Yale Center for Medical Simulation (YCMS)

Mission

The mission of the Yale Center for Medical Simulation (YCMS) is to provide excellent patient care through innovative medical education, assessment, research and outreach.  Our state-of-the-art center promotes the acquisition of basic and advanced clinical skills that are essential for medical students and residents to master, and are integral to the educational mission of Yale School of Medicine.  It provides an ideal learning environment for supervised and independent practice.  YCMS contributes to the medical school’s research mission by identifying more effective educational methods and evaluation tools.  The Center is available to all members of the Yale School of Medicine community for educational research opportunities.

Resident Education

Emergency medicine residents spend dedicated time in the Yale Center for Medical Simulation during each of their four years of residency.

  • PGY-1 residents spend 2 weeks in the afternoon during their ultrasound rotation
  • PGY-2 and PGY-3 residents spend 2 full weeks
  • PGY-4 residents spend part of their administration rotation in YCMS.
  • Most PGY-4 residents chose to spend an additional 2-4 weeks in the center as an elective

During each rotation, core simulation faculty create daily schedules for residents which includes formative ACGME milestone assessment, post-graduate year specific case participation, medical student teaching, procedural training, simulation case creation and programming, debriefing course and debriefing, difficult obstetric deliveries, and mini-courses in ventilation management, sepsis, toxicology, ophthalmology, and general emergency management

EM residents spend additional time at YCM learning suturing, airway management, central venous catheter insertion, and other emergency procedural training. The simulation faculty participate in the Education/Simulation area of concentration (AOC) and present topics on adult learning theory, simulation scenario creation, and lead an all-day SimWars.

YCMS is open 830am-5pm 5 days a week and is available to all Yale-New Haven Hospital (YNHH) residents. Simulation faculty also participate in resident milestone evaluations for various Yale residency programs in conjunction with their program directors. Additional educational opportunities for YNHH residents include a “Resident as Teacher” curriculum: senior medicine residents learn and practice scenario creation, execution and debriefing during this elective. Faculty are available to work one on one with residents who perceive deficiencies and will run scenarios or supervise procedures to remediate these deficits in training.

Each year, several emergency medicine residents choose to participate in research projects with the YCMS faculty and under the guidance of faculty, present at local, regional and national conferences. All projects result in publication-quality manuscripts.

Simulation Fellowship

The Yale Medical Simulation Fellowship in Emergency Medicine is a one-year fellowship offered to a qualified Emergency Medicine residency graduate. Fellows will have the opportunity to learn simulation education in our new state-of-the-art 5,000 square foot simulation center, Yale Center for Medical Simulation (YCMS), which opened in January 2015. Dr. Evans, Executive Director of YCMS, who received an AHRQ funded grant in procedural simulation, will serve as the overall mentor and assist the fellow in developing his/her research interests.

The primary focus of the fellowship will be on research.

  • The fellow will attend a departmental course in research methods led by the Director of Research and a biostatistician. 
  • He/she will meet weekly with the new Director of Simulation Research, Dr. Ambrose Wong.

The fellow will receive training in simulation curriculum development including scenario design, development of debriefing skills and exposure to procedural simulation training and education. We conduct the largest simulation program for undergraduate medical students.  Dr. Tiffany Moadel, a graduate of Yale’s medical simulation fellowship, is the Director of Medical Student Simulation.  Fellows participate in all aspects of the medical student curriculum.

Fellows will participate in resident simulation education including assessment based on the new Milestones evaluation tools and the use of simulation for resident remediation.

Under the guidance of the Director of Resident Simulation, fellows will also participate in our procedural simulation program under the leadership of Dr. James Bonz, Director of Procedural Simulation.

The fellow will attend in the Yale-New Haven Medical Center Emergency Department.  The fellowship will support attendance at an instructor course in simulation and debriefing and participation in a university sponsored medical education course.

Plans are underway for the opportunity for the simulation fellow to participate in an exchange program with the Yale-China program through Xiangya School of Medicine.

To Apply
Applications are due by November 1st and will be considered on a rolling basis. Please note there are two positions available for July 1st.

Medical Students

Simulation

The Yale School of Medicine is home to the largest medical student curriculum of its kind in the country, and is entering its 10th year. Yale medical students have the opportunity to practice the art and science of medicine at the Yale Center for Medical Simulation (YCMS) from the first week of medical school. All one-hundred incoming first year students participate in the Introduction to the Professions course at YCMS, where they have their first opportunity to participate in a simulated patient encounter early on in their medical training.

During their clerkship year, students participate in simulation sessions during the Surgery-Emergency Medicine, OBGYN-Pediatrics, Medicine-Neurology and Psychiatry-Primary Care combined clerkships. Students work in teams to evaluate, manage and treat simulated patients in an acute care environment. Our simulations emphasize clinical management, communication with patients and families, and hand-offs to consultants. In addition to performing an H+P and ordering any tests or interventions, patients speak to physician actors that serve as family members, and have a discussion with an actual attending consultant for each case. During the debriefing session, a debriefer offers formative feedback to students on their performance and helps students to bridge what was learned in the session to their future patient encounters. An attending physician with expertise in the topic serves as the content expert for the case and discusses clinical management.

During the third year simulation curriculum, students participate in over 30 simulated encounters and have the opportunity to diagnose and treat a wide variety of pathology. Students also have the opportunity to engage in difficult conversations with simulated patients and family members. They manage critically ill simulated patients and perform life-saving procedures.

Prior to starting their clinical clerkships, all one-hundred third year students are trained in: foley catheter placement, nasogastric intubation and bag-valve mask ventilation at YCMS. During specialty-specific precede sessions for Surgery, Emergency Medicine, Medicine and Neurology, students learn and practice important procedures, such as: orotracheal intubation, suturing, IV placement, FAST exams, ABG sampling, lumbar puncture. A scrub station allows students to practice scrubbing in for the operating room. Students also practice normal and complicated vaginal deliveries and management of OB/GYN emergencies using high-fidelity mannequins during the OB/GYN clerkship.

Students undergoing the YSM Emergency Medicine Sub-Internship also participate in an EM-based simulation curriculum at YCMS.

A 2-4 week simulation elective is available to interested MS4/5's. This elective allows students to create and program simulation cases on the SimMan3G programming software, have the opportunity to serve as a participant, actor, or the voice of the simulated patient for other medical student simulations, and to have guided practice on procedures related to their chosen specialty. During the Medical Education elective, PGY4/5's also have the opportunity to create and run simulated cases and to learn and practice debriefing.

Motivated students also have the opportunity to participate in a number of ongoing research projects under the mentorship of YCMS faculty. Projects result in publication-quality manuscripts and are encouraged for submission to local, regional or national meetings.

Contact Us

Telephone: 203.737.2489
Fax: 203.785.4580

Address:
728 Howard Ave,
New Haven, CT 06519