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) 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

J) Pediatric Transition Course—(Soon to graduate 4^th 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.