Emergency Medicine and Clinical Simulation
Washington Hospital Center is home to a comprehensive clinical simulation program that provides ongoing skills training for a wide variety of medical professionals at our hospitals. The simulation program plays an important role in the didactic and procedural training of our EM residents. Residents learn proficiency in core techniques such as resuscitation and code management, as well as gaining exposure to procedures that are much rarer in daily practice. Our primary sim center, the Simulation Training and Education Lab (SiTEL), is located on Connecticut Avenue in Washington, D.C., approximately mid-way between our primary training sites (Washington Hospital Center & Georgetown University Hospital), making it a convenient center point for training. We also utilize our satellite sim training center which is located on-site at Washington Hospital Center.
Interns are immediately introduced to the Center during Orientation, where they complete multiple workshops in common Emergency Medicine procedures, including intubation, chest thoracotomy and basic ultrasound techniques. ATLS and PALS certifications are also provided through the simulation lab.
Quarterly Sim Days
Simulation training takes the place of our regular Thursday residency program didactics several times per academic year. This provides a dynamic, interactive alternative to traditional didactics.
Monthly Sim Case Conference
We bring simulation to didactics on a monthly basis with our interactive, case-based Simulation Case Conference.
Sim Milestones & Sim Procedures
We utilize simulation training as one of our tools to assess the EM Milestones. Residents are given the opportunity to lead simulated cases, with real-time feedback by our experienced faculty mentors. Similarly, we utilize simulation as one dimension in training for procedural competency in core EM procedures such as central line placement, intubation, and lumbar puncture, among others.
Residents participate in one-on-one teaching sessions with Dr. Wood several times during each academic year performing procedures and leading mock cases.
Online training videos and lectures are offered through the Center’s web-based curriculum. Videos can be accessed remotely for review prior to simulation sessions and again at any point.
Simulation Center Faculty
Our team develops and leads the regular didactic simulation sessions throughout the year and is also involved in research to advance the role of simulation in Emergency Medicine training for both residents and attendings.
Sangeeta Wood, MD
Director, Simulation Program
Eric Chang, MD, FACEP
Julei Vieth, MD
Recent Sim-focused Publications by Our Faculty & Residents
Hama E, Reed K, Jaimeson J, Desai-Wood S, Milzman D, Trankiem C. Simulation Emergency Department Thoracotomy: A Novel Simulation Teaching Model to Enhance Residency Training. Society for Academic Emergency Medicine Annual Meeting, Atlanta, GA. May 2013.
Mack A, Horak B, Lane D, Moore E, Wood S. Retrofitting for Patient Safety Teaching: Findings from 2 Years of a Multidisciplinary Curriculum and Error Disclosure Simulation Program for Medical Students. 2013 AAMC Integrating Quality Meeting. Rosemont, IL. June 2013.
Hettinger AZ, Fairbanks RJ. Recognition of Patient Selection Errors in a Simulated Computerized Provider Order Entry. Proceedings of the Human Factors and Ergonomics Society 56th Annual Meeting. 2012 Oct.
Davis J, Weinberger L. Emergency Medicine Simulation Scenario: First-Trimester “Septic” Abortion. Association of American Medical Colleges (AAMC) MedEdPORTAL [electronic media]; Available from: www.mededportal.org/publication/9027. Published online 2011.
Pennathur PR, Cao D, Sui Z, Lin L, Bisantz AM, Fairbanks RJ, Guarrera TK, Brown JL, Perry SJ, Wears RL. Development of a simulation environment to study emergency department information technology. Simul Healthc. 2010 Apr.
Delasobera BE, Goodwin TL, Strehlow M, Gilbert G, D’Souza P, Alok A, Raje P, Mahadevan SV. Evaluating the efficacy of simulators and multimedia for refreshing ACLS skills in India. Resuscitation. 2010 Feb.
Reed K, Desai-Wood S, Ross TM, Bhat R, Milzman D. Cranial Trephination: Simulation Model for Emergency Medicine Resident Training of a Rare but Life-Saving Procedure. Poster at: ACEP Scientific Assembly 2010. Las Vegas, NV; Sept 28-Oct 1, 2010.
Reed K, Ross TM, Wood S, Neuner M, Milzman D, Battista A, Filomena T. Obstetric High-Risk Delivery Scenarios: Benefits of Simulation Training of Rare but Critical Procedures. Poster at: AAEM Scientific Assembly. Las Vegas, NV; Feb. 14-17, 2010.
Desai-Wood S, Reed K, Bhat R, Matejovsky-Ross T, Goyal M, Milzman D. “Teaching and Maintaining Competence for Rarely-Performed Critical Procedures Through Simulation” Poster at: US Critical Illness and Injury Trials Group. National Institutes of Health. Bethesda, MD; Dec. 8-9, 2009