Simulation training at Yale’s Department of Emergency Medicine includes training with partial task trainers, computer based micro-simulators and high fidelity mannequin simulators.
Medical Student Education
All third year Yale medical students participate in a twelve week simulation program. The students participate in both micro-simulations and mannequin simulations. Each Yale medical student participates or leads 24 patient encounters. The student’s “patients” present with emergent and critical conditions. Faculty members in Emergency Medicine and Surgery participate as faculty experts and debriefers. This is the largest clinical simulation program for third year medical students in the United States.
Emergency Medicine resident education incorporates simulation training in two ways. First, residents participate in simulation scenarios monthly as part of small group learning sessions. These scenarios are designed to allow EM residents to use the information that they have learned over the past 4 weeks during didactics and apply it to direct patient care. Second, EM residents participate in additional simulated patient scenarios throughout the academic year. These sessions are scheduled by the resident. Each session allows residents to work in groups of 2-4 to manage a “patient”. The complexity of each patient encounter is individualized to the level of training of the participants.
EM residents are also trained with partial task trainers for ultrasound guided central venous catheter insertion and difficult airway skills. Dr. Leigh Evans directs the Department of Emergency Medicine Simulation Center. She is the Principal Investigator of an AHRQ funded grant investigating the transfer of procedural skills from the simulator to the clinical setting entitled “Simulation Training for Ultrasound Guided Central Venous Catheter Insertion.” Dr. Evans has also been a leader in an effort to develop a multidisciplinary simulation center at Yale Medical School serving on the simulation center committee through the Dean’s office.