SIMULATION CASEBOOK - MyCourses

Gilbert Program in Medical Simulation
Simulation Casebook
Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12
VII.
VIII.
Debriefing Plan
A. Method of debriefing: Group with multimedia teaching materials
B. Debriefing materials: See Appendix C
C. Potential debriefing topics
1. Team dynamics
i. Leadership
ii. Collaboration
iii. Communication
iv. Professionalism
2. Didactic material
i. Presentation
ii. Pathophysiology
1. COPD vs. Asthma
2. Chronic bronchitis vs. emphysema
3. CO2 retention (ABG with metabolic compensation)
iii. Etiology
1. Disease onset
2. Exacerbation triggers
iv. Treatment
1. Reversibility of condition
2. Need to provide antibiotics
3. Factors determining whether to admit patient to hospital
4. COPD management
5. Adjunctive treatments: Noninvasive ventilation
Development and Deployment
This case, along with it precursors (reference Gordon, below) and variants have been used over several
years for a wide range of students, including high school, college, masters/PhD candidates, medical
students (preclinical and clinical) and resident trainees. The presentation and progression is tailored to the
level of the learner; often the COPD case is paired with the Asthma case to allow students to compare and
contrast diagnosis, anatomy, physiology, and management. It is commonly used as part of a “train the
trainer” curriculum for faculty development in the use of simulation.
IX.
Authors and their affiliations
Case drafted by the Gilbert Simulation Team with group updates and contributions.
Compiled and formatted by Elan Guterman.
Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard, M.D.
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