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Research

Research Programs

The CHSPS actively conducts and supports research on medical simulation or using medical simulation across the continuum of lifelong learning and professional practice. Many VCU faculty have successfully used the CHSPS to publish and present their research at national and international audiences.

Current Research

Building  Teamwork through Simulation in Medical School Orientation:

Demonstrating teamwork with other health care professionals is essential for providing effective care, yet medical school curricula still struggle to systematically build teamwork knowledge, attitudes, and skills, especially during the first two years of medical school. A series of simulation scenarios designed to address and elicit healthcare teamwork skills were integrated into the VCU School of Medicine M1 orientation. The impact of the simulations on teamwork competency are being investigated.

Integrated Critical Care Selective (PI: Alan Dow):

Critical are scenarios occur in an interprofessional context where patient indicators change dynamically and shared decision making must occur quickly. The ICCS course includes four modules in critical care medicine that in a capstone interprofessional simulation where medicine, nursing, and pharmacology student practice teamwork and critical care skills.

Standardized Simulation Based Exam for Internal Medicine Clerkship (PI: Gonzalo Bearman):

Current assessments used to evaluate competency in clinical skills and diagnostic management for clerkship students tend to overemphasize declarative knowledge or lack adequate standardization and reliability as in the case with ward assessments. In response to this need, the SSBE was developed to provide an assessment that assesses medical knowledge and applied clinical and diagnostic management skills in a standardized way through simulation.

GME

Simulation based training for Neonatal Resuscitation Skills in a Resident Rotation (PI: Jayaram):

Skill decay in neonatal resuscitation skills has been shown to occur as early as 6 months after receiving NRP certification, yet NRP recertification only occurs every two years. This project leverages simulation based NRP training during resident rotations through the NICU to provide practice opportunities and prevent skill decay.

“Walking the Walk” Intern Conference

Assimilating a diverse population of beginning interns into a new culture of an academic health system can be daunting and critical for patient safety. This study uses a set of four interprofessional team simulations to reinforce and evaluate 5 core critical care skills identified as most important for residents to have competency in. A observational performance assessment tool is being evaluated as a method for evaluating ACGME milestones.

CME

Integrating Continuing Medical Education with Quality/Performance Improvement and Patient Safety (PI: Moshe Feldman): 

Monitoring care processes, identifying opportunities for improvement, and implementing practice change is core component of ACGME competencies and requirements for certification in some specialties. Often times, performance improvement activities are considered as organizational citizenship behaviors rather than a job requirement for health providers and are not well integrated into organizational structures. This project investigates a novel model for integrating applied quality improvement projects with continuing education where simulation is used as a mechanism for interprofessional QI collaboration and learning. Funding: Society for Academic Continuing Medical Education Manning Award.

Research & Evaluation Services

The CHSPS supports all types of research investigating the use of simulation for medical education, training, assessment, quality improvement, patient safety, or usability of medical devices/HIT. Research and assessment consultation services are available for VCU faculty based on availability of research staff.

Research Consultations: Limited engagements in support of faculty conducting research on medical simulation or using simulation. Consultations are generally limited in duration and may include recommendations for research design, literature reviews, statistical analysis, or help with simulation based assessments.

Research Collaborations: More formal collaboration between the CHSPS and researchers focused on a specific research project or program of research.

Quality Improvement

Simulation provides a useful tool for identifying quality improvement needs, developing solutions, and rapidly provide feedback on effectiveness of solutions. Simulation can be integrated into QI projects to provide unique perspectives of underlying issues with clinical processes and the ability to test new clinical workflows and facilities. Simulation can also be applied for evaluating the usability of medical devices and health information technologies into workflow processes. Funding: Clinical and Translational Science Award

Usability/biomedical engineering

Publications

Rajiv Gala, MD, Francisco Orejuela, MD, Kim Gerten, MD, Ernest Lockrow, DO, Charles Kilpatrick, MD, LubnaChohan, MD, Charles Green, PhD, Jessica Vaught, MD, Aaron Goldberg, MD, and Joseph Schaffer, MD.
Effect of Validated Skills Simulation on Operating Room Performance in Obstetricsand Gynecology Residents A Randomized Controlled Trial.Obstetrics & Gynecology Vol. 121, No. 3, March 2013

Feldman M, Lazzara EH, Vanderbilt AA, DiazGranados D. 
Rater training to support high-stakes simulation based assessments.  J Contin Educ Health Prof.   Fall 2012; 32(4): 279-8

Curtis MT, DiazGranados D, Feldman M. 
Judicious use of Simulation technology in continuing medical education.  J Contin Educ Health Prof.  Fall 2012; 32(4): 255-60.

Pitcher,J; Sessler,C;Grossman,C.
The Effect of Simulation-Based ACLS Training on Confidence and Attitudes Towards Teamwork in Internal Medicine Residents. CHEST October 2012, Vol 142, No. 4_MeetingAbstracts

Ryan M. 
Simulation of Respiratory Distress for the Pediatrics Clerkship.  MedEdPORTAL; 2012

Orejuela, F.; Gerten, K.; Lockrow, E.; Noel, K. A.; Chohan, L.; Kilpatrick, C. C.; Vaught, J.; Brock, E.; Schaffer, J.; Gala, R. 
Oral Presentation 6: An Evaluation Of Validated Laparoscopic Skills Simulators And The Impact On Operating Room Performance In Obstetrics And Gynecology Resident.  Female Pelvic Medicine & Reconstructive Surgery: March/April 2010 - Volume 16 - Issue 2 - p S7

Poster and Other Media Presentations

Feldman M, Bearman G, Kushinka J, Bodamer C, Brock E. Dow A. 
Initial Validation Of The Internal Medicine Simulated Practical Exam (IMSPE) For 3rd Year Medical Students.  International Meeting on Simulation in Healthcare, Orlando FL, 2013.

Michael S. Ryan, MD, Cheryl N. Bodamer, PhD, MPH, RN, and Moshe Feldman, PhD.
Implementation of a high-fidelity simulation session to teach medical students the management of pediatric respiratory distress. COMSEP Meeting, Indianapolis 2012

Jayaram A, Feldman M, Moores R, Brock E.
Variable Performance of Basic Neonatal Resuscitation Skills by Pediatric Residents.  Pediatric Academic Societies, Boston MA 2012 

Perry S, O’Donnell M, Brock E, Voll S, Mazmanian P, Berens T, Call S. 
“Walking the Walk”: Simulation Support of Behaviorally-based Intern Conference on the Fundamentals of Clinical Work.  International Meeting on Simulation in Healthcare, New Orleans LA 2011. 

Carroll A, Brock E. 
Laparoscopic Sacral Colpopexy:  Design and Pilot of a Simulation Based Curriculum. Video presented at Society of Gynecologic Surgeons, Charleston SC 2013, and at International Urogynecology Association Dublin, Ireland., May 2013.

Murphy CM , Cumpston KL, Walton D, Franzen D.
High-fidelity Simulated Toxidromes in Medical Student Education.  International Congress of the European Association of Poisons Centres and Clinical Toxicologists 2010

Comparison of Standard Peripheral Intravenous Cannulation versus Ultrasound Guided Peripheral Intravenous Cannulation In A Novice Study Group. 
David Evans MD, Johanna Wilde MD, Melissa Myers MD, David Walton MS, Douglas Franzen MD, Amy Sell MD, Michael Buscher MD. Department of Emergency Medicine, Virginia Commonwealth University

Bodamer C, Steinbach C,  Feldman M, Muzevich, K.
Training on the Adult Code Cart at VCU Health System.  VCUHS Patient Safety Conference, Richmond VA, 2013

Other Presentations

Utilizing in-situ simulation for quality improvement:  methods and approaches for healthcare organizations. 
Moshe Feldman, PhD, MS;  Kimberly Stone, MD, MS, MA;Jennifer Reid, MD ; Mary Patterson MD, MEd ; William Riley, PhD;    Ellen Brock MD, MPH  International Meeting on Simulation in Healthcare, Orlando FL 2013.

Aaron Anderson PhD; Ted Carter MA; Cheryl Bodamer PhD, RN.Creating Better SPs for Your Hybrid Simulation. 
Workshop presented at International Meeting on Simulation in Healthcare, Orlando FL, January 2013. 

Carrol A, Brock E, Hill A.  Laparoscopic Sacral Colpopexy Training Using Simulation. 
International Urogynecology Association Meeting, Dublin, Ireland, May 28, 2013. 

Feldman M, Brock E, Bodamer C. 
Using a Modified Guided Team Self Correction Method for Debriefing Medical Teams.  Workshop presented at International Meeting on Simulation in Healthcare, San Diego CA, January 2012 

Brock E. 
Building a Simulation Program.  Innovations in Medical Education:  Medical Simulatino and E-Learning.  Poznan, Poland.  October 2010.

Simulation: A Tool for Team Success.  
Ellen Brock MD, Cheryl Bodamer PhD RN, Moshe Feldman PhD. VHHA Patient Safety Summit. Richmond , VA.  January 2013 

Using Simulation to Develop Safer Processes.
Ellen Brock MD, Cheryl Bodamer PhD RN, Moshe Feldman PhD. VCUHS Safety Conference.  Richmond , VA.  March 2013.

 

Contact

Moshe Feldman PhD
Assistant Director for Research and Evaluation
Phone: 804.828.6878
Email:   mfeldman@vcu.edu