Table of Contents

GENERAL SURGERY: Resident Courses
GENERAL SURGERY: Courses for Community Practioners
OBSTETRICS AND GYNECOLOGY
OTOLARYNGOLOGY
INTERNAL MEDICINE
ANESTHESIOLOGY
ANESTHESIOLOGY AND NEONATOLOGY
PEDIATRIC ANESTHESIOLOGY AND NEONATOLOGY
UROLOGY
DERMATOLOGY
ORTHOPAEDIC SURGERY
NEUROSURGERY
FAMILY MEDICINE

GENERAL SURGERY: Resident Courses

Course Directors: Karen Horvath, M.D., Brant Oelschlager, M.D., Mika Sinanan, M.D., Ph.D., Edgar J Figueredo, M.D.

R1 Basic Open Skills (Wound Closure, Basic Knot Tying)
This course is designed to teach the learner the basic cognitive and technical skills required for performance as a surgical resident. By the end of the course, the learner should be comfortable with basic open technical skills such as instrument selection and use, tissue handling, suturing, knot tying, and wound closure.

R1 Central Lines and Chest Tubes
This course covers considerations of sterility, local anesthetics, sepsis, evaluation of prior indwelling sites, indications and complications for subclavian, internal jugular and femoral sites, choice of double or triple lumen catheters, Hickman, Portacath or PICC lines, risk areas and pitfalls, complications and outcomes, and troubleshooting. Practicum: set-up and placement, starting with Central Line Man simulator.
Learners: Residents (General Surgery and surgical specialties)
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity, animal lab

R1 Basic Open Skills (1)
This course focuses on laparotomy, tissue handling, and wound closure. It includes technical considerations of a virgin abdomen versus one with a prior incision, types of incisions for access, identifying at risk-patients patients and minimizing risk of wound complications, and troubleshooting. Practicum: wound closure techniques, instrument handling, two instrument choreography, clips, instrument ties, tie-in-continuity, and tying off an instrument.
Learners: Residents (General Surgery and surgical specialties)
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R1 Basic Open Skills (2)
This course focuses on exposure and mesenteric dissection during laparotomy and hernia repair. It includes consideration of indications for open ventral and groin hernia repair, imaging and patient evaluation, informed consent, complications and outcomes, and troubleshooting. Practicum: Exposure – retractor usage and principles, and open ventral and groin hernia repair with prosthesis.
Learners: Residents (General Surgery and surgical specialties)
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R1 Basic Laparoscopic Skills
This course is designed to teach the basic skills required for assisting in laparoscopic surgical procedures. By the end of the course, the learner should be comfortable with laparoscopic technical skills such as instrument selection and use, system setup and troubleshooting, tissue handling, suturing and knot tying. These skills serve as a basis for future laparoscopic skills training.

R1 Basic Laparoscopic Cholecystectomy
This course covers work-up and indications for cholecystectomy, surgical anatomy, routine versus selective cholangioraphy (interpretation), risk areas and pitfalls, recovery and long term outcome, and troubleshooting. Practicum: port placement and operative sequence.
Learners: Residents (General Surgery and Surgical specialties)
Didactic: Yes
Laboratory: Yes
Simulators: High fidelity, animal lab

R1, R2, R3 Electrosurgery Safety
This educational offering is designed for the physician practicing surgical and invasive procedures. This will address the art and science surrounding electrosurgical technology and techniques and include the principles of electrosurgery, clinical applications, potential complications and recommendations for their avoidance will be discussed. Upon completion of this workshop, participants will be able to, relate the properties of electricity to the clinical applications of electrosurgery; Discuss the relationship between current concentration and tissue effect; Differentiate between the clinical effects created by the cutting and coagulation waveforms; Describe four of the variables the surgeon controls that impact surgical effect; Identify potential patient injuries related to electrosurgery and technological advances designed to eliminate these problems. The resident must complete the web-based Electrosurgery Skills Module and Test at http://www.valleylabeducation.org/esself/index.htlm, and submit A Valleylab certificate of completion.
Learners: Residents (repeats yearly R1-R3)
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R1 VAC Therapy
This course is designed to teach the proper usage of vacuum assisted closure therapy. By the end of the course the residents should understand the proper techniques and situations in which to use VAC therapy. He or she should be able to demonstrate proficiency in an animal model using the actual device on simulated wounds.
Learners: Residents Didactic:
Yes Laboratory:
Yes Simulators: Animal lab

R2 Vascular and Intestinal Anastomosis
This course is designed to teach performance of vascular and intestinal anastomoses. It covers tissue preparation, control methods, anastomotic suture and technique for vessels, control and exposure, and suture selection and techniques for bowel, management of the fragile anastomosis, and troubleshooting. Practicum: Vascular anastomsis, bowel anastomosis.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R2 Energy Devices: Energy Delivery and Hemostasis
This course covers the principles of energy sources and application, technique and selection of hemostasis method, principles of proximal and distal control, vascular isolation with clamps, special examples of hemmorhage at the range of accessibility, caval/aortic/major vascular injury, recurrent bleeding, and instrumentation including electrosurgery,harmonic scalpel ligasure, RFA, clips and ligation.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R2 Advanced Laparoscopic Cholecystectomy, Common Bile Duct Exploration, Jejunostomy
This course covers the timing and operative decisions for acute cholecystitis, surgical anatomy, technical steps - choice of procedures, conversion versus ERCP versus PTC decision making, outcomes and efficacy studies, and trouble shooting. Practicum: CBD exploration – fluorocholangiography versus choledoscopy.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R3 Surgical Staplers, Double Stapled and EEA Anastomoses
This course covers the stapler types and selection, staple size (indications and contraindications) and appropriate use, management of the anastomotic environment – drains, incisions, tension, etc., and troubleshooting. Practicum: Functional side-to-side stapled small bowel anastomosis, gastrojejunostomy – EEA.
Learners: Residents
Didactic: Yes
Laboratory:
Yes Simulators: Animal lab

R2 Trauma Ultrasound
This course is designed to teach residents about the use of ultrasound in trauma related medical cases. The learners will learn about the physical properties of ultrasound, demonstrate proficiency with ultrasound equipment available in the ER, demonstrate the normal anatomy of the abdomen, pericardium and pleura in a live model, demonstrate the significant findings in pericardial effusion and distinguish that from cardiac tamponade, demonstrate the significant findings in hemo- and pneumothorax, understand the indications and limitations of various adjunctive studies available for the evaluation of the injured abdomen and demonstrate common abdominal abnormalities in trauma and non-traumatic settings including: hemoperitoneum, splenic and liver injury, gallstones and dilated biliary tree.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Live patients

R3 Antireflux, Adrenal/Spleen (Part One)
Part one covers the elements of antireflux surgery including patient selection and work-up, options for antireflux surgery, patient preparation, ports and key technical steps, summary of current efficacy and durability data, and intra- and postoperative troubleshooting. Practicum: Laparoscopic Nissen
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R3 Antireflux, Adrenal/Spleen (Part Two)
Part two covers the elements of laparoscopic adrenalectomy and splenectomy including indications, imaging and patient selection, positioning and port placement, technical steps and pitfalls, outcomes and efficacy, and troubleshooting and recovery. Practicum: Splenectomy and left adrenalectomy, right adrenalectomy.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R3 Inguinal and Ventral Hernia Repair
This course covers elements of laparoscopic repair of inguinal and ventral hernias including laparoscopic versus open – patient selection and outcomes, laparoscopic groin anatomy, prosthesis selection specific risks and complications, informed consent issues, short and long-term outcome data, and troubleshooting. Practicum: Technical steps in hernia repair
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R4 Laparoscopic Entero-enterostomy – Bariatric Surgery
This course covers laparoscopic stapling and entero-enterostomy, and bariatric surgery. Topics covered include technical concepts of stapling, port and anatomy considerations, options for bariatric procedures, technical steps to laparoscopic gastric bypass, outcomes and role in obesity management, and troubleshooting and error correction - intracorporeal anastamosis. Practicum: Enteroenterostomy, Roux-Y gastroenterostomy.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R4 Thoracic Surgery
This course covers lung resection and airway closure and discusses topics including preparation, positioning, and retractors for thoracotomy, lung and mediastinal anatomy, recovery, postoperative management, outcomes, and efficacy, complications and management, and troubleshooting. Practicum: Thoracotomy and lung resection.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

R5 Laparoscopic Enterectomy and Colectomy
This course covers indications and patient selection, port and anatomy considerations, technical steps to procedure (goals), efficacy in cancer treatment, perioperative management, flowchart development, expected outcomes, and troubleshooting. Practicum: Small bowel resection and functional end-to-end anastomosis, Low Anterior Resection (LAR).
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab

Ongoing EVATS Rotation Curriculum (R1-R5)
The EVATS (Emergency coverage, Vacation, Academic Projects, Technical Skills, Service Coverage) Rotation Curriculum is a compilation of the use of low fidelity simulators in the R1 Wound Closure and Basic Knot Tying Course, the R1 Basic Laparoscopic Skills Course, and the R2 Vascular and Intestinal Anastomoses Course. The open skills and the laparoscopic skills sections repeat on a yearly basis (R1-R5) with a progression to reduced numbers of repetitions to fulfill exercise completion requirements. Suturing stations provide endostitch, basic suturing, and advanced suturing exercises on a variety of artificial surfaces that simulate realistic texture and suture support. The Simulab Suture Trainer (a mirrored box trainer) is used to acclimate the learner to laparoscopic instrument use through a number of exercises, each of which emphasizes a different basic maneuver, in preparation for actual laparoscopic procedures. The “Fundamentals of Laparoscopic Surgery” (FLS) trainer from the Society of American Gastrointestional Endoscopic Surgeons provides a number of exercises, each with a specific curriculum and validated criteria to measure technical skills and eye-hand coordination during basic laparoscopic maneuvers. Assessment tests for each section are administered when the exercises are completed in the R1 and R2 years. The open skills test is based on observation by an examiner. The laparoscopic skills test is based on performance on a mirror box trainer using the established metric of time-to-completion. These tests are administered by residents in the R3, R4, and R5 years as part of their own learning experience. High fidelity simulators (Immersion LapSim and METI SurgiSim) have recently been incorporated into these courses. The LapSim has nine exercises ranging from basic camera navigation to realistic cutting, clip application, and suturing. Each exercise has easy, medium, and hard settings. The METI SurgiSim has four main modules and 25 different exercises, including camera navigation, instrument manipulation, basic and advanced suturing techniques, and even organ removal. All data is stored and the metrics are adjustable. The use of these simulators is described in the Curriculum Development Form for the R1 Basic Laparoscopic Skills Course. All medical and surgical specialties that do minimally invasive surgery have been encouraged to develop curricula that utilize both the low fidelity and high fidelity simulators.

Pediatric Advanced Life Support (PALS)
The purpose of this course is to provide the learner with information needed to recognize infants and children at risk for cardiopulmonary arrest, strategies needed to prevent cardiopulmonary arrest in infants and children and the cognitive and psychomotor skills needed to resuscitate and stabilize infants and children in respiratory failure, shock or cardiopulmonary arrest. Utilizes the PALS simulator.
Learners: Residents (R1-R5)
Didactic: Yes
Laboratory: Yes
Simulators: High fidelity

Advanced Trauma Life Support (ATLS)
The ATLS course is designed to train physicians who are in a position to provide the first hours of emergency care to trauma victims. The nineteen hour course utilizes didactic lectures and practical skill stations in order to effectively teach the principles of rapid, effective assessment and stabilization. Successful candidates will be awarded four-year certification. Utilizes the ATLS simulator.
Learners: Residents (R1-R5)
Didactic: Yes
Laboratory: Yes
Simulators: High fidelity

GENERAL SURGERY: Courses for Community Practioners

Course Directors: Brant Oelschlager, M.D., Mika Sinanan, M.D., Ph.D.

Laparoscopic Ventral Hernia Repair
This course is designed to expose surgeons to a new, minimally invasive approach to ventral hernia repair. The techniques and equipment necessary to perform the procedure will be reviewed and a live broadcast from the operating room at the UW will be observed. Course instructors will provide commentary during the procedure and participants will have an opportunity for detailed intra-operative consultation with the surgical team via audio-video link. Different techniques and results of laparoscopic ventral hernia repair will be discussed, as well as potential complications and how to avoid them. The healing process associated with different prosthetic materials will be reviewed, along with a discussion of devices for suturing, stapling and anchoring used in laparoscopic ventral hernia repair. Upon completion of the course, surgeons should be adept at the clinical maneuvers and procedures for laparoscopic ventral hernia repair and ready to perform clinical procedures with guidance and in accordance with institutional credentialing processes. Learners: Practicing Physicians
Didactic: Yes
Laboratory: Yes
Simulators: Animal Lab

Laparoscopic-assisted Colectomy
This course orients the learner with a broad laparoscopic background to the indications, appropriate workup and technical steps required for laparoscopic right and sigmoid colectomy. Didactic sessions will be supplemented with clinical examples and an extended, hands-on laboratory session to practice the skills of a laparoscopic colectomy. Participants should complete this program with a working knowledge of laparoscopic colectomy procedures, ready to implement a clinical program under appropriate clinical guidance.
Learners: Practicing Physicians
Didactic: Yes Laboratory: Yes
Simulators: Animal Lab

Nissen Fundoplication Laparoscopic Skills
This course concentrates on laparoscopic surgical management of gastroesophageal reflux and includes evaluations of the patient with reflux, appropriate indications for surgery, and technical steps of the procedures, expected outcome and management of the complex patient. Templates are included for the surgical recovery period, detailing diet and follow-up studies. At the completion of this course, the practitioner should have a firm grounding in the current indications, workup and laparoscopic surgical management of gastroesophageal reflux disease, and be ready to perform clinical procedures with guidance and in accordance with institutional credentialing processes.
Learners: Practicing Physicians
Didactic: Yes
Laboratory: Yes
Simulators: Animal Lab

Laparoscopic Adrenalectomy/Splenectomy
This course concentrates on advanced laparoscopic techniques for adrenalectomy and splenectomy. As available, a clinical case will be scheduled to coincide with the course. Course instructors will provide commentary for a detailed intra-operative consultation during the procedure and participants will have an opportunity for a detailed intra-operative consultation with the surgical team via audio-video link. Didactic lectures will review laparoscopic techniques, positioning and specialized instrumentation. Hands-on experience with an animate model will be conducted the CVES surgical laboratory. Upon completion of the course participants should be able to identify appropriate indications/contraindications for laparoscopic adrenalectomies, perform radiographic evaluations, understand biochemical evaluations, correctly identify the anatomy of the right and left adrenal glands, be familiar with patient positioning, describe the technical steps of the procedure and manage complications related to the surgery.
Learners: Practicing Physicians
Didactic: Yes
Laboratory: Yes
Simulators: Animal Lab

OBSTETRICS AND GYNECOLOGY

Basic Skills for Medical Students
Course Director: Anne-Marie Amies Oelschlager
This course is designed for medical students beginning their OB/GYN clerkship. The four hour class introduces them to instrumentation, anatomy, terminology, and basic techniques and procedures. Hands-on instruction utilizes pelvic simulators, birthing simulators, and knot boards and artificial skin for suturing.
Learners: Medical students
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity.

Basic Surgical Skills Training for OB/Gyn Residents
Course Director: Amy VanBlaricom
This course involves a series of lectures and labs, including a pig lab, that teach open surgical techniques as well as laparoscopic procedures. An OSATS (Objective Structured Assessment of Technical Skills) involves set tasks from start to finish (all on models) for open procedures including unilateral adenexectomy, hysterectomy, and Burch colposuspension, and laparoscopy, hysteroscopy, and cystoscopy. The validity of the OSATS is well-documented in the OB/Gyn and surgical literature.
Learners: All level residents
Didactic: Yes
Laboratory: Yes
Simulators: Animal lab, low fidelity simulators

Shoulder Dystocia
Course Director: Tom Benedetti, M.D.
This course demonstrates the proper way to deal with shoulder dystocia during delivery. The class runs for 3 hours and includes use of a model and a Shoulder Dystocia Global Rating Scale that is an observer-generated evaluation of performance. A birthing simulator is used.
Learners: Physicians, residents, nurses, allied health professionals
Didactic: Yes
Laboratory: Yes
Simulators: High fidelity

OTOLARYNGOLOGY

Temporal Bone Course
Course Director: Larry Duckert, M.D.
This course is attended by residents in their year of research. It is held in a dedicated facility that contains four dissection stations for residents and a fifth teaching station, all of which have an operating microscope, electric drill, suction and irrigation. The lab has remote TV monitors for the dissection stations as well as video record and playback equipment. The course consists of 20 sessions with 10 temporal bone dissections. Fresh cadaveric material is used. The course outline is accessible with a password at the department website and includes reading assignments for each session (available in hard copy in the department library or online in PDF format) and a dissection manual for the 10 procedures. Each session begins with a written pre-test covering the reading assignment, followed by a didactic session and a demonstration dissection. The resident dissections are proctored by a member of the otology faculty and reviewed with the individual resident at the end of each session. Performance evaluation is based on test scores and quality of the completed dissections. Remedial exercises are provided if deemed necessary. A written evaluation of the progress of each resident is provided to the department chair at the course midpoint and upon its completion. Residents must successfully complete the Temporal Bone Course as part of the advancement process to clinical rotations.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulator: Fresh cadaveric material

Endoscopic Sinus and Sleep Surgery
Course Directors: E. Weymuller, M.D., N. Maronian, M.D., E. Weaver, M.D.
This course on endoscopic sinus surgery and sleep surgery covers the basic aspects of sinus disease including anatomy, patient assessment, medical and surgical techniques and complications, and sleep apnea pathophysiology and surgical techniques. The course is directed towards practicing otolaryngology- head and neck surgeons who perform endoscopic sinus surgery or sleep apnea surgery with special emphasis on a mentored hands-on laboratory exercise with dissection of fresh cadaver material to provide a review of surgical techniques. Participants are exposed to new instruments and innovative techniques. Sleep Medicine physicians are encouraged to attend. UW Otolaryngology-Head and Neck Surgery residents attend in their second clinical year as part of their acquisition of basic skills in sinus and sleep surgery. Feedback from a course evaluation form completed by participants is used in the design of each subsequent course. CME credit is offered.
Learners: Practicing physicians, residents
Didactic: Yes
Laboratory: Yes
Simulator: Fresh cadaveric material

INTERNAL MEDICINE

Course Directors: Moe Hagman, M.D., Jennifer Best, M.D., David Baker, M.D., Jonathan McDonough, M.D., Alice Brownstein, M.D.

Airway Management
This course teaches the basics of performing intubations and cricothyrotomies. The two and one-half hour course starts with a short overview of the procedures including a review of the anatomy, tools used and technique, followed by hands-on training. Intubation and cricothyrotomy mannequin (torso) simulators that are used provide lifelike anatomy and feel.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity.

Lumbar Puncture
This course teaches the basic principles and techniques of lumbar puncture. Students attend a lecture, review situations in which a lumbar puncture is performed, and then perform a lumbar puncture on a mannequin.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity

Central Line Placement
This course teaches the basic principles and techniques for placing a central venous line into a patient. Students first attend a lecture, review situations in which a central line would be used, and, finally, practice central line placement using the SimuLab “Central Line Man.”
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulator: low fidelity

Transition to Clerkship 2nd Year Transition to Residency 4th Year
These four day courses are designed to facilitate the transition of medical students into their clerkships (2nd year) and residencies (4th year). During the week, physicians from a number of specialties review basic procedures including phlebotomy, starting IV’s, lumbar punctures, insertion of naso-gastric tubes and urinary catheters, and arterial line placement, as well as bedside manners, technical knowledge and ward procedures. The time is comprised of a combination of group discussion, didactic lectures and simulation training using the LP mannequin, Central line mannequin, arterial IV arms, IV arms, catheterization simulators, OB/GYN simulators, airway mannequins, pediatric LP and IV mannequins and the SimBaby.
Learners: Students
Didactic: Yes
Laboratory: Yes
Simulator: Low fidelity and high fidelity

ANESTHESIOLOGY

Airway Management
Course Directors: Brian Ross, M.D., Karen Souter, M.D., Julia Metzner, M.D.

This course teaches the basic principles of airway management during surgery. Learners first attend a lecture, followed by hands-on training on airway simulators. Topics covered include anatomy of the airway, proper management before, during and after surgical procedures and emergency management. Separate courses with the same course content are offered for anesthesiology residents, family practice residents, surgery residents, otolaryngology residents, and medical students to accommodate differing schedules. All are given in the Human Patient Simulator Laboratory using an airway mannequin, METI HPS and/or the Leardal SimMan.
Learners: Students, residents
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity and high fidelity

Difficult Airway Management
Course Director: Brian Ross, M.D.
This course teaches the principles of airway management on a patient with a difficult airway. The steps involved are assessing and recognizing a potential difficult airway, selecting the proper equipment and then performing the intubation on the patient. Separate courses with the same course content are offered for anesthesiology residents, family practice residents, surgery residents, otolaryngology residents, and medical students to accommodate differing schedules. All are given in the Human Patient Simulator Laboratory using an airway mannequin, METI HPS and/or the Leardal SimMan.
Learners: Students, residents
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity and high fidelity

Anesthesiology Crew Resource Management (ACRM)
Course Directors: Brian Ross, M.D., Howard Schwid, M. D.
This course teaches the principles of crew resource management during a critical event in any medical setting. The class focuses on the development of communication skills, the prioritization of tasks, leadership skills and task assignments during the critical event. The class is taught with at least two, but preferably more, disciplines present so as to create a more realistic interaction environment. All are done in the Human Patient Simulator Laboratory using the SimMan and/or the METI HPS.
Learners: Students, residents
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity and high fidelity

Anesthesia Emergency Scenarios
Course Directors: Brian Ross, M.D., Howard Schwid, M.D.
This series of courses for anesthesiology residents teaches emergency patient management in various scenarios including equipment failure and acute changes in patient medical status. All are done in the Human Patient Simulator Laboratory using the Laerdal SimMan or METI HPS mannequin and include:
O2 Line Failure
Anesthesia Line Failure
Intra-op Bronchospasm
Intra-op MI
Intra-op Embolism (Air/Amniotic Fluid)
Intra-op Hypotension
Anaphylaxis
Malignant Hyperthermia
Learner: Residents Didactic:
Yes Laboratory: Yes
Simulators: High fidelity

Advanced Cardiac Life Support (ACLS) Protocols
This course aims at providing the learner with the knowledge and skills needed to evaluate and manage the first 10 minutes of an adult ventricular fibrillation/ventricular tachycardia (VF/VT) arrest. Providers are expected to learn to manage 10 core ACLS cases: a respiratory emergency, four types of cardiac arrest (simple VF/VT, complex VF/VT, PEA and asystole), four types of prearrest emergencies (bradychardia, stable tachycardia, unstable tachycardia and acute coronary syndromes) and stroke. The course may be taken in a formal class room setting or done at a computer station. Utilizes ACLS simulator.
Learners: Practicing physicians, residents, students, nurses
Didactic: Yes
Laboratory: No Simulator: Low fidelity

Conscious Sedation Course
Directors: Brian Ross, M.D., Joanna Davies, M.D. This course is taught for nurses two to four times per year. The class covers a number of important scenarios and emphasizes teamwork and communication skills. It utilizes the Laerdal SimMan.
Learners: Nurses
Didactic: Yes
Laboratory: Yes
Simulators: High fidelity

Procedural Sedation for Medical Students Course
Directors: Brian Ross, M.D., Gouri Sivarajian, M.D.
This course walks the students through the procedure of putting a patient to sleep for a surgery, intubating them, and finally, waking them up. The intubation procedures are first practiced on a torso mannequin and then performed on the METI HPS simulator and/or Laerdal SimMan.
Learners: Medical students
Didactic: Yes
Laboratory: Yes
Simulators: Low fidelity, high fidelity:

ANESTHESIOLOGY AND NEONATOLOGY
(The following are offered at Children’s Hospital)

Critical Incidents in Anesthesia
Course Director: Howard Schwid, M. D.
The residents complete eight simulated cases covering diagnosis and treatment for routine induction of general anesthesia, rapid sequence induction, and rapid sequence in the hypovolemic patient, esophageal intubation, severe bronchospasm, anaphylactic reaction, myocardial ischemia, and malignant hyperthermia.
Learners: Residents
Didactic: Yes
Laboratory: Yes
Simulators: Computer -based

Procedural Sedation for Dental Residents
Course Director: Howard Schwid, M.D.
The residents complete six simulated cases covering diagnosis and treatment for the patient with aortic stenosis, disinhibition, tachycardia and hypotension, severe allergic reaction, severe bronchospasm, and pulmonary aspiration. Learners: Residents Didactic: Yes Laboratory: No Simulator: Computer-based Neonatal Resuscitation Course Directors: Howard Schwid, M.D., C. Jackson, M.D., Tom Strandjord, M.D. The residents complete 12 cases covering management of newborn resuscitation according to AHA NRP guidelines.
Learners: Residents
Didactic: Yes
Laboratory: No
Simulator: Computer-based

ACLS/PALS Competency Documentation
Course Directors: Howard Schwid, M.D., C. Jackson, M.D., Tom Strandjord, M.D.
Anesoft medical software is used to go through the steps of neonatal resuscitation. The learner completes at least four ACLS/PALS cases with their performance automatically documented in an institutional database. Content: ventricular fibrillation, bradycardia leading to cardiac arrest, and electromechanical dissociation. Learners are graded on a number of metrics and given immediate feedback on their performance.
Learners: Physicians, residents, nurses
Didactic: Yes
Laboratory: No
Simulators: No

PEDIATRIC ANESTHESIOLOGY AND NEONATOLOGY

Pediatric Resuscitation
Course Directors: Daniel Rubens, M.D., Craig Jackson, M.D., Tom Strandjord, M.D.
The learning objectives for this course include: Practice team management skills in preparing and executing resuscitations, learn basic steps of newborn resuscitation (warmth, clearing airway, etc.), practice resuscitation skills such as bag-mask ventilation, intubation, and chest compression, and review timing and administration of resuscitation medications. The Laerdal SimBaby computerized mannequin simulator is used programmed to simulate several resuscitation scenarios.
Learners: Residents, nurses, hospital and community practitioners
Didactic: Yes
Laboratory: Yes
Simulator: High fidelity

UROLOGY

TBD

DERMATOLOGY

ORTHOPAEDIC SURGERY

NEUROSURGERY

FAMILY MEDICINE