Current Use in UNC Curriculum

WHERE SIMULATION IS BEING USED IN THE UNC SCHOOL OF MEDICINE CURRICULUM

 

I)    Undergraduate Education:   “MD Program”

 

A)  Clinical Applications Course (First Year---entire class)

      • Skills---based on the case
        • Peripheral IV
        • X-ray interpretation
        • Pelvic fracture
        • Chest tube
        • Surgical Airway

 

      • Patient Case Simulation;
        • 17 year trauma patient

B)  Clinical Cases Course (Entire second year class)

§  Skills:---based on the case presentation

        • Blood draw--Pediatric
        • IV access—Pediatric
        • IO access--Pediatric
        • Lumbar Puncture--Pediatric
        • ABG—adult
        • Medication Administration—Subcutaneous and IM

 

C)  Anesthesia Interest Group: (Those whom are interested—first and second year students.)

      • Airway workshop:
        • Anatomy review
        • Bag mask ventilation
        • Oral airway
        • Oral intubation
        • Surgical airway

 

§  Vascular Access Workshop

        • IV
        • Central line—by landmark
        • Central Line—by ultrasound
        • Femoral Access
        • Arterial Line Placement

 

D) Emergency Medicine Interest Group (First and Second year interested students)

      • Airway workshop:
        • Anatomy review
        • Bag mask ventilation
        • Oral airway
        • Oral intubation
        • Surgical airway
      • Suture Workshop

 

E)   Transition Clerkship---(entire rising third year class)

      • CPR (Initial) Certification
      • Lumbar Puncture
      • Blood Draw
      • IV
      • ABG
      • Medication Administration—Subcutaneous and IM

 

F)  “Introduction to Acute Care”, (Third year—entire class)

      • ACLS Certification
      • Skills:
        • Airway management—Adult and Pediatric
        • IV—Adult and Pediatric
        • IO access—adult and pediatric
        • Defibrillation
        • AED
        • Cardioversion
        • Pacing
        • EKG Rhythm Recognition and Management
        • Medication Administration

 

G)    Surgery Clerkship---(entire class---third year)  new 2007/08

      • Skills:
        • Peripheral IV
        • Central line---EJ, IJ, subclavian
        • Arterial line
        • Nasal gastric tube placement
        • Foley placement
        • Suturing
      • OSCE—suture case, (hybrid simulation)

 

H)  Emergency Medicine Selective----(~10-12 students per month)

      • Patient Case Simulation for:
        • Myocardial Infarction Patient,  (EKG interpretation practice)
        • Wolf Parkinson White Patient--Management
        • Pneumonia and Septic shock—(Airway Management, volume resuscitation, BP support with pressors)
        • COPD patient---(Advanced Airway Management)
        • Clonidine Overdose—Management, (Lumbar Puncture)
        • Calcium Channel Overdose—Management,
        • Trauma Patient, (volume resuscitation---femoral access, pelvic stabilization, advanced airway, tension pneumothorax decompression, chest tube insertion)
        • Electrical Injury Patient, (CPR, defibrillation)

 

I)  CPX:

§  Hybrid Simulation Case

 

J)  Capstone, (Fourth year---entire class, end of fourth year)

2011:

      • ACLS---Recertification—skills as for certification
      • Adult Skills 2011:
        • Blood draw
        • Peripheral IV
        • Central line:  IJ, Subclavian
        • IntraosseousBasic Airway management— airway adjuncts to include LMA, Combitube and King Airway
        • Advanced Airway management---intubation to include bougie
        • Case Simulation---airway management

 

      • Pediatric Skills 2011:
        • Peripheral IV
        • Blood draw
        • IO
        • Umbilical Lines
        • Basic Airway Management---airway adjuncts to include LMA
        • Advanced Airway Management—intubation
        • Case Simulation---airway management

 

      • PALS (Initial) Certification---(limited number of interested students some whom may be going into Pediatrics and other who will not)
        • Airway management—Pediatric
        • CPR and AED
        • IV—Pediatric
        • IO access—pediatric
        • Defibrillation
        • Cardioversion
        • Pacing
        • EKG Rhythm Recognition and Management
        • Medication Administration
        • Pediactric Assessment and Categorization

 

K)  Pediatirc Transition Course---(Soon to graduate 4th year students whom are going into Pediatrics)

§  Skills:

        • Foley placement
        • Medication Administration—Subcutaneous, IM
        • Lumbar puncture
        • Arterial line placement
        • Suturing
        • Splinting

 

      • PALS (Initial) Certification
        • Airway management—Pediatric
        • CPR and AED
        • IV—Pediatric
        • IO access—pediatric
        • Defibrillation
        • Cardioversion
        • Pacing
        • EKG Rhythm Recognition and Management
        • Medication Administration

 

      • Neonatal Resuscitation (Initial) Certification

 

      • OB Simulation Cases
        • Baby in trouble
        • Healthy delivery

 

      • Simulation Cases—with Standardized Patients
        • Serious Diagnosis
        • Vaccine Refusal
        • Consent for Treatment
        • Parent’s Insistance on a medication that is not indicated.