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vTrain: A Novel Curriculum for Patient Surge Training in a Multi-User Virtual Environment (MUVE)

Published online by Cambridge University Press:  07 February 2013

Laura S. Greci ,
Rameshsharma Ramloll ,
Samantha Hurst ,
Karen Garman ,
Jaishree Beedasy ,
Eric B. Pieper ,
Ricky Huang ,
Erin Higginbotham  and
Zia Agha
Laura S. Greci*
Affiliation:
Health Services Research & Development, VA San Diego Healthcare System, San Diego, California USA University of California San Diego, School of Medicine, Department of Medicine, San Diego, California USA
Rameshsharma Ramloll
Affiliation:
Institute of Rural Health, Idaho State University, Pocatello, Idaho USA DeepSemaphore LLC, Pocatello, Idaho USA
Samantha Hurst
Affiliation:
University of California San Diego, Department of Family and Preventive Medicine, La Jolla, California USA
Karen Garman
Affiliation:
University of California San Diego, School of Medicine, Department of Medicine, San Diego, California USA
Jaishree Beedasy
Affiliation:
Institute of Rural Health, Idaho State University, Pocatello, Idaho USA DeepSemaphore LLC, Pocatello, Idaho USA
Eric B. Pieper
Affiliation:
VA Long Beach Healthcare System, Long Beach, California USA
Ricky Huang
Affiliation:
University of California San Diego, California Institute for Telecommunications and Information Technology (CalIT2), La Jolla, California USA
Erin Higginbotham
Affiliation:
University of California San Diego, School of Medicine, Department of Medicine, San Diego, California USA
Zia Agha
Affiliation:
Health Services Research & Development, VA San Diego Healthcare System, San Diego, California USA University of California San Diego, School of Medicine, Department of Medicine, San Diego, California USA
*
Correspondence: Laura S. Greci, MD, MPH UC San Diego Health System Concierge Medicine- North Coastal 1200 Garden View Road, Suite 200 Encinitas, CA 92024 USA E-mail lgreci@ucsd.edu
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Abstract

Introduction

During a pandemic influenza, emergency departments will be overwhelmed with a large influx of patients seeking care. Although all hospitals should have a written plan for dealing with this surge of health care utilization, most hospitals struggle with ways to educate the staff and practice for potentially catastrophic events.

Hypothesis/Problem

To better prepare hospital staff for a patient surge, a novel educational curriculum was developed utilizing an emergency department for a patient surge functional drill.

Methods

A multidisciplinary team of medical educators, evaluators, emergency preparedness experts, and technology specialists developed a curriculum to: (1) train novice users to function in their job class in a multi-user virtual environment (MUVE); (2) obtain appropriate pre-drill disaster preparedness training; (3) perform functional team exercises in a MUVE; and (4) reflect on their performance after the drill.

Results

A total of 14 students participated in one of two iterations of the pilot training program; seven nurses completed the emergency department triage course, and seven hospital administrators completed the Command Post (CP) course. All participants reported positive experiences in written course evaluations and structured verbal debriefings, and self-reported increase in disaster preparedness knowledge. Students also reported improved team communication, planning, team decision making, and the ability to visualize and reflect on their performance.

Conclusion

Data from this pilot program suggest that the immersive, virtual teaching method is well suited to team-based, reflective practice and learning of disaster management skills.

GreciLS, RamlollR, HurstS, GarmanK, BeedasyJ, PieperEB, HuangR, HigginbothamE, AghaZ. vTrain: A Novel Curriculum for Patient Surge Training in a Multi-User Virtual Environment (MUVE). Prehosp Disaster Med.2013;28(3):1-8.

Keywords

disasterdrillemergencysimulationsurgetrainingtriagevirtual
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 3 , June 2013 , pp. 215 - 222
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Perry, RW, Lindell, MK. Preparedness for emergency response: guidelines for the emergency planning process. Disasters. 2003;27(4):336-350.CrossRefGoogle ScholarPubMed
2.Homeland Security Presidential Directive/HSPD-21. Washington, DC: The White House 2007. http://whitehouse.gov/news/releases/2007/10/20071018-10.html. Accessed July 13, 2008.Google Scholar
3.Joint Commission. 2009 Hospital Accreditation Requirements Chapters: Emergency Management. http://www.jointcommission.org/NR/rdonlyres/DCA586BD-1915-49AD-AC6E-C88F6AEA706D/0/HAP_EM.pdf. Accessed July 13, 2009. .Google Scholar
4.US Federal Emergency Management Agency's (FEMA) Emergency Management Institute Website. http://training.fema.gov/. Accessed June 1, 2010. .Google Scholar
5.US Department of Health and Human Services (HHS) Disasters and Emergencies Home Page. http://www.hhs.gov/disasters/. Accessed June 1, 2010.Google Scholar
6.US National Fire Academy's (NFA) Distance Learning Program and Online Courses. http://www.nfaonline.dhs.gov/. Accessed June 1, 2010.Google Scholar
7.US Centers for Disease Control and Prevention (CDC), Emergency Preparedness and Response Training and Education Page. http://www.bt.cdc.gov/training/. Accessed June 1, 2010.Google Scholar
8.Second Life Virtual World. http://secondlife.com/. Accessed June 1, 2010.Google Scholar
9.Woltjer, R, Trnka, J, Lundberg, J, Johansson, B. Role-playing exercises to strength the resilience of command and control systems. Presented at The 13th ECCE-European Conference on Cognitive Ergonomics, 2006, Zurich, Switzerland.CrossRefGoogle Scholar
10.Trnka, J, Jenvald, J. Role-playing exercise —A real-time approach to study collaborative command and control. Int J Intell Control and Systems. 2006;11(4):218-228.Google Scholar
11.Crichton, MT, Flin, R, Rattray, WAR. Training decision makers—tactical decision games. Journal of Contingencies and Crisis Management. 2000;8(4):208-217.CrossRefGoogle Scholar
12.Weaver, SJ, Salas, E, Lyons, R, et al. Simulation-based team training at the sharp end: a qualitative study of simulation-based team training design, implementation, and evaluation in healthcare. J Emerg Trauma Shock. 2010;3(4):369-377.Google Scholar
13.Issenberg, SB, McGaghie, WC, Petrusa, ER, et al. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systemic review. Med Teach. 2005;27(1):10-28.CrossRefGoogle Scholar
14.Flanagan, B, Nestel, D, Joseph, M. Making patient safety the focus: crisis resource management in the undergraduate curriculum. Med Educ. 2004;38(1):56-66.CrossRefGoogle ScholarPubMed
15.Cook, DA, Erwin, PJ, Triola, MM. Computerized virtual patients in health professions education: a systemic review and meta-analysis. Acad Med. 2010;85(10):1589-1602.CrossRefGoogle Scholar
16.Schon, DA. Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. San Francisco, CA: Jossey-Bass; 1987.Google Scholar
17.Cook, DA, Levinson, AJ, Garside, S, et al. Instructional design variations in internet-based learning for health professions education: a systemic review and meta-analysis. Acad Med. 2010;85(5):909-922.CrossRefGoogle Scholar
18.Ramloll, R, Beedasy, J. Play2Train: A Generic Large-Scale Virtual Environment for Emergency Preparedness Training. Presented at the Annual Meeting of the American Telemedicine Association, 2007, San Diego, California USA.Google Scholar
19.Chen, G, Li, M, Kotz, D. Data-centric middleware for context-aware pervasive computing. Pervasive Mob Comput. 2008;4(2):216-253.CrossRefGoogle Scholar
20.Shilling, R, Zyda, M, Wardynski, C. Introducing Emotion into Military Simulation and Videogame Design: America's Army: Operations and VIRTE. Presented at: The Game On Conference, 2002. http://gamepipe.usc.edu/~zyda/pubs/ShillingGameon2002.pdf. Accessed March 28, 2007.Google Scholar
21.Scerbo, MW. Human factors in medical modeling and simulation. Presented at: Medicine Meets Virtual Reality (MMVR) Conference 2005. http://www.simcen.org/mmvr2005/slides/med-sim2005-scerbo.pdf. Accessed June 1, 2010.Google Scholar
22.Halamek, LP. Simulation-based training: opportunities for the acquisition of unique skills. Virtual Mentor. 2006;8(2):84-87.Google ScholarPubMed
23.Huang, MP, Alessi, NE. Presence as an emotional experience. In: Westwood JD, Hoffman H, Robb RA, Stredney D, eds. Medicine Meets Virtual Reality. The Convergence of Physical and Informational Technologies: Options for a New Era in Healthcare. Amsterdam: IOS Press; 1999:148-153.Google Scholar
24.Center for Healthcare Incident Command System (HICS) Education and Training Web site. http://www.hicscenter.org/. Accessed June 1, 2010.Google Scholar
25.Tanabe, P, Travers, D, Gilboy, N, et al. Refining Emergency Severity Index triage criteria. Acad Emerg Med. 2005;12(6):497-501.CrossRefGoogle ScholarPubMed
26.Super, G, Groth, S, Cleary, V. START: A Training Triage Module. Newport Beach, CA: Hoag Presbyterian Memorial Hospital; 1983-1984.Google Scholar
27.Huang, CY, Tsai, YS, Wen, TH. Simulations for epidemiology and public health education. J Simulation. 2010;4:68-80.CrossRefGoogle ScholarPubMed
28.Institute of Management and Administrations (IOMA). Be sure you learn the right lessons from crisis events. Security Director's Report. 2010;10-04:5-7.Google Scholar