Simulation Research in Gastrointestinal and Urologic Care: Challenges and Opportunities

Event Details

Background

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the National Institute of Biomedical Imaging and Bioengineering (NIBIB) are jointly sponsoring a one-day workshop to be held on Friday, June 10, 2016, on the NIH campus in Bethesda, Maryland.

This workshop will explore the research opportunities for the further adoption of simulation applications by expert clinicians. The care of gastrointestinal and urologic diseases is heavily dependent on the expert performance of interventional procedures. Procedural expertise in many fields has been shown to be enhanced by the use of simulation applications. The adoption of simulation as a method to develop new procedures and improve outcomes in gastrointestinal and urologic care has been limited, however. Although a small number of randomized controlled trials have shown the benefits of simulation when used in training programs, data on its value in improving clinical outcomes by specialists are incomplete. Research on the use of simulation applications to develop or assess new therapies, to improve the detection of disease, or to avoid or manage complications is largely unexplored.

Meeting Objectives

The purpose of the workshop is threefold: (1) to explore and expand the basic research on the development and validity of simulation applications to diagnose and treat gastrointestinal and urologic disease; (2) to promote research on the use of simulation both to identify causes of error in detection and treatment and to assess methods to prevent complications and improve safety; and (3) to identify new methods to analyze the validity and usefulness of simulation applications in clinical care.

The research gaps and opportunities identified at the workshop will be incorporated into a published summary of the workshop, which will inform future funding initiatives by NIDDK and NIBIB.

Registration Deadline

June 9, 2016

Agenda

June 10, 2016

7:30 a.m. – 8:00 a.m.

Registration

8:00 a.m. – 8:10 a.m.

Welcome
Gregory Germino, M.D., Deputy Director, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), and
Roderic Pettigrew, M.D., Ph.D., Director, National Institute of Biomedical Imaging and Bioengineering (NIBIB)

8:10 a.m. – 8:20 a.m.

Introductions
Lou Kavoussi, M.D., Hofstra University Northwell School of Medicine, and Kenneth Wang, M.D., Mayo Clinic

8:20 a.m. – 8:45 a.m.

Keynote Address: Teaching Old Dogs New Tricks
Barbara Bass, M.D., FACS, Houston Methodist Hospital

Session 1: The Current Status of Simulation

Moderators: Lou Kavoussi, M.D., Hofstra University Northwell School of Medicine, and Kenneth Wang, M.D., Mayo Clinic

8:45 a.m. – 9:10 a.m.

Simulation Applications in Endoscopy, Videoscopic Surgery, and Robotic Surgery
Robert Sedlack, M.D., Mayo Clinic

9:10 a.m. – 9:30 a.m.

Simulation Development in Military Medicine
Kevin Kunkler, M.D., U.S. Army Medical Research and Materiel Command

9:30 a.m. – 9:45 a.m.

Simulation Use by Expert Musicians
Scott Tucker, M.M., Director, Choral Arts Society of Washington

9:45 a.m. – 10:00 a.m.

Simulation Use by Expert Athletes
Maureen Harriman, M.D., University of British Columbia

10:00 a.m. – 10:20 a.m.

Break

Session 2: Current Research in Simulation Use by Specialists

Moderators: Kim Brown, M.D., The University of Texas Medical Branch at
Galveston (UTMB), and Matt Ritter, M.D., Uniformed Services University of the Health Sciences (USUHS)

10:20 a.m. – 10:45 a.m.

The Psychology of Simulation
Anthony Gallagher, Ph.D., University of Cork

10:45 a.m. – 11:10 a.m.

How Can Experienced Clinicians Embrace Simulation?
Carla Pugh, M.D., Ph.D., University of Wisconsin

11:10 a.m. – 11:35 a.m.

The State-of-the-Art in Simulation Science/Development
Suvranu De, Ph.D., Rensselaer Polytechnic Institute (RPI)

11:35 a.m. – 12:00 p.m.

Metric-based Proficiency Training for Specialists
Robert Sweet, M.D., University of Washington

Session 3: Knowledge Gaps in Simulation Applications

Moderators: Kerm Henriksen, Ph.D., Agency for Healthcare Research and
Quality (AHRQ), and Rajesh Aggarwal, M.D., Ph.D., McGill University

1:00 p.m. – 1:25 p.m.

The Impact of Simulation Use on Safety and Outcomes
Neal Seymour, M.D., Tufts University

1:25 p.m. – 1:50 p.m.

Training Methods for Acquisition of Skills by Specialists
Brian Dunkin, M.D., Houston Methodist Hospital

1:50 p.m. – 2:15 p.m.

Technical Barriers to Simulation Development and Use
Richard Satava, M.D., University of Washington

2:15 p.m. – 2:35 p.m.

Break

Session 4: Breakout Sessions

2:35 p.m. – 4:00 p.m.

What Research Is Needed in the Areas of Skill Acquisition, Skill Maintenance, and Skill Decay? Room EC 2

Facilitator: Anthony Gallagher, Ph.D., University of Cork
Faculty: Rajesh Aggarwal, M.D., Ph.D., McGill University; Brian Dunkin, M.D., Houston Methodist Hospital; Colin Mackenzie, M.D., University of Maryland; and Robert Sweet, M.D., University of Washington

What Research Is Needed on the Impact of Simulation Use/Adoption on Safety and Outcomes? Room EC 3

Facilitator: Kerm Henriksen, Ph.D., AHRQ
Faculty: Barbara Bass, M.D., FACS, Houston Methodist Hospital; Robert Sedlack, M.D., Mayo Clinic; and Neal Seymour, M.D., Tufts University

What Research Is Needed in the Use of Simulation to Improve the Quality and Uniformity of Expert Performance? Room EC 4

Facilitator: Elliott Silverman, PA-C, M.S.H.S., Lahey Clinic, Tufts University
Faculty: Kim Brown, M.D., UTMB; Maureen Harriman, M.D., University of British Columbia; Carla Pugh, M.D., Ph.D., University of Wisconsin; and Scott Tucker, M.M., Choral Arts Society of Washington

What Research Is Needed in the Area of Simulator Creation/Development to Improve the Treatment of Disease? Room EC 5

Facilitator: Piet de Groen, M.D., Mayo Clinic
Faculty: Mark Bowyer, M.D., USUHS; Suvranu De, Ph.D., RPI; Matt Ritter, M.D., USUHS; and Richard Satava, M.D., University of Washington

4:00 – 5:00 p.m.

Report of Breakout Session Leaders, Discussion, and Recommendations
Moderators: Lou Kavoussi, M.D., Hofstra University Northwell School of Medicine, and Kenneth Wang, M.D., Mayo Clinic

5:00 p.m.

Adjournment