At Geisinger, medical students, residents, fellows, nursing students, staff nurses and staff physicians train together on state-of-the-art adult, pediatric and infant manikins that simulate physiologic and clinical conditions within the fields of trauma, surgery, obstetrics, orthopedics, and nursing. Additionally, the program uses patient actors for education on communication, difficult conversations and evaluation and teaching.
Simulation is a relatively new pedagogy designed and intended to portray real-life patients in a standardized, scripted way. It applies technology to reproduce aspects of patients and patient care to meet educational goals and objectives. Simulations provide students the opportunity to practice their interviewing, counseling, physical exam, communication and other skills that contribute to their development as professionals in the field of medicine.
The simulators respond physiologically to medical interventions, such as medication administration, intravenous fluid infusions, application of oxygen and interventional procedures. The simulators have realistic features, such as chests that rise and fall with respirations, palpable pulses, various heart and lung sounds, and the ability to bleed. The simulators also have procedural features that allow for chest tube and tracheotomy management, defibrillation and catheter insertion, knee aspiration, shoulder injection, pelvic exam, lumbar trainer, Foley catheter insertion, central line manikins (chest and femoral), tracheotomy care, urinary catheter placement, and wound care.
High-fidelity simulators currently in use include the EndoVR, SimMan Essentials, SimMom, SimBaby, and ResusciAnne QCPR-D.
In this learner-centered environment, students are exposed to many different types of simulated and standardized clinical scenarios which assist them in meeting the competency requirements of medical knowledge, practice-based learning and improvement, interpersonal skills and communication, professionalism, patient care, and systems-based practice.
Standardized patient program
A standardized patient (SP) is a person trained to portray a real-life patient in a standardized, scripted clinical scenario. SPs provide students the opportunity to practice their interviewing, counseling, physical exam, communication and other skills that contribute to their development as professionals in the field of medicine. SPs are trained to evaluate student performance and provide constructive feedback. The use of SPs allows students to practice in a safe, controlled, observable environment where they can develop, practice and demonstrate competence of skills they will use on real patients.
The Education and Medical Simulation Center at Geisinger Medical Center and Clinical Skills and Simulation Center at Geisinger Commonwealth include examination labs with blood pressure cuffs, ophthalmoscopes and otoscopes, stretchers with static and task manikins, defibrillators, delivery stretcher, crib, isolette, and medication room. The Nursing Skills Lab is set up like a standard, single-patient hospital room. The Surgical Skills Lab is monitored 24 hours a day by video monitoring and houses the endoscopy/bronchoscopy trainer as well as fundamental laparoscopic trainers, SonoSim Ultrasound trainers, and OtoSim trainer.