Medical simulation in interventional cardiology

Medical simulation is being used for training fellows to perform coronary angiography. Medical simulation training was associated with 2 min less fluoroscopy time per case after adjustment. Whether medical simulation really works needs to be evaluated in additional, well-designed and executed clinical studies

Special Issue on Medical Simulation

We would like to welcome you to this Special Issue on Medical Simulation, the first of its kind not only for SIMULATION: Transactions of The Society for Modeling and Simulation International, but for any technical journal. Our respective backgrounds are an indication of the technical and clinical breadth of medical simulation, as we approach the subject as primarily medical image analysis and biomechanics experts respectively, each with a variety of clinical interests spanning virtual reality (VR)–based neuro-, orthopedic and ear-nose-and-throat surgery. Moreover, we believe that the breadth of the papers that comprise this issue reflects an even broader perspective. After all, medical simulation can be seen as encompassing mannequin-based training, as well as nonsurgical areas such as pharmacological and physiological modeling, the latter of which is increasingly multi-scale and integrative

Grid simulation services for the medical community

The first part of this paper presents a selection of medical simulation applications, including image reconstruction, near real-time registration for neuro-surgery, enhanced dose distribution calculation for radio-therapy, inhaled drug delivery prediction, plastic surgery planning and cardio-vascular system simulation. The latter two topics are discussed in some detail. In the second part, we show how such services can be made available to the clinical practitioner using Grid technology. We discuss the developments and experience made during the EU project GEMSS, which provides reliable, efficient, secure and lawful medical Grid services

Basic guidelines for high-fidelity medical simulation

Introduction Simulation based medical education is an increasingly popular pedagogical approach. It provides students with the opportunity to practice their clinical skills and decision-making through various simulation activities. The main purpose of medical simulation is to educate and improve patient safety. The aim. Presentation of the basic guidelines for the implementation of medical simulation methods in the education of nurses. The method. Non-systematic review of literature, based on a thematic selection of articles with a preference for the studies being systematic reviews of papers published in the last 13 years. Results.Based on the review of the literature on SBME covering the period from 1969 to 2003 and from 2003 to 2009 Mc.Gaghie and the co-authors present twelve features and best practices for effective medical education based on simulation. The authors of this study found them to be fundamental for the development of this method and for forming and improving medical competences. Summary.Medical Simulation in education is a very important step on the way of gaining key competences in team work and decision-making skills. It is also a complementary training to many methods and educational strategies, but it will not substitute the training in natural conditions of in-patient care and professional experience arising from this

End-to-End QoS Support for a Medical Grid Service Infrastructure

Quality of Service support is an important prerequisite for the adoption of Grid technologies for medical applications. The GEMSS Grid infrastructure addressed this issue by offering end-to-end QoS in the form of explicit timeliness guarantees for compute-intensive medical simulation services. Within GEMSS, parallel applications installed on clusters or other HPC hardware may be exposed as QoS-aware Grid services for which clients may dynamically negotiate QoS constraints with respect to response time and price using Service Level Agreements. The GEMSS infrastructure and middleware is based on standard Web services technology and relies on a reservation based approach to QoS coupled with application specific performance models. In this paper we present an overview of the GEMSS infrastructure, describe the available QoS and security mechanisms, and demonstrate the effectiveness of our methods with a Grid-enabled medical imaging service

How to Improve Student Education in Cardiology? 13 Essential Answers Through Medical Simulation

DergiPark: 379021tmsjAims: Is there a difference, from a clinical point of view, between a first year resident and a 4th year one, in the branch of Cardiology? If so, do we need to diminish it? And more importantly, do we have the tools? In this study it is aimed to evaluate medical simulation and its applicability in cardiology as an education method contributing to make students and residents more experienced and sufficient. Methods: The descriptive, cross-sectional study based on a survey which was applied to the groups of students in Carol Davila’ University of Medicine and Pharmacy (146) and residents (33 out of which 18 in the first two years and 15 in the last 3 years) was conducted between November 2014 and January 2015. Responses regarding evaluation of medical simulation as an education method were analyzed by using descriptive statistics including frequencies and percentages.Results: The results showed that with the usage of medical simulation as an education method 128 (87.6 %) students would have felt more confident and learnt faster, while 113 (77.5%) students would have found studying more appealing. Furthermore 10 (68%) of residents in the 3rd, 4th, 5th year would have felt more experienced, if they actually encountered rare simulated pathologies; thus 16 (91%) of the residents in the 1st, 2nd year thought the risks would have decreased for patients.Conclusion: Medical Simulation remains a necessity as an education method to improve practical skills of both students and residents in branch of cardiolog

A framework for cardio-pulmonary resuscitation (CPR) scene retrieval from medical simulation videos based on object and activity detection.

In this thesis, we propose a framework to detect and retrieve CPR activity scenes from medical simulation videos. Medical simulation is a modern training method for medical students, where an emergency patient condition is simulated on human-like mannequins and the students act upon. These simulation sessions are recorded by the physician, for later debriefing. With the increasing number of simulation videos, automatic detection and retrieval of specific scenes became necessary. The proposed framework for CPR scene retrieval, would eliminate the conventional approach of using shot detection and frame segmentation techniques. Firstly, our work explores the application of Histogram of Oriented Gradients in three dimensions (HOG3D) to retrieve the scenes containing CPR activity. Secondly, we investigate the use of Local Binary Patterns in Three Orthogonal Planes (LBPTOP), which is the three dimensional extension of the popular Local Binary Patterns. This technique is a robust feature that can detect specific activities from scenes containing multiple actors and activities. Thirdly, we propose an improvement to the above mentioned methods by a combination of HOG3D and LBP-TOP. We use decision level fusion techniques to combine the features. We prove experimentally that the proposed techniques and their combination out-perform the existing system for CPR scene retrieval. Finally, we devise a method to detect and retrieve the scenes containing the breathing bag activity, from the medical simulation videos. The proposed framework is tested and validated using eight medical simulation videos and the results are presented

Application of medical simulation in the education of medical students in the area of gynecology and obstetrics

The education of new generations of doctors faces major challenges. The education system should ensure access to modern and effective educational techniques. Medical simulation is a method that is developing very dynamically. Currently, every medical university in Poland has access to the facilities of a Medical Simulation Centre. Many types of simulations can be used. The variety of techniques is considerable. Starting from simple trainers, through advanced patient simulators to hybrid simulation or virtual reality. Thanks to their use, it is possible to teach basic medical procedures in a safe way, without compromising the patient’s intimacy. An additional advantage is the possibility to train in an interdisciplinary team. The aim of this work was to present the possibility of using medical simulation as a method of effective and interesting teaching of medical students in the field of gynaecology and obstetrics. The authors described different techniques and levels of simulation sophistication. The basic tasks of the teacher were also described. The paper may be an interesting complement to the knowledge of education for each physician involved in the work with students

Application of medical simulation in the education of medical students in the area of gynecology and obstetrics

The education of new generations of doctors faces major challenges. The education system should ensure access to modernand effective educational techniques. Medical simulation is a method that is developing very dynamically. Currently, everymedical university in Poland has access to the facilities of a Medical Simulation Centre. Many types of simulations can beused. The variety of techniques is considerable. Starting from simple trainers, through advanced patient simulators to hybridsimulation or virtual reality. Thanks to their use, it is possible to teach basic medical procedures in a safe way, withoutcompromising the patient’s intimacy. An additional advantage is the possibility to train in an interdisciplinary team. Theaim of this work was to present the possibility of using medical simulation as a method of effective and interesting teachingof medical students in the field of gynaecology and obstetrics. The authors described different techniques and levels ofsimulation sophistication. The basic tasks of the teacher were also described. The paper may be an interesting complementto the knowledge of education for each physician involved in the work with students