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Simulation Lab Creates Real-Life<br />

Scenarios <strong>for</strong> New Med Students<br />

H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine Students Benefit<br />

from Simulation Training at Center <strong>for</strong> Learning <strong>and</strong> Innovation<br />

Students in the inaugural class at the H<strong>of</strong>stra North Shore-<br />

LIJ School <strong>of</strong> Medicine have completed only one year <strong>of</strong><br />

study <strong>and</strong> already they have per<strong>for</strong>med physical exams on<br />

patients, cleared an obstructed airway <strong>and</strong> even assisted in<br />

the birth <strong>of</strong> a baby at the CLI’s Patient Safety Institute. While none<br />

<strong>of</strong> these procedures were carried out on real people, they certainly<br />

had the look <strong>and</strong> feel <strong>of</strong> true-to-life situations.<br />

“<strong>The</strong> exposure to simulation exercises, at one <strong>of</strong> the largest<br />

institutes <strong>of</strong> its kind in the country, certainly gives our students a<br />

wonderful opportunity to learn <strong>and</strong> strengthen their clinical skills<br />

at an early stage in their education,” said Lawrence Smith, MD,<br />

dean <strong>of</strong> the School <strong>of</strong> Medicine.<br />

Simulation education is a bridge between classroom learning<br />

<strong>and</strong> real-life clinical experience. CLI’s advanced learning facility<br />

features state-<strong>of</strong>-the-art human-simulation laboratories with<br />

digitally enhanced <strong>and</strong> controlled mannequins <strong>and</strong> partial-<br />

<strong>and</strong> full-body task trainers, st<strong>and</strong>ardized patient rooms, <strong>and</strong><br />

endovascular simulators <strong>for</strong> interventionalists. CLI helps<br />

students manage hypothetical patient cases as members <strong>of</strong> a<br />

multidisciplinary healthcare team. <strong>The</strong> exercises are followed by<br />

a debriefing with the med school faculty <strong>and</strong> the CLI staff, which<br />

comprises a multitude <strong>of</strong> complementary health pr<strong>of</strong>essions.<br />

“Our students are exposed to these simulation exercises much<br />

earlier than at most medical schools, which would normally cover<br />

this material in the third year. This gives our students a great advan-<br />

tage,” said Thomas Kwiatkowski, MD, assistant dean <strong>of</strong> education/<br />

simulation <strong>and</strong> course director <strong>for</strong> CPR at the School <strong>of</strong> Medicine.<br />

<strong>The</strong> high-tech, computerized mannequins at CLI are able to<br />

mimic real patients <strong>and</strong> are able to talk <strong>and</strong> respond to the medical<br />

students, who take vital signs <strong>and</strong> per<strong>for</strong>m emergency procedures,<br />

such as intravenous line insertion, breathing tube insertion<br />

<strong>and</strong> medication administration. <strong>The</strong> mannequin patients are<br />

controlled remotely by instructors at CLI, who can make them cry<br />

out in pain, move about <strong>and</strong> even react to a student’s touch.<br />

First-year medical student Niki Sheth called the CLI simulations<br />

“very realistic” <strong>and</strong> the detailed debriefings very helpful.<br />

“<strong>The</strong> debriefing was a great way <strong>of</strong> getting feedback,” she said.<br />

“It also helps you reason out <strong>and</strong> explain why you took certain<br />

actions during the exercise.”<br />

According to Dr. Kwiatkowski, lessons taught in a realistic<br />

simulation are retained better, due to the required active learning<br />

<strong>and</strong> focused concentration, the experience’s emotional investment<br />

<strong>and</strong> the direct association with the real world.<br />

Medical students also train at the world-renowned Feinstein<br />

Institute <strong>for</strong> Medical Research, the research arm <strong>of</strong> the health system.<br />

To see a video <strong>of</strong> this story, go to: www.northshorelij.com/<br />

NSLIJ/media-portal/homepage-video-channel/sim-lab.<br />

Above: Margaret Delaney, a nurse educator at North Shore-LIJ’s Patient Safety<br />

Institute, works with medical student Robert Metzler.<br />

<strong>The</strong> New St<strong>and</strong>ard 77

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