Table of Contents Medical Lead Message 3 Vision and Mission 4 Simulation by the Numbers 5 Collaboration 6 Year at a Glance 7 Stats/Education Data 7-8 Event Profiles 9-10 Simulation Minute with Dr. Rebecca Minehart 11-13 Research 14 Simulation Lab Team 15-16 HSN Foundation Support 17 Highlights 18 Praise 19 School Tour 20 Moving Forward 21 Faculty Development (Scholarship and Dissemination) 22 HSN Medical Learner and Simulation Lab Proposed Draft Blueprint 23 Contact Information 24 Through innovative education, collaboration, interdisciplinary training and research, we strive to enhance skills of health care professionals thereby improving patient safety and quality of care... Message from the Medical Lead “Whatever we accomplish belongs to our entire group, a tribute to our combined effort” – Walt Disney David Gaba, the father of medical This year we saw the implementation of a large simulation, once said“No industry simulation based trial on improving the training of front in which human lives depend on line providers during cardiac arrest. Not only are we the skilled performance of seeing dramatic personalized improvements in responsible operators has waited performance, but an inspiring change in culture toward for unequivocal proof of the the importance of high quality CPR first and foremost in benefits of simulation before resuscitation! embracing it.” This powerful statement helped change the Finally, probably the hardest thing for simulation landscape of medical training and patient safety. I am educators to do is to create robust educational glad to say it is now outdated. There is convincing experiences for multiple different providers. We have evidence of the impact of simulation on medical led the collaboration between HSN, NOSM and LU to education outcomes, creating system change to create two large scale Interprofessional training enhance quality of care, direct patient benefits and programs that have gained incredible momentum! It is improving inter-professional collaboration. Health inspiring to see the staff and faculty donate their time Sciences North has reaped many of these rewards. to teach, show vulnerability in telling their stories and help shape a future where the team matters more than Looking back on the past year, we see world class the individual! educational programs in Pediatrics, Emergency Medicine, Anesthesia and Critical Care cross pollinate This is an incredible place to be! “It’s kind of fun to do and enhance many other specialties. Simulation is the impossible” … Walt Disney! entrenched in nursing orientation and the number of certification courses increases every year. General Surgery, Psychiatry, Internal Medicine and numerous Rob Anderson other domains grow their simulation curriculum year to year! I would say, we are bursting at the seams…if we Medical Lead, Simulation Lab had seams!!! This year we saw our simulation programs come to the bedside and travel across the virtual world. It is not enough to think we do a “good job” in the clinical world. Continuous performance improvement based on personal/system data is the new evidence based medicine. Simulation has a key role in identifying performance gaps and translating them into improved care. The HSN Simulation Lab is working with several departments toward improved outcomes. This is the future home of simulation. Not with “what the mannequin can do” but rather, what is our performance gap, how can we close it and did we influence patient care. The Holy Grail is near! Keep an eye out for some interesting facts throughout this report! 3 Vision and Mission Vision To enhance the skills of health care providers in Northern Ontario through collaborative high-quality, innovative, multi-disciplinary simulation-based education, to ultimately improve clinical efficiency and patient safety. Mission 1. The HSN Simulation Laboratory provides an environment for high-quality simulation-based education programs that supports HSN allied health professionals, undergraduate and post-graduate medical training programs at NOSM, and continuing medical education for the physicians of HSN. 2. The HSN Simulation Laboratory facilitates faculty development in simulation education to help create effective teachers and foster leaders in interdisciplinary health care education. 3. The HSN Simulation Laboratory enhances the body of health care education knowledge through generating and supporting research initiatives. 4. The HSN Simulation Laboratory provides opportunity for and facilitates quality improvement initiatives directed at improving patient safety and efficiency of care at HSN. Insert pictures?? 4 Simulation By Numbers 171 Events 1,900 12,857 Participants Sim Hours 59 Unique Courses 132,000 220,000 Ventilations on the Compressions adult manikins 330,000 Minutes the adults manikins have been powered on 5 Collaboration Simulation Educators The Simulation Educator si an exciting position and is part of a collaboration between Laurentian University’s Faculty of Health, HSN and NOSM. With the increasing demand for support in our expanding community of learners and educators, the hiring of a second Simulation Educator was completed in order to enhance the learning outcomes at the Simulation Lab. HSN’s Simulation Educators work jointly with the faculties of the three institutions to rop mote the integration of interprofessional education nda simulation components into current curriculum and practices. Additionally, their focus will be to ensure priority educational programs are well designed and evaluated in hopes of meeting the needs of our learners and ultimately improving the quality of patient care. Over the next year, simulation educators will eb working on obtaining accreditation of the is mulation lab with the Royal College of Physicians and Surgeons of Canada. Health Sciences North Our Simulation Educators rea collaborating with multiple departments throughout HSN to assist in the development of high quality simulation for tsi staff. Several programs are currently underway to assist HSN in meeting tsi priority projects such as implementing an Advanced Care Planning and Goals of Care simulation event. A simulation outreach program is also in development to provide access to on-site simulation experiences in hospitals throughout the NELHIN. This initiative will support our Virtual Critical Care partners by providing on-site simulation experiences designed to enhance interprofessional crisis resource management. Laurentian nivU ersity The Simulation Educators rea also collaborating with an interdisciplinary team from the Faculty of Health including Nursing, Social Work and Orthophonie, in the creation of interprofessional simulations. Over the last year, two interprofessional simulation events occurred successfully. The Simulation Educator will continue to support faculty members to increase opportunities for interprofessional education within the faculty and beyond. A pilot project was implemented successfully between first year students at NOSM’s Undergraduate Medicine program (East Campus) and Laurentian University’s Bachelor of Sciences infirmières. Other initiatives are being considered. Northern Ontario School of Medicine (NOSM) Simulation Educators are contributing to efficient, effective and high impact simulation-based curriculum for undergraduate and postgraduate programs at the Northern Ontario School of Medicine. Key residency programs such as Internal Medicine, Psychiatry and General Surgery were identified as priorities for this upcoming year. Simulation Educators will help support faculty members in the development of robust simulation experiences for their students and residents. In addition, a pilot project between NOSM (East) Undergraduate Medicine program and Laurentian University’s Bachelor of Sciences infirmières was implemented to further strengthen and promote interprofessional learning experiences for first year medical and nursing students. An adult has fewer bones than a baby. We start off life with 350 bones, but because bones fuse together during growth, we end up with only 206 as adults. 6 Year at a Glance Through the 2016-2017 cycle, a total of 171 simulation events were logged. Anyone can peruse the Simulation Laboratory calendar for time and space availability at their convenience. Questions and/or comments can be submitted to [email protected] or by calling (705) 523-7100 ext. 3903. Stats/Education Data Learner Analysis 1,900 Participants Who Uses the Simulation Lab? Who Uses the Simulation Lab? Who Uses the Simulation Lab? Number of Participants By the Hour 7 Stats/Education Data 8 Event Profiles C4! Critical Care Simulation Crash Course C4 stands for Dynamite! This is the type of course that offers plenty of challenges and opportunities to learn! This is a multidisciplinary course covering task trainers, lectures and theater-based simulation spanning four full days. It integrates Interprofessional Crisis Resource Management skills for the critically ill client. We have participation from our ICU nurses’ Critical Care Response Team and Virtual Critical Care Team, Respiratory Therapists, Intensivists, Anesthesiologists, Emergency Medicine Physicians, Thoracic & General Surgeons, Senior residents and even our Chaplain! Initially conceived to teach the Post Graduates Year 2 of the different Royal College specialty programs, it has evolved over the last 4 years to encompass ICU nurses’ training and, as of last year, a rural family medicine team from Manitoulin Island. It was a resounding success!! Here are some of

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