B. K. Ross, Ph.D., M.D., M. Sinanan, M.D., W. T. Hurley, M.D., et al.
Based upon new opportunities of skills training and assessment using simulation technologies, in combination with new mandates for simulation training, skills proficiency documentation and frequent maintenance of certification (MoC) exams, healthcare facilities are establishing state-of-the-art Simulation Centers. However, these centers are being built with little regard for critical curricula, assessment tools and the tracking of outcomes measures. In addition, access to such centers is often problematic for practitioners in rural America. In an effort to ensure the highest quality simulation training and at the same time reach healthcare providers in rural or remote areas, the University of Washington WISH center is proposing to develop a regional simulation consortium where experts in simulation curriculum can partner to distribute shared, comprehensive innovative simulation.The cornerstone of this distributive training will be the extensive tele-communication network of the UWSOM WWAMI region, which roughly corresponds to the WRMC region. Leveraging this existing infrastructure to provide reset training of soldiers of the Warrior Transition Unit (WTU) of MAMC for reset training and rehabilitation (e.g. TBI/PTSD) will allow soldiers to access care near their homes rather than travel hundreds of miles for medical/psych follow-up.
To find new and creative ways of connecting healthcare clients (learners, physicians and patients) to both training centers as well as healthcare facilities to meet the above mandates and to provide retraining and care for Wounded Warriors in their home environment.
Using existing military/civilian facilities and networks, to develop, validate and execute distributed training, assessment and rehabilitation for physicians, healthcare providers and soldiers of the WTU. This will assist in training physicians prior to deployment and retrain physicians redeployed from OEF/OIF and reset wounded soldiers - there are identical civilian uses for retraining after pregnancy or sabbatical and meeting MoC. Research in new curricula and simulators, assessment and analytical tools, and adaptation of skills training to a distributed network will provide access to remote areas.
The new compliance mandates must be met by both civilian and military healthcare professionals. Retraining redeployed physicians and reset training of injured soldiers has counterparts in civilian training and patient treatment areas. WISH and MAMC can leverage previous investments in skills centers and networking to meet the mandates and treat our soldiers. Patient safety is improved with better trained physicians who make fewer errors due to simulation, team training and continuity of care and directly by providing reset training to soldiers at home.