dependent variable was performance on problems requiring subjects to apply what they learned to ill defined everyday problems. Subjects trained by simulation performed significantly better than those trained with a textbook. Subjects in the “Specific” condition performed better than those in the “Non-specific” condition, although the difference did not reach conventional levels of significance. These results support the increasing use of simulation in education and training.


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