Simulation training for extracorporeal membrane oxygenation

Directory of Open Access Journals (Sweden)

Roberta Brum

2015-01-01

Full Text Available Background: Extracorporeal membrane oxygenation (ECMO is a complex treatment. Despite this, there are a lack of training programs designed to develop relevant clinical and nonclinical skills required for ECMO specialists. The aim of the current study was to describe the design, implementation and evaluation of a 1-day simulation course for delivering training in ECMO. Methods: A 1-day simulation course was developed with educational and intensive care experts. First, the delegates received a lecture on the principles of simulation training and the importance of human factors. This was, followed by a practical demonstration and discussion of the ECMO circuit, console components, circuit interactions effects and potential complications. There were then five ECMO simulation scenarios with debriefing that covered technical and nontechnical issues. The course culminated in a knowledge-based assessment. Course outcomes were assessed using purpose-designed questionnaires. Results: We held 3 courses with a total of 14 delegates (9 intensive care nurses, 3 adult intensive care consultants and 2 ECMO technicians. Following the course, 8 (57% gained familiarity in troubleshooting an ECMO circuit, 6 (43% increased their familiarity with the ECMO pump and circuit, 8 (57% perceived an improvement in their communication skills and 7 (50% perceived an improvement in their leadership skills. At the end of the course, 13 (93% delegates agreed that they felt more confident in dealing with ECMO. Conclusions: Simulation-training courses may increase knowledge and confidence in dealing with ECMO emergencies. Further studies are indicated to determine whether simulation training improves clinical outcomes and translates to reduced complication rates in patients receiving ECMO.

Airway skills training using a human patient simulator | Moodley ...

African Journals Online (AJOL)

... of airway management skills using the simulator. Participant satisfaction was much better in the simulator group. The importance of psychomotor reinforcement should be borne in mind when designing simulation courses. Keywords: human patient simulator, simulation, airway management, psychomotor skills ...

Human factors and training the partnership agreement

International Nuclear Information System (INIS)

Macris, A.C.; Fleming, S.T.

1987-01-01

Four fundamental activities directly affect human performance in operating nuclear power plants: Control Room Design Reviews (CRDR's); Operating Procedures; Training Curriculum Materials; Simulator Training. Typically it was believed that multi-disciplined core teams, for each activity, provided an integration of all activities. Representatives of each discipline (CRDR, Engineering, Training, Simulator Project) provided real time inputs during team deliberations. While these inputs affected team decisions, there were no assurances that any functional follow-up would result. Furthermore, no mechanism existed for systematic integration between activities. Now, with a majority of the Control Room Design Reviews complete, plant specific simulators becoming a reality, and the incorporation of Safety Parameter Display System (SPDS) and Symptom Based EOP's; the reality is that these activities require more systematic integration than was previously recognized. This paper presents an innovative approach for integrating the above four activities using Computer Aided Drafting (CAD) and computerized Data Base Management (DBM) to synergistically optimize human performance

Simulator training effectiveness: instructor training and qualifications

International Nuclear Information System (INIS)

Scholand, G.W.

1985-01-01

Nuclear power plant simulators have become the most important tool in training nuclear power plant operators. Yet, as these machines continue to become even more sophisticated, highly trained and experienced instructors with unique skills and insights are still essential in order to achieve effective and meaningful training. The making of a qualified simulator instructor involves training and techniques that exceed the traditional programs required of a Senior Reactor Operator (SRO). This paper discusses (i) the training necessary to produce a competent simulator instructor; and (ii) the continuing task of maintaining his or her proficiency. (author)

Education and training by utilizing irradiation test reactor simulator

International Nuclear Information System (INIS)

Eguchi, Shohei; Koike, Sumio; Takemoto, Noriyuki; Tanimoto, Masataka; Kusunoki, Tsuyoshi

2016-01-01

The Japan Atomic Energy Agency, at its Japan Materials Testing Reactor (JMTR), completed an irradiation test reactor simulator in May 2012. This simulator simulates the operation, irradiation test, abnormal transient change during operation, and accident progress events, etc., and is able to perform operation training on reactor and irradiation equipment corresponding to the above simulations. This simulator is composed of a reactor control panel, process control panel, irradiation equipment control panel, instructor control panel, large display panel, and compute server. The completed simulator has been utilized in the education and training of JMTR operators for the purpose of the safe and stable operation of JMTR and the achievement of high operation rate after resuming operation. For the education and training, an education and training curriculum has been prepared for use in not only operation procedures at the time of normal operation, but also learning of fast and accurate response in case of accident events. In addition, this simulator is also being used in operation training for the purpose of contributing to the cultivation of human resources for atomic power in and out of Japan. (A.O.)

A Study on Evaluation of Training Program for MCR Operators of SMART Simulator

Energy Technology Data Exchange (ETDEWEB)

Park, Hyun Jun; Lee, Joon Ku; Jeong, Kwang Il [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

It is important to develop a training program by simulators in main control room of nuclear power plants because there is no an operation expert and no operating experience in the pre-construction phase of nuclear power plants. It is also necessary to develop a training program and its evaluation method taking human error into account. The purpose of this study is developing evaluation model of simulators. In a training program, once training requirements are selected, evaluation of training is as important as its implementation. Training effectiveness is available value in a simulator-based environment. The main control room of SMART (System-integrated Modular Advanced ReacTor) is consist of workstation, visual display units such as LDP and FPD based on digital systems. Cognitive behaviors of a high level are required to operators in these man-machine interface system (MMIS). Therefore, it is essential to identify training requirements and to develop its evaluation model. Virtual Environments such as a simulator have utilized by a lot of industries and companies for training and accident prevention. Simulators have three primary benefits. The first is that training by simulators is less expensive than those in real environment. The second is that simulators enable safety enhancement using systematic training program. The third is that simulators provide a preliminary to prevent human error. It is significant to apply TER, TCR, TCE in evaluation of training effect. It is expected that these could be applied to revise training criteria and enable to consider efficiency in terms of cost and benefit.

A Study on Evaluation of Training Program for MCR Operators of SMART Simulator

International Nuclear Information System (INIS)

Park, Hyun Jun; Lee, Joon Ku; Jeong, Kwang Il

2015-01-01

It is important to develop a training program by simulators in main control room of nuclear power plants because there is no an operation expert and no operating experience in the pre-construction phase of nuclear power plants. It is also necessary to develop a training program and its evaluation method taking human error into account. The purpose of this study is developing evaluation model of simulators. In a training program, once training requirements are selected, evaluation of training is as important as its implementation. Training effectiveness is available value in a simulator-based environment. The main control room of SMART (System-integrated Modular Advanced ReacTor) is consist of workstation, visual display units such as LDP and FPD based on digital systems. Cognitive behaviors of a high level are required to operators in these man-machine interface system (MMIS). Therefore, it is essential to identify training requirements and to develop its evaluation model. Virtual Environments such as a simulator have utilized by a lot of industries and companies for training and accident prevention. Simulators have three primary benefits. The first is that training by simulators is less expensive than those in real environment. The second is that simulators enable safety enhancement using systematic training program. The third is that simulators provide a preliminary to prevent human error. It is significant to apply TER, TCR, TCE in evaluation of training effect. It is expected that these could be applied to revise training criteria and enable to consider efficiency in terms of cost and benefit

Virtual reality simulator training of laparoscopic cholecystectomies - a systematic review.

Science.gov (United States)

Ikonen, T S; Antikainen, T; Silvennoinen, M; Isojärvi, J; Mäkinen, E; Scheinin, T M

2012-01-01

Simulators are widely used in occupations where practice in authentic environments would involve high human or economic risks. Surgical procedures can be simulated by increasingly complex and expensive techniques. This review gives an update on computer-based virtual reality (VR) simulators in training for laparoscopic cholecystectomies. From leading databases (Medline, Cochrane, Embase), randomised or controlled trials and the latest systematic reviews were systematically searched and reviewed. Twelve randomised trials involving simulators were identified and analysed, as well as four controlled studies. Furthermore, seven studies comparing black boxes and simulators were included. The results indicated any kind of simulator training (black box, VR) to be beneficial at novice level. After VR training, novice surgeons seemed to be able to perform their first live cholecystectomies with fewer errors, and in one trial the positive effect remained during the first ten cholecystectomies. No clinical follow-up data were found. Optimal learning requires skills training to be conducted as part of a systematic training program. No data on the cost-benefit of simulators were found, the price of a VR simulator begins at EUR 60 000. Theoretical background to learning and limited research data support the use of simulators in the early phases of surgical training. The cost of buying and using simulators is justified if the risk of injuries and complications to patients can be reduced. Developing surgical skills requires repeated training. In order to achieve optimal learning a validated training program is needed.

A neural-symbolic system for automated assessment in training simulators - A position paper

NARCIS (Netherlands)

Penning, H.L.H. de; Kappé, B.; Bosch, K. van den

2009-01-01

Performance assessment in training simulators is a complex task. It requires monitoring and interpreting the student’s behaviour in the simulator using knowledge of the training task, the environment and a lot of experience. Assessment in simulators is therefore generally done by human observers. To

Operator training and the training simulator experience

International Nuclear Information System (INIS)

Mills, D.

The author outlines the approach used by Ontario Hydro to train operators from the day they are hired as Operators-in-Training until they are Authorized Unit First Operators. He describes in detail the use of the simulator in the final year of the authorization program, drawing on experience with the Pickering NGS A simulator. Simulators, he concludes, are important aids to training but by no means all that is required to guarantee capable First Operators

Full-scope training simulators

International Nuclear Information System (INIS)

Ugedo, E.

1986-01-01

The following topics to be covered in this report are: Reasons justifying the use of full-scope simulators for operator qualification. Full-scope simulator description: the control room, the physical models, the computer complex, the instructor's console. Main features of full-scope simulators. Merits of simulator training. The role of full-scope simulators in the training programs. The process of ordering and acquiring a full-scope simulator. Maintaining and updating simulator capabilities. (orig./GL)

Human Factors Topics in Flight Simulation: An Annotated Bibliography

Science.gov (United States)

1976-01-01

A flight simulator study of missile control performance as a function of concurrent workload. AGARD CP-146, 1974. HUMAN PERFORMANCE. CREELMAN , J.A...aircraft flight simulators. Aviation Psychological Research Centre, Western European Association for Aviation Psychology , Brussels, Belgium. 1973...training fighter pilots. AIAA 72-161, 1972. TRAINING. FRISBY, C.B. Field research in flying training. Occupational Psychology , 1947, 21, 24-33

Training Effectiveness of Visual and Motion Simulation

Science.gov (United States)

1981-01-01

and checkride scores. No statistical differeLes between the two groups were found. Creelman (1959) reported that students trained in theSNJ Link with...simulated and aircraft hvurs or sorsies (Dricisom a Burger, 1976; Brown. Matheny, & Fleaman. 1951; Creelman , 1959; Gray et al., 1969- Payne at al., 1976...reirtionohip between flight simulator motion and trainiag requirmumenia. Human Factors. 1979. 2). 493-50)1. Creelman , J.A. Evaluation of approach

Simulators in driver training.

NARCIS (Netherlands)

2009-01-01

In 2010, about 150 driving simulators were being used for the basic driver training in the Netherlands. According to theories about how people learn, simulator training has both advantages and disadvantages. In order to be able to learn something from a simulator, its technical quality must be

Training by simulation

Energy Technology Data Exchange (ETDEWEB)

Angelini, E.

1984-12-01

Effective training by simulation is a matter of 1. accurate definition of the training need, 2. selecting the right hardware/software package to do the job cost effectively, 3. careful, methodical building of the training program and 4. an appropriate setting, such as a well-equipped training center. Several points seem clear: 1. ''Computer shock'' or computer phobia -- that is, fear of the simulator, can be a factor with some of the older operators. But it quickly disappears once they're into the program, and learn the versatility and the exciting dynamics of simulators. 2. Operator training is becoming more sophisticated throughout the HPI. Among other things, operators should get out into the plant to learn more about how their actions in the control room impact the plant. Operators are becoming more ''big picture'' oriented. 3. When inexperienced training instructors are used, they should attend a good ''train the trainer'' course emphasizing platform skills and instructional technology. 4. Operators need as much ''hands on'' experience with the plant's actual operating equipment as possible. The cognitive ''linkage'' between that equipment and what they see on the CRT is vitally important.

The CANDU man-machine interface and simulator training

International Nuclear Information System (INIS)

Hinchley, E.M.; Yanofsky, N.

1982-09-01

The most significant features of the man-machine interface for CANDU power stations are the extensive use of computer-driven colour graphics displays and the small number of manual controls. The man-machine interface in CANDU stations is designed to present the operator with concise, easy-to-understand information. Future developments in the use of computers in safety shutdown systems, and the use of data highway technologies in plant regulating systems will present special requirements and new opportunities in the application of human factors engineering to the control room. Good man-machine interaction depends on operator training as much as on control room design. In Canada computerized training simulators, which indicate plant response to operator action, are being introducted for operator training. Such simulators support training in normal operation of all plant systems and also in the fault management tasks following malfunctions

Pipeline operators training and certification using thermohydraulic simulators

Energy Technology Data Exchange (ETDEWEB)

Barreto, Claudio V.; Plasencia C, Jose [Pontificia Universidade Catolica (PUC-Rio), Rio de Janeiro, RJ (Brazil). Nucleo de Simulacao Termohidraulica de Dutos (SIMDUT); Montalvao, Filipe; Costa, Luciano [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil)

2009-07-01

The continuous pipeline operators training and certification of the TRANSPETRO's Pipeline National Operations Control Center (CNCO) is an essential task aiming the efficiency and safety of the oil and derivatives transport operations through the Brazilian pipeline network. For this objective, a hydraulic simulator is considered an excellent tool that allows the creation of different operational scenarios for training the pipeline hydraulic behavior as well as for testing the operator's responses to normal and abnormal real time operational conditions. The hydraulic simulator is developed based on a pipeline simulation software that supplies the hydraulic responses normally acquired from the pipeline remote units in the field. The pipeline simulation software has a communication interface system that sends and receives data to the SCADA supervisory system database. Using the SCADA graphical interface to create and to customize human machine interfaces (HMI) from which the operator/instructor has total control of the pipeline/system and instrumentation by sending commands. Therefore, it is possible to have realistic training outside of the real production systems, while acquiring experience during training hours with the operation of a real pipeline. A pilot Project was initiated at TRANSPETRO - CNCO targeting to evaluate the hydraulic simulators advantages in pipeline operators training and certification programs. The first part of the project was the development of three simulators for different pipelines. The excellent results permitted the project expansion for a total of twenty different pipelines, being implemented in training programs for pipelines presently operated by CNCO as well as for the new ones that are being migrated. The main objective of this paper is to present an overview of the implementation process and the development of a training environment through a pipe simulation environment using commercial software. This paper also presents

Training and Simulation in Otolaryngology

Science.gov (United States)

Wiet, Gregory J.; Stredney, Don; Wan, Dinah

2011-01-01

This article focuses on key issues surrounding the needs and application of simulation technologies for technical skills training in otolaryngology. The discussion includes an overview of key topics in training and learning, the application of these issues in simulation environments, and the subsequent applications of these simulation environments to the field of otolaryngology. Examples of past applications are presented, with discussion of how the interplay of cultural changes in surgical training in general, along with the rapid advancements in technology have shaped and influenced their adoption and adaptation. The authors conclude with emerging trends and potential influences advanced simulation and training will have on technical skills training in otolaryngology. PMID:22032486

Virtual reality: emerging role of simulation training in vascular access.

Science.gov (United States)

Davidson, Ingemar J A; Lok, Charmaine; Dolmatch, Bart; Gallieni, Maurizio; Nolen, Billy; Pittiruti, Mauro; Ross, John; Slakey, Douglas

2012-11-01

Evolving new technologies in vascular access mandate increased attention to patient safety; an often overlooked yet valuable training tool is simulation. For the end-stage renal disease patient, simulation tools are effective for all aspects of creating access for peritoneal dialysis and hemodialysis. Based on aviation principles, known as crew resource management, we place equal emphasis on team training as individual training to improve interactions between team members and systems, cumulating in improved safety. Simulation allows for environmental control and standardized procedures, letting the trainee practice and correct mistakes without harm to patients, compared with traditional patient-based training. Vascular access simulators range from suture devices, to pressurized tunneled conduits for needle cannulation, to computer-based interventional simulators. Simulation training includes simulated case learning, root cause analysis of adverse outcomes, and continual update and refinement of concepts. Implementation of effective human to complex systems interaction in end-stage renal disease patients involves a change in institutional culture. Three concepts discussed in this article are as follows: (1) the need for user-friendly systems and technology to enhance performance, (2) the necessity for members to both train and work together as a team, and (3) the team assigned to use the system must test and practice it to a proficient level before safely using the system on patients. Copyright © 2012 Elsevier Inc. All rights reserved.

Effectiveness of online simulation training: Measuring faculty knowledge, perceptions, and intention to adopt.

Science.gov (United States)

Kim, Sujeong; Park, Chang; O'Rourke, Jennifer

2017-04-01

Best practice standards of simulation recommend standardized simulation training for nursing faculty. Online training may offer an effective and more widely available alternative to in-person training. Using the Theory of Planned Behavior, this study evaluated the effectiveness of an online simulation training program, examining faculty's foundational knowledge of simulation as well as perceptions and intention to adopt. One-group pretest-posttest design. A large school of nursing with a main campus and five regional campuses in the Midwestern United States. Convenience sample of 52 faculty participants. Knowledge of foundational simulation principles was measured by pre/post-training module quizzes. Perceptions and the intention to adopt simulation were measured using the Faculty Attitudes and Intent to Use Related to the Human Patient Simulator questionnaire. There was a significant improvement in faculty knowledge after training and observable improvements in attitudes. Attitudes significantly influenced the intention to adopt simulation (B=2.54, p<0.001). Online simulation training provides an effective alternative for training large numbers of nursing faculty who seek to implement best practice of standards within their institutions. Copyright © 2016 Elsevier Ltd. All rights reserved.

Simulation training tools for nonlethal weapons using gaming environments

Science.gov (United States)

Donne, Alexsana; Eagan, Justin; Tse, Gabriel; Vanderslice, Tom; Woods, Jerry

2006-05-01

Modern simulation techniques have a growing role for evaluating new technologies and for developing cost-effective training programs. A mission simulator facilitates the productive exchange of ideas by demonstration of concepts through compellingly realistic computer simulation. Revolutionary advances in 3D simulation technology have made it possible for desktop computers to process strikingly realistic and complex interactions with results depicted in real-time. Computer games now allow for multiple real human players and "artificially intelligent" (AI) simulated robots to play together. Advances in computer processing power have compensated for the inherent intensive calculations required for complex simulation scenarios. The main components of the leading game-engines have been released for user modifications, enabling game enthusiasts and amateur programmers to advance the state-of-the-art in AI and computer simulation technologies. It is now possible to simulate sophisticated and realistic conflict situations in order to evaluate the impact of non-lethal devices as well as conflict resolution procedures using such devices. Simulations can reduce training costs as end users: learn what a device does and doesn't do prior to use, understand responses to the device prior to deployment, determine if the device is appropriate for their situational responses, and train with new devices and techniques before purchasing hardware. This paper will present the status of SARA's mission simulation development activities, based on the Half-Life gameengine, for the purpose of evaluating the latest non-lethal weapon devices, and for developing training tools for such devices.

Simulator training for endobronchial ultrasound

DEFF Research Database (Denmark)

Konge, Lars; Clementsen, Paul Frost; Ringsted, Charlotte

2015-01-01

performance.A total of 16 respiratory physicians, without EBUS experience, were randomised to either virtual-reality simulator training or traditional apprenticeship training on patients, and then each physician performed EBUS-TBNA procedures on three patients. Three blinded, independent assessor assessed......-trained novices and apprenticeship-trained novices failing the test, respectively; pVirtual-reality simulator training was shown to be more...

Surgical simulators in urological training--views of UK Training Programme Directors.

Science.gov (United States)

Forster, James A; Browning, Anthony J; Paul, Alan B; Biyani, C Shekhar

2012-09-01

What's known on the subject? and What does the study add? The role of surgical simulators is currently being debated in urological and other surgical specialties. Simulators are not presently implemented in the UK urology training curriculum. The availability of simulators and the opinions of Training Programme Directors' (TPD) on their role have not been described. In the present questionnaire-based survey, the trainees of most, but not all, UK TPDs had access to laparoscopic simulators, and that all responding TPDs thought that simulators improved laparoscopic training. We hope that the present study will be a positive step towards making an agreement to formally introduce simulators into the UK urology training curriculum. To discuss the current situation on the use of simulators in surgical training. To determine the views of UK Urology Training Programme Directors (TPDs) on the availability and use of simulators in Urology at present, and to discuss the role that simulators may have in future training. An online-questionnaire survey was distributed to all UK Urology TPDs. In all, 16 of 21 TPDs responded. All 16 thought that laparoscopic simulators improved the quality of laparoscopic training. The trainees of 13 TPDs had access to a laparoscopic simulator (either in their own hospital or another hospital in the deanery). Most TPDs thought that trainees should use simulators in their free time, in quiet time during work hours, or in teaching sessions (rather than incorporated into the weekly timetable). We feel that the current apprentice-style method of training in urological surgery is out-dated. We think that all TPDs and trainees should have access to a simulator, and that a formal competency based simulation training programme should be incorporated into the urology training curriculum, with trainees reaching a minimum proficiency on a simulator before undertaking surgical procedures. © 2012 THE AUTHORS. BJU INTERNATIONAL © 2012 BJU INTERNATIONAL.

Virtual reality: Avatars in human spaceflight training

Science.gov (United States)

Osterlund, Jeffrey; Lawrence, Brad

2012-02-01

With the advancements in high spatial and temporal resolution graphics, along with advancements in 3D display capabilities to model, simulate, and analyze human-to-machine interfaces and interactions, the world of virtual environments is being used to develop everything from gaming, movie special affects and animations to the design of automobiles. The use of multiple object motion capture technology and digital human tools in aerospace has demonstrated to be a more cost effective alternative to the cost of physical prototypes, provides a more efficient, flexible and responsive environment to changes in the design and training, and provides early human factors considerations concerning the operation of a complex launch vehicle or spacecraft. United Space Alliance (USA) has deployed this technique and tool under Research and Development (R&D) activities on both spacecraft assembly and ground processing operations design and training on the Orion Crew Module. USA utilizes specialized products that were chosen based on functionality, including software and fixed based hardware (e.g., infrared and visible red cameras), along with cyber gloves to ensure fine motor dexterity of the hands. The key findings of the R&D were: mock-ups should be built to not obstruct cameras from markers being tracked; a mock-up toolkit be assembled to facilitate dynamic design changes; markers should be placed in accurate positions on humans and flight hardware to help with tracking; 3D models used in the virtual environment be striped of non-essential data; high computational capable workstations are required to handle the large model data sets; and Technology Interchange Meetings with vendors and other industries also utilizing virtual reality applications need to occur on a continual basis enabling USA to maintain its leading edge within this technology. Parameters of interest and benefit in human spaceflight simulation training that utilizes virtual reality technologies are to

Development of training simulator for LWR

International Nuclear Information System (INIS)

Sureshbabu, R.M.

2009-01-01

A full-scope training simulator was developed for a light water reactor (LWR). This paper describes how the development evolved from a desktop simulator to the full-scope training simulator. It also describes the architecture and features of the simulator including the large number of failures that it simulates. The paper also explains the three-level validation tests that were used to qualify the training simulator. (author)

Accurately fitting advanced training. Flexible simulator training by modular training course concepts

International Nuclear Information System (INIS)

Sickora, Katrin; Cremer, Hans-Peter

2010-01-01

Every employee of a power plant contributes with his individual expertise to the success of the enterprise. Certainly personal skills of employees differ from each other as well as power plants are different. With respect to effective simulator training this means that no two simulator training courses can be identical. To exactly meet the requirements of our customers KWS has developed modules for simulation training courses. Each module represents either a technical subject or addresses a topic in the field of soft skills. An accurately fitting combination of several of these modules to the needs of our customers allows for most efficient simulator training courses. (orig.)

An integrated neural-symbolic cognitive agent architecture for training and assessment in simulators

NARCIS (Netherlands)

Penning, H.L.H. de; d'Avila Garcez, A.S.; Lamb, L.C.; Meyer, J.J.C.

2010-01-01

Training and assessment of complex tasks has always been a complex task in itself. Training simulators can be used for training and assessment of low-order skills. High-order skills (e.g. safe driving, leadership, tactical manoeuvring, etc.) are generally trained and assessed by human experts, due

Development and validation of a virtual reality simulator: human factors input to interventional radiology training.

Science.gov (United States)

Johnson, Sheena Joanne; Guediri, Sara M; Kilkenny, Caroline; Clough, Peter J

2011-12-01

This study developed and validated a virtual reality (VR) simulator for use by interventional radiologists. Research in the area of skill acquisition reports practice as essential to become a task expert. Studies on simulation show skills learned in VR can be successfully transferred to a real-world task. Recently, with improvements in technology, VR simulators have been developed to allow complex medical procedures to be practiced without risking the patient. Three studies are reported. In Study I, 35 consultant interventional radiologists took part in a cognitive task analysis to empirically establish the key competencies of the Seldinger procedure. In Study 2, 62 participants performed one simulated procedure, and their performance was compared by expertise. In Study 3, the transferability of simulator training to a real-world procedure was assessed with 14 trainees. Study I produced 23 key competencies that were implemented as performance measures in the simulator. Study 2 showed the simulator had both face and construct validity, although some issues were identified. Study 3 showed the group that had undergone simulator training received significantly higher mean performance ratings on a subsequent patient procedure. The findings of this study support the centrality of validation in the successful design of simulators and show the utility of simulators as a training device. The studies show the key elements of a validation program for a simulator. In addition to task analysis and face and construct validities, the authors highlight the importance of transfer of training in validation studies.

Upgraded operator training by using advanced simulators

International Nuclear Information System (INIS)

Iwashita, Akira; Toeda, Susumu; Fujita, Eimitsu; Moriguchi, Iwao; Wada, Kouji

1991-01-01

BWR Operator Training Center Corporation (BTC) has been conducting the operator training for all BWR utilities in Japan using fullscope simulators. Corresponding to increasing quantitative demands and higher qualitative needs of operator training, BTC put advanced simulators in operation (BTC-2 simulator in 1983 and BTC-3 simulator in 1989). This paper describes the methods and the effects of upgraded training contents by using these advanced simulators. These training methods are applied to the 'Advanced Operator Training course,' the 'Operator Retraining Course' and also the 'Family (crew) Training Course.' (author)

Twenty-five years of simulator training

International Nuclear Information System (INIS)

Anon.

2002-01-01

The first training simulator for nuclear power plant personnel in Germany was commissioned twenty-five years ago. The strategy of training by simulators was developed and pursued consistently and continuously in order to ensure sound training of nuclear power plant personnel. The present thirteen simulators cover a broad range of plants. A systematic training concept also helps to ensure a high level of competence and permanent qualification of plant personnel. The anniversary was marked by a festive event at which Erich K. Steiner read a paper on 'The Importance of Simulator Training', and Professor Dr. Adolf Birkhofer spoke about 'Nuclear Technology Education and Training'. (orig.)

Upgrading BWR training simulators for annual outage operation training

International Nuclear Information System (INIS)

Yamakabe, K.; Nakajima, A.; Shiyama, H.; Noji, K.; Okabe, N.; Murata, F.

2006-01-01

Based upon the recently developed quality assurance program by the Japanese electric companies, BWR Operator Training Center (BTC) identified the needs to enhance operators' knowledge and skills for operations tasks during annual outage, and started to develop a dedicated operator training course specialized for them. In this paper, we present the total framework of the training course for annual outage operations and the associated typical three functions of our full-scope simulators specially developed and upgraded to conduct the training; namely, (1) Simulation model upgrade for the flow and temperature behavior concerning residual heat removal (RHR) system with shutdown cooling mode, (2) Addition of malfunctions for DC power supply equipment, (3) Simulation model upgrade for water filling operation for reactor pressurization (future development). We have implemented a trial of the training course by using the upgraded 800MW full-scope training simulator with functions (1) and (2) above. As the result of this trial, we are confident that the developed training course is effective for enhancing operators' knowledge and skills for operations tasks during annual outage. (author)

Human Factors in Training - Space Medicine Proficiency Training

Science.gov (United States)

Connell, Erin; Arsintescu, Lucia

2009-01-01

The early Constellation space missions are expected to have medical capabilities very similar to those currently on the Space Shuttle and International Space Station (ISS). For Crew Exploration Vehicle (CEV) missions to ISS, medical equipment will be located on ISS, and carried into CEV in the event of an emergency. Flight Surgeons (FS) on the ground in Mission Control will be expected to direct the Crew Medical Officer (CMO) during medical situations. If there is a loss of signal and the crew is unable to communicate with the ground, a CMO would be expected to carry out medical procedures without the aid of a FS. In these situations, performance support tools can be used to reduce errors and time to perform emergency medical tasks. Work on medical training has been conducted in collaboration with the Medical Training Group at the Space Life Sciences Directorate and with Wyle Lab which provides medical training to crew members, Biomedical Engineers (BMEs), and to flight surgeons under the JSC Space Life Sciences Directorate s Bioastronautics contract. The space medical training work is part of the Human Factors in Training Directed Research Project (DRP) of the Space Human Factors Engineering (SHFE) Project under the Space Human Factors and Habitability (SHFH) Element of the Human Research Program (HRP). Human factors researchers at Johnson Space Center have recently investigated medical performance support tools for CMOs on-orbit, and FSs on the ground, and researchers at the Ames Research Center performed a literature review on medical errors. The work proposed for FY10 continues to build on this strong collaboration with the Space Medical Training Group and previous research. This abstract focuses on two areas of work involving Performance Support Tools for Space Medical Operations. One area of research building on activities from FY08, involved the feasibility of just-in-time (JIT) training techniques and concepts for real-time medical procedures. In Phase 1

A review of the design and development processes of simulation for training in healthcare - A technology-centered versus a human-centered perspective.

Science.gov (United States)

Persson, Johanna

2017-01-01

This article reviews literature about simulation systems for training in healthcare regarding the prevalence of human-centered approaches in the design and development of these systems, motivated by a tradition in this field of working technology-centered. The results show that the focus on human needs and context of use is limited. It is argued that a reduction of the focus on technical advancements in favor of the needs of the users and the healthcare community, underpinned by human factors and ergonomics theory, is favorable. Due to the low number of identified articles describing or discussing human-centered approaches it is furthermore concluded that the publication culture promotes technical descriptions and summative evaluations rather than descriptions and reflections regarding the design and development processes. Shifting the focus from a technology-centered approach to a human-centered one can aid in the process of creating simulation systems for training in healthcare that are: 1) relevant to the learning objectives, 2) adapted to the needs of users, context and task, and 3) not selected based on technical or fidelity criteria. Copyright © 2016 Elsevier Ltd. All rights reserved.

Monju operator training report. Training results and upgrade of the operation training simulator in 2002 YF

International Nuclear Information System (INIS)

Koyagoshi, Naoki; Sasaki, Kazuichi; Sawada, Makoto; Kawanishi, Tomotake; Yoshida, Kazuo

2003-09-01

The prototype fast breeder reactor, Monju, has been performing deliberately the operator training which is composed of the regulated training required by the government and the self-training. The training used a full scope type simulator (MARS: Monju Advanced Reactor Simulator) plays an important role among of the above mentioned trainings and greatly contributes to the Monju operator training for Monju restarting. This report covers the activities of Monju operator training in 2002 FY, i.e. the training results and the remodeling working of the MARS in progress since 1999. (1) Eight simulator training courses were carried out 46 times and 180 trainees participated. Additionally, both the regulated training and self-training were held total 10 times by attended 34 trainees, as besides simulator training. (2) Above training data was reduced compare with the last year's data (69 times (338 trainees)) due to the indispensable training courses in Monju operator training were changed by reorganized operator's number and decreasing of training times owing to remodeling working of the simulator was conducted. (3) By means of upgrading of the MARS completed in 2002 FY, its logic arithmetic time was became speedier and its instructing function was improved remarkably, thus, the simulator training was became to be more effective. Moreover, it's planning to do both remodeling in the next year as the final working: remodeling of reactor core model with the aim of improvement simulating accuracy and corresponding to the sodium leakage measures. Regarding on the Monju training results and simulator's remodeling so far finished, please referring JNC report number of JNC TN 4410 2002-001 Translation of Monju Simulator Training owing Monju Accident and Upgrade of MARS''. (author)

Simulation training: a systematic review of simulation in arthroscopy and proposal of a new competency-based training framework.

Science.gov (United States)

Tay, Charison; Khajuria, Ankur; Gupte, Chinmay

2014-01-01

Traditional orthopaedic training has followed an apprenticeship model whereby trainees enhance their skills by operating under guidance. However the introduction of limitations on training hours and shorter training programmes mean that alternative training strategies are required. To perform a literature review on simulation training in arthroscopy and devise a framework that structures different simulation techniques that could be used in arthroscopic training. A systematic search of Medline, Embase, Google Scholar and the Cochrane Databases were performed. Search terms included "virtual reality OR simulator OR simulation" and "arthroscopy OR arthroscopic". 14 studies evaluating simulators in knee, shoulder and hip arthroplasty were included. The majority of the studies demonstrated construct and transference validity but only one showed concurrent validity. More studies are required to assess its potential as a training and assessment tool, skills transference between simulators and to determine the extent of skills decay from prolonged delays in training. We also devised a "ladder of arthroscopic simulation" that provides a competency-based framework to implement different simulation strategies. The incorporation of simulation into an orthopaedic curriculum will depend on a coordinated approach between many bodies. But the successful integration of simulators in other areas of surgery supports a possible role for simulation in advancing orthopaedic education. Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

[Simulator-based modular human factor training in anesthesiology. Concept and results of the module "Communication and Team Cooperation"].

Science.gov (United States)

St Pierre, M; Hofinger, G; Buerschaper, C; Grapengeter, M; Harms, H; Breuer, G; Schüttler, J

2004-02-01

Human factors (HF) play a major role in crisis development and management and simulator training can help to train HF aspects. We developed a modular training concept with psychological intensive briefing. The aim of the study was to see whether learning and transfer in the treatment group (TG) with the module "communication and team-cooperation" differed from that in the control group (CG) without psychological briefing ("anaesthesia crisis resource management type course"). A total of 34 residents (TG: n=20, CG: n=14) managed 1 out of 3 scenarios and communication patterns and management were evaluated using video recordings. A questionnaire was answered at the end of the course and 2 months later participants were asked for lessons learnt and behavioral changes. Good communication and medical management showed a significant correlation (r=0.57, p=0.001). The TG showed greater initiative ( p=0.001) and came more often in conflict with the surgeon ( p=0.06). The TG also reported more behavioral changes than the CG 2 months later. The reported benefit of the simulation was training for rare events in the CG, whereas in the TG it was issues of communication and cooperation ( p=0.001). A training concept with psychological intensive briefing may enhance the transfer of HF aspects more than classical ACRM.

Measurement of effectiveness for training simulations

NARCIS (Netherlands)

Korteling, J.E.; Oprins, E.A.P.B.; Kallen, V.L.

2013-01-01

This paper presents and discusses experimental designs, measures, and measurement methods for determining the effectiveness of training simulators. First, we describe experimental designs in which training effects of training simulators are compared to those of conventional training. Next, the most

Human factors in training

International Nuclear Information System (INIS)

Dutton, J.W.; Brown, W.R.

1981-01-01

The Human Factors concept is a focused effort directed at those activities which require human involvement. Training is, by its nature, an activity totally dependent on the Human Factor. This paper identifies several concerns significant to training situations and discusses how Human Factor awareness can increase the quality of learning. Psychology in the training arena is applied Human Factors. Training is a method of communication represented by sender, medium, and receiver. Two-thirds of this communications model involves the human element directly

Simulation-Based Training for Thoracoscopy

DEFF Research Database (Denmark)

Bjurström, Johanna Margareta; Konge, Lars; Lehnert, Per

2013-01-01

An increasing proportion of thoracic procedures are performed using video-assisted thoracic surgery. This minimally invasive technique places special demands on the surgeons. Using simulation-based training on artificial models or animals has been proposed to overcome the initial part of the lear......An increasing proportion of thoracic procedures are performed using video-assisted thoracic surgery. This minimally invasive technique places special demands on the surgeons. Using simulation-based training on artificial models or animals has been proposed to overcome the initial part...... of the learning curve. This study aimed to investigate the effect of simulation-based training and to compare self-guided and educator-guided training....

[Simulation-based robot-assisted surgical training].

Science.gov (United States)

Kolontarev, K B; Govorov, A V; Rasner, P I; Sheptunov, S A; Prilepskaya, E A; Maltsev, E G; Pushkar, D Yu

2015-12-01

Since the first use of robotic surgical system in 2000, the robot-assisted technology has gained wide popularity throughout the world. Robot-assisted surgical training is a complex issue that requires significant efforts from students and teacher. During the last two decades, simulation-based training had received active development due to wide-spread occurrence and popularization of laparoscopic and robot-assisted surgical techniques. We performed a systematic review to identify the currently available simulators for robot-assisted surgery. We searched the Medline and Pubmed, English sources of literature data, using the following key words and phrases: "robotics", "robotic surgery", "computer assisted surgery", "simulation", "computer simulation", "virtual reality", "surgical training", and "surgical education". There were identified 565 publications, which meet the key words and phrases; 19 publications were selected for the final analysis. It was established that simulation-based training is the most promising teaching tool that can be used in the training of the next generation robotic surgeons. Today the use of simulators to train surgeons is validated. Price of devices is an obvious barrier for inclusion in the program for training of robotic surgeons, but the lack of this tool will result in a sharp increase in the duration of specialists training.

NPP Krsko simulator training for operations personnel

International Nuclear Information System (INIS)

Pribozic, F.; Krajnc, J.

2000-01-01

Acquisition of a full scope replica simulator represents an important achievement for Nuclear power Plant Krsko. Operating nuclear power plant systems is definitely a set of demanding and complex tasks. The most important element in the goal of assuring capabilities for handling such tasks is efficient training of operations personnel who manipulate controls in the main control room. Use of a simulator during the training process is essential and can not be substituted by other techniques. This article gives an overview of NPP Krsko licensed personnel training historical background, current experience and plans for future training activities. Reactor operator initial training lasts approximately two and a half years. Training is divided into several phases, consisting of theoretical and practical segments, including simulator training. In the past, simulator initial training and annual simulator retraining was contracted, thus operators were trained on non-specific full scope simulators. Use of our own plant specific simulator and associated infrastructure will have a significant effect on the operations personnel training process and, in addition, will also support secondary uses, with the common goal to improve safe and reliable plant operation. A regular annual retraining program has successfully started. Use of the plant specific simulator assures consistent training and good management oversight, enhances conformity of operational practices and supports optimization of operating procedures. (author)

Degrees of reality: airway anatomy of high-fidelity human patient simulators and airway trainers.

Science.gov (United States)

Schebesta, Karl; Hüpfl, Michael; Rössler, Bernhard; Ringl, Helmut; Müller, Michael P; Kimberger, Oliver

2012-06-01

Human patient simulators and airway training manikins are widely used to train airway management skills to medical professionals. Furthermore, these patient simulators are employed as standardized "patients" to evaluate airway devices. However, little is known about how realistic these patient simulators and airway-training manikins really are. This trial aimed to evaluate the upper airway anatomy of four high-fidelity patient simulators and two airway trainers in comparison with actual patients by means of radiographic measurements. The volume of the pharyngeal airspace was the primary outcome parameter. Computed tomography scans of 20 adult trauma patients without head or neck injuries were compared with computed tomography scans of four high-fidelity patient simulators and two airway trainers. By using 14 predefined distances, two cross-sectional areas and three volume parameters of the upper airway, the manikins' similarity to a human patient was assessed. The pharyngeal airspace of all manikins differed significantly from the patients' pharyngeal airspace. The HPS Human Patient Simulator (METI®, Sarasota, FL) was the most realistic high-fidelity patient simulator (6/19 [32%] of all parameters were within the 95% CI of human airway measurements). The airway anatomy of four high-fidelity patient simulators and two airway trainers does not reflect the upper airway anatomy of actual patients. This finding may impact airway training and confound comparative airway device studies.

Study and simulation of human interface; Human interface kenkyu to simulation

Energy Technology Data Exchange (ETDEWEB)

Nishitani, H. [Nara Institute of Science and Technology, Nara (Japan)

1996-10-05

Validation researches have begun about the interrelationship between systems and human beings using a virtual-reality plant environment. This article introduces some recent studies about the human interface in an operation control system in a virtual-reality environment. The evaluation of a system from the viewpoint of ease of use is called a usability test, to which a psychological protocol analysis is applied for finding out problematic points by carefully observing the operator actually operating the system. For instance, in a boiler plant simulator constructed for DCS training, the operator is given some tasks, such as the prediction as to how a certain event will develop, probing of the cause of anomalies, and execution of related operations. Video cameras are installed at various spots for the minute observation of facial expressions and behavior of the operator, and the operator`s recognition, thought, behavior, and utterances, expressed by the operator facially or verbally, are recorded and analyzed, and the results are utilized for system improvement and operator training. 3 refs., 2 figs.

Training Knowledge Bots for Physics-Based Simulations Using Artificial Neural Networks

Science.gov (United States)

Samareh, Jamshid A.; Wong, Jay Ming

2014-01-01

Millions of complex physics-based simulations are required for design of an aerospace vehicle. These simulations are usually performed by highly trained and skilled analysts, who execute, monitor, and steer each simulation. Analysts rely heavily on their broad experience that may have taken 20-30 years to accumulate. In addition, the simulation software is complex in nature, requiring significant computational resources. Simulations of system of systems become even more complex and are beyond human capacity to effectively learn their behavior. IBM has developed machines that can learn and compete successfully with a chess grandmaster and most successful jeopardy contestants. These machines are capable of learning some complex problems much faster than humans can learn. In this paper, we propose using artificial neural network to train knowledge bots to identify the idiosyncrasies of simulation software and recognize patterns that can lead to successful simulations. We examine the use of knowledge bots for applications of computational fluid dynamics (CFD), trajectory analysis, commercial finite-element analysis software, and slosh propellant dynamics. We will show that machine learning algorithms can be used to learn the idiosyncrasies of computational simulations and identify regions of instability without including any additional information about their mathematical form or applied discretization approaches.

Introduction of the computer-based operation training tools in classrooms to support simulator training

International Nuclear Information System (INIS)

Noji, K.; Suzuki, K.; Kobayashi, A.

1997-01-01

Operation training with full-scope simulators is effective to improve trainees operation competency. To obtain more effective results of simulator training, roles of the ''classroom operation training'' closely cooperated to simulator training are important. The ''classroom operation training'' is aimed at pre- and post-studies for operation knowledge related to operation training using full-scope simulators. We have been developing computer-based operation training tools which are used in classroom training sessions. As the first step, we developed the Simulator Training Replay System. This is an aiding tool in the classroom used to enhance trainees operation performance. This system can synchronously replay plant behavior on CRT display with operators action on a video monitor in the simulator training sessions. This system is used to review plant behavior - trainees response after simulator training sessions and to understand plant behavior - operation procedure before operation training. (author)

Measurement of effectiveness for training simulations

OpenAIRE

Korteling, J.E.; Oprins, E.A.P.B.; Kallen, V.L.

2013-01-01

This paper presents and discusses experimental designs, measures, and measurement methods for determining the effectiveness of training simulators. First, we describe experimental designs in which training effects of training simulators are compared to those of conventional training. Next, the most commonly used metrics for quantifying the potential beneficial effects of training applications are explicated. We also present and discuss three main categories of measurement methods that may be ...

14 CFR 121.409 - Training courses using airplane simulators and other training devices.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Training courses using airplane simulators... Program § 121.409 Training courses using airplane simulators and other training devices. (a) Training courses utilizing airplane simulators and other training devices may be included in the certificate holder...

Integrated training support system for PWR operator training simulator

International Nuclear Information System (INIS)

Sakaguchi, Junichi; Komatsu, Yasuki

1999-01-01

The importance of operator training using operator training simulator has been recognized intensively. Since 1986, we have been developing and providing many PWR simulators in Japan. We also have developed some training support systems connected with the simulator and the integrated training support system to improve training effect and to reduce instructor's workload. This paper describes the concept and the effect of the integrated training support system and of the following sub-systems. We have PES (Performance Enhancement System) that evaluates training performance automatically by analyzing many plant parameters and operation data. It can reduce the deviation of training performance evaluation between instructors. PEL (Parameter and Event data Logging system), that is the subset of PES, has some data-logging functions. And we also have TPES (Team Performance Enhancement System) that is used aiming to improve trainees' ability for communication between operators. Trainee can have conversation with virtual trainees that TPES plays automatically. After that, TPES automatically display some advice to be improved. RVD (Reactor coolant system Visual Display) displays the distributed hydraulic-thermal condition of the reactor coolant system in real-time graphically. It can make trainees understand the inside plant condition in more detail. These sub-systems have been used in a training center and have contributed the improvement of operator training and have gained in popularity. (author)

Virtual reality simulators and training in laparoscopic surgery.

Science.gov (United States)

Yiannakopoulou, Eugenia; Nikiteas, Nikolaos; Perrea, Despina; Tsigris, Christos

2015-01-01

Virtual reality simulators provide basic skills training without supervision in a controlled environment, free of pressure of operating on patients. Skills obtained through virtual reality simulation training can be transferred on the operating room. However, relative evidence is limited with data available only for basic surgical skills and for laparoscopic cholecystectomy. No data exist on the effect of virtual reality simulation on performance on advanced surgical procedures. Evidence suggests that performance on virtual reality simulators reliably distinguishes experienced from novice surgeons Limited available data suggest that independent approach on virtual reality simulation training is not different from proctored approach. The effect of virtual reality simulators training on acquisition of basic surgical skills does not seem to be different from the effect the physical simulators. Limited data exist on the effect of virtual reality simulation training on the acquisition of visual spatial perception and stress coping skills. Undoubtedly, virtual reality simulation training provides an alternative means of improving performance in laparoscopic surgery. However, future research efforts should focus on the effect of virtual reality simulation on performance in the context of advanced surgical procedure, on standardization of training, on the possibility of synergistic effect of virtual reality simulation training combined with mental training, on personalized training. Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

To improve training methods in an engine room simulator-based training

OpenAIRE

Lin, Chingshin

2016-01-01

The simulator based training are used widely in both industry and school education to reduce the accidents nowadays. This study aims to suggest the improved training methods to increase the effectiveness of engine room simulator training. The effectiveness of training in engine room will be performance indicators and the self-evaluation by participants. In the first phase of observation, the aim is to find out the possible shortcomings of current training methods based on train...

Computer-Based Simulations for Maintenance Training: Current ARI Research. Technical Report 544.

Science.gov (United States)

Knerr, Bruce W.; And Others

Three research efforts that used computer-based simulations for maintenance training were in progress when this report was written: Game-Based Learning, which investigated the use of computer-based games to train electronics diagnostic skills; Human Performance in Fault Diagnosis Tasks, which evaluated the use of context-free tasks to train…

Effectiveness of human factors simulator; Eficiencia del simulador de factores humanos

Energy Technology Data Exchange (ETDEWEB)

Moragas, F.

2015-07-01

En 2011, ANAV started the exploitation of the Human Factors Simulator installed in TECNATOM Training Center located in L'Hospital de L'Infant Tarragona. AVAN's Strategic Plan includes the Action Plan for the improvement of human behavior. The plan includes improving the efficiency of the efficiency of the human factors simulator. It is proposed to improve the efficiency into two different terms: winning effectiveness in modeling behaviors, and interweaving the activities in the simulator with the actual strategy of promoting Safety culture and human behaviour. (Author)

Recent technology for BWR operator training simulators

International Nuclear Information System (INIS)

Sato, Takao; Hashimoto, Shigeo; Kato, Kanji; Mizuno, Toshiyuki; Asaoka, Koichi.

1990-01-01

As one of the important factors for maintaining the high capacity ratio in Japanese nuclear power stations, the contribution of excellent operators is pointed out. BWR Operation Training Center has trained many operators using two full scope simulators for operation training modeling BWRs. But in order to meet the demands of the recent increase of training needs and the upgrading of the contents, it was decided to install the third simulator, and Hitachi Ltd. received the order to construct the main part, and delivered it. This simulator obtained the good reputation as its range of simulation is wide, and the characteristics resemble very well those of the actual plants. Besides, various new designs were adopted in the control of the simulator, and its handling became very easy. Japanese nuclear power plants are operated at constant power output, and the unexpected stop is very rare, therefore the chance of operating the plants by operators is very few. Accordingly, the training using the simulators which can simulate the behavior of the plants with computers, and can freely generate abnormal phenomena has become increasingly important. The mode and positioning of the simulators for operation training, the full scope simulator BTC-3 and so on are reported. (K.I.)

Development and utilization of simulator training replay system

International Nuclear Information System (INIS)

Suzuki, Koichi; Noji, Kunio

1998-01-01

The BWR Operator Training Center Corporation (BTC) has introduced an advanced training system called the Simulator Training Replay System. The intention of introducing this system is to enhance the effectiveness of simulator training synthetically by means of; (i) sufficient analytical pre- and post-studies in the classroom, thus, enabling instructors to use the classroom as a means of explanation and discussion with an optimized system which is closely correlated with the full-scope simulator and (ii) sufficient practical operation training using a full-scope simulator without excessive suppression of time. With this system, operational data and video images during simulator training can be reproduced in the classroom. Instructors use this system with their trainees before and after simulator training for pre- and post-studies in the classroom. (author)

Features of ABWR operator training with a full-scope simulator

International Nuclear Information System (INIS)

Kondou, Shin'ichi

1999-01-01

Many innovations have been incorporated into the Advanced BWR (ABWR) type control panels. In the BWR Operator Training Center (BTC), we started ABWR operator training using an ABWR full-scope simulator prior to the first ABWR plant's commercial operation. In consideration of the features of the ABWR type control panels, BTC has been conducting ABWR operator training focusing on the following 2 points; (1) Operator training reflecting the differences in the Human-Machine Interface (HMI). The new HMI devices which have the touch-operation function were introduced. These devices have higher operability, however, they require new operational skills. We planned the training program so that operators can fully acquire these skills. Also the compact main console and the new HMI devices made it relatively difficult for the operator crews to grasp visually what an operator was doing. We provide the training to have proper communication skills, and check trainees' operation using monitoring systems for simulator training. (2) Operator training responding to the expanded operation automation system. The scope of the automation system was expanded to reduce the operators' burden. We provide the training to improve the trainees' competence for 'operation and monitoring' suitable to both manual and automatic operational modes. (author)

Cadaver-based training is superior to simulation training for cricothyrotomy and tube thoracostomy.

Science.gov (United States)

Takayesu, James Kimo; Peak, David; Stearns, Dana

2017-02-01

Emergency medicine (EM) training mandates that residents be able to competently perform low-frequency critical procedures upon graduation. Simulation is the main method of training in addition to clinical patient care. Access to cadaver-based training is limited due to cost and availability. The relative fidelity and perceived value of cadaver-based simulation training is unknown. This pilot study sought to describe the relative value of cadaver training compared to simulation for cricothyrotomy and tube thoracostomy. To perform a pilot study to assess whether there is a significant difference in fidelity and educational experience of cadaver-based training compared to simulation training. To understand how important this difference is in training residents in low-frequency procedures. Twenty-two senior EM residents (PGY3 and 4) who had completed standard simulation training on cricothyrotomy and tube thoracostomy participated in a formalin-fixed cadaver training program. Participants were surveyed on the relative fidelity of the training using a 100 point visual analogue scale (VAS) with 100 defined as equal to performing the procedure on a real patient. Respondents were also asked to estimate how much the cadaveric training improved the comfort level with performing the procedures on a scale between 0 and 100 %. Open-response feedback was also collected. The response rate was 100 % (22/22). The average fidelity of the cadaver versus simulation training was 79.9 ± 7.0 vs. 34.7 ± 13.4 for cricothyrotomy (p Cadaver-based training provides superior landmark and tissue fidelity compared to simulation training and may be a valuable addition to EM residency training for certain low-frequency procedures.

Virtual physiological human: training challenges.

Science.gov (United States)

Lawford, Patricia V; Narracott, Andrew V; McCormack, Keith; Bisbal, Jesus; Martin, Carlos; Bijnens, Bart; Brook, Bindi; Zachariou, Margarita; Freixa, Jordi Villà I; Kohl, Peter; Fletcher, Katherine; Diaz-Zuccarini, Vanessa

2010-06-28

The virtual physiological human (VPH) initiative encompasses a wide range of activities, including structural and functional imaging, data mining, knowledge discovery tool and database development, biomedical modelling, simulation and visualization. The VPH community is developing from a multitude of relatively focused, but disparate, research endeavours into an integrated effort to bring together, develop and translate emerging technologies for application, from academia to industry and medicine. This process initially builds on the evolution of multi-disciplinary interactions and abilities, but addressing the challenges associated with the implementation of the VPH will require, in the very near future, a translation of quantitative changes into a new quality of highly trained multi-disciplinary personnel. Current strategies for undergraduate and on-the-job training may soon prove insufficient for this. The European Commission seventh framework VPH network of excellence is exploring this emerging need, and is developing a framework of novel training initiatives to address the predicted shortfall in suitably skilled VPH-aware professionals. This paper reports first steps in the implementation of a coherent VPH training portfolio.

[Simulation in surgical training].

Science.gov (United States)

Nabavi, A; Schipper, J

2017-01-01

Patient safety during operations hinges on the surgeon's skills and abilities. However, surgical training has come under a variety of restrictions. To acquire dexterity with decreasingly "simple" cases, within the legislative time constraints and increasing expectations for surgical results is the future challenge. Are there alternatives to traditional master-apprentice learning? A literature review and analysis of the development, implementation, and evaluation of surgical simulation are presented. Simulation, using a variety of methods, most important physical and virtual (computer-generated) models, provides a safe environment to practice basic and advanced skills without endangering patients. These environments have specific strengths and weaknesses. Simulations can only serve to decrease the slope of learning curves, but cannot be a substitute for the real situation. Thus, they have to be an integral part of a comprehensive training curriculum. Our surgical societies have to take up that challenge to ensure the training of future generations.

First experiences of high-fidelity simulation training in junior nursing students in Korea.

Science.gov (United States)

Lee, Suk Jeong; Kim, Sang Suk; Park, Young-Mi

2015-07-01

This study was conducted to explore first experiences of high-fidelity simulation training in Korean nursing students, in order to develop and establish more effective guidelines for future simulation training in Korea. Thirty-three junior nursing students participated in high-fidelity simulation training for the first time. Using both qualitative and quantitative methods, data were collected from reflective journals and questionnaires of simulation effectiveness after simulation training. Descriptive statistics were used to analyze simulation effectiveness and content analysis was performed with the reflective journal data. Five dimensions and 31 domains, both positive and negative experiences, emerged from qualitative analysis: (i) machine-human interaction in a safe environment; (ii) perceived learning capability; (iii) observational learning; (iv) reconciling practice with theory; and (v) follow-up debriefing effect. More than 70% of students scored high on increased ability to identify changes in the patient's condition, critical thinking, decision-making, effectiveness of peer observation, and debriefing in effectiveness of simulation. This study reported both positive and negative experiences of simulation. The results of this study could be used to set the level of task difficulty in simulation. Future simulation programs can be designed by reinforcing the positive experiences and modifying the negative results. © 2014 The Authors. Japan Journal of Nursing Science © 2014 Japan Academy of Nursing Science.

Simulation Training: Evaluating the Instructor's Contribution to a Wizard of Oz Simulator in Obstetrics and Gynecology Ultrasound Training.

Science.gov (United States)

Katz, Aric; Tepper, Ronnie; Shtub, Avraham

2017-04-21

Workplaces today demand graduates who are prepared with field-specific knowledge, advanced social skills, problem-solving skills, and integration capabilities. Meeting these goals with didactic learning (DL) is becoming increasingly difficult. Enhanced training methods that would better prepare tomorrow's graduates must be more engaging and game-like, such as feedback based e-learning or simulation-based training, while saving time. Empirical evidence regarding the effectiveness of advanced learning methods is lacking. Objective quantitative research comparing advanced training methods with DL is sparse. This quantitative study assessed the effectiveness of a computerized interactive simulator coupled with an instructor who monitored students' progress and provided Web-based immediate feedback. A low-cost, globally accessible, telemedicine simulator, developed at the Technion-Israel Institute of Technology, Haifa, Israel-was used. A previous study in the field of interventional cardiology, evaluating the efficacy of the simulator to enhanced learning via knowledge exams, presented promising results of average scores varying from 94% after training and 54% before training (n=20) with Padvantage (P=.01) was found in favor of the WOZ training approach. Content type and training audience were not significant. This study evaluated the contribution of an integrated teaching environment using a computerized interactive simulator, with an instructor providing immediate Web-based immediate feedback to trainees. Involvement of an instructor in the simulation-based training process provided better learning outcomes that varied training content and trainee populations did not affect the overall learning gains. ©Aric Katz, Ronnie Tepper, Avraham Shtub. Originally published in JMIR Medical Education (http://mededu.jmir.org), 21.04.2017.

Training simulator takes to the road

International Nuclear Information System (INIS)

Curtis, J.; Moore, R.

1993-01-01

A peripatetic approach to technical training is being adopted by Nuclear Electric in the use with its plants to adopt a compact, mobile simulator for certain training applications. Unlike the fixed digital power plant simulators housed at the company's Oldbury Nuclear Training Center near Bristol and the Cliff Quay Training Centre in Ipswich, these are designed to travel around the country to server users. The first of the mobile simulators will be used to train operators in the safe switching of high voltage apparatus between power stations and the UK National Grid transmission system. The simulator comprises a four-piece, four-position suite of equipment, providing power station and sub-station control room panels and a grid control module, all of which are managed by a tutor's station. It is driven by six IBM PC compatibles - four 486 and two 386 machines - operating under MS-DOS 5 and to a program written in Turbo Pascal. The simulator packs away inside a trailer, which can then be towed behind the tutor's car to its next location. One person can unload and set up the equipment in 30 minutes. Fully staffed, the simulator can be used with up to six operators or for individual tuition at each work station. (author)

Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy.

Science.gov (United States)

Walsh, Catharine M; Sherlock, Mary E; Ling, Simon C; Carnahan, Heather

2012-06-13

another method of virtual reality training (e.g. comparison of two different virtual reality simulators) were also included. Only trials measuring outcomes on humans in the clinical setting (as opposed to animals or simulators) were included. Two authors (CMS, MES) independently assessed the eligibility and methodological quality of trials, and extracted data on the trial characteristics and outcomes. Due to significant clinical and methodological heterogeneity it was not possible to pool study data in order to perform a meta-analysis. Where data were available for each continuous outcome we calculated standardized mean difference with 95% confidence intervals based on intention-to-treat analysis. Where data were available for dichotomous outcomes we calculated relative risk with 95% confidence intervals based on intention-to-treat-analysis. Thirteen trials, with 278 participants, met the inclusion criteria. Four trials compared simulation-based training with conventional patient-based endoscopy training (apprenticeship model) whereas nine trials compared simulation-based training with no training. Only three trials were at low risk of bias. Simulation-based training, as compared with no training, generally appears to provide participants with some advantage over their untrained peers as measured by composite score of competency, independent procedure completion, performance time, independent insertion depth, overall rating of performance or competency error rate and mucosal visualization. Alternatively, there was no conclusive evidence that simulation-based training was superior to conventional patient-based training, although data were limited. The results of this systematic review indicate that virtual reality endoscopy training can be used to effectively supplement early conventional endoscopy training (apprenticeship model) in diagnostic oesophagogastroduodenoscopy, colonoscopy and/or sigmoidoscopy for health professions trainees with limited or no prior endoscopic

Systematic review of the implementation of simulation training in surgical residency curriculum.

Science.gov (United States)

Kurashima, Yo; Hirano, Satoshi

2017-07-01

We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint. A systematic review was performed using Ovid MEDLINE, EMBASE, PubMed, PsycINFO, Web of Science, and other resources for studies involving the use of simulation for technical skills training in the surgical residency curriculum. Studies were selected based on the integration of simulation into the curriculum and/or a description of the details of implementation and the resources required. In total, 2533 unique citations were retrieved based on this search, and 31 articles met the inclusion criteria. Most simulators were focused on laparoscopic procedures, and training occurred most often in a skills lab. The assessment of skills consisted mostly of speed of task completion. Only 4 studies addressed issues of cost, and 6 programs mentioned human resources without any mention of skills center personnel or administrative support. All of the studies described the nature of the simulation training, but very few commented on how it was actually implemented and what was needed from organizational, administrative and logistical perspectives.

[Anesthesia simulators and training devices].

Science.gov (United States)

Hartmannsgruber, M; Good, M; Carovano, R; Lampotang, S; Gravenstein, J S

1993-07-01

Simulators and training devices are used extensively by educators in 'high-tech' occupations, especially those requiring an understanding of complex systems and co-ordinated psychomotor skills. Because of advances in computer technology, anaesthetised patients can now be realistically simulated. This paper describes several training devices and a simulator currently being employed in the training of anaesthesia personnel at the University of Florida. This Gainesville Anesthesia Simulator (GAS) comprises a patient mannequin, anaesthesia gas machine, and a full set of normally operating monitoring instruments. The patient can spontaneously breathe, has audible heart and breath sounds, and palpable pulses. The mannequin contains a sophisticated lung model that consumes and eliminates gas according to physiological principles. Interconnected computers controlling the physical signs of the mannequin enable the presentation of a multitude of clinical signs. In addition, the anaesthesia machine, which is functionally intact, has hidden fault activators to challenge the user to correct equipment malfunctions. Concealed sensors monitor the users' actions and responses. A robust data acquisition and control system and a user-friendly scripting language for programming simulation scenarios are key features of GAS and make this system applicable for the training of both the beginning resident and the experienced practitioner. GAS enhances clinical education in anaesthesia by providing a non-threatening environment that fosters learning by doing. Exercises with the simulator are supported by sessions on a number of training devices. These present theoretical and practical interactive courses on the anaesthesia machine and on monitors. An extensive system, for example, introduces the student to the physics and clinical application of transoesophageal echocardiography.(ABSTRACT TRUNCATED AT 250 WORDS)

Operator training simulator for BWR nuclear power plant

International Nuclear Information System (INIS)

Watanabe, Tadasu

1988-01-01

For the operation management of nuclear power stations with high reliability and safety, the role played by operators is very important. The effort of improving the man-machine interface in the central control rooms of nuclear power stations is energetically advanced, but the importance of the role of operators does not change. For the training of the operators of nuclear power stations, simulators have been used from the early stage. As the simulator facilities for operator training, there are the full scope simulator simulating faithfully the central control room of an actual plant and the small simulator mainly aiming at learning the plant functions. For BWR nuclear power stations, two full scope simulators are installed in the BWR Operator Training Center, and the training has been carried out since 1974. The plant function learning simulators have been installed in respective electric power companies as the education and training facilities in the companies. The role of simulators in operator training, the BTC No.1 simulator of a BWR-4 of 780 MWe and the BTC No.2 simulator of a BWR-5 of 1,100 MWe, plant function learning simulators, and the design of the BTC No.2 simulator and plant function learning simulators are reported. (K.I.)

Severe accident training simulator APROS SA

International Nuclear Information System (INIS)

Raiko, Eerikki; Salminen, Kai; Lundstroem, Petra; Harti, Mika; Routamo, Tomi

2003-01-01

APROS SA is a severe accident training simulator based on the APROS simulation environment. APROS SA has been developed in Fortum Nuclear Services Ltd to serve as a training tool for the personnel of the Loviisa NPP. Training with APROS SA gives the personnel a deeper understanding of the severe accident phenomena and thus it is an important part of the implementation of the severe accident management strategy. APROS SA consists of two parts, a comprehensive Loviisa plant model and an external severe accident model. The external model is an extension to the Loviisa plant model, which allows the simulation to proceed into the severe accident phase. The severe accident model has three submodels: the core melting and relocation model, corium pool model and fission product model. In addition to these, a new thermal-hydraulic solver is introduced to the core region of the Loviisa plant model to replace the more limited APROS thermal-hydraulic solver. The full APROS SA training simulator has a graphical user interface with visualizations of both severe accident management panels at the operator room and the important physical phenomena during the accident. This paper describes the background of the APROS SA training simulator, the severe accident submodels and the graphical user interface. A short description how APROS SA will be used as a training tool at the Loviisa NPP is also given

Using simulation to train orthopaedic trainees in non-technical skills: A pilot study.

Science.gov (United States)

Heaton, Samuel R; Little, Zoe; Akhtar, Kash; Ramachandran, Manoj; Lee, Joshua

2016-08-18

To enhance non-technical skills and to analyse participant's experience of a course tailored for orthopaedic surgeons. A Delphi technique was used to develop a course in human factors specific to orthopaedic residents. Twenty-six residents (six per course) participated in total with seven course facilitators all trained in Crisis Resource Management providing structured feedback. Six scenarios recreated challenging real-life situations using high-fidelity mannequins and simulated patients. Environments included a simulated operating suite, clinic room and ward setting. All were undertaken in a purpose built simulation suite utilising actors, mock operating rooms, mock clinical rooms and a high fidelity adult patient simulator organised through a simulation control room. Participants completed a 5-point Likert scale questionnaire (strongly disagree to strongly agree) before and after the course. This assessed their understanding of non-technical skills, scenario validity, relevance to orthopaedic training and predicted impact of the course on future practice. A course evaluation questionnaire was also completed to assess participants' feedback on the value and quality of the course itself. Twenty-six orthopaedic residents participated (24 male, 2 female; post-graduation 5-10 years), mean year of residency program 2.6 out of 6 years required in the United Kingdom. Pre-course questionnaires showed that while the majority of candidates recognised the importance of non-technical (NT) skills in orthopaedic training they demonstrated poor understanding of non-technical skills and their role. This improved significantly after the course (Likert score 3.0-4.2) and the perceived importance of these skills was reported as good or very good in 100%. The course was reported as enjoyable and provided an unthreatening learning environment with the candidates placing particular value on the learning opportunity provided by reflecting on their performance. All agreed that the

Training and training simulators for emergency situations in France

International Nuclear Information System (INIS)

Petit, G.

1990-01-01

The aim of this paper is to present principles and means set up by Electricite de France (E.D.F.) to provide the required tailor-made training. Today, recent advantages in computing capacities and software engineering along with the completion of Research and Development Training Division programs in the reactor safety (R+D) field (CATHARE, BETHSY..) give E.D.F. the opportunity to conceive and operate new tools for training which are described in the paper: RTGV-SEPIA: a simulator devoted to self training in SGTR field, thanks to a powerful expert system. SIPA: a 'generator of simulators' aiming at control and engineering studies and training, provided with a software able to give in real time a relevant description of complex topologies with diphasic flow patterns (up to a 12'' break in the primary coolant system of a reactor). (orig./DG) [de

The efficacy of virtual reality simulation training in laparoscopy: a systematic review of randomized trials.

Science.gov (United States)

Larsen, Christian Rifbjerg; Oestergaard, Jeanett; Ottesen, Bent S; Soerensen, Jette Led

2012-09-01

Virtual reality (VR) simulators for surgical training might possess the properties needed for basic training in laparoscopy. Evidence for training efficacy of VR has been investigated by research of varying quality over the past decade. To review randomized controlled trials regarding VR training efficacy compared with traditional or no training, with outcome measured as surgical performance in humans or animals. In June 2011 Medline, Embase, the Cochrane Central Register of Controlled Trials, Web of Science and Google Scholar were searched using the following medical subject headings (MeSh) terms: Laparoscopy/standards, Computing methodologies, Programmed instruction, Surgical procedures, Operative, and the following free text terms: Virtual real* OR simulat* AND Laparoscop* OR train* Controlled trials. All randomized controlled trials investigating the effect of VR training in laparoscopy, with outcome measured as surgical performance. A total of 98 studies were screened, 26 selected and 12 included, with a total of 241 participants. Operation time was reduced by 17-50% by VR training, depending on simulator type and training principles. Proficiency-based training appeared superior to training based on fixed time or fixed numbers of repetition. Simulators offering training for complete operative procedures came out as more efficient than simulators offering only basic skills training. Skills in laparoscopic surgery can be increased by proficiency-based procedural VR simulator training. There is substantial evidence (grade IA - IIB) to support the use of VR simulators in laparoscopic training. © 2012 The Authors  Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

Training using power plant simulators

International Nuclear Information System (INIS)

Distler, K.; Struss, H.

1989-01-01

Simulators which mimick process sequence, control technology and the operator's place of work (the control room, as a rule) are feasible means for filling in gaps in practical experience. The programmes and computers required for the simulation of process sequences are derived from the training requirements and from the processes proper. The authors demonstrate the requirements made for training and on the models and computers to be used. (orig.) [de

Procedural wound geometry and blood flow generation for medical training simulators

Science.gov (United States)

Aras, Rifat; Shen, Yuzhong; Li, Jiang

2012-02-01

Efficient application of wound treatment procedures is vital in both emergency room and battle zone scenes. In order to train first responders for such situations, physical casualty simulation kits, which are composed of tens of individual items, are commonly used. Similar to any other training scenarios, computer simulations can be effective means for wound treatment training purposes. For immersive and high fidelity virtual reality applications, realistic 3D models are key components. However, creation of such models is a labor intensive process. In this paper, we propose a procedural wound geometry generation technique that parameterizes key simulation inputs to establish the variability of the training scenarios without the need of labor intensive remodeling of the 3D geometry. The procedural techniques described in this work are entirely handled by the graphics processing unit (GPU) to enable interactive real-time operation of the simulation and to relieve the CPU for other computational tasks. The visible human dataset is processed and used as a volumetric texture for the internal visualization of the wound geometry. To further enhance the fidelity of the simulation, we also employ a surface flow model for blood visualization. This model is realized as a dynamic texture that is composed of a height field and a normal map and animated at each simulation step on the GPU. The procedural wound geometry and the blood flow model are applied to a thigh model and the efficiency of the technique is demonstrated in a virtual surgery scene.

Virtual reality simulation for the operating room: proficiency-based training as a paradigm shift in surgical skills training.

Science.gov (United States)

Gallagher, Anthony G; Ritter, E Matt; Champion, Howard; Higgins, Gerald; Fried, Marvin P; Moses, Gerald; Smith, C Daniel; Satava, Richard M

2005-02-01

To inform surgeons about the practical issues to be considered for successful integration of virtual reality simulation into a surgical training program. The learning and practice of minimally invasive surgery (MIS) makes unique demands on surgical training programs. A decade ago Satava proposed virtual reality (VR) surgical simulation as a solution for this problem. Only recently have robust scientific studies supported that vision A review of the surgical education, human-factor, and psychology literature to identify important factors which will impinge on the successful integration of VR training into a surgical training program. VR is more likely to be successful if it is systematically integrated into a well-thought-out education and training program which objectively assesses technical skills improvement proximate to the learning experience. Validated performance metrics should be relevant to the surgical task being trained but in general will require trainees to reach an objectively determined proficiency criterion, based on tightly defined metrics and perform at this level consistently. VR training is more likely to be successful if the training schedule takes place on an interval basis rather than massed into a short period of extensive practice. High-fidelity VR simulations will confer the greatest skills transfer to the in vivo surgical situation, but less expensive VR trainers will also lead to considerably improved skills generalizations. VR for improved performance of MIS is now a reality. However, VR is only a training tool that must be thoughtfully introduced into a surgical training curriculum for it to successfully improve surgical technical skills.

Nuclear Human Resources Development Program using Educational Core Simulator

International Nuclear Information System (INIS)

Choi, Yu Sun; Hong, Soon Kwan

2015-01-01

KHNP-CRI(Korea Hydro and Nuclear Power Co.-Central Research Institute) has redesigned the existing Core Simulator(CoSi) used as a sort of training tools for reactor engineers in operating nuclear power plant to support Nuclear Human Resources Development (NHRD) Program focusing on the nuclear department of Dalat university in Vietnam. This program has been supported by MOTIE in Korea and cooperated with KNA(Korea Nuclear Association for International Cooperation) and HYU(Hanyang University) for enhancing the nuclear human resources of potential country in consideration with Korean Nuclear Power Plant as a next candidate energy sources. KHNP-CRI has provided Edu-CoSi to Dalat University in Vietnam in order to support Nuclear Human Resources Development Program in Vietnam. Job Qualification Certificates Program in KHNP is utilized to design a training course for Vietnamese faculty and student of Dalat University. Successfully, knowhow on lecturing the ZPPT performance, training and maintaining Edu-CoSi hardware are transferred by several training courses which KHNP-CRI provides

Nuclear Human Resources Development Program using Educational Core Simulator

Energy Technology Data Exchange (ETDEWEB)

Choi, Yu Sun; Hong, Soon Kwan [KHNP-CRI, Daejeon (Korea, Republic of)

2015-10-15

KHNP-CRI(Korea Hydro and Nuclear Power Co.-Central Research Institute) has redesigned the existing Core Simulator(CoSi) used as a sort of training tools for reactor engineers in operating nuclear power plant to support Nuclear Human Resources Development (NHRD) Program focusing on the nuclear department of Dalat university in Vietnam. This program has been supported by MOTIE in Korea and cooperated with KNA(Korea Nuclear Association for International Cooperation) and HYU(Hanyang University) for enhancing the nuclear human resources of potential country in consideration with Korean Nuclear Power Plant as a next candidate energy sources. KHNP-CRI has provided Edu-CoSi to Dalat University in Vietnam in order to support Nuclear Human Resources Development Program in Vietnam. Job Qualification Certificates Program in KHNP is utilized to design a training course for Vietnamese faculty and student of Dalat University. Successfully, knowhow on lecturing the ZPPT performance, training and maintaining Edu-CoSi hardware are transferred by several training courses which KHNP-CRI provides.

Multidisciplinary crisis simulations: the way forward for training surgical teams.

Science.gov (United States)

Undre, Shabnam; Koutantji, Maria; Sevdalis, Nick; Gautama, Sanjay; Selvapatt, Nowlan; Williams, Samantha; Sains, Parvinderpal; McCulloch, Peter; Darzi, Ara; Vincent, Charles

2007-09-01

High-reliability organizations have stressed the importance of non-technical skills for safety and of regularly providing such training to their teams. Recently safety skills training has been applied in the practice of medicine. In this study, we developed and piloted a module using multidisciplinary crisis scenarios in a simulated operating theatre to train entire surgical teams. Twenty teams participated (n = 80); each consisted of a trainee surgeon, anesthetist, operating department practitioner (ODP), and scrub nurse. Crisis scenarios such as difficult intubation, hemorrhage, or cardiac arrest were simulated. Technical and non-technical skills (leadership, communication, team skills, decision making, and vigilance), were assessed by clinical experts and by two psychologists using relevant technical and human factors rating scales. Participants received technical and non-technical feedback, and the whole team received feedback on teamwork. Trainees assessed the training favorably. For technical skills there were no differences between surgical trainees' assessment scores and the assessment scores of the trainers. However, nurses overrated their technical skill. Regarding non-technical skills, leadership and decision making were scored lower than the other three non-technical skills (communication, team skills, and vigilance). Surgeons scored lower than nurses on communication and teamwork skills. Surgeons and anesthetists scored lower than nurses on leadership. Multidisciplinary simulation-based team training is feasible and well received by surgical teams. Non-technical skills can be assessed alongside technical skills, and differences in performance indicate where there is a need for further training. Future work should focus on developing team performance measures for training and on the development and evaluation of systematic training for technical and non-technical skills to enhance team performance and safety in surgery.

Advanced technology for BWR operator training simulator

International Nuclear Information System (INIS)

Shibuya, Akira; Fujita, Eimitsu; Nakao, Toshihiko; Nakabaru, Mitsugu; Asaoka, Kouchi.

1991-01-01

This paper describes an operator training simulator for BWR nuclear power plants which went into service recently. The simulator is a full scope replica type simulator which faithfully replicates the control room environment of the reference plant with six main control panels and twelve auxiliary ones. In comparison with earlier simulators, the scope of the simulation is significantly extended in both width and depth. The simulation model is also refined in order to include operator training according to sympton-based emergency procedure guidelines to mitigate the results in accident cases. In particular, the core model and the calculational model of the radiation intensity distribution, if radioactive materials were released, are improved. As for simulator control capabilities by which efficient and effective training can be achieved, various advanced designs are adopted allowing easy use of the simulators. (author)

A survey of simulators for palpation training.

Science.gov (United States)

Zhang, Yan; Phillips, Roger; Ward, James; Pisharody, Sandhya

2009-01-01

Palpation is a widely used diagnostic method in medical practice. The sensitivity of palpation is highly dependent upon the skill of clinicians, which is often difficult to master. There is a need of simulators in palpation training. This paper summarizes important work and the latest achievements in simulation for palpation training. Three types of simulators; physical models, Virtual Reality (VR) based simulations, and hybrid (computerized and physical) simulators, are surveyed. Comparisons among different kinds of simulators are presented.

Surgical simulation training in orthopedics: current insights.

Science.gov (United States)

Kalun, Portia; Wagner, Natalie; Yan, James; Nousiainen, Markku T; Sonnadara, Ranil R

2018-01-01

While the knowledge required of residents training in orthopedic surgery continues to increase, various factors, including reductions in work hours, have resulted in decreased clinical learning opportunities. Recent work suggests residents graduate from their training programs without sufficient exposure to key procedures. In response, simulation is increasingly being incorporated into training programs to supplement clinical learning. This paper reviews the literature to explore whether skills learned in simulation-based settings results in improved clinical performance in orthopedic surgery trainees. A scoping review of the literature was conducted to identify papers discussing simulation training in orthopedic surgery. We focused on exploring whether skills learned in simulation transferred effectively to a clinical setting. Experimental studies, systematic reviews, and narrative reviews were included. A total of 15 studies were included, with 11 review papers and four experimental studies. The review articles reported little evidence regarding the transfer of skills from simulation to the clinical setting, strong evidence that simulator models discriminate among different levels of experience, varied outcome measures among studies, and a need to define competent performance in both simulated and clinical settings. Furthermore, while three out of the four experimental studies demonstrated transfer between the simulated and clinical environments, methodological study design issues were identified. Our review identifies weak evidence as to whether skills learned in simulation transfer effectively to clinical practice for orthopedic surgery trainees. Given the increased reliance on simulation, there is an immediate need for comprehensive studies that focus on skill transfer, which will allow simulation to be incorporated effectively into orthopedic surgery training programs.

Laparoscopic skills acquisition: a study of simulation and traditional training.

Science.gov (United States)

Marlow, Nicholas; Altree, Meryl; Babidge, Wendy; Field, John; Hewett, Peter; Maddern, Guy J

2014-12-01

Training in basic laparoscopic skills can be undertaken using traditional methods, where trainees are educated by experienced surgeons through a process of graduated responsibility or by simulation-based training. This study aimed to assess whether simulation trained individuals reach the same level of proficiency in basic laparoscopic skills as traditional trained participants when assessed in a simulated environment. A prospective study was undertaken. Participants were allocated to one of two cohorts according to surgical experience. Participants from the inexperienced cohort were randomized to receive training in basic laparoscopic skills on either a box trainer or a virtual reality simulator. They were then assessed on the simulator on which they did not receive training. Participants from the experienced cohort, considered to have received traditional training in basic laparoscopic skills, did not receive simulation training and were randomized to either the box trainer or virtual reality simulator for skills assessment. The assessment scores from different cohorts on either simulator were then compared. A total of 138 participants completed the assessment session, 101 in the inexperienced simulation-trained cohort and 37 on the experienced traditionally trained cohort. There was no statistically significant difference between the training outcomes of simulation and traditionally trained participants, irrespective of the simulator type used. The results demonstrated that participants trained on either a box trainer or virtual reality simulator achieved a level of basic laparoscopic skills assessed in a simulated environment that was not significantly different from participants who had been traditionally trained in basic laparoscopic skills. © 2013 Royal Australasian College of Surgeons.

Simulation Training: Evaluating the Instructor’s Contribution to a Wizard of Oz Simulator in Obstetrics and Gynecology Ultrasound Training

Science.gov (United States)

Tepper, Ronnie

2017-01-01

Background Workplaces today demand graduates who are prepared with field-specific knowledge, advanced social skills, problem-solving skills, and integration capabilities. Meeting these goals with didactic learning (DL) is becoming increasingly difficult. Enhanced training methods that would better prepare tomorrow’s graduates must be more engaging and game-like, such as feedback based e-learning or simulation-based training, while saving time. Empirical evidence regarding the effectiveness of advanced learning methods is lacking. Objective quantitative research comparing advanced training methods with DL is sparse. Objectives This quantitative study assessed the effectiveness of a computerized interactive simulator coupled with an instructor who monitored students’ progress and provided Web-based immediate feedback. Methods A low-cost, globally accessible, telemedicine simulator, developed at the Technion—Israel Institute of Technology, Haifa, Israel—was used. A previous study in the field of interventional cardiology, evaluating the efficacy of the simulator to enhanced learning via knowledge exams, presented promising results of average scores varying from 94% after training and 54% before training (n=20) with Pe-learning in the field of Ob-Gyn. Results from objective knowledge tests were analyzed using hypothesis testing and model fitting. Results A significant advantage (P=.01) was found in favor of the WOZ training approach. Content type and training audience were not significant. Conclusions This study evaluated the contribution of an integrated teaching environment using a computerized interactive simulator, with an instructor providing immediate Web-based immediate feedback to trainees. Involvement of an instructor in the simulation-based training process provided better learning outcomes that varied training content and trainee populations did not affect the overall learning gains. PMID:28432039

A spectrum of power plant simulators for effective training

International Nuclear Information System (INIS)

Foulke, L.R.

1987-01-01

This paper discusses the subject of training simulator fidelity and describes a spectrum of fidelity levels of power plant simulators to optimize training effectiveness. The body of knowledge about the relationship between power plant simulator fidelity and training effectiveness is reviewed, and a number of conjectures about this relationship are made based on the perspective of over 20 simulator-years of experience in training nuclear power plant operators. Developments are described for a new class of emerging simulator which utilize high resolution graphics to emphasize the visualization step of effective training

Helicopter training simulators: Key market factors

Science.gov (United States)

Mcintosh, John

1992-01-01

Simulators will gain an increasingly important role in training helicopter pilots only if the simulators are of sufficient fidelity to provide positive transfer of skills to the aircraft. This must be done within an economic model of return on investment. Although rotor pilot demand is still only a small percentage of overall pilot requirements, it will grow in significance. This presentation described the salient factors influencing the use of helicopter training simulators.

Simulation training in video-assisted urologic surgery.

Science.gov (United States)

Hoznek, András; Salomon, Laurent; de la Taille, Alexandre; Yiou, René; Vordos, Dimitrios; Larre, Stéphane; Abbou, Clément-Claude

2006-03-01

The current system of surgical education is facing many challenges in terms of time efficiency, costs, and patient safety. Training using simulation is an emerging area, mostly based on the experience of other high-risk professions like aviation. The goal of simulation-based training in surgery is to develop not only technical but team skills. This learning environment is stress-free and safe, allows standardization and tailoring of training, and also objectively evaluate performances. The development of simulation training is straightforward in endourology, since these procedures are video-assisted and the low degree of freedom of the instruments is easily replicated. On the other hand, these interventions necessitate a long learning curve, training in the operative room is especially costly and risky. Many models are already in use or under development in all fields of video-assisted urologic surgery: ureteroscopy, percutaneous surgery, transurethral resection of the prostate, and laparoscopy. Although bench models are essential, simulation increasingly benefits from the achievements and development of computer technology. Still in its infancy, virtual reality simulation will certainly belong to tomorrow's teaching tools.

Determining procedures for simulation-based training in radiology

DEFF Research Database (Denmark)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth

2018-01-01

, and basic abdominal ultrasound. CONCLUSION: A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. KEY POINTS: • Simulation-based training can supplement training on patients......OBJECTIVES: New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs...... assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. METHODS: A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored...

Simulator training and licensing examination for nuclear power station operator

International Nuclear Information System (INIS)

Xu Pingsheng

2007-01-01

For the recruitment, training and position qualification of the simulator instructors and feedback of training effect, the management approaches are formulated in 'The System for Simulator Training and Licensing Examination of Daya Bay Nuclear Power Station Operators'. The concrete requirements on the professional knowledge, work experience and foreign language ability of a simulator instructor are put forward. The process of instructor training is designed. The training items include the trainer training, pedagogy training, time management training, operation activities training during outage of unit, 'shadow' training and on-the-jot training on simulator courses. Job rotation is realized between simulator instructor and licensing personnel on site. New simulator instructor must pass the qualification identification. After a duration of 2 years, re-qualification has to be carried out. On the basis of the operator training method introduced from EDF (electricite De France), some new courses are developed and the improvement on the initial training, retaining courses, the technical support and the experience feedback by using the simulator is done also. (authors)

Education, training, and human engineering in aerospace; SAE Aerotech '93, Costa Mesa, CA, Sep. 27-30, 1993

Science.gov (United States)

Shapiro, Diane C. (Editor); Norman, R. Michael (Editor)

1993-01-01

Advances in simulation technology are discussed by a number of government and industry experts, for both training and research and development applications. Advanced techniques, such as helmet-mounted information displays, neurocontrollers, automated training systems, and simulation for space-based systems are included. Advances in training methodology for air transportation are covered by a group of experts in that field, including discussions of advanced flight deck transition training, new training tools, and effective low cost alternatives for part-task training. With the ever-increasing emphasis on human factors in cockpit and cabin design, the section on research, advances, and certification criteria in that field is pertinent. NASA, aircraft manufacturing, and FAA representatives have compiled an informative group of presentations concerning active topics and considerations in human factors design.

A 3D virtual reality simulator for training of minimally invasive surgery.

Science.gov (United States)

Mi, Shao-Hua; Hou, Zeng-Gunag; Yang, Fan; Xie, Xiao-Liang; Bian, Gui-Bin

2014-01-01

For the last decade, remarkable progress has been made in the field of cardiovascular disease treatment. However, these complex medical procedures require a combination of rich experience and technical skills. In this paper, a 3D virtual reality simulator for core skills training in minimally invasive surgery is presented. The system can generate realistic 3D vascular models segmented from patient datasets, including a beating heart, and provide a real-time computation of force and force feedback module for surgical simulation. Instruments, such as a catheter or guide wire, are represented by a multi-body mass-spring model. In addition, a realistic user interface with multiple windows and real-time 3D views are developed. Moreover, the simulator is also provided with a human-machine interaction module that gives doctors the sense of touch during the surgery training, enables them to control the motion of a virtual catheter/guide wire inside a complex vascular model. Experimental results show that the simulator is suitable for minimally invasive surgery training.

A functional model for simulator based training in the pacific basin

International Nuclear Information System (INIS)

Lam, K.; MacBeth, M.J.

1998-01-01

According to expert estimate, the nuclear power installed capacity in the Pacific Basin region may reach 20 GWe by the year 2010. Facing a phenomenal growth in nuclear power development in the region, the development of high quality nuclear human resources for 'nuclear power ready' developing countries in the Pacific Basin is an important issue at this time. This paper recommends a timely and cost-effective functional training model to the Pacific Basin countries. The model utilizes high quality simulation executed on low cost and readily available PCs to deliver desktop simulator based training programs, as an efficient and economical complement to full scope simulators, which may not be available for initial training until five years after the NPP project has started. The objective is to ensure the goals of self-reliance and the transfer of necessary NPP knowledge at the onset of the project, to build up a technological infrastructure in areas vital for subsequent technical support of the NPP in design, commissioning, and operator training: comprehension of control systems; familiarization of plant responses to accident conditions; man machine interface (MMI) functions and interactions; early guide to commissioning and operating procedures; presentation to safety reviewers, etc. An example of this model is demonstrated with the use of the (1) CANDU 9 (CANada Deuterium Uranium 900 MW Pressurized Heavy Water Reactor) desktop nuclear simulator and (2) CASSIM (CASsiopeia SIMulation development system). (author)

Virtual Reality Simulator Systems in Robotic Surgical Training.

Science.gov (United States)

Mangano, Alberto; Gheza, Federico; Giulianotti, Pier Cristoforo

2018-06-01

The number of robotic surgical procedures has been increasing worldwide. It is important to maximize the cost-effectiveness of robotic surgical training and safely reduce the time needed for trainees to reach proficiency. The use of preliminary lab training in robotic skills is a good strategy for the rapid acquisition of further, standardized robotic skills. Such training can be done either by using a simulator or by exercises in a dry or wet lab. While the use of an actual robotic surgical system for training may be problematic (high cost, lack of availability), virtual reality (VR) simulators can overcome many of these obstacles. However, there is still a lack of standardization. Although VR training systems have improved, they cannot yet replace experience in a wet lab. In particular, simulated scenarios are not yet close enough to a real operative experience. Indeed, there is a difference between technical skills (i.e., mechanical ability to perform a simulated task) and surgical competence (i.e., ability to perform a real surgical operation). Thus, while a VR simulator can replace a dry lab, it cannot yet replace training in a wet lab or operative training in actual patients. However, in the near future, it is expected that VR surgical simulators will be able to provide total reality simulation and replace training in a wet lab. More research is needed to produce more wide-ranging, trans-specialty robotic curricula.

[The importance of simulation in team training on obstetric emergencies: results of the first phase of the national plan for continuous medical training].

Science.gov (United States)

Maio Matos, Francisco; Sousa Gomes, Andrea; Costa, Fernando Jorge; Santos Silva, Isabel; Carvalhas, Joana

2012-01-01

Obstetric emergencies are unexpected and random. The traditional model for medical training of these acute events has included lectures combined with sporadic clinical experiences, but this educational method has inherent limitations. Given the variety of manual skills that must be learned and high-risk environment, Obstetrics is uniquely suited for simulation. New technological educational tools provide an opportunity to learn and master technical skills needed in emergent situations as well as the opportunity to rehearse and learn from mistakes without risks to patients. The goals of this study are to assess which are the factors that trainees associate to human fallibility before and after clinical simulation based training; to compare the confidence level to solve emergent obstetric situations between interns and experts with up to 5 years of experience before and after training, and to determine the value that trainees give to simulation as a teaching tool on emergent events. 31 physicians participated at this course sessions. After the course, we verified changes in the factores that trainees associate to human fallibility, an increase in confidence level to solve emergent obstetric and an increase in the value that trainees give to simulation as a teaching tool.

14 CFR 121.407 - Training program: Approval of airplane simulators and other training devices.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Training program: Approval of airplane... Program § 121.407 Training program: Approval of airplane simulators and other training devices. (a) Each airplane simulator and other training device that is used in a training course permitted under § 121.409...

Users' Perception of Medical Simulation Training: A Framework for Adopting Simulator Technology

Science.gov (United States)

Green, Leili Hayati

2014-01-01

Users play a key role in many training strategies, yet some organizations often fail to understand the users' perception after a simulation training implementation, their attitude about acceptance or rejection of and integration of emerging simulation technology in medical training (Gaba, 2007, and Topol, 2012). Several factors are considered to…

The Development of Dispatcher Training Simulator in a Thermal Energy Generation System

Science.gov (United States)

Hakim, D. L.; Abdullah, A. G.; Mulyadi, Y.; Hasan, B.

2018-01-01

A dispatcher training simulator (DTS) is a real-time Human Machine Interface (HMI)-based control tool that is able to visualize industrial control system processes. The present study was aimed at developing a simulator tool for boilers in a thermal power station. The DTS prototype was designed using technical data of thermal power station boilers in Indonesia. It was then designed and implemented in Wonderware Intouch 10. The resulting simulator came with component drawing, animation, control display, alarm system, real-time trend, historical trend. This application used 26 tagnames and was equipped with a security system. The test showed that the principles of real-time control worked well. It is expected that this research could significantly contribute to the development of thermal power station, particularly in terms of its application as a training simulator for beginning dispatchers.

Perceptions, training experiences, and preferences of surgical residents toward laparoscopic simulation training: a resident survey.

Science.gov (United States)

Shetty, Shohan; Zevin, Boris; Grantcharov, Teodor P; Roberts, Kurt E; Duffy, Andrew J

2014-01-01

Simulation training for surgical residents can shorten learning curves, improve technical skills, and expedite competency. Several studies have shown that skills learned in the simulated environment are transferable to the operating room. Residency programs are trying to incorporate simulation into the resident training curriculum to supplement the hands-on experience gained in the operating room. Despite the availability and proven utility of surgical simulators and simulation laboratories, they are still widely underutilized by surgical trainees. Studies have shown that voluntary use leads to minimal participation in a training curriculum. Although there are several simulation tools, there is no clear evidence of the superiority of one tool over the other in skill acquisition. The purpose of this study was to explore resident perceptions, training experiences, and preferences regarding laparoscopic simulation training. Our goal was to profile resident participation in surgical skills simulation, recognize potential barriers to voluntary simulator use, and identify simulation tools and tasks preferred by residents. Furthermore, this study may help to inform whether mandatory/protected training time, as part of the residents' curriculum is essential to enhance participation in the simulation laboratory. A cross-sectional study on general surgery residents (postgraduate years 1-5) at Yale University School of Medicine and the University of Toronto via an online questionnaire was conducted. Overall, 67 residents completed the survey. The institutional review board approved the methods of the study. Overall, 95.5% of the participants believed that simulation training improved their laparoscopic skills. Most respondents (92.5%) perceived that skills learned during simulation training were transferrable to the operating room. Overall, 56.7% of participants agreed that proficiency in a simulation curriculum should be mandatory before operating room experience. The

Astronaut Neil Armstrong participates in simulation training

Science.gov (United States)

1969-01-01

Astronaut Neil A. Armstrong, Apollo 11 commander, participates in simulation training in preparation for the scheduled lunar landing mission. He is in the Apollo Lunar Module Mission SImulator in the Kennedy Space Center's Flight Crew Training Building.

Human-simulation-based learning to prevent medication error: A systematic review.

Science.gov (United States)

Sarfati, Laura; Ranchon, Florence; Vantard, Nicolas; Schwiertz, Vérane; Larbre, Virginie; Parat, Stéphanie; Faudel, Amélie; Rioufol, Catherine

2018-01-31

In the past 2 decades, there has been an increasing interest in simulation-based learning programs to prevent medication error (ME). To improve knowledge, skills, and attitudes in prescribers, nurses, and pharmaceutical staff, these methods enable training without directly involving patients. However, best practices for simulation for healthcare providers are as yet undefined. By analysing the current state of experience in the field, the present review aims to assess whether human simulation in healthcare helps to reduce ME. A systematic review was conducted on Medline from 2000 to June 2015, associating the terms "Patient Simulation," "Medication Errors," and "Simulation Healthcare." Reports of technology-based simulation were excluded, to focus exclusively on human simulation in nontechnical skills learning. Twenty-one studies assessing simulation-based learning programs were selected, focusing on pharmacy, medicine or nursing students, or concerning programs aimed at reducing administration or preparation errors, managing crises, or learning communication skills for healthcare professionals. The studies varied in design, methodology, and assessment criteria. Few demonstrated that simulation was more effective than didactic learning in reducing ME. This review highlights a lack of long-term assessment and real-life extrapolation, with limited scenarios and participant samples. These various experiences, however, help in identifying the key elements required for an effective human simulation-based learning program for ME prevention: ie, scenario design, debriefing, and perception assessment. The performance of these programs depends on their ability to reflect reality and on professional guidance. Properly regulated simulation is a good way to train staff in events that happen only exceptionally, as well as in standard daily activities. By integrating human factors, simulation seems to be effective in preventing iatrogenic risk related to ME, if the program is

Use of video taping during simulator training

International Nuclear Information System (INIS)

Helton, M.; Young, P.

1987-01-01

The use of a video camera for training is not a new idea and is used throughout the country for training in such areas as computers, car repair, music and even in such non-technical areas as fishing. Reviewing a taped simulator training session will aid the student in his job performance regardless of the position he holds in his organization. If the student is to be examined on simulator performance, video will aid in this training in many different ways

Kinematic Skeleton Based Control of a Virtual Simulator for Military Training

Directory of Open Access Journals (Sweden)

Soyeon Lee

2015-06-01

Full Text Available Virtual simulation technology has been considered as a highly efficient and cost-effective solution for a soldier training system, and evolved into diverse combinations of hardware and software. To maximize the virtual reality effect within a restricted space, a locomotion interface such as an omni-directional treadmill is introduced as a major component of a virtual simulator, therefore real time interaction between human and the virtual simulator becomes very important. Displacement and heading changes of the trainee are crucial information to control the virtual simulator when we implement highly reactive motion control for the omni-directional treadmill and interaction control of the virtual contents. This paper proposes a control parameter estimation algorithm for the virtual training simulator by using two types of motion capture sensors and presents the experimental results. Kinematic joint positions are analyzed to estimate the trainee’s location and velocity for feedback and feedforward control of the omni-directional treadmill. The accuracy of two approaches is evaluated by comparing with the reference system, which gives a ground truth value.

Simulation-based point-of-care ultrasound training

DEFF Research Database (Denmark)

Jensen, J K; Dyre, L; Jørgensen, M E

2018-01-01

before being performed on actual patients. The aim of this study was to investigate the learning curves for novices training the FAST protocol on a virtual-reality simulator. METHODS: Ultrasound novices (N = 25) were instructed to complete a FAST training program on a virtual-reality ultrasound simulator....... Participants were instructed to continue training until they reached a previously established mastery learning level, which corresponds to the performance level of a group of ultrasound experts. Performance scores and time used during each FAST examination were used to determine participants' learning curves....... RESULTS: The participants attained the mastery learning level within a median of three (range two to four) attempts corresponding to a median of 1 h 46 min (range 1 h 2 min to 3 h 37 min) of simulation training. The ultrasound novices' examination speed improved significantly with training, and continued...

Development of Reactor TRIGA PUSPATI Simulator for Education and Training

International Nuclear Information System (INIS)

Mohd Sabri Minhat; Zarina Masood; Muhammad Rawi Mohamed Zin

2016-01-01

The real-time simulator for Reactor TRIGA PUSPATI (RTP) which is under development. The main purpose of this simulator is operator training and a dynamic test bed (DTB) to test and validate the control logics in reactor regulating system (RRS) of RTP. The simulator configuration is divided into hardware and software. The simulator hardware consists of a host computer, operator station, a network switch, control rod drive mechanism and a large display panel. The RTP hardwired panel is replicated similar to real console. The software includes a mathematical model includes reactor kinetics and thermal-hydraulics that implements plant dynamics in real-time using LabVIEW, an instructor station module work as host computer that manages user instructions, and a human machine interface module as a graphical user interface which is used in the real RTP plant. The developed TRIGA reactor simulators are installed in the Malaysian Nuclear Agency nuclear training center for reactor operator training. To use the simulator as a dynamic test-bed, the reactor regulating system modeling software of the simulator was replaced by actual RRS cabinet which is consist of Programmable Logic Controller (PLC) S7-1500, and was interfaced using a hard-wired and network-based interface. RRS cabinet generates control signals for reactor power control based on the various feedback signals from DTB such as neutron detector signal and control rod positions, and the DTB runs plant dynamics based on the RRS control signals. Thus the Hardware-In-the-Loop Simulation between RRS and the emulated plant (DTB) has been implemented and tested in this configuration. Normal and abnormal case test have been emulated for this project. In conclusion, the functions and the control performance of the developed RTP dynamic test bed simulator have been tested showing reasonable and acceptable results. (author)

Surgical simulators in cataract surgery training.

Science.gov (United States)

Sikder, Shameema; Tuwairqi, Khaled; Al-Kahtani, Eman; Myers, William G; Banerjee, Pat

2014-02-01

Virtual simulators have been widely implemented in medical and surgical training, including ophthalmology. The increasing number of published articles in this field mandates a review of the available results to assess current technology and explore future opportunities. A PubMed search was conducted and a total of 10 articles were reviewed. Virtual simulators have shown construct validity in many modules, successfully differentiating user experience levels during simulated phacoemulsification surgery. Simulators have also shown improvements in wet-lab performance. The implementation of simulators in the residency training has been associated with a decrease in cataract surgery complication rates. Virtual reality simulators are an effective tool in measuring performance and differentiating trainee skill level. Additionally, they may be useful in improving surgical skill and patient outcomes in cataract surgery. Future opportunities rely on taking advantage of technical improvements in simulators for education and research.

Leveraging Health Care Simulation Technology for Human Factors Research: Closing the Gap Between Lab and Bedside.

Science.gov (United States)

Deutsch, Ellen S; Dong, Yue; Halamek, Louis P; Rosen, Michael A; Taekman, Jeffrey M; Rice, John

2016-11-01

We describe health care simulation, designed primarily for training, and provide examples of how human factors experts can collaborate with health care professionals and simulationists-experts in the design and implementation of simulation-to use contemporary simulation to improve health care delivery. The need-and the opportunity-to apply human factors expertise in efforts to achieve improved health outcomes has never been greater. Health care is a complex adaptive system, and simulation is an effective and flexible tool that can be used by human factors experts to better understand and improve individual, team, and system performance within health care. Expert opinion is presented, based on a panel delivered during the 2014 Human Factors and Ergonomics Society Health Care Symposium. Diverse simulators, physically or virtually representing humans or human organs, and simulation applications in education, research, and systems analysis that may be of use to human factors experts are presented. Examples of simulation designed to improve individual, team, and system performance are provided, as are applications in computational modeling, research, and lifelong learning. The adoption or adaptation of current and future training and assessment simulation technologies and facilities provides opportunities for human factors research and engineering, with benefits for health care safety, quality, resilience, and efficiency. Human factors experts, health care providers, and simulationists can use contemporary simulation equipment and techniques to study and improve health care delivery. © 2016, Human Factors and Ergonomics Society.

Modeling and simulating human teamwork behaviors using intelligent agents

Science.gov (United States)

Fan, Xiaocong; Yen, John

2004-12-01

Among researchers in multi-agent systems there has been growing interest in using intelligent agents to model and simulate human teamwork behaviors. Teamwork modeling is important for training humans in gaining collaborative skills, for supporting humans in making critical decisions by proactively gathering, fusing, and sharing information, and for building coherent teams with both humans and agents working effectively on intelligence-intensive problems. Teamwork modeling is also challenging because the research has spanned diverse disciplines from business management to cognitive science, human discourse, and distributed artificial intelligence. This article presents an extensive, but not exhaustive, list of work in the field, where the taxonomy is organized along two main dimensions: team social structure and social behaviors. Along the dimension of social structure, we consider agent-only teams and mixed human-agent teams. Along the dimension of social behaviors, we consider collaborative behaviors, communicative behaviors, helping behaviors, and the underpinning of effective teamwork-shared mental models. The contribution of this article is that it presents an organizational framework for analyzing a variety of teamwork simulation systems and for further studying simulated teamwork behaviors.

Simulation: Moving from Technology Challenge to Human Factors Success

International Nuclear Information System (INIS)

Gould, Derek A.; Chalmers, Nicholas; Johnson, Sheena J.; Kilkenny, Caroline; White, Mark D.; Bech, Bo; Lonn, Lars; Bello, Fernando

2012-01-01

Recognition of the many limitations of traditional apprenticeship training is driving new approaches to learning medical procedural skills. Among simulation technologies and methods available today, computer-based systems are topical and bring the benefits of automated, repeatable, and reliable performance assessments. Human factors research is central to simulator model development that is relevant to real-world imaging-guided interventional tasks and to the credentialing programs in which it would be used.

Exploiting the possibilities of simulators for driver training

NARCIS (Netherlands)

De Groot, S.

2013-01-01

Training in a simulator offers potential advantages compared to training in a non-simulated environment. Generally it is cheaper, safer, there is more control over the environment, and data collection is less complicated. These potential advantages give simulators the possibility to offer effective

Operator training simulator for nuclear power plant

International Nuclear Information System (INIS)

Shiozuka, Hiromi

1977-01-01

In nuclear power plants, training of the operators is important. In Japan, presently there are two training centers, one is BWR operation training center at Okuma-cho, Fukushima Prefecture, and another the nuclear power generation training center in Tsuruga City, Fukui Prefecture, where the operators of PWR nuclear power plants are trained. This report describes the BWR operation training center briefly. Operation of a nuclear power plant is divided into three stages of start-up, steady state operation, and shut down. Start-up is divided into the cold-state start-up after the shut down for prolonged period due to periodical inspection or others and the hot-state start-up from stand-by condition after the shut down for a short time. In the cold-state start-up, the correction of reactivity change and the heating-up control to avoid excessive thermal stress to the primary system components are important. The BWR operation training center offers the next three courses, namely beginner's course, retraining course and specific training course. The training period is 12 weeks and the number of trainees is eight/course in the beginner's course. The simulator was manufactured by modeling No. 3 plant of Fukushima First Nuclear Power Station, Tokyo Electric Power Co. The simulator is composed of the mimic central control panel and the digital computer. The software system comprises the monitor to supervise the whole program execution, the logic model simulating the plant interlock system and the dynamic model simulating the plant physical phenomena. (Wakatsuki, Y.)

[Simulation training in surgical education - application of virtual reality laparoscopic simulators in a surgical skills course].

Science.gov (United States)

Lehmann, K S; Gröne, J; Lauscher, J C; Ritz, J-P; Holmer, C; Pohlen, U; Buhr, H-J

2012-04-01

Training and simulation are gaining importance in surgical education. Today, virtual reality surgery simulators provide sophisticated laparoscopic training scenarios and offer detailed assessment methods. This also makes simulators interesting for the application in surgical skills courses. The aim of the current study was to assess the suitability of a virtual surgery simulator for training and assessment in an established surgical training course. The study was conducted during the annual "Practical Course for Visceral Surgery" (Warnemuende, Germany). 36 of 108 course participants were assigned at random for the study. Training was conducted in 15 sessions over 5 days with 4 identical virtual surgery simulators (LapSim) and 2 standardised training tasks. The simulator measured 16 individual parameters and calculated 2 scores. Questionnaires were used to assess the test persons' laparoscopic experience, their training situation and the acceptance of the simulator training. Data were analysed with non-parametric tests. A subgroup analysis for laparoscopic experience was conducted in order to assess the simulator's construct validity and assessment capabilities. Median age was 32 (27 - 41) years; median professional experience was 3 (1 - 11) years. Typical laparoscopic learning curves with initial significant improvements and a subsequent plateau phase were measured over 5 days. The individual training sessions exhibited a rhythmic variability in the training results. A shorter night's sleep led to a marked drop in performance. The participants' different experience levels could clearly be discriminated ( ≤ 20 vs. > 20 laparoscopic operations; p ≤ 0.001). The questionnaire showed that the majority of the participants had limited training opportunities in their hospitals. The simulator training was very well accepted. However, the participants severely misjudged the real costs of the simulators that were used. The learning curve on the

Study of Physiological Responses to Acute Carbon Monoxide Exposure with a Human Patient Simulator

Science.gov (United States)

Cesari, Whitney A.; Caruso, Dominique M.; Zyka, Enela L.; Schroff, Stuart T.; Evans, Charles H., Jr.; Hyatt, Jon-Philippe K.

2006-01-01

Human patient simulators are widely used to train health professionals and students in a clinical setting, but they also can be used to enhance physiology education in a laboratory setting. Our course incorporates the human patient simulator for experiential learning in which undergraduate university juniors and seniors are instructed to design,…

Innovative real time simulation training and nuclear probabilistic risk assessment

International Nuclear Information System (INIS)

Reisinger, M.F.

1991-01-01

Operator errors have been an area of public concern for the safe operation of nuclear power plants since the TMI2 incident. Simply stated, nuclear plants are very complex systems and the public is skeptical of the operators' ability to comprehend and deal with the vast indications and complexities of potential nuclear power plant events. Prior to the TMI2 incident, operator errors and human factors were not included as contributing factors in the Probabilistic Risk Assessment (PRA) studies of nuclear power plant accidents. More recent efforts in nuclear risk assessment have addressed some of the human factors affecting safe nuclear plant operations. One study found four major factors having significant impact on operator effectiveness. This paper discusses human factor PRAs, new applications in simulation training and the specific potential benefits from simulation in promoting safer operation of future power plants as well as current operating power plants

The simulator Neck-Mfgs and its training status

International Nuclear Information System (INIS)

Setnikar, T.; Pribozic, F.; Srebotnjak, E.; Gortnar, O.; Kovacic, J.; Stritar, A.

1998-01-01

This paper presents the status and training possibilities on Krsko NPP Multi-Functional Simulator (NEK-MFS). Since spring 1997 it serves as a training facility in Nuclear Training Center. During first year of operation the simulator NEK-MFS was found to be a very useful Krsko NPP specific tool which is capable to support both the initial operator training program and licensed operator retraining activities.(author)

[Non-biological 3D printed simulator for training in percutaneous nephro- lithotripsy].

Science.gov (United States)

Alyaev, Yu G; Sirota, E S; Bezrukov, E A; Ali, S Kh; Bukatov, M D; Letunovskiy, A V; Byadretdinov, I Sh

2018-03-01

To develop a non-biological 3D printed simulator for training and preoperative planning in percutaneous nephrolithotripsy (PCNL), which allows doctors to master and perform all stages of the operation under ultrasound and fluoroscopy guidance. The 3D model was constructed using multislice spiral computed tomography (MSCT) images of a patient with staghorn urolithiasis. The MSCT data were processed and used to print the model. The simulator consisted of two parts: a non-biological 3D printed soft model of a kidney with reproduced intra-renal vascular and collecting systems and a printed 3D model of a human body. Using this 3D printed simulator, PCNL was performed in the interventional radiology operating room under ultrasound and fluoroscopy guidance. The designed 3D printed model of the kidney completely reproduces the individual features of the intra-renal structures of the particular patient. During the training, all the main stages of PCNL were performed successfully: the puncture, dilation of the nephrostomy tract, endoscopic examination, intra-renal lithotripsy. Our proprietary 3D-printed simulator is a promising development in the field of endourologic training and preoperative planning in the treatment of complicated forms of urolithiasis.

Common modelling approaches for training simulators for nuclear power plants

International Nuclear Information System (INIS)

1990-02-01

Training simulators for nuclear power plant operating staff have gained increasing importance over the last twenty years. One of the recommendations of the 1983 IAEA Specialists' Meeting on Nuclear Power Plant Training Simulators in Helsinki was to organize a Co-ordinated Research Programme (CRP) on some aspects of training simulators. The goal statement was: ''To establish and maintain a common approach to modelling for nuclear training simulators based on defined training requirements''. Before adapting this goal statement, the participants considered many alternatives for defining the common aspects of training simulator models, such as the programming language used, the nature of the simulator computer system, the size of the simulation computers, the scope of simulation. The participants agreed that it was the training requirements that defined the need for a simulator, the scope of models and hence the type of computer complex that was required, the criteria for fidelity and verification, and was therefore the most appropriate basis for the commonality of modelling approaches. It should be noted that the Co-ordinated Research Programme was restricted, for a variety of reasons, to consider only a few aspects of training simulators. This report reflects these limitations, and covers only the topics considered within the scope of the programme. The information in this document is intended as an aid for operating organizations to identify possible modelling approaches for training simulators for nuclear power plants. 33 refs

Human factors in resuscitation: Lessons learned from simulator studies

Directory of Open Access Journals (Sweden)

Hunziker S

2010-01-01

Full Text Available Medical algorithms, technical skills, and repeated training are the classical cornerstones for successful cardiopulmonary resuscitation (CPR. Increasing evidence suggests that human factors, including team interaction, communication, and leadership, also influence the performance of CPR. Guidelines, however, do not yet include these human factors, partly because of the difficulties of their measurement in real-life cardiac arrest. Recently, clinical studies of cardiac arrest scenarios with high-fidelity video-assisted simulations have provided opportunities to better delineate the influence of human factors on resuscitation team performance. This review focuses on evidence from simulator studies that focus on human factors and their influence on the performance of resuscitation teams. Similar to studies in real patients, simulated cardiac arrest scenarios revealed many unnecessary interruptions of CPR as well as significant delays in defibrillation. These studies also showed that human factors play a major role in these shortcomings and that the medical performance depends on the quality of leadership and team-structuring. Moreover, simulated video-taped medical emergencies revealed that a substantial part of information transfer during communication is erroneous. Understanding the impact of human factors on the performance of a complex medical intervention like resuscitation requires detailed, second-by-second, analysis of factors involving the patient, resuscitative equipment such as the defibrillator, and all team members. Thus, high-fidelity simulator studies provide an important research method in this challenging field.

The HTR-PM Plant Full Scope Training Simulator

International Nuclear Information System (INIS)

Wang Junsan; Wang Yuding; Zhou Shuyong; Cai Ruizhong; Cao Jianting

2014-01-01

This paper describes the technical aspects of the Full Scope Training Simulator developed for HTR-PM Plant in Shidao Bay, Shandong Province, China. An overview of the HTR-PM plant and simulator structure is presented. The models developed for the simulator are discussed in detail. Some important verification tests have been conducted on the HTR-PM Plant Training Simulator. (author)

MBRRACE in simulation: an evaluation of a multi-disciplinary simulation training for medical emergencies in obstetrics (MEmO).

Science.gov (United States)

Lavelle, Mary; Abthorpe, Jennifer; Simpson, Thomas; Reedy, Gabriel; Little, Fiona; Banerjee, Anita

2018-03-21

The majority of maternal deaths in the UK are due to pre-existing or new-onset medical conditions, known as 'indirect deaths'. The MBRRACE report identified serious gaps in clinicians' human factors skills, including communication, leadership and teamwork, which contributed to maternal death. In response, we developed the first multi-disciplinary simulation-based training programme designed to address Medical Emergencies in Obstetrics (MEmO). Employing a mixed methods design, this study evaluated the educational impact of this training programme on the healthcare staff (n = 140), including the medical doctors (n = 91) and the midwives (n = 49). The training improved participants' clinical management of medical deterioration in pregnancy (p=.003) alongside improving their human factors skills (p=.004). Furthermore, participants reported the translation of these skills to their routine clinical practice. This flexible training is responsive to the changing national needs and contextualises the MBRRACE findings for healthcare staff. It is a promising avenue for reducing the rates of in-direct death in pregnancy. Impact statement What is already known on this subject? The majority of maternal deaths in the UK are due to pre-existing or new-onset medical conditions. The management of medical conditions in pregnancy relies on a multi-professional approach. However, serious gaps in clinicians' human factors skills, highlighted by the MBRRACE report, may contribute to maternal death. What do the results of this study add? This study evaluated the first multi-disciplinary, simulation-based training programme designed to address Medical Emergencies in Obstetrics (MEmO). Training significantly improved participants' management of medical deterioration in pregnancy and human factors skills, particularly in the areas of leadership, communication and teamwork. Moreover, the participants learning translated into their clinical practice. What are the implications of

Progress in virtual reality simulators for surgical training and certification.

Science.gov (United States)

de Visser, Hans; Watson, Marcus O; Salvado, Olivier; Passenger, Joshua D

2011-02-21

There is increasing evidence that educating trainee surgeons by simulation is preferable to traditional operating-room training methods with actual patients. Apart from reducing costs and risks to patients, training by simulation can provide some unique benefits, such as greater control over the training procedure and more easily defined metrics for assessing proficiency. Virtual reality (VR) simulators are now playing an increasing role in surgical training. However, currently available VR simulators lack the fidelity to teach trainees past the novice-to-intermediate skills level. Recent technological developments in other industries using simulation, such as the games and entertainment and aviation industries, suggest that the next generation of VR simulators should be suitable for training, maintenance and certification of advanced surgical skills. To be effective as an advanced surgical training and assessment tool, VR simulation needs to provide adequate and relevant levels of physical realism, case complexity and performance assessment. Proper validation of VR simulators and an increased appreciation of their value by the medical profession are crucial for them to be accepted into surgical training curricula.

Simulation-based training for thoracoscopic lobectomy

DEFF Research Database (Denmark)

Jensen, Katrine; Ringsted, Charlotte; Hansen, Henrik Jessen

2014-01-01

overcome the first part of the learning curve, but no virtual-reality simulators for thoracoscopy are commercially available. This study aimed to investigate whether training on a laparoscopic simulator enables trainees to perform a thoracoscopic lobectomy. METHODS: Twenty-eight surgical residents were...... randomized to either virtual-reality training on a nephrectomy module or traditional black-box simulator training. After a retention period they performed a thoracoscopic lobectomy on a porcine model and their performance was scored using a previously validated assessment tool. RESULTS: The groups did...... not differ in age or gender. All participants were able to complete the lobectomy. The performance of the black-box group was significantly faster during the test scenario than the virtual-reality group: 26.6 min (SD 6.7 min) versus 32.7 min (SD 7.5 min). No difference existed between the two groups when...

Surgical simulation in orthopaedic skills training.

Science.gov (United States)

Atesok, Kivanc; Mabrey, Jay D; Jazrawi, Laith M; Egol, Kenneth A

2012-07-01

Mastering rapidly evolving orthopaedic surgical techniques requires a lengthy period of training. Current work-hour restrictions and cost pressures force trainees to face the challenge of acquiring more complex surgical skills in a shorter amount of time. As a result, alternative methods to improve the surgical skills of orthopaedic trainees outside the operating room have been developed. These methods include hands-on training in a laboratory setting using synthetic bones or cadaver models as well as software tools and computerized simulators that enable trainees to plan and simulate orthopaedic operations in a three-dimensional virtual environment. Laboratory-based training offers potential benefits in the development of basic surgical skills, such as using surgical tools and implants appropriately, achieving competency in procedures that have a steep learning curve, and assessing already acquired skills while minimizing concerns for patient safety, operating room time, and financial constraints. Current evidence supporting the educational advantages of surgical simulation in orthopaedic skills training is limited. Despite this, positive effects on the overall education of orthopaedic residents, and on maintaining the proficiency of practicing orthopaedic surgeons, are anticipated.

Simulation in training for nuclear power plant operators

International Nuclear Information System (INIS)

Stammers, R.B.

1979-08-01

The need for simulation in nuclear operator training is reviewed, and the use of simulators is justified on a number of criteria. The role of simulators is discussed against the background of training media that are or could be used. The question of the degree of realism or fidelity of simulation is tackled, with comparisons being made between views from the industry and views from the area of instructional technology. Training research in the general area of process control is outlined and emphasis is placed on the importance of instructional control. Finally, some future directions for study are sketched. (author)

Decision process simulation in training systems

International Nuclear Information System (INIS)

Zajtsev, K.S.; Serov, A.A.; Ajnutdinov, V.A.

1984-01-01

One of the approaches to arrangement of training process an automated trainning systems (ATS) based on actjve use of knowledge of experienced operators is presented. Problems of mathematical model simulatjon of decision process by people not having special knowledge in mathematics are considered. A language of solution tables based on indistinct tables is suggested to the used as a simulation language. The problem of automation of decision process simulation in ATS is solued

Emotion, cognitive load and learning outcomes during simulation training.

Science.gov (United States)

Fraser, Kristin; Ma, Irene; Teteris, Elise; Baxter, Heather; Wright, Bruce; McLaughlin, Kevin

2012-11-01

Simulation training has emerged as an effective way to complement clinical training of medical students. Yet outcomes from simulation training must be considered suboptimal when 25-30% of students fail to recognise a cardiac murmur on which they were trained 1 hour previously. There are several possible explanations for failure to improve following simulation training, which include the impact of heightened emotions on learning and cognitive overload caused by interactivity with high-fidelity simulators. This study was conducted to assess emotion during simulation training and to explore the relationships between emotion and cognitive load, and diagnostic performance. We trained 84 Year 1 medical students on a scenario of chest pain caused by symptomatic aortic stenosis. After training, students were asked to rate their emotional state and cognitive load. We then provided training on a dyspnoea scenario before asking participants to diagnose the murmur in which they had been trained (aortic stenosis) and a novel murmur (mitral regurgitation). We used factor analysis to identify the principal components of emotion, and then studied the associations between these components of emotion and cognitive load and diagnostic performance. We identified two principal components of emotion, which we felt represented invigoration and tranquillity. Both of these were associated with cognitive load with adjusted regression coefficients of 0.63 (95% confidence interval [CI] 0.28-0.99; p = 0.001) and - 0.44 (95% CI - 0.77 to - 0.10; p = 0.009), respectively. We found a significant negative association between cognitive load and the odds of subsequently identifying the trained murmur (odds ratio 0.27, 95% CI 0.11-0.67; p = 0.004). We found that increased invigoration and reduced tranquillity during simulation training were associated with increased cognitive load, and that the likelihood of correctly identifying a trained murmur declined with increasing cognitive load. Further

A High-Speed Train Operation Plan Inspection Simulation Model

Directory of Open Access Journals (Sweden)

Yang Rui

2018-01-01

Full Text Available We developed a train operation simulation tool to inspect a train operation plan. In applying an improved Petri Net, the train was regarded as a token, and the line and station were regarded as places, respectively, in accordance with the high-speed train operation characteristics and network function. Location change and running information transfer of the high-speed train were realized by customizing a variety of transitions. The model was built based on the concept of component combination, considering the random disturbance in the process of train running. The simulation framework can be generated quickly and the system operation can be completed according to the different test requirements and the required network data. We tested the simulation tool when used for the real-world Wuhan to Guangzhou high-speed line. The results showed that the proposed model can be developed, the simulation results basically coincide with the objective reality, and it can not only test the feasibility of the high-speed train operation plan, but also be used as a support model to develop the simulation platform with more capabilities.

Verification and validation methodology of training simulators

International Nuclear Information System (INIS)

Hassan, M.W.; Khan, N.M.; Ali, S.; Jafri, M.N.

1997-01-01

A full scope training simulator comprising of 109 plant systems of a 300 MWe PWR plant contracted by Pakistan Atomic Energy Commission (PAEC) from China is near completion. The simulator has its distinction in the sense that it will be ready prior to fuel loading. The models for the full scope training simulator have been developed under APROS (Advanced PROcess Simulator) environment developed by the Technical Research Center (VTT) and Imatran Voima (IVO) of Finland. The replicated control room of the plant is contracted from Shanghai Nuclear Engineering Research and Design Institute (SNERDI), China. The development of simulation models to represent all the systems of the target plant that contribute to plant dynamics and are essential for operator training has been indigenously carried out at PAEC. This multifunctional simulator is at present under extensive testing and will be interfaced with the control planes in March 1998 so as to realize a full scope training simulator. The validation of the simulator is a joint venture between PAEC and SNERDI. For the individual components and the individual plant systems, the results have been compared against design data and PSAR results to confirm the faithfulness of the simulator against the physical plant systems. The reactor physics parameters have been validated against experimental results and benchmarks generated using design codes. Verification and validation in the integrated state has been performed against the benchmark transients conducted using the RELAP5/MOD2 for the complete spectrum of anticipated transient covering the well known five different categories. (author)

Classification and optimization of training tools for NPP simulator

International Nuclear Information System (INIS)

Billoen, G. van

1994-01-01

The training cycle of nuclear power plant (NPP) operators has evolved during the last decade in parallel with the evolution of the training tools. The phases of the training cycle can be summarized as follows: (1) basic principle learning, (2) specific functional training, (3) full operating range training, and (4) detailed accident analyses. The progress in simulation technology and man/machine interface (MMI) gives the training centers new opportunities to improve their training methods and effectiveness in the transfer of knowledge. To take advantage of these new opportunities a significant investment in simulation tools may be required. It is therefore important to propose an optimized approach when dealing with the overall equipment program for these training centers. An overall look of tools proposed on the international simulation market shows that there is a need for systematic approach in this field. Classification of the different training tools needed for each training cycle is the basis for an optimized approach in terms of hardware configuration and software specifications of the equipment to install in training centers. The 'Multi-Function Simulator' is one of the approaches. (orig.) (3 tabs.)

Phasor Simulator for Operator Training Project

Energy Technology Data Exchange (ETDEWEB)

Dyer, Jim [Electric Power Group, Llc, Pasadena, CA (United States)

2016-09-14

Synchrophasor systems are being deployed in power systems throughout the North American Power Grid and there are plans to integrate this technology and its associated tools into Independent System Operator (ISO)/utility control room operations. A pre-requisite to using synchrophasor technologies in control rooms is for operators to obtain training and understand how to use this technology in real-time situations. The Phasor Simulator for Operator Training (PSOT) project objective was to develop, deploy and demonstrate a pre-commercial training simulator for operators on the use of this technology and to promote acceptance of the technology in utility and ISO/Regional Transmission Owner (RTO) control centers.

The effect of metacognitive monitoring feedback on performance in a computer-based training simulation.

Science.gov (United States)

Kim, Jung Hyup

2018-02-01

This laboratory experiment was designed to study the effect of metacognitive monitoring feedback on performance in a computer-based training simulation. According to prior research on metacognition, the accurate checking of learning is a critical part of improving the quality of human performance. However, only rarely have researchers studied the learning effects of the accurate checking of retrospective confidence judgments (RCJs) during a computer-based military training simulation. In this study, we provided participants feedback screens after they had completed a warning task and identification task in a radar monitoring simulation. There were two groups in this experiment. One group (group A) viewed the feedback screens with the flight path of all target aircraft and the triangular graphs of both RCJ scores and human performance together. The other group (group B) only watched the feedback screens with the flight path of all target aircraft. There was no significant difference in performance improvement between groups A and B for the warning task (Day 1: group A - 0.347, group B - 0.305; Day 2: group A - 0.488, group B - 0.413). However, the identification task yielded a significant difference in performance improvement between these groups (Day 1: group A - 0.174, group B - 0.1555; Day 2: group A - 0.324, group B - 0.199). The results show that debiasing self-judgment of the identification task produces a positive training effect on learners. The findings of this study will be beneficial for designing an advanced instructional strategy in a simulation-based training environment. Copyright © 2017 Elsevier Ltd. All rights reserved.

Training of nuclear power plant personnel in the German simulator centre

International Nuclear Information System (INIS)

Hoffmann, E.

1999-01-01

The paper describes the German simulator scene. The simulator training is mainly being performed in a centre. The simulators used are nothing but fullscope simulators and were specified and built in accordance to a common design requirements philosophy. The simulators also support theoretical training by means of data processing devices in the classrooms, being connected to the simulators. As the quality of simulator training depends at least as much upon the instructors qualification as upon the simulators, the centre makes every effort to qualify and train their instructors including a final license and the obligation for maintaining competence. All simulator courses are prepared individually according to a common quality standard. The outcome of the course preparation are training materials for the instructors, the trainees and as well for the assessing course observers. The used assessment system is based on an observation of the trainees. Instructors and plant representatives evaluate the trainees performance against a detailed set of predefined training goals. It is the Simulator Centre's continuous effort to optimize all elements of simulator training, the simulators, the instructors and the didactical methods. (author)

Ultrasound-Guided Regional Anesthesia Simulation Training: A Systematic Review.

Science.gov (United States)

Chen, Xiao Xu; Trivedi, Vatsal; AlSaflan, AbdulHadi A; Todd, Suzanne Clare; Tricco, Andrea C; McCartney, Colin J L; Boet, Sylvain

Ultrasound-guided regional anesthesia (UGRA) has become the criterion standard of regional anesthesia practice. Ultrasound-guided regional anesthesia teaching programs often use simulation, and guidelines have been published to help guide URGA education. This systematic review aimed to examine the effectiveness of simulation-based education for the acquisition and maintenance of competence in UGRA. Studies identified in MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC were included if they assessed simulation-based UGRA teaching with outcomes measured at Kirkpatrick level 2 (knowledge and skills), 3 (transfer of learning to the workplace), or 4 (patient outcomes). Two authors independently reviewed all identified references for eligibility, abstracted data, and appraised quality. After screening 176 citations and 45 full-text articles, 12 studies were included. Simulation-enhanced training improved knowledge acquisition (Kirkpatrick level 2) when compared with nonsimulation training. Seven studies measuring skill acquisition (Kirkpatrick level 2) found that simulation-enhanced UGRA training was significantly more effective than alternative teaching methods or no intervention. One study measuring transfer of learning into the clinical setting (Kirkpatrick level 3) found no difference between simulation-enhanced UGRA training and non-simulation-based training. However, this study was discontinued early because of technical challenges. Two studies examined patient outcomes (Kirkpatrick level 4), and one of these found that simulation-based UGRA training improved patient outcomes compared with didactic teaching. Ultrasound-guided regional anesthesia knowledge and skills significantly improved with simulation training. The acquired UGRA skills may be transferred to the clinical setting; however, further studies are required to confirm these changes translate to improved patient outcomes.

Virtual reality simulation training of mastoidectomy - studies on novice performance.

Science.gov (United States)

Andersen, Steven Arild Wuyts

2016-08-01

Virtual reality (VR) simulation-based training is increasingly used in surgical technical skills training including in temporal bone surgery. The potential of VR simulation in enabling high-quality surgical training is great and VR simulation allows high-stakes and complex procedures such as mastoidectomy to be trained repeatedly, independent of patients and surgical tutors, outside traditional learning environments such as the OR or the temporal bone lab, and with fewer of the constraints of traditional training. This thesis aims to increase the evidence-base of VR simulation training of mastoidectomy and, by studying the final-product performances of novices, investigates the transfer of skills to the current gold-standard training modality of cadaveric dissection, the effect of different practice conditions and simulator-integrated tutoring on performance and retention of skills, and the role of directed, self-regulated learning. Technical skills in mastoidectomy were transferable from the VR simulation environment to cadaveric dissection with significant improvement in performance after directed, self-regulated training in the VR temporal bone simulator. Distributed practice led to a better learning outcome and more consolidated skills than massed practice and also resulted in a more consistent performance after three months of non-practice. Simulator-integrated tutoring accelerated the initial learning curve but also caused over-reliance on tutoring, which resulted in a drop in performance when the simulator-integrated tutor-function was discontinued. The learning curves were highly individual but often plateaued early and at an inadequate level, which related to issues concerning both the procedure and the VR simulator, over-reliance on the tutor function and poor self-assessment skills. Future simulator-integrated automated assessment could potentially resolve some of these issues and provide trainees with both feedback during the procedure and immediate

Physically realistic modeling of maritime training simulation

OpenAIRE

Cieutat , Jean-Marc

2003-01-01

Maritime training simulation is an important matter of maritime teaching, which requires a lot of scientific and technical skills.In this framework, where the real time constraint has to be maintained, all physical phenomena cannot be studied; the most visual physical phenomena relating to the natural elements and the ship behaviour are reproduced only. Our swell model, based on a surface wave simulation approach, permits to simulate the shape and the propagation of a regular train of waves f...

Simulators IV

International Nuclear Information System (INIS)

Fairchild, B.T.

1987-01-01

These proceedings contain papers on simulators with artificial intelligence, and the human decision making process; visuals for simulators: human factors, training, and psycho-physical impacts; the role of institutional structure on simulation projects; maintenance trainers for economic value and safety; biomedical simulators for understanding nature, for medical benefits, and the physiological effects of simulators; the mathematical models and numerical techniques that drive today's simulators; and the demography of simulators, with census papers identifying the population of real-time simulator training devices; nuclear reactors

Can training improve human performance

International Nuclear Information System (INIS)

Waylett, W.J. Jr.

1986-01-01

The nuclear industry has made a significant commitment to improve training through the implementation of performance-based training programs. Senior management expects that human performance improvement will result from this significant resource allocation. The author examines this hypothesis and discusses other issues that may interfere with enhancing human performance through training. The integration of quality improvement concepts to support training is also discussed by the author, who was a pioneer facilitator during the development of Florida Power and Light Company's Quality Improvement Program. Critical success factors are proposed based on the author's experience as a plant manager, training manager and quality facilitator

Airway management education: simulation based training versus non-simulation based training-A systematic review and meta-analyses.

Science.gov (United States)

Sun, Yanxia; Pan, Chuxiong; Li, Tianzuo; Gan, Tong J

2017-02-01

Simulation-based training (SBT) has become a standard for medical education. However, the efficacy of simulation based training in airway management education remains unclear. The aim of this study was to evaluate all published evidence comparing the effectiveness of SBT for airway management versus non-simulation based training (NSBT) on learner and patient outcomes. Systematic review with meta-analyses were used. Data were derived from PubMed, EMBASE, CINAHL, Scopus, the Cochrane Controlled Trials Register and Cochrane Database of Systematic Reviews from inception to May 2016. Published comparative trials that evaluated the effect of SBT on airway management training in compared with NSBT were considered. The effect sizes with 95% confidence intervals (CI) were calculated for outcomes measures. Seventeen eligible studies were included. SBT was associated with improved behavior performance [standardized mean difference (SMD):0.30, 95% CI: 0.06 to 0.54] in comparison with NSBT. However, the benefits of SBT were not seen in time-skill (SMD:-0.13, 95% CI: -0.82 to 0.52), written examination score (SMD: 0.39, 95% CI: -0.09 to 0.86) and success rate of procedure completion on patients [relative risk (RR): 1.26, 95% CI: 0.96 to 1.66]. SBT may be not superior to NSBT on airway management training.

Simulation-based training for nurses: Systematic review and meta-analysis.

Science.gov (United States)

Hegland, Pål A; Aarlie, Hege; Strømme, Hilde; Jamtvedt, Gro

2017-07-01

Simulation-based training is a widespread strategy to improve health-care quality. However, its effect on registered nurses has previously not been established in systematic reviews. The aim of this systematic review is to evaluate effect of simulation-based training on nurses' skills and knowledge. We searched CDSR, DARE, HTA, CENTRAL, CINAHL, MEDLINE, Embase, ERIC, and SveMed+ for randomised controlled trials (RCT) evaluating effect of simulation-based training among nurses. Searches were completed in December 2016. Two reviewers independently screened abstracts and full-text, extracted data, and assessed risk of bias. We compared simulation-based training to other learning strategies, high-fidelity simulation to other simulation strategies, and different organisation of simulation training. Data were analysed through meta-analysis and narrative syntheses. GRADE was used to assess the quality of evidence. Fifteen RCTs met the inclusion criteria. For the comparison of simulation-based training to other learning strategies on nurses' skills, six studies in the meta-analysis showed a significant, but small effect in favour of simulation (SMD -1.09, CI -1.72 to -0.47). There was large heterogeneity (I 2 85%). For the other comparisons, there was large between-study variation in results. The quality of evidence for all comparisons was graded as low. The effect of simulation-based training varies substantially between studies. Our meta-analysis showed a significant effect of simulation training compared to other learning strategies, but the quality of evidence was low indicating uncertainty. Other comparisons showed inconsistency in results. Based on our findings simulation training appears to be an effective strategy to improve nurses' skills, but further good-quality RCTs with adequate sample sizes are needed. Copyright © 2017 Elsevier Ltd. All rights reserved.

The German VR Simulation Realism Scale--psychometric construction for virtual reality applications with virtual humans.

Science.gov (United States)

Poeschl, Sandra; Doering, Nicola

2013-01-01

Virtual training applications with high levels of immersion or fidelity (for example for social phobia treatment) produce high levels of presence and therefore belong to the most successful Virtual Reality developments. Whereas display and interaction fidelity (as sub-dimensions of immersion) and their influence on presence are well researched, realism of the displayed simulation depends on the specific application and is therefore difficult to measure. We propose to measure simulation realism by using a self-report questionnaire. The German VR Simulation Realism Scale for VR training applications was developed based on a translation of scene realism items from the Witmer-Singer-Presence Questionnaire. Items for realism of virtual humans (for example for social phobia training applications) were supplemented. A sample of N = 151 students rated simulation realism of a Fear of Public Speaking application. Four factors were derived by item- and principle component analysis (Varimax rotation), representing Scene Realism, Audience Behavior, Audience Appearance and Sound Realism. The scale developed can be used as a starting point for future research and measurement of simulation realism for applications including virtual humans.

Training of nuclear power plant personnel on Czechoslovak WWER-440 simulator

International Nuclear Information System (INIS)

Dugovic, M.

1985-01-01

The aim of simulator training is to train personnel for control work observing technical and technological regulations of nuclear power plant operation. Training is implemented in two forms: basic training and recurrent training. The daily regime of the training course is divided into theoretical education, simulator training and evaluation. Simulator training is oriented to the preparation of the workplace, presentation, controlled intermittent work and independent control work. (J.C.)

Sophistication of operator training using BWR plant simulator

International Nuclear Information System (INIS)

Ohshiro, Nobuo; Endou, Hideaki; Fujita, Eimitsu; Miyakita, Kouji

1986-01-01

In Japanese nuclear power stations, owing to the improvement of fuel management, thorough maintenance and inspection, and the improvement of facilities, high capacity ratio has been attained. The thorough training of operators in nuclear power stations also contributes to it sufficiently. The BWR operator training center was established in 1971, and started the training of operators in April, 1974. As of the end of March, 1986, more than 1800 trainees completed training. At present, in the BWR operator training center, No.1 simulator of 800 MW class and No.2 simulator of 1100 MW class are operated for training. In this report, the method, by newly adopting it, good result was obtained, is described, that is, the method of introducing the feeling of being present on the spot into the place of training, and the new testing method introduced in retraining course. In the simulator training which is apt to place emphasis on a central control room, the method of stimulating trainees by playing the part of correspondence on the spot and heightening the training effect of multiple monitoring was tried, and the result was confirmed. The test of confirmation on the control board was added. (Kako, I.)

Training for teamwork through in situ simulations

Science.gov (United States)

Sorensen, Asta; Poehlman, Jon; Bollenbacher, John; Riggan, Scott; Davis, Stan; Miller, Kristi; Ivester, Thomas; Kahwati, Leila

2015-01-01

In situ simulations allow healthcare teams to practice teamwork and communication as well as clinical management skills in a team's usual work setting with typically available resources and equipment. The purpose of this video is to demonstrate how to plan and conduct in situ simulation training sessions, with particular emphasis on how such training can be used to improve communication and teamwork. The video features an in situ simulation conducted at a labour and delivery unit in response to postpartum hemorrhage. PMID:26294962

Current status of endoscopic simulation in gastroenterology fellowship training programs.

Science.gov (United States)

Jirapinyo, Pichamol; Thompson, Christopher C

2015-07-01

Recent guidelines have encouraged gastroenterology and surgical training programs to integrate simulation into their core endoscopic curricula. However, the role that simulation currently has within training programs is unknown. This study aims to assess the current status of simulation among gastroenterology fellowship programs. This questionnaire study consisted of 38 fields divided into two sections. The first section queried program directors' experience on simulation and assessed the current status of simulation at their institution. The second portion surveyed their opinion on the potential role of simulation on the training curriculum. The study was conducted at the 2013 American Gastroenterological Association Training Directors' Workshop in Phoenix, Arizona. The participants were program directors from Accreditation Council for Graduate Medical Education accredited gastroenterology training programs, who attended the workshop. The questionnaire was returned by 69 of 97 program directors (response rate of 71%). 42% of programs had an endoscopic simulator. Computerized simulators (61.5%) were the most common, followed by mechanical (30.8%) and animal tissue (7.7%) simulators, respectively. Eleven programs (15%) required fellows to use simulation prior to clinical cases. Only one program has a minimum number of hours fellows have to participate in simulation training. Current simulators are deemed as easy to use (76%) and good educational tools (65%). Problems are cost (72%) and accessibility (69%). The majority of program directors believe that there is a need for endoscopic simulator training, with only 8% disagreeing. Additionally, a majority believe there is a role for simulation prior to initiation of clinical cases with 15% disagreeing. Gastroenterology fellowship program directors widely recognize the importance of simulation. Nevertheless, simulation is used by only 42% of programs and only 15% of programs require that trainees use simulation prior to

Simple simulation training system for short-wave radio station

Science.gov (United States)

Tan, Xianglin; Shao, Zhichao; Tu, Jianhua; Qu, Fuqi

2018-04-01

The short-wave radio station is a most important transmission equipment of our signal corps, but in the actual teaching process, which exist the phenomenon of fewer equipment and more students, making the students' short-wave radio operation and practice time is very limited. In order to solve the above problems, to carry out shortwave radio simple simulation training system development is very necessary. This project is developed by combining hardware and software to simulate the voice communication operation and signal principle of shortwave radio station, and can test the signal flow of shortwave radio station. The test results indicate that this system is simple operation, human-machine interface friendly and can improve teaching more efficiency.

Central venous catheterization training: current perspectives on the role of simulation

Science.gov (United States)

Soffler, Morgan I; Hayes, Margaret M; Smith, C Christopher

2018-01-01

Simulation is a popular and effective training modality in medical education across a variety of domains. Central venous catheterization (CVC) is commonly undertaken by trainees, and carries significant risk for patient harm when carried out incorrectly. Multiple studies have evaluated the efficacy of simulation-based training programs, in comparison with traditional training modalities, on learner and patient outcomes. In this review, we discuss relevant adult learning principles that support simulation-based CVC training, review the literature on simulation-based CVC training, and highlight the use of simulation-based CVC training programs at various institutions. PMID:29872360

The effect of distributed virtual reality simulation training on cognitive load during subsequent dissection training.

Science.gov (United States)

Andersen, Steven Arild Wuyts; Konge, Lars; Sørensen, Mads Sølvsten

2018-05-07

Complex tasks such as surgical procedures can induce excessive cognitive load (CL), which can have a negative effect on learning, especially for novices. To investigate if repeated and distributed virtual reality (VR) simulation practice induces a lower CL and higher performance in subsequent cadaveric dissection training. In a prospective, controlled cohort study, 37 residents in otorhinolaryngology received VR simulation training either as additional distributed practice prior to course participation (intervention) (9 participants) or as standard practice during the course (control) (28 participants). Cognitive load was estimated as the relative change in secondary-task reaction time during VR simulation and cadaveric procedures. Structured distributed VR simulation practice resulted in lower mean reaction times (32% vs. 47% for the intervention and control group, respectively, p training. Repeated and distributed VR simulation causes a lower CL to be induced when the learning situation is increased in complexity. A suggested mechanism is the formation of mental schemas and reduction of the intrinsic CL. This has potential implications for surgical skills training and suggests that structured, distributed training be systematically implemented in surgical training curricula.

Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs.

Science.gov (United States)

Wong, Jonathan; Finan, Emer; Campbell, Douglas

2017-07-08

Introduction Simulation is used for the delivery of education and on occasion assessment. Before such a tool is used routinely in neonatal training programs across Canada, a need assessment is required to determine its current usage by accredited training programs. Our aim was to characterize the type of simulation modalities used and the perceived simulation-based training needs in Canadian neonatal-perinatal medicine (NPM) training programs. Methods A 22-item and 13-item online descriptive survey was sent to all NPM program directors and fellows in Canada, respectively. The survey was modeled on a previously validated tool by Johnston, et al. and responses were collected over 30 days. Results In total, eight (63%) program directors and 24 (28%) fellows completed the survey, with all respondents indicating that simulation is being used. Both lab-based and in situ simulations are occurring, with a range of simulation modalities employed to primarily teach resuscitation, procedural and communication skills. Fellows indicated that simulation should also be used to also teach other important topics, including disease-specific management, crisis resource management, and prevention of medical error. Five (63%) programs have faculty with formal simulation training and four (50%) programs have at least one faculty involved in simulation research. Conclusion Simulation is widely used in Canadian NPM training programs, with program directors and fellows identifying this as an important tool. Simulation can be used to teach a range of skills, but programs need to align their curriculum with both training objectives and learner needs. There is an opportunity for faculty development and increased simulation research.

[Simulation as possible training for palliative emergencies: prospective initial data analysis of participants from two simulation training sessions].

Science.gov (United States)

Wiese, C H R; Bosse, G; Schröder, T; Lassen, C L; Bundscherer, A C; Graf, B M; Zausig, Y A

2015-01-01

Palliative emergencies describe an acute situation in patients with a life-limiting illness. At present defined curricula for prehospital emergency physician training for palliative emergencies are limited. Simulation-based training (SBT) for such palliative emergency situations is an exception both nationally and internationally. This article presents the preparation of recommendations in the training and development of palliative care emergency situations. A selected literature search was performed using PubMed, EMBASE, Medline and the Cochrane database (1990-2013). Reference lists of included articles were checked by two reviewers. Data of the included articles were extracted, evaluated und summarized. In the second phase the participants of two simulated scenarios of palliative emergencies were asked to complete an anonymous 15-item questionnaire. The results of the literature search and the questionnaire-based investigation were compared and recommendations were formulated based on the results. Altogether 30 eligible national and international articles were included. Overall, training curricula in palliative emergencies are currently being developed nationally and internationally but are not yet widely integrated into emergency medical training and education. In the second part of the investigation, 25 participants (9 male, 16 female, 20 physicians and 5 nurses) were included in 4 multiprofessional emergency medical simulation training sessions. The most important interests of the participants were the problems for training and further education concerning palliative emergencies described in the national and international literature. The literature review and the expectations of the participants underlined that the development and characteristics of palliative emergencies will become increasingly more important in outpatient emergency medicine. All participants considered palliative care to be very important concerning the competency for end-of-life decisions

Vertical flight training: An overview of training and flight simulator technology with emphasis on rotary-wing requirements

Science.gov (United States)

Alderete, Thomas S.; Ascencio-Lee, Carmen E.; Bray, Richard; Carlton, John; Dohme, Jack; Eshow, Michelle M.; Francis, Stephen; Lee, Owen M.; Lintern, Gavan; Lombardo, David A.

1994-01-01

The principal purpose of this publication is to provide a broad overview of the technology that is relevant to the design of aviation training systems and of the techniques applicable to the development, use, and evaluation of those systems. The issues addressed in our 11 chapters are, for the most part, those that would be expected to surface in any informed discussion of the major characterizing elements of aviation training systems. Indeed, many of the same facets of vertical-flight training discussed were recognized and, to some extent, dealt with at the 1991 NASA/FAA Helicopter Simulator Workshop. These generic topics are essential to a sound understanding of training and training systems, and they quite properly form the basis of any attempt to systematize the development and evaluation of more effective, more efficient, more productive, and more economical approaches to aircrew training. Individual chapters address the following topics: an overview of the vertical flight industry: the source of training requirements; training and training schools: meeting current requirements; training systems design and development; transfer of training and cost-effectiveness; the military quest for flight training effectiveness; alternative training systems; training device manufacturing; simulator aero model implementation; simulation validation in the frequency domain; cockpit motion in helicopter simulation; and visual space perception in flight simulators.

Training simulator for operations at LNG terminals

International Nuclear Information System (INIS)

Tsuta, T.; Yamamoto, K.; Tetsuka, S.; Koyama, K.

1997-01-01

The Tokyo Gas LNG terminals are among the major energy centers of the Tokyo area, supplying 8 million customers with city gas, and also supplying fuel for thermal power generation at the neighboring thermal power plant operated by the Tokyo Electric Power Company. For this reason, in the event of an emergency at the terminal operators have to be able to respond quickly and accurately to restore operations and prevent secondary damage. Modern LNG terminals are highly reliable and are equipped with backup systems, and occurrences of major trouble are now almost nil. Operators therefore have to be trained to respond to emergencies using simulators, in order to heighten their emergency response capabilities. Tokyo Gas Co., Ltd. has long been aware of the need for simulators and has used them in training, but a new large-scale, real-time simulator has now developed in response to new training needs, applying previously accumulated expertise to create a model of an entire LNG terminal incorporating new features. The development of this new simulator has made possible training for emergencies affecting an entire terminal, and this has been very effective in raising the standards of operators. (au)

Air Support Control Officer Individual Position Training Simulation

Science.gov (United States)

2017-06-01

example, simulation-aided performance improvement was shown during the Royal Australian Air Forces live training event, Pitch Black (Francis, Best...behind Black Skies was to prepare trainees for the more expensive live training of the Pitch Black exercise. Results demonstrated a twenty percent...evaluation of the system by subject matter experts suggests that a training simulation such as the prototype developed in the course of this work could

Accurately fitting advanced training. Flexible simulator training by modular training course concepts; Passgenaue Weiterbildung. Flexibilitaet im Simulatortraining durch modulare Kurskonzepte

Energy Technology Data Exchange (ETDEWEB)

Sickora, Katrin; Cremer, Hans-Peter [Kraftwerksschule e.V., Essen (Germany)

2010-07-01

Every employee of a power plant contributes with his individual expertise to the success of the enterprise. Certainly personal skills of employees differ from each other as well as power plants are different. With respect to effective simulator training this means that no two simulator training courses can be identical. To exactly meet the requirements of our customers KWS has developed modules for simulation training courses. Each module represents either a technical subject or addresses a topic in the field of soft skills. An accurately fitting combination of several of these modules to the needs of our customers allows for most efficient simulator training courses. (orig.)

Clinical training: a simulation program for phlebotomy

Directory of Open Access Journals (Sweden)

Araki Toshitaka

2008-01-01

Full Text Available Abstract Background Basic clinical skills training in the Japanese medical education system has traditionally incorporated on-the-job training with patients. Recently, the complementary use of simulation techniques as part of this training has gained popularity. It is not known, however, whether the participants view this new type of education program favorably; nor is the impact of this program known. In this study we developed a new simulation-based training program in phlebotomy for new medical residents and assessed their satisfaction with the program Methods The education program comprised two main components: simulator exercise sessions and the actual drawing of blood from other trainees. At the end of the session, we surveyed participant sentiment regarding the program. Results There were 43 participants in total. In general, they were highly satisfied with the education program, with all survey questions receiving scores of 3 or more on a scale of 1–5 (mean range: 4.3 – 4.8, with 5 indicating the highest level of satisfaction. Additionally, their participation as a 'patient' for their co-trainees was undertaken willingly and was deemed to be a valuable experience. Conclusion We developed and tested an education program using a simulator for blood collection. We demonstrated a high satisfaction level among the participants for this unique educational program and expect that it will improve medical training, patient safety, and quality of care. The development and dissemination of similar educational programs involving simulation for other basic clinical skills will be undertaken in the future.

An operator training simulator based on interactive virtual teleoperation: nuclear facilities maintenance applications

International Nuclear Information System (INIS)

Kim, Ki Ho; Kim, Seung Ho

1997-01-01

Remote manipulation in nuclear hazardous environment is very often complex and difficult to operate and requires excessively careful preparation. Remote slave manipulators for unstructured work are manually controlled by a human operator. Small errors made by the operator via the master manipulator during operation can cause the slave to be surffered from excessive forces and result in considerable damages to the slave iteself and its environment. In this paper, we present a prototype of an operator training simulator for use in nuclear facilities maintenance applications, as part of the ongoing Nuclear Robotics Development Program at Korea Atomic Energy Research Institute (KAERI). The operator training simulator provides a means by which, in virtual task simulation, the operator can try out and train for expected remote tasks that the real slave manipulator will perform in advance. The operator interacts with both the virtual slave and task environment through the real master. Virtual interaction force feedback is provided to the operator. We also describe a man-in-the loop control scheme to realize bilateral force reflection in virtual teleoperation

14 CFR 141.41 - Flight simulators, flight training devices, and training aids.

Science.gov (United States)

2010-01-01

..., and training aids. 141.41 Section 141.41 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... aids. An applicant for a pilot school certificate or a provisional pilot school certificate must show that its flight simulators, flight training devices, training aids, and equipment meet the following...

Development of a training simulator for offshore crane operators

Energy Technology Data Exchange (ETDEWEB)

Cooper, S.J.

2003-01-01

The crane simulator, trade name KraneSIM-6000, underpins an integrated training package developed to provide crane operator exposure to simulated normal and dangerous conditions in a safe training environment. The prototype simulator is significantly more sophisticated than the system initially envisaged: a number of conceptual changes incorporated during its development ensured that the very latest in simulation computer technology was incorporate unique in that it offers the opportunity to practice the lifting and laying down of loads between a moving (floating) rig and moving supply vessels, together with the possibility of benchmarking crane operator competency. Concludes that there is great scope for expansion of the simulator facilities so far developed. In particular, it is recognised that training and competency testing of teams of personnel such as banksman and supply ship's master could be integrated into crane simulator training scenarios, and that this approach offers great potential for reducing the number of crane related accidents. (Author)

Simulation-based ureteroscopy training: a systematic review.

Science.gov (United States)

Brunckhorst, Oliver; Aydin, Abdullatif; Abboudi, Hamid; Sahai, Arun; Khan, Muhammad Shamim; Dasgupta, Prokar; Ahmed, Kamran

2015-01-01

Simulation is a common adjunct to operative training and various modalities exist for ureteroscopy. This systematic review aims the following: (1) to identify available ureteroscopy simulators, (2) to explore evidence for their effectiveness using characteristic criterion, and (3) to provide recommendations for simulation-based ureteroscopy training. The preferred reporting items for systematic reviews and meta-analysis statement guidelines were used. A literature search was performed using the PubMed, EMBASE, and Cochrane Library databases. In total, 20 articles concerning ureteroscopy simulators were included. Overall, 3 high-fidelity bench models are available. The Uro-Scopic Trainer has demonstrated face, construct, and concurrent validity, whereas the Scope Trainer has undergone content, construct, and predictive validation. The adult ureteroscopy trainer has demonstrated face, content, and construct validity. The URO Mentor is the only available ureteroscopy virtual-reality system; 10 studies were identified demonstrating its face, content, construct, concurrent, and predictive validity. The Uro-Scopic Trainer, the Scope Trainer, and the URO Mentor have demonstrated high educational impact. A noncommercially available, low-fidelity model has demonstrated effectiveness comparable to its high-fidelity counterpart at 185 times lesser than the price of the Uro-Scopic Trainer. The use of porcine models has also been described in 3 studies but require further study. Valid models are available for simulation-based ureteroscopy training. However, there is a lack of many high-level studies conducted, and further investigation is required in this area. Furthermore, current research focuses on the technical skills acquisition with little research conducted on nontechnical skills acquisition within ureteroscopy. The next step for ureteroscopy training is a formalized and validated curriculum, incorporating simulation, training models, development of nontechnical skills

Simulating human behavior for national security human interactions.

Energy Technology Data Exchange (ETDEWEB)

Bernard, Michael Lewis; Hart, Dereck H.; Verzi, Stephen J.; Glickman, Matthew R.; Wolfenbarger, Paul R.; Xavier, Patrick Gordon

2007-01-01

This 3-year research and development effort focused on what we believe is a significant technical gap in existing modeling and simulation capabilities: the representation of plausible human cognition and behaviors within a dynamic, simulated environment. Specifically, the intent of the ''Simulating Human Behavior for National Security Human Interactions'' project was to demonstrate initial simulated human modeling capability that realistically represents intra- and inter-group interaction behaviors between simulated humans and human-controlled avatars as they respond to their environment. Significant process was made towards simulating human behaviors through the development of a framework that produces realistic characteristics and movement. The simulated humans were created from models designed to be psychologically plausible by being based on robust psychological research and theory. Progress was also made towards enhancing Sandia National Laboratories existing cognitive models to support culturally plausible behaviors that are important in representing group interactions. These models were implemented in the modular, interoperable, and commercially supported Umbra{reg_sign} simulation framework.

Clinical simulation training improves the clinical performance of Chinese medical students

Directory of Open Access Journals (Sweden)

Ming-ya Zhang

2015-10-01

Full Text Available Background: Modern medical education promotes medical students’ clinical operating capacity rather than the mastery of theoretical knowledge. To accomplish this objective, clinical skill training using various simulations was introduced into medical education to cultivate creativity and develop the practical ability of students. However, quantitative analysis of the efficiency of clinical skill training with simulations is lacking. Methods: In the present study, we compared the mean scores of medical students (Jinan University who graduated in 2013 and 2014 on 16 stations between traditional training (control and simulative training groups. In addition, in a clinical skill competition, the objective structured clinical examination (OSCE scores of participating medical students trained using traditional and simulative training were compared. The data were statistically analyzed and qualitatively described. Results: The results revealed that simulative training could significantly enhance the graduate score of medical students compared with the control. The OSCE scores of participating medical students in the clinical skill competition, trained using simulations, were dramatically higher than those of students trained through traditional methods, and we also observed that the OSCE marks were significantly increased for the same participant after simulative training for the clinical skill competition. Conclusions: Taken together, these data indicate that clinical skill training with a variety of simulations could substantially promote the clinical performance of medical students and optimize the resources used for medical education, although a precise analysis of each specialization is needed in the future.

The German simulator center for the training of nuclear power plant operators

International Nuclear Information System (INIS)

Hoffmann, E.

1996-01-01

Simulator training for nuclear power plant operators in Germany is conducted in The Simulator Center in Essen. The companies operating The Center are KSG/GfS. KSG provides simulators, GfS performs the training. The German Simulator Center is equipped with five simulators in training, nine simulators are under construction and will be ready for training until the beginning of 1997. This institution serves 22 nuclear power plants units in Germany, Switzerland (NPP Goesgen-Daeniken) and the Netherlands (NPP Borssele) and trains 1,800 persons every year. As a common enterprise the company is owned by 12 utilities, which leads to the necessity to prepare common rules and guidelines for simulator specification, training of instructors, assessment of trainees, training material and preparation and methodical running of simulator courses

Selection, specification, design and use of various nuclear power plant training simulators

International Nuclear Information System (INIS)

Bruno, R.; Neboyan, V.

1997-01-01

Several IAEA guidance publications on safety culture and NPP personnel training consider the role of training and particularly the role of simulators training to enhance the safety of NPP operations. Initially, the focus has been on full-scope simulators for the training of main control room operators. Presently, a wide range of different types of simulators are used at training center. Several guidance publications concerning development and use of full-scope simulators are currently available. Experience shows that other types of simulators are also effective training tools that allow simulator training for a broader range of target groups and training objectives. Based on this need, the IAEA undertook a project to prepare a report on selection, specification, design and use of various training simulators, which provides guidance to training centers and suppliers for proper selection, specification, design, and use of various form of simulators. In addition, it provides examples of their use in several Member States. This paper presents a summary of the IAEATECDOC publication on the subject. (author)

Incorporating simulation into gynecologic surgical training.

Science.gov (United States)

Wohlrab, Kyle; Jelovsek, J Eric; Myers, Deborah

2017-11-01

Today's educational environment has made it more difficult to rely on the Halstedian model of "see one, do one, teach one" in gynecologic surgical training. There is decreased surgical volume, but an increased number of surgical modalities. Fortunately, surgical simulation has evolved to fill the educational void. Whether it is through skill generalization or skill transfer, surgical simulation has shifted learning from the operating room back to the classroom. This article explores the principles of surgical education and ways to introduce simulation as an adjunct to residency training. We review high- and low-fidelity surgical simulators, discuss the progression of surgical skills, and provide options for skills competency assessment. Time and money are major hurdles when designing a simulation curriculum, but low-fidelity models, intradepartmental cost sharing, and utilizing local experts for simulation proctoring can aid in developing a simulation program. Copyright © 2017 Elsevier Inc. All rights reserved.

Simulators in catheter-based interventional radiology: training or computer games?

International Nuclear Information System (INIS)

Gould, D.A.; Kessel, D.O.; Healey, A.E.; Johnson, S.J.; Lewandowski, W.E.

2006-01-01

Training in interventional radiology (IR) relies on a traditional apprenticeship; to protect patients, expert supervision is mandatory until knowledge, attitudes and practical skills have been certified as satisfactory. However, the current quality of IR training is threatened by reduced time for trainees to learn, as well as a loss of basic diagnostic, training cases to non-invasive imaging. At the same time, IR techniques are becoming a focus of interest to a range of other clinical specialities. To address this training shortfall there is a need to develop novel training alternatives such as simulator models. Few simulator models in any medical field have been successfully validated to show improved clinical skills in treating patients. To date no endovascular simulator has met this standard. A good simulator must be based around key performance measures (metrics) derived from careful analysis of the procedure to be replicated. Metrics can be determined by trained psychologists from a direct analysis of the content of the job or task to be tested. The identification of these critical measures of performance is a complex process which must be tailored to a training curriculum to be effective. Simulators based on flawed metrics will invariably lead to unsatisfactory assessment. It follows that simulator development must involve the statutory licensing authorities. Equally it is essential that we do not assume that training on a particular simulator will correlate with the ability to perform the task in the real world. This 'transfer of training' must be rigorously proven by validation studies

Face, content, and construct validity of human placenta as a haptic training tool in neurointerventional surgery.

Science.gov (United States)

Ribeiro de Oliveira, Marcelo Magaldi; Nicolato, Arthur; Santos, Marcilea; Godinho, Joao Victor; Brito, Rafael; Alvarenga, Alexandre; Martins, Ana Luiza Valle; Prosdocimi, André; Trivelato, Felipe Padovani; Sabbagh, Abdulrahman J; Reis, Augusto Barbosa; Maestro, Rolando Del

2016-05-01

OBJECT The development of neurointerventional treatments of central nervous system disorders has resulted in the need for adequate training environments for novice interventionalists. Virtual simulators offer anatomical definition but lack adequate tactile feedback. Animal models, which provide more lifelike training, require an appropriate infrastructure base. The authors describe a training model for neurointerventional procedures using the human placenta (HP), which affords haptic training with significantly fewer resource requirements, and discuss its validation. METHODS Twelve HPs were prepared for simulated endovascular procedures. Training exercises performed by interventional neuroradiologists and novice fellows were placental angiography, stent placement, aneurysm coiling, and intravascular liquid embolic agent injection. RESULTS The endovascular training exercises proposed can be easily reproduced in the HP. Face, content, and construct validity were assessed by 6 neurointerventional radiologists and 6 novice fellows in interventional radiology. CONCLUSIONS The use of HP provides an inexpensive training model for the training of neurointerventionalists. Preliminary validation results show that this simulation model has face and content validity and has demonstrated construct validity for the interventions assessed in this study.

A review of virtual reality based training simulators for orthopaedic surgery.

Science.gov (United States)

Vaughan, Neil; Dubey, Venketesh N; Wainwright, Thomas W; Middleton, Robert G

2016-02-01

This review presents current virtual reality based training simulators for hip, knee and other orthopaedic surgery, including elective and trauma surgical procedures. There have not been any reviews focussing on hip and knee orthopaedic simulators. A comparison of existing simulator features is provided to identify what is missing and what is required to improve upon current simulators. In total 11 hip replacements pre-operative planning tools were analysed, plus 9 hip trauma fracture training simulators. Additionally 9 knee arthroscopy simulators and 8 other orthopaedic simulators were included for comparison. The findings are that for orthopaedic surgery simulators in general, there is increasing use of patient-specific virtual models which reduce the learning curve. Modelling is also being used for patient-specific implant design and manufacture. Simulators are being increasingly validated for assessment as well as training. There are very few training simulators available for hip replacement, yet more advanced virtual reality is being used for other procedures such as hip trauma and drilling. Training simulators for hip replacement and orthopaedic surgery in general lag behind other surgical procedures for which virtual reality has become more common. Further developments are required to bring hip replacement training simulation up to date with other procedures. This suggests there is a gap in the market for a new high fidelity hip replacement and resurfacing training simulator. Copyright © 2015 IPEM. Published by Elsevier Ltd. All rights reserved.

Role of virtual reality simulation in endoscopy training.

Science.gov (United States)

Harpham-Lockyer, Louis; Laskaratos, Faidon-Marios; Berlingieri, Pasquale; Epstein, Owen

2015-12-10

Recent advancements in virtual reality graphics and models have allowed virtual reality simulators to be incorporated into a variety of endoscopic training programmes. Use of virtual reality simulators in training programmes is thought to improve skill acquisition amongst trainees which is reflected in improved patient comfort and safety. Several studies have already been carried out to ascertain the impact that usage of virtual reality simulators may have upon trainee learning curves and how this may translate to patient comfort. This article reviews the available literature in this area of medical education which is particularly relevant to all parties involved in endoscopy training and curriculum development. Assessment of the available evidence for an optimal exposure time with virtual reality simulators and the long-term benefits of their use are also discussed.

I and C maintenance training simulators meeting the goals of nuclear plant training

International Nuclear Information System (INIS)

Shilmover, S. Jr.

1987-01-01

An instructor's overall goal in I and C training is to impart as much skill and knowledge as possible about the operation, tune up and troubleshooting of a piece of equipment. Through the use of a training simulator, the instructor has the actual equipment to demonstrate the principles he is trying to make. A student's goal in training is to improve his skills by learning as much as possible about the equipment he will be responsible for. When a simulator is used, a student gets hands-on time with the equipment where normal and abnormal conditions can be demonstrated. The students may be asked to perform job-related tasks and be evaluated on their performance. An employer's goal is to get personnel who can quickly fit into their work force. When training is performed using simulators, the employee receives the knowledge and hands-on skills necessary to quickly fit into the work force. The employee also gains confidence in working with the equipment. Another advantage for the employer is that training can be performed without shutting down the plant equipment. The employer thus can use the trained employees sooner and mainstream them into the work force

Role of virtual reality simulation in endoscopy training

OpenAIRE

Harpham-Lockyer, Louis; Laskaratos, Faidon-Marios; Berlingieri, Pasquale; Epstein, Owen

2015-01-01

Recent advancements in virtual reality graphics and models have allowed virtual reality simulators to be incorporated into a variety of endoscopic training programmes. Use of virtual reality simulators in training programmes is thought to improve skill acquisition amongst trainees which is reflected in improved patient comfort and safety. Several studies have already been carried out to ascertain the impact that usage of virtual reality simulators may have upon trainee learning curves and how...

Resident simulation training in endoscopic endonasal surgery utilizing haptic feedback technology.

Science.gov (United States)

Thawani, Jayesh P; Ramayya, Ashwin G; Abdullah, Kalil G; Hudgins, Eric; Vaughan, Kerry; Piazza, Matthew; Madsen, Peter J; Buch, Vivek; Sean Grady, M

2016-12-01

Simulated practice may improve resident performance in endoscopic endonasal surgery. Using the NeuroTouch haptic simulation platform, we evaluated resident performance and assessed the effect of simulation training on performance in the operating room. First- (N=3) and second- (N=3) year residents were assessed using six measures of proficiency. Using a visual analog scale, the senior author scored subjects. After the first session, subjects with lower scores were provided with simulation training. A second simulation served as a task-learning control. Residents were evaluated in the operating room over six months by the senior author-who was blinded to the trained/untrained identities-using the same parameters. A nonparametric bootstrap testing method was used for the analysis (Matlab v. 2014a). Simulation training was associated with an increase in performance scores in the operating room averaged over all measures (p=0.0045). This is the first study to evaluate the training utility of an endoscopic endonasal surgical task using a virtual reality haptic simulator. The data suggest that haptic simulation training in endoscopic neurosurgery may contribute to improvements in operative performance. Limitations include a small number of subjects and adjudication bias-although the trained/untrained identity of subjects was blinded. Further study using the proposed methods may better describe the relationship between simulated training and operative performance in endoscopic Neurosurgery. Copyright © 2016 Elsevier Ltd. All rights reserved.

Retention of Mastoidectomy Skills After Virtual Reality Simulation Training

DEFF Research Database (Denmark)

Andersen, Steven Arild Wuyts; Konge, Lars; Cayé-Thomasen, Per

2016-01-01

IMPORTANCE: The ultimate goal of surgical training is consolidated skills with a consistently high performance. However, surgical skills are heterogeneously retained and depend on a variety of factors, including the task, cognitive demands, and organization of practice. Virtual reality (VR......) simulation is increasingly being used in surgical skills training, including temporal bone surgery, but there is a gap in knowledge on the retention of mastoidectomy skills after VR simulation training. OBJECTIVES: To determine the retention of mastoidectomy skills after VR simulation training...... with distributed and massed practice and to investigate participants' cognitive load during retention procedures. DESIGN, SETTING, AND PARTICIPANTS: A prospective 3-month follow-up study of a VR simulation trial was conducted from February 6 to September 19, 2014, at an academic teaching hospital among 36 medical...

Integration of laparoscopic virtual-reality simulation into gynaecology training.

Science.gov (United States)

Burden, C; Oestergaard, J; Larsen, C R

2011-11-01

Surgery carries the risk of serious harm, as well as benefit, to patients. For healthcare organisations, theatre time is an expensive commodity and litigation costs for surgical specialities are very high. Advanced laparoscopic surgery, now widely used in gynaecology for improved outcomes and reduced length of stay, involves longer operation times and a higher rate of complications for surgeons in training. Virtual-reality (VR) simulation is a relatively new training method that has the potential to promote surgical skill development before advancing to surgery on patients themselves. VR simulators have now been on the market for more than 10 years and, yet, few countries in the world have fully integrated VR simulation training into their gynaecology surgical training programmes. In this review, we aim to summarise the VR simulators currently available together with evidence of their effectiveness in gynaecology, to understand their limitations and to discuss their incorporation into national training curricula. © 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.

Bronchoscopy Simulation Training as a Tool in Medical School Education.

Science.gov (United States)

Gopal, Mallika; Skobodzinski, Alexus A; Sterbling, Helene M; Rao, Sowmya R; LaChapelle, Christopher; Suzuki, Kei; Litle, Virginia R

2018-07-01

Procedural simulation training is rare at the medical school level and little is known about its usefulness in improving anatomic understanding and procedural confidence in students. Our aim is to assess the impact of bronchoscopy simulation training on bronchial anatomy knowledge and technical skills in medical students. Medical students were recruited by email, consented, and asked to fill out a survey regarding their baseline experience. Two thoracic surgeons measured their knowledge of bronchoscopy on a virtual reality bronchoscopy simulator using the Bronchoscopy Skills and Tasks Assessment Tool (BSTAT), a validated 65-point checklist (46 for anatomy, 19 for simulation). Students performed four self-directed training sessions of 15 minutes per week. A posttraining survey and BSTAT were completed afterward. Differences between pretraining and posttraining scores were analyzed with paired Student's t tests and random intercept linear regression models accounting for baseline BSTAT score, total training time, and training year. The study was completed by 47 medical students with a mean training time of 81.5 ± 26.8 minutes. Mean total BSTAT score increased significantly from 12.3 ± 5.9 to 48.0 ± 12.9 (p training time and frequency of training did not have a significant impact on level of improvement. Self-driven bronchoscopy simulation training in medical students led to improvements in bronchial anatomy knowledge and bronchoscopy skills. Further investigation is under way to determine the impact of bronchoscopy simulation training on future specialty interest and long-term skills retention. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Immersive Learning Simulations in Aircraft Maintenance Training

Science.gov (United States)

2010-02-15

You might just get a “serious game,” or “as proposed by the eLearning Guild, you could get an Immersive Learning Simulation.”3 Quoting the... eLearning Guild, Caspian Learning, in a report for the United Kingdom Ministry of Defense, defined an Immersive Learning Simulation (ILS) as “an optimized...training is necessary, and will be for the foreseeable future , our current computer systems can provide realistic training that could save substantial time

Intensive care unit nurses' evaluation of simulation used for team training.

Science.gov (United States)

Ballangrud, Randi; Hall-Lord, Marie Louise; Hedelin, Birgitta; Persenius, Mona

2014-07-01

To implement a simulation-based team training programme and to investigate intensive care nurses' evaluations of simulation used for team training. Simulation-based training is recommended to make health care professionals aware of and understand the importance of teamwork related to patient safety. The study was based on a questionnaire evaluation design. A total of 63 registered nurses were recruited: 53 from seven intensive care units in four hospitals in one hospital trust and 10 from an intensive care postgraduate education programme. After conducting a simulation-based team training programme with two scenarios related to emergency situations in the intensive care, the participants evaluated each simulation activity with regard to: (i) outcome of satisfaction and self-confidence in learning, (ii) implementation of educational practice and (iii) simulation design/development. Intensive care nurses were highly satisfied with their simulation-based learning, and they were mostly in agreement with the statements about self-confidence in learning. They were generally positive in their evaluation of the implementation of the educational practice and the simulation design/development. Significant differences were found with regard to scenario roles, prior simulation experience and area of intensive care practice. The study indicates a positive reception of a simulation-based programme with regard to team training in emergency situations in an intensive care unit. The findings may motivate and facilitate the use of simulation for team training to promote patient safety in intensive care and provide educators with support to develop and improve simulation-based training programmes. © 2013 British Association of Critical Care Nurses.

Instructional psychology and the design of training simulators

International Nuclear Information System (INIS)

Stammers, R.B.

1985-01-01

In this paper the role of instructional psychology in simulator design and use is discussed. It is suggested that research and development work has tended to focus upon the face validity of simulators rather than their instructional utility. Dimensions of simulation are reviewed as are the variety of uses to which a simulator may be put. The nature of instructional psychology is briefly described under the following headings: task analysis, the acquisition of knowledge and skill and theories of instruction. Attention is also given to the potential role of computer-based training and the topic of retention of training is introduced. (author)

A Simulation Learning Approach to Training First Responders for Radiological Emergencies

International Nuclear Information System (INIS)

Sanders, Robert Lon; Rhodes, Graham S.

2007-01-01

This paper describes the application of simulation learning technology, popularized by the emerging serious games industry, for training first responders to properly act in the event of a radiological emergency. Using state-of-the-art video game production tools and runtime engines as an enabling technology, simulation learning combines interactive virtual worlds based on validated engineering models with engaging storylines and scenarios that invoke the emotional response-and the corresponding human stress level-that first responders would encounter during a real-world emergency. For the application discussed here, in addition to providing engaging instruction about the fundamentals of radiological environments and the proper usage of radiological equipment, simulation learning prepares first responders to perform effectively under high stress and enables them to practice in teams

Goal-based communication using BDI agents as virtual humans in training: An ontology driven dialogue system

NARCIS (Netherlands)

Oijen, J. van; Doesburg, W. van; Dignum, F.

2011-01-01

Simulations for training can greatly benefit from BDI agents as virtual humans playing the role of key players. Learning to communicate effectively is a key aspect of training to command a team that is managing a crisis. In this paper, we present a goal-based dialogue system which has been applied

Using Simulations to Improve Electronic Health Record Use, Clinician Training and Patient Safety: Recommendations From A Consensus Conference.

Science.gov (United States)

Mohan, Vishnu; Woodcock, Deborah; McGrath, Karess; Scholl, Gretchen; Pranaat, Robert; Doberne, Julie W; Chase, Dian A; Gold, Jeffrey A; Ash, Joan S

2016-01-01

A group of informatics experts in simulation, biomedical informatics, patient safety, medical education, and human factors gathered at Corbett, Oregon on April 30 and May 1, 2015. Their objective: to create a consensus statement on best practices for the use of electronic health record (EHR) simulations in education and training, to improve patient safety, and to outline a strategy for future EHR simulation work. A qualitative approach was utilized to analyze data from the conference and generate recommendations in five major categories: (1) Safety, (2) Education and Training, (3) People and Organizations, (4) Usability and Design, and (5) Sociotechnical Aspects.

Qualified operator training in the simulated control room environment

International Nuclear Information System (INIS)

Ionescu, Teodor; Studineanu, Emil; Radulescu, Catalina; Bolocan, Gabriel

2005-01-01

Full text: Mainly designed for the training of the Cernavoda NPP Unit 2 operators, the virtual simulated environment allows the training of the already qualified operators for Cernavoda NPP Unit 1, adding to the already trained knowledge, the differences which has occurred in the Unit 2 design. Using state-of-the-art computers and displays and qualified software, the virtual simulated panels could offer a viable alternative to classic hardware-based training. This approach allows quick training of the new procedures required by the new configuration of the re-designed operator panels in the main control room of Cernavoda NPP Unit 2. (authors)

Qualified operator training in the simulated control room environment

International Nuclear Information System (INIS)

Ionescu, Teodor; Studineanu, Emil; Radulescu, Catalina; Bolocan, Gabriel

2005-01-01

Mainly designed for the training of the Cernavoda NPP Unit 2 operators, the virtual simulated environment allows the training of the already qualified operators for Cernavoda NPP Unit 1, adding to the already trained knowledge, the differences which have occurred in the Unit 2 design. Using state-of-the-art computers and displays and qualified software, the virtual simulated panels could offer a viable alternative to classic hardware-based training. This approach allows quick training of the new procedures required by the new configuration of the re-designed operator panels in the main control room of Cernavoda NPP Unit 2. (authors)

Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training.

Science.gov (United States)

Larkin, Anne C; Cahan, Mitchell A; Whalen, Giles; Hatem, David; Starr, Susan; Haley, Heather-Lyn; Litwin, Demetrius; Sullivan, Kate; Quirk, Mark

2010-08-01

This study examines the development and implementation of a pilot human factors curriculum during a 2-year period. It is one component of a comprehensive 5-year human factors curriculum spanning core competencies of interpersonal and communication skills, systems-based practice, and professionalism and using low-and high-fidelity simulation techniques. Members of the Department of Surgery and the Center for Clinical Communication and Performance Outcomes jointly constructed a curriculum for PGY1 and PGY2 residents on topics ranging from challenging communication to time and stress management. Video demonstrations, triggers, and simulated scenarios involving acting patients were created by surgeons and medical educators. Pre- and postintervention measures were obtained for communication skills, perceived stress level, and teamwork. Communication skills were evaluated using a series of video vignettes. The validated Perceived Stress Scale and Teamwork and Patient Safety Attitudes survey were used. Residents' perceptions of the program were also measured. Twenty-seven PGY1 residents and 15 PGY2 residents participated during 2 years. Analyses of video vignette tests indicated significant improvement in empathic communication for PGY1 (t = 3.62, p = 0.001) and PGY2 (t = 5.00, p = 0.004). There were no significant changes to teamwork attitudes. Perceived levels of stress became considerably higher. PGY1 residents reported trying 1 to 3 strategies taught in the time management session, with 60% to 75% reporting improvement post-training. This unique and comprehensive human factors curriculum is shown to be effective in building communication competency for junior-level residents in the human and emotional aspects of surgical training and practice. Continued refinement and ongoing data acquisition and analyses are underway. Copyright 2010 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

A practical laboratory study simulating the percutaneous lumbar transforaminal epidural injection: training model in fresh cadaveric sheep spine.

Science.gov (United States)

Suslu, Husnu

2012-01-01

Laboratory training models are essential for developing and refining treatment skills before the clinical application of surgical and invasive procedures. A simple simulation model is needed for young trainees to learn how to handle instruments, and to perform safe lumbar transforaminal epidural injections. Our aim is to present a model of a fresh cadaveric sheep lumbar spine that simulates the lumbar transforaminal epidural injection. The material consists of a 2-year-old fresh cadaveric sheep spine. A 4-step approach was designed for lumbar transforaminal epidural injection under C-arm scopy. For the lumbar transforaminal epidural injection, the fluoroscope was adjusted to get a proper oblique view while the material was stabilized in a prone position. The procedure then begin, using the C-arm guidance scopy. The model simulates well the steps of standard lumbar transforaminal epidural injections in the human spine. The cadaveric sheep spine represents a good method for training and it simulates fluoroscopic lumbar transforaminal epidural steroid injection procedures performed in the human spine.

Train-to-Ground communications of a Train Control and Monitoring Systems: A simulation platform modelling approach

DEFF Research Database (Denmark)

Bouaziz, Maha; Yan, Ying; Kassab, Mohamed

2018-01-01

wireless technologies, e.g. Wi-Fi and LTE. Different T2G scenarios are defined in order to evaluate the performances of the Mobile Communication Gateway (managing train communications) and Quality of Services (QoS) offered to TCMS applications in the context of various environments (regular train lines......Under the SAFE4RAIL project, we are developing a simulation platform based on a discrete-events network simulator. This platform models the Train-to-Ground (T2G) link in the framework of a system-level simulation of Train Control Management System (TCMS). The modelled T2G link is based on existing...

Virtual reality simulators for rock engineering related training.

CSIR Research Space (South Africa)

Squelch, A

1997-12-01

Full Text Available Virtual reality (VR) has been investigated by SIMRAC and CSIR Miningtek as a means of providing an enhancement to current training methods that will lead to more effective hazard awareness training programmes. A VR training simulator developed under...

Echo simulator with novel training and competency testing tools.

Science.gov (United States)

Sheehan, Florence H; Otto, Catherine M; Freeman, Rosario V

2013-01-01

We developed and validated an echo simulator with three novel tools that facilitate training and enable quantitative and objective measurement of psychomotor as well as cognitive skill. First, the trainee can see original patient images - not synthetic or simulated images - that morph in real time as the mock transducer is manipulated on the mannequin. Second, augmented reality is used for Visual Guidance, a tool that assists the trainee in scanning by displaying the target organ in 3-dimensions (3D) together with the location of the current view plane and the plane of the anatomically correct view. Third, we introduce Image Matching, a tool that leverages the aptitude of the human brain for recognizing similarities and differences to help trainees learn to perform visual assessment of ultrasound images. Psychomotor competence is measured in terms of the view plane angle error. The construct validity of the simulator for competency testing was established by demonstrating its ability to discriminate novices vs. experts.

Take-home training in a simulation-based laparoscopy course

DEFF Research Database (Denmark)

Thinggaard, Ebbe; Konge, Lars; Bjerrum, Flemming

2017-01-01

efficient method of training. Our aim was to investigate how box trainers are used in take-home training to help guide the design of take-home training courses. METHODS: This study was designed using a mixed methods approach. Junior doctors participating in a laparoscopy curriculum, which included...... practising at home on box trainers, were invited. Quantitative data on training patterns was collected from logbooks. Qualitative data on the use of box trainers was retrieved from focus groups and individual interviews. RESULTS: From logbooks, we found that 14 out of 18 junior doctors mixed their training......BACKGROUND: Simulation training can prepare trainees for clinical practice in laparoscopic surgery. Training on box trainers allows for simulation training at home, which studies have shown to be a feasible method of training. However, little research has been conducted into how to make it a more...

Select review of the recent (1979-1983) behavioral research literature on training simulators

International Nuclear Information System (INIS)

Laughery, K.R.

1985-05-01

This report summarizes some selected reports of behavioral research performed in the years 1979 to 1983 on training simulator application technology, and discusses findings related to nuclear power plant operators' simulator training. Findings are organized as related to the design, testing, and use of training simulators. Topics include Simulator Fidelity in Training Effectiveness, Operator Performance Measurement, Measuring Simulator Effectiveness, and Simulator Utilization Practices

Simulation training in neurosurgery: advances in education and practice

Directory of Open Access Journals (Sweden)

Konakondla S

2017-07-01

Full Text Available Sanjay Konakondla, Reginald Fong, Clemens M Schirmer Department of Neurosurgery and Neuroscience Institute, Geisinger Medical Center, Geisinger Health System, Danville, PA, USA Abstract: The current simulation technology used for neurosurgical training leaves much to be desired. Significant efforts are thoroughly exhausted in hopes of developing simulations that translate to give learners the “real-life” feel. Though a respectable goal, this may not be necessary as the application for simulation in neurosurgical training may be most useful in early learners. The ultimate uniformly agreeable endpoint of improved outcome and patient safety drives these investments. We explore the development, availability, educational taskforces, cost burdens and the simulation advancements in neurosurgical training. The technologies can be directed at achieving early resident milestones placed by the Accreditation Council for Graduate Medical Education. We discuss various aspects of neurosurgery disciplines with specific technologic advances of simulation software. An overview of the scholarly landscape of the recent publications in the realm of medical simulation and virtual reality pertaining to neurologic surgery is provided. We analyze concurrent concept overlap between PubMed headings and provide a graphical overview of the associations between these terms. Keywords: residency education, simulation, neurosurgery training, virtual reality, haptic feedback, task analysis, ACGME 

A web-based feedback study on optimization-based training and analysis of human decision making

Directory of Open Access Journals (Sweden)

Michael Engelhart

2017-05-01

Full Text Available The question “How can humans learn efficiently to make decisions in a complex, dynamic, and uncertain environment” is still a very open question. We investigate what effects arise when feedback is given in a computer-simulated microworld that is controlled by participants. This has a direct impact on training simulators that are already in standard use in many professions, e.g., for flight simulators for pilots, and a potential impact on a better understanding of human decision making in general. Our study is based on a benchmark microworld with an economic framing, the IWR Tailorshop. N=94 participants played four rounds of the microworld, each 10 months, via a web interface. We propose a new approach to quantify performance and learning, which is based on a mathematical model of the microworld and optimization. Six participant groups receive different kinds of feedback in a training phase, then results in a performance phase without feedback are analyzed. As a main result, feedback of optimal solutions in training rounds improved model knowledge, early learning, and performance, especially when this information is encoded in a graphical representation (arrows.

Astronaut Training in the Neutral Buoyancy Simulator

Science.gov (United States)

1993-01-01

This photograph shows an STS-61 astronaut training for the Hubble Space Telescope (HST) servicing mission (STS-61) in the Marshall Space Flight Center's (MSFC's) Neutral Buoyancy Simulator (NBS). Two months after its deployment in space, scientists detected a 2-micron spherical aberration in the primary mirror of the HST that affected the telescope's ability to focus faint light sources into a precise point. This imperfection was very slight, one-fiftieth of the width of a human hair. A scheduled Space Service servicing mission (STS-61) in 1993 permitted scientists to correct the problem. The MSFC NBS provided an excellent environment for testing hardware to examine how it would operate in space and for evaluating techniques for space construction and spacecraft servicing.

Simulator fidelity and training effectiveness: a comprehensive bibliography with selected annotations

International Nuclear Information System (INIS)

Rankin, W.L.; Bolton, P.A.; Shikiar, R.; Saari, L.M.

1984-05-01

This document contains a comprehensive bibliography on the topic of simulator fidelity and training effectiveness, prepared during the preliminary phases of work on an NRC-sponsored project on the Role of Nuclear Power Plant Simulators in Operator Licensing and Training. Section A of the document is an annotated bibliography consisting of articles and reports with relevance to the psychological aspects of simulator fidelity and the effectiveness of training simulators in a variety of settings, including military. The annotated items are drawn from a more comprehensive bibliography, presented in Section B, listing documents treating the role of simulators in operator training both in the nuclear industry and elsewhere

Simulators in the training program for nuclear power plants

International Nuclear Information System (INIS)

Grimm, E.

1988-01-01

The principle simulator of the reactor school of the Paul Scherrer Institute is described. A compact simulator at the nuclear power plant Beznau is used for beginners as well as for refresher courses. Full simulator training cannot be taken in Switzerland. The Swiss nuclear power plants take advantage of the services of foreign nuclear power plants or training centers. The role of the instructor is discussed

Modelling, simulation and applications of longitudinal train dynamics

Science.gov (United States)

Cole, Colin; Spiryagin, Maksym; Wu, Qing; Sun, Yan Quan

2017-10-01

Significant developments in longitudinal train simulation and an overview of the approaches to train models and modelling vehicle force inputs are firstly presented. The most important modelling task, that of the wagon connection, consisting of energy absorption devices such as draft gears and buffers, draw gear stiffness, coupler slack and structural stiffness is then presented. Detailed attention is given to the modelling approaches for friction wedge damped and polymer draft gears. A significant issue in longitudinal train dynamics is the modelling and calculation of the input forces - the co-dimensional problem. The need to push traction performances higher has led to research and improvement in the accuracy of traction modelling which is discussed. A co-simulation method that combines longitudinal train simulation, locomotive traction control and locomotive vehicle dynamics is presented. The modelling of other forces, braking propulsion resistance, curve drag and grade forces are also discussed. As extensions to conventional longitudinal train dynamics, lateral forces and coupler impacts are examined in regards to interaction with wagon lateral and vertical dynamics. Various applications of longitudinal train dynamics are then presented. As an alternative to the tradition single wagon mass approach to longitudinal train dynamics, an example incorporating fully detailed wagon dynamics is presented for a crash analysis problem. Further applications of starting traction, air braking, distributed power, energy analysis and tippler operation are also presented.

[Team training and assessment in mixed reality-based simulated operating room : Current state of research in the field of simulation in spine surgery exemplified by the ATMEOS project].

Science.gov (United States)

Stefan, P; Pfandler, M; Wucherer, P; Habert, S; Fürmetz, J; Weidert, S; Euler, E; Eck, U; Lazarovici, M; Weigl, M; Navab, N

2018-04-01

Surgical simulators are being increasingly used as an attractive alternative to clinical training in addition to conventional animal models and human specimens. Typically, surgical simulation technology is designed for the purpose of teaching technical surgical skills (so-called task trainers). Simulator training in surgery is therefore in general limited to the individual training of the surgeon and disregards the participation of the rest of the surgical team. The objective of the project Assessment and Training of Medical Experts based on Objective Standards (ATMEOS) is to develop an immersive simulated operating room environment that enables the training and assessment of multidisciplinary surgical teams under various conditions. Using a mixed reality approach, a synthetic patient model, real surgical instruments and radiation-free virtual X‑ray imaging are combined into a simulation of spinal surgery. In previous research studies, the concept was evaluated in terms of realism, plausibility and immersiveness. In the current research, assessment measurements for technical and non-technical skills are developed and evaluated. The aim is to observe multidisciplinary surgical teams in the simulated operating room during minimally invasive spinal surgery and objectively assess the performance of the individual team members and the entire team. Moreover, the effectiveness of training methods and surgical techniques or success critical factors, e. g. management of crisis situations, can be captured and objectively assessed in the controlled environment.

Development of training simulator based on critical assemblies test bench

International Nuclear Information System (INIS)

Narozhnyi, A.T.; Vorontsov, S.V.; Golubeva, O.A.; Dyudyaev, A.M.; Il'in, V.I.; Kuvshinov, M.I.; Panin, A.V.; Peshekhonov, D.P.

2007-01-01

When preparing critical mass experiment, multiplying system (MS) parts are assembled manually. This work is connected with maximum professional risk to personnel. Personnel training and keeping the skill of working experts is the important factor of nuclear safety maintenance. For this purpose authors develop a training simulator based on functioning critical assemblies test bench (CATB), allowing simulation of the MS assemblage using training mockups made of inert materials. The control program traces the current status of MS under simulation. A change in the assembly neutron physical parameters is mapped in readings of the regular devices. The simulator information support is provided by the computer database on physical characteristics of typical MS components The work in the training mode ensures complete simulation of real MS assemblage on the critical test bench. It makes it possible to elaborate the procedures related to CATB operation in a standard mode safely and effectively and simulate possible abnormal situations. (author)

The current role of simulation in urological training.

Science.gov (United States)

Preece, Ryan

2015-01-01

Simulation is becoming an increasingly popular educational tool in numerous surgical specialities, including urology. This article reviews the current role of urological simulators; discussing their need, availability, incorporation and current limitations. A literature review of the electronic databases Medline, Embase and Google Scholar was performed. For increasingly limited urological training programs, simulation can act as a valuable adjunct to clinical training. Evidence suggests that simulation enables the trainee to bypass the early, error-prone part of the surgical learning curve. It should be incorporated into proficiency-based curricula, with junior trainees initially beginning with low fidelity simulators to grasp basic surgical skills before moving onto full-procedural simulation as they progress through their training. A wide variety of simulators of differing fidelity are currently available, teaching both technical (eg. cystoscopy) and non-technical (eg. communication) urological surgical skills. Whist numerous studies have assessed the face, content and construct validity of various urological simulators, further work needs to be undertaken to determine whether the skills learnt actually improve trainee performance in the operating room. Then, educators will be able to make informed decisions about whether these resource demanding (financially and in terms of demands on faculty) simulators are a worthwhile educational tool. Although further investigation is required, urological simulators appear to have a considerable role for developing both technical and non-technical urological skills in an increasingly restricted educational environment in modern urogynecology.

Human Factors in Training: Space Medical Proficiency Training

Science.gov (United States)

Byrne, Vicky E.; Barshi, I.; Arsintescu, L.; Connell, E.

2010-01-01

The early Constellation space missions are expected to have medical capabilities very similar to those currently on the Space Shuttle and the International Space Station (ISS). For Crew Exploration Vehicle (CEV) missions to the ISS, medical equipment will be located on the ISS, and carried into CEV in the event of an emergency. Flight surgeons (FS) on the ground in Mission Control will be expected to direct the crew medical officer (CMO) during medical situations. If there is a loss of signal and the crew is unable to communicate with the ground, a CMO would be expected to carry out medical procedures without the aid of a FS. In these situations, performance support tools can be used to reduce errors and time to perform emergency medical tasks. The space medical training work is part of the Human Factors in Training Directed Research Project (DRP) of the Space Human Factors Engineering (SHFE) Project under the Space Human Factors and Habitability (SHFH) Element of the Human Research Program (HRP). This is a joint project consisting of human factors team from the Ames Research Center (ARC) with Immanuel Barshi as Principal Investigator and the Johnson Space Center (JSC). Human factors researchers at JSC have recently investigated medical performance support tools for CMOs on-orbit, and FSs on the ground, and researchers at the Ames Research Center performed a literature review on medical errors. Work on medical training has been conducted in collaboration with the Medical Training Group at the Johnson Space Center (JSC) and with Wyle Laboratories that provides medical training to crew members, biomedical engineers (BMEs), and to flight surgeons under the Bioastronautics contract. One area of research building on activities from FY08, involved the feasibility of just-in-time (JIT) training techniques and concepts for real-time medical procedures. A second area of research involves FS performance support tools. Information needed by the FS during the ISS mission

FLIGHT SIMULATION IN AIR FORCE TRAINING. A KNOWLEDGE TRANSFER EFICIENCY PERSPECTIVE

Directory of Open Access Journals (Sweden)

Alexandru GHEORGHIU

2013-10-01

Full Text Available For decades the issue of training through simulation has been discussed and studied to show its value and importance in fighter pilot training programs. Besides the fact that simulators are less expensive than a real airplane, and eliminate the operational risks that are present in a real flight they bring a significant contribution to the pilot training by their fidelity and realism that they show in such scenarios as in the reality. To measure the efficiency of training transfer from simulator to the aircraft, performance indicators were defined. The purpose of this article is to define these performance indicators and measurement of training transfer within the flight simulator involvement.

The Evolution of Medical Training Simulation in the U.S. Military.

Science.gov (United States)

Linde, Amber S; Kunkler, Kevin

2016-01-01

The United States has been at war since 2003. During that time, training using Medical Simulation technology has been developed and integrated into military medical training for combat medics, nurses and surgeons. Efforts stemming from the Joint Programmatic Committee-1 (JPC-1) Medical Simulation and Training Portfolio has allowed for the improvement and advancement in military medical training by focusing on research in simulation training technology in order to achieve this. Based upon lessons learned capability gaps have been identified concerning the necessity to validate and enhance combat medial training simulators. These capability gaps include 1) Open Source/Open Architecture; 2) Modularity and Interoperability; and 3) Material and Virtual Reality (VR) Models. Using the capability gaps, JPC-1 has identified important research endeavors that need to be explored.

A Simulation-Based Program to Train Medical Residents to Lead and Perform Advanced Cardiovascular Life Support

Science.gov (United States)

Stefan, Mihaela S.; Belforti, Raquel K.; Langlois, Gerard; Rothberg, Michael B.

2014-01-01

Background Medical residents are often responsible for leading and performing cardiopulmonary resuscitation; however, their levels of expertise and comfort as leaders of advanced cardiovascular life support (ACLS) teams vary widely. While the current American Heart Association ACLS course provides education in recommended resuscitative protocols, training in leadership skills is insufficient. In this article, we describe the design and implementation in our institution of a formative curriculum aimed at improving residents’ readiness for being leaders of ACLS teams using human patient simulation. Human patient simulation refers to a variety of technologies using mannequins with realistic features, which allows learners to practice through scenarios without putting patients at risk. We discuss the limitations of the program and the challenges encountered in implementation. We also provide a description of the initiation and organization of the program. Case scenarios and assessment tools are provided. Description of the Institutional Training Program Our simulation-based training curriculum consists of 8 simulated patient scenarios during four 1-hour sessions. Postgraduate year–2 and 3 internal medicine residents participate in this program in teams of 4. Assessment tools are utilized only for formative evaluation. Debriefing is used as a teaching strategy for the individual resident leader of the ACLS team to facilitate learning and improve performance. To evaluate the impact of the curriculum, we administered a survey before and after the intervention. The survey consisted of 10 questions answered on a 5-point Likert scale, which addressed residents’ confidence in leading ACLS teams, management of the equipment, and management of cardiac rhythms. Respondents’ mean presimulation (ie, baseline) and postsimulation (outcome) scores were compared using a 2-sample t test. Residents’ overall confidence score improved from 2.8 to 3.9 (P simulation-based training

Simulation training in neurosurgery: advances in education and practice

Science.gov (United States)

Konakondla, Sanjay; Fong, Reginald; Schirmer, Clemens M

2017-01-01

The current simulation technology used for neurosurgical training leaves much to be desired. Significant efforts are thoroughly exhausted in hopes of developing simulations that translate to give learners the “real-life” feel. Though a respectable goal, this may not be necessary as the application for simulation in neurosurgical training may be most useful in early learners. The ultimate uniformly agreeable endpoint of improved outcome and patient safety drives these investments. We explore the development, availability, educational taskforces, cost burdens and the simulation advancements in neurosurgical training. The technologies can be directed at achieving early resident milestones placed by the Accreditation Council for Graduate Medical Education. We discuss various aspects of neurosurgery disciplines with specific technologic advances of simulation software. An overview of the scholarly landscape of the recent publications in the realm of medical simulation and virtual reality pertaining to neurologic surgery is provided. We analyze concurrent concept overlap between PubMed headings and provide a graphical overview of the associations between these terms. PMID:28765716

Application of Nuclear Power Plant Simulator for High School Student Training

Energy Technology Data Exchange (ETDEWEB)

Kong, Chi Dong; Choi, Soo Young; Park, Min Young; Lee, Duck Jung [Ulsan National Institute of Science and Technology, Ulsan (Korea, Republic of)

2014-10-15

In this context, two lectures on nuclear power plant simulator and practical training were provided to high school students in 2014. The education contents were composed of two parts: the micro-physics simulator and the macro-physics simulator. The micro-physics simulator treats only in-core phenomena, whereas the macro-physics simulator describes whole system of a nuclear power plant but it considers a reactor core as a point. The high school students showed strong interests caused by the fact that they operated the simulation by themselves. This abstract reports the training detail and evaluation of the effectiveness of the training. Lectures on nuclear power plant simulator and practical exercises were performed at Ulsan Energy High School and Ulsan Meister High School. Two simulators were used: the macro- and micro-physics simulator. Using the macro-physics simulator, the following five simulations were performed: reactor power increase/decrease, reactor trip, single reactor coolant pump trip, large break loss of coolant accident, and station black-out with D.C. power loss. Using the micro-physics simulator, the following three analyses were performed: the transient analysis, fuel rod performance analysis, and thermal-hydraulics analysis. The students at both high schools showed interest and strong support for the simulator-based training. After the training, the students showed passionate responses that the education was of help for them to get interest in a nuclear power plant.

Application of Nuclear Power Plant Simulator for High School Student Training

International Nuclear Information System (INIS)

Kong, Chi Dong; Choi, Soo Young; Park, Min Young; Lee, Duck Jung

2014-01-01

In this context, two lectures on nuclear power plant simulator and practical training were provided to high school students in 2014. The education contents were composed of two parts: the micro-physics simulator and the macro-physics simulator. The micro-physics simulator treats only in-core phenomena, whereas the macro-physics simulator describes whole system of a nuclear power plant but it considers a reactor core as a point. The high school students showed strong interests caused by the fact that they operated the simulation by themselves. This abstract reports the training detail and evaluation of the effectiveness of the training. Lectures on nuclear power plant simulator and practical exercises were performed at Ulsan Energy High School and Ulsan Meister High School. Two simulators were used: the macro- and micro-physics simulator. Using the macro-physics simulator, the following five simulations were performed: reactor power increase/decrease, reactor trip, single reactor coolant pump trip, large break loss of coolant accident, and station black-out with D.C. power loss. Using the micro-physics simulator, the following three analyses were performed: the transient analysis, fuel rod performance analysis, and thermal-hydraulics analysis. The students at both high schools showed interest and strong support for the simulator-based training. After the training, the students showed passionate responses that the education was of help for them to get interest in a nuclear power plant

Full-scope nuclear training simulator -brought to the desktop

International Nuclear Information System (INIS)

LaPointe, D.J.; Manz, A.; Hall, G.S.

1997-01-01

RighTSTEP is a suite of simulation software which has been initially designed to facilitate upgrade of Ontario Hydro's full-scope simulators, but is also adaptable to a variety of other roles. it is presently being commissioned at Bruch A Training Simulator and has seen preliminary use in desktop and classroom roles. Because of the flexibility of the system, we anticipate it will see common use in the corporation for full-scope simulation roles. A key reason for developing RighTSTEP (Real Time Simulator Technology Extensible and Portable) was the need to modernize and upgrade the full-scope training simulator while protecting the investment in modelling code. This modelling code represents the end product of 18 years of evolution from the beginning of its development in 1979. Bringing this modelling code to a modern and more useful framework - the combination of simulator host, operating system, and simulator operating system - also could provide many spin-off benefits. The development (and first implementation) of the righTSTEP system was cited for saving the corporation 5.6M$ and was recognized by a corporate New Technology Award last year. The most important spin-off from this project has been the desktop version of the full-scope simulator. The desktop simulator uses essentially the same software as does its full-scope counterpart, and may be used for a variety of new purposes. Classroom and individual simulator training can now be easily accommodated since a desktop simulator is both affordable and relatively ease to use. Further, a wide group of people can be trained using the desktop simulator: by contrast the full-scope simulators were almost exclusively devoted to front-line operating staff. The desktop is finding increasing use in support of engineering applications, resulting from its easy accessibility, breadth of station systems represented, and tools for analysis and viewing. As further plant models are made available on the new simulator platform and

Engineering and training simulators: A combined approach for nuclear plant construction projects

International Nuclear Information System (INIS)

Harnois, Olivier; Gain, Pascal; Bartak, Jan; Gathmann, Ralf

2007-01-01

procedures for the nuclear island but also to validate I and C control loop algorithms, tune the controller or check automation logic. It can also play a key role in validating the human factors, especially when an ergonomic assessment is required by the safety authorities. The simulator supplied on completion of Phase 3 will include a full-scope modeling of the entire plant, then extended to most of the conventional island and plant auxiliary models. It can have a dual purpose: validating the entire set of plant procedure and I and C models as well as starting the future plant operators training. The simulation technology which shall be used for above simulator development shall fulfill many requirements. In particular, it shall be able to accommodate data progressively, starting with preliminary design data and then including more and more refined data with increasing precision in the simulation model. It shall offer an efficient integration of the different systems while using robust, reliable and 'pretuned' (i.e. replicating accurately physical laws without many adjustments) mathematical models. Easy execution of multiple scenarios shall be available as well as advanced pre and post processing features. These perspectives define a broad application of combined engineering and training simulators where Corys T.E.S.S., a leading supplier of simulators for training and engineering in the power industry, expect to play a key role. (authors)

SARIE upgrade: Nuclear reactor and water systems 'engineering and training' simulator

International Nuclear Information System (INIS)

Roth, P.

2006-01-01

Confronted as of its origins with the on-board layout constraints of the French Navy ships, TECHNICATOME integrates, as of the design, the ergonomics and the risks control related to the human factors. During more than 30 years, TECHNICATOME demonstrated a one of a kind know-how from the design to the execution of powerful, flexible and highly available nuclear compact reactors. A total control which includes up to the supervision and monitoring systems, the acoustic discreetly of the systems and its components, implemented on on-board reactors, testing reactors as well as experimental reactors. The functionalities of simulation were right from the start used by TECHNICATOME during the design phase of these installations to carry out operation engineering analyses on the thermal hydraulic and neutron aspects, to validate the principles of operation of the supervision systems like by the use of digital models in 3D CAD to validate the kinematics of operation or the interactions between systems. More recently, and starting from the end of the Nineties, a thought needs was launched to determine the interests related to the development of a training simulator associated with these installations with objectives, among others, to ensure the phase of initial training of the new operators, to widen the field of the training to the accidental situations, the management of crisis and crews behaviour supervision, the possibilities of replay which support the consolidation of the acquired knowledge(debriefing) with situation resume, and to increase the overall training capacity. An upgrade and modernisation project of these various simulation means was thus launched since 2001 with the objective to optimize the whole of the tasks supported by these means. (author)

[Educational usefulness of lung auscultation training with an auscultation simulator].

Science.gov (United States)

Arimura, Yasuji; Komatsu, Hiroyuki; Yanagi, Shigehisa; Matsumoto, Nobuhiro; Okayama, Akihiko; Hayashi, Katsuhiro; Nakazato, Masamitsu

2011-06-01

We examined the educational usefulness of lung auscultation training with an auscultation simulator "Mr. Lung". Auscultation training was conducted for fifth-year students of the Medical Department of the University of Miyazaki, and consisted of a lecture by a pulmonologist (Board Certified Member of the Japanese Respiratory Society) and skill training using Mr. Lung for a total of 90 min. We compared the percentages of students who correctly identified 4 adventitious sounds before and after training. We also investigated the responses to a self-report questionnaire on self-evaluation after training, auscultation experiences before training, and opinions regarding medical education with the simulator. The subjects' correct answer rate before training was 40% or less and that for the correct identification of rhonchi was the lowest (5%). The correct answer rate, which was not influenced by previous experience of auscultation, significantly increased after training (80% or more). In the self-report questionnaire, about 90% of the students answered that the ability to identify lung sounds by auscultation was necessary for all doctors and that the simulator was effective for acquiring this skill. The auscultation simulator may be useful for medical students not only to enhance auscultatory skills but also to realize the importance of auscultation in clinical examination.

A review of computer-based simulators for ultrasound training.

Science.gov (United States)

Blum, Tobias; Rieger, Andreas; Navab, Nassir; Friess, Helmut; Martignoni, Marc

2013-04-01

Computer-based simulators for ultrasound training are a topic of recent interest. During the last 15 years, many different systems and methods have been proposed. This article provides an overview and classification of systems in this domain and a discussion of their advantages. Systems are classified and discussed according to the image simulation method, user interactions and medical applications. Computer simulation of ultrasound has one key advantage over traditional training. It enables novel training concepts, for example, through advanced visualization, case databases, and automatically generated feedback. Qualitative evaluations have mainly shown positive learning effects. However, few quantitative evaluations have been performed and long-term effects have to be examined.

Operational NDT simulator, towards human factors integration in simulated probability of detection

Science.gov (United States)

Rodat, Damien; Guibert, Frank; Dominguez, Nicolas; Calmon, Pierre

2017-02-01

In the aeronautic industry, the performance demonstration of Non-Destructive Testing (NDT) procedures relies on Probability Of Detection (POD) analyses. This statistical approach measures the ability of the procedure to detect a flaw with regard to one of its characteristic dimensions. The inspection chain is evaluated as a whole, including equipment configuration, probe effciency but also operator manipulations. Traditionally, a POD study requires an expensive campaign during which several operators apply the procedure on a large set of representative samples. Recently, new perspectives for the POD estimation have been introduced using NDT simulation to generate data. However, these approaches do not offer straightforward solutions to take the operator into account. The simulation of human factors, including cognitive aspects, often raises questions. To address these diffculties, we propose a concept of operational NDT simulator [1]. This work presents the first steps in the implementation of such simulator for ultrasound phased array inspection of composite parts containing Flat Bottom Holes (FBHs). The final system will look like a classical ultrasound testing equipment with a single exception: the displayed signals will be synthesized. Our hardware (ultrasound acquisition card, 3D position tracker) and software (position analysis, inspection scenario, synchronization, simulations) environments are developed as a bench to test the meta-modeling techniques able to provide fast-simulated realistic ultra-sound signals. The results presented here are obtained by on-the-fly merging of real and simulated signals. They confirm the feasibility of our approach: the replacement of real signals by purely simulated ones has been unnoticed by operators. We believe this simulator is a great prospect for POD evaluation including human factors, and may also find applications for training or procedure set-up.

Exploring the use of high-fidelity simulation training to enhance clinical skills.

Science.gov (United States)

Ann Kirkham, Lucy

2018-02-07

The use of interprofessional simulation training to enhance nursing students' performance of technical and non-technical clinical skills is becoming increasingly common. Simulation training can involve the use of role play, virtual reality or patient simulator manikins to replicate clinical scenarios and assess the nursing student's ability to, for example, undertake clinical observations or work as part of a team. Simulation training enables nursing students to practise clinical skills in a safe environment. Effective simulation training requires extensive preparation, and debriefing is necessary following a simulated training session to review any positive or negative aspects of the learning experience. This article discusses a high-fidelity simulated training session that was used to assess a group of third-year nursing students and foundation level 1 medical students. This involved the use of a patient simulator manikin in a scenario that required the collaborative management of a deteriorating patient. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Simulation-based training in echocardiography.

Science.gov (United States)

Biswas, Monodeep; Patel, Rajendrakumar; German, Charles; Kharod, Anant; Mohamed, Ahmed; Dod, Harvinder S; Kapoor, Poonam Malhotra; Nanda, Navin C

2016-10-01

The knowledge gained from echocardiography is paramount for the clinician in diagnosing, interpreting, and treating various forms of disease. While cardiologists traditionally have undergone training in this imaging modality during their fellowship, many other specialties are beginning to show interest as well, including intensive care, anesthesia, and primary care trainees, in both transesophageal and transthoracic echocardiography. Advances in technology have led to the development of simulation programs accessible to trainees to help gain proficiency in the nuances of obtaining quality images, in a low stress, pressure free environment, often with a functioning ultrasound probe and mannequin that can mimic many of the pathologies seen in living patients. Although there are various training simulation programs each with their own benefits and drawbacks, it is clear that these programs are a powerful tool in educating the trainee and likely will lead to improved patient outcomes. © 2016, Wiley Periodicals, Inc.

Cognitive Load in Mastoidectomy Skills Training: Virtual Reality Simulation and Traditional Dissection Compared.

Science.gov (United States)

Andersen, Steven Arild Wuyts; Mikkelsen, Peter Trier; Konge, Lars; Cayé-Thomasen, Per; Sørensen, Mads Sølvsten

2016-01-01

The cognitive load (CL) theoretical framework suggests that working memory is limited, which has implications for learning and skills acquisition. Complex learning situations such as surgical skills training can potentially induce a cognitive overload, inhibiting learning. This study aims to compare CL in traditional cadaveric dissection training and virtual reality (VR) simulation training of mastoidectomy. A prospective, crossover study. Participants performed cadaveric dissection before VR simulation of the procedure or vice versa. CL was estimated by secondary-task reaction time testing at baseline and during the procedure in both training modalities. The national Danish temporal bone course. A total of 40 novice otorhinolaryngology residents. Reaction time was increased by 20% in VR simulation training and 55% in cadaveric dissection training of mastoidectomy compared with baseline measurements. Traditional dissection training increased CL significantly more than VR simulation training (p < 0.001). VR simulation training imposed a lower CL than traditional cadaveric dissection training of mastoidectomy. Learning complex surgical skills can be a challenge for the novice and mastoidectomy skills training could potentially be optimized by employing VR simulation training first because of the lower CL. Traditional dissection training could then be used to supplement skills training after basic competencies have been acquired in the VR simulation. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Training and assessment of psychomotor skills for performing laparoscopic surgery using BEST-IRIS virtual reality training simulator.

Science.gov (United States)

Makam, Ramesh; Rajan, C S; Brendon, Tulip; Shreedhar, V; Saleem, K; Shrivastava, Sangeeta; Sudarshan, R; Naidu, Prakash

2004-01-01

In this article, we present the results of a pilot study that examined the performance of people training on a Virtual Reality based BEST-IRIS Laparoscopic Surgery Training Simulator. The performance of experienced surgeons was examined and compared to the performance of residents. The purpose of this study is to validate the BEST-IRIS training simulator. It appeared to be a useful training and assessment tool.

An Innovative Virtual Training Simulator for Columbus Astronauts

Science.gov (United States)

Risola, F.; Morzuch, G.

2004-06-01

The International Space Station (ISS) is a co-operative programme among the main world space agencies. The European Space Agency contribution is the Automated Transfer Vehicle and the Columbus Orbital Facility, which is the European laboratory of the ISS. It provides a pressurized environment to house up to ten payload racks containing scientific instruments for the conduct of a broad band of experiments. The astronauts on-board of the ISS interact with the payloads for the preparation and execution of the experiments and before their expedition, they have to train on ground in the most realistic manner. The training is carried out at the European Astronauts Centre in the Columbus Trainer, a complex facility that reproduces the physical layout of the ISS European laboratory and a set of payload racks simulators. These simulators are being developed by Dataspazio with an innovative low-cost approach combining the high realism of the simulation with the flexibility and re-usability of the payloads simulators. The hearth of this approach is the interactive payload Virtual Front-panel Interface. The development of these high-realism training payload simulators incorporate several technological issues such as Digital Light ProcessingTM, projected capacitance touch-screen, high-fidelity graphics and simulation software.

Surgical skills simulation in trauma and orthopaedic training.

Science.gov (United States)

Stirling, Euan R B; Lewis, Thomas L; Ferran, Nicholas A

2014-12-19

Changing patterns of health care delivery and the rapid evolution of orthopaedic surgical techniques have made it increasingly difficult for trainees to develop expertise in their craft. Working hour restrictions and a drive towards senior led care demands that proficiency be gained in a shorter period of time whilst requiring a greater skill set than that in the past. The resulting conflict between service provision and training has necessitated the development of alternative methods in order to compensate for the reduction in 'hands-on' experience. Simulation training provides the opportunity to develop surgical skills in a controlled environment whilst minimising risks to patient safety, operating theatre usage and financial expenditure. Many options for simulation exist within orthopaedics from cadaveric or prosthetic models, to arthroscopic simulators, to advanced virtual reality and three-dimensional software tools. There are limitations to this form of training, but it has significant potential for trainees to achieve competence in procedures prior to real-life practice. The evidence for its direct transferability to operating theatre performance is limited but there are clear benefits such as increasing trainee confidence and familiarity with equipment. With progressively improving methods of simulation available, it is likely to become more important in the ongoing and future training and assessment of orthopaedic surgeons.

Connecting the Links: Narratives, Simulations and Serious Games in Prehospital Training.

Science.gov (United States)

Heldal, Ilona; Backlund, Per; Johannesson, Mikael; Lebram, Mikael; Lundberg, Lars

2017-01-01

Due to rapid and substantial changes in the health sector, collaboration and supporting technologies get more into focus. Changes in education and training are also required. Simulations and serious games (SSG) are often advocated as promising technologies supporting training of many and in the same manner, or increasing the skills necessary to deal with new, dangerous, complex or unexpected situations. The aim of this paper is to illustrate and discuss resources needed for planning and performing collaborative contextual training scenarios. Based on a practical study involving prehospital nurses and different simulator technologies the often-recurring activity chains in prehospital training were trained. This paper exemplifies the benefit of using narratives and SSGs for contextual training contributing to higher user experiences. The benefits of using simulation technologies aligned by processes can be easier defined by narratives from practitioners. While processes help to define more efficient and effective training, narratives and SSGs are beneficial to design scenarios with clues for higher user experiences. By discussing illustrative examples, the paper contributes to better understanding of how to plan simulation-technology rich training scenarios.

Simulation-based interpersonal communication skills training for neurosurgical residents.

Science.gov (United States)

Harnof, Sagi; Hadani, Moshe; Ziv, Amitai; Berkenstadt, Haim

2013-09-01

Communication skills are an important component of the neurosurgery residency training program. We developed a simulation-based training module for neurosurgery residents in which medical, communication and ethical dilemmas are presented by role-playing actors. To assess the first national simulation-based communication skills training for neurosurgical residents. Eight scenarios covering different aspects of neurosurgery were developed by our team: (1) obtaining informed consent for an elective surgery, (2) discharge of a patient following elective surgery, (3) dealing with an unsatisfied patient, (4) delivering news of intraoperative complications, (5) delivering news of a brain tumor to parents of a 5 year old boy, (6) delivering news of brain death to a family member, (7) obtaining informed consent for urgent surgery from the grandfather of a 7 year old boy with an epidural hematoma, and (8) dealing with a case of child abuse. Fifteen neurosurgery residents from all major medical centers in Israel participated in the training. The session was recorded on video and was followed by videotaped debriefing by a senior neurosurgeon and communication expert and by feedback questionnaires. All trainees participated in two scenarios and observed another two. Participants largely agreed that the actors simulating patients represented real patients and family members and that the videotaped debriefing contributed to the teaching of professional skills. Simulation-based communication skill training is effective, and together with thorough debriefing is an excellent learning and practical method for imparting communication skills to neurosurgery residents. Such simulation-based training will ultimately be part of the national residency program.

Needs assessment for simulation training in neuroendoscopy: a Canadian national survey.

Science.gov (United States)

Haji, Faizal A; Dubrowski, Adam; Drake, James; de Ribaupierre, Sandrine

2013-02-01

In recent years, dramatic changes in surgical education have increased interest in simulation-based training for complex surgical skills. This is particularly true for endoscopic third ventriculostomy (ETV), given the potential for serious intraoperative errors arising from surgical inexperience. However, prior to simulator development, a thorough assessment of training needs is essential to ensure development of educationally relevant platforms. The purpose of this study was to conduct a national needs assessment addressing specific goals of instruction, to guide development of simulation platforms, training curricula, and assessment metrics for ETV. Canadian neurosurgeons performing ETV were invited to participate in a structured online questionnaire regarding the procedural steps for ETV, the frequency and significance of intraoperative errors committed while learning the technique, and simulation training modules of greatest potential educational benefit. Descriptive data analysis was completed for both quantitative and qualitative responses. Thirty-two (55.2%) of 58 surgeons completed the survey. All believed that virtual reality simulation training for ETV would be a valuable addition to clinical training. Selection of ventriculostomy site, navigation within the ventricles, and performance of the ventriculostomy ranked as the most important steps to simulate. Technically inadequate ventriculostomy and inappropriate fenestration site selection were ranked as the most frequent/significant errors. A standard ETV module was thought to be most beneficial for resident training. To inform the development of a simulation-based training program for ETV, the authors have conducted a national needs assessment. The results provide valuable insight to inform key design elements necessary to construct an educationally relevant device and educational program.

Cost-effective and low-technology options for simulation and training in neonatology.

Science.gov (United States)

Bruno, Christie J; Glass, Kristen M

2016-11-01

The purpose of this review is to explore low-cost options for simulation and training in neonatology. Numerous cost-effective options exist for simulation and training in neonatology. Lower cost options are available for teaching clinical skills and procedural training in neonatal intubation, chest tube insertion, and pericardiocentesis, among others. Cost-effective, low-cost options for simulation-based education can be developed and shared in order to optimize the neonatal simulation training experience. Copyright © 2016 Elsevier Inc. All rights reserved.

Simulator training analysis

International Nuclear Information System (INIS)

Hollnagel, E.; Rasmussen, J.

1981-08-01

This paper presents a suggestion for systematic collection of data during the normal use of training simulators, with the double purpose of supporting trainee debriefing and providing data for further theoretical studies of operator performance. The method is based on previously described models of operator performance and decision-making, and is a specific instance of the general method for analysis of operator performance data. The method combines a detailed transient-specific description of the expected performance with transient-independent tools for observation of critical activities. (author)

Implementation of full patient simulation training in surgical residency.

Science.gov (United States)

Fernandez, Gladys L; Lee, Patrick C; Page, David W; D'Amour, Elizabeth M; Wait, Richard B; Seymour, Neal E

2010-01-01

Simulated patient care has gained acceptance as a medical education tool but is underused in surgical training. To improve resident clinical management in critical situations relevant to the surgical patient, high-fidelity full patient simulation training was instituted at Baystate Medical Center in 2005 and developed during successive years. We define surgical patient simulation as clinical management performed in a high fidelity environment using a manikin simulator. This technique is intended to be specifically modeled experiential learning related to the knowledge, skills, and behaviors that are fundamental to patient care. We report 3 academic years' use of a patient simulation curriculum. Learners were PGY 1-3 residents; 26 simulated patient care experiences were developed based on (1) designation as a critical management problem that would otherwise be difficult to practice, (2) ability to represent the specific problem in simulation, (3) relevance to the American Board of Surgery (ABS) certifying examination, and/or (4) relevance to institutional quality or morbidity and mortality reports. Although training started in 2005, data are drawn from the period of systematic and mandatory training spanning from July 2006 to June 2009. Training occurred during 1-hour sessions using a computer-driven manikin simulator (METI, Sarasota, Florida). Educational content was provided either before or during presimulation briefing sessions. Scenario areas included shock states, trauma and critical care case management, preoperative processes, and postoperative conditions and complications. All sessions were followed by facilitated debriefing. Likert scale-based multi-item assessments of core competency in medical knowledge, patient care, diagnosis, management, communication, and professionalism were used to generate a performance score for each resident for each simulation (percentage of best possible score). Performance was compared across PGYs by repeated

Data-Driven Scenario Generation for Enhanced Realism of Equipment Training Simulators

NARCIS (Netherlands)

Vahdatikhaki, Faridaddin; Hammad, Amin; olde Scholtenhuis, Léon Luc; Miller, Seirgei Rosario; Makarov, Denis

2017-01-01

Improving the training of heavy equipment operators can make a significant contribution to improving the safety of construction sites. In recent years, Virtual Reality (VR)-based simulators have gained increased popularity for the use in equipment training programs. While VR training simulators for

Role of in-situ simulation for training in healthcare: opportunities and challenges.

Science.gov (United States)

Kurup, Viji; Matei, Veronica; Ray, Jessica

2017-12-01

Simulation has now been acknowledged as an important part of training in healthcare, and most academic hospitals have a dedicated simulation center. In-situ simulation occurs in patient care units with scenarios involving healthcare professionals in their actual working environment. The purpose of this review is to describe the process of putting together the components of in-situ simulation for training programs and to review outcomes studied, and challenges with this approach. In-situ simulation has been used to 'test-drive' new centers, train personnel in new procedures in existing centers, for recertification training and to uncover latent threats in clinical care areas. It has also emerged as an attractive alternative to traditional simulations for institutions that do not have their own simulation center. In-situ simulation can be used to improve reliability and safety especially in areas of high risk, and in high-stress environments. It is also a reasonable and attractive alternative for programs that want to conduct interdisciplinary simulations for their trainees and faculty, and for those who do not have access to a fully functional simulation center. Further research needs to be done in assessing effectiveness of training using this method and the effect of such training on clinical outcomes.

The effect of virtual endoscopy simulator training on novices: a systematic review.

Directory of Open Access Journals (Sweden)

Weiguang Qiao

Full Text Available BACKGROUND: Advances in virtual endoscopy simulators have paralleled an interest in medical simulation for gastrointestinal endoscopy training. OBJECTIVE: The primary objective was to determine whether the virtual endoscopy simulator training could improve the performance of novices. DESIGN: A systematic review. SETTING: Randomized controlled trials (RCTs that compared virtual endoscopy simulator training with bedside teaching or any other intervention for novices were collected. PATIENTS: Novice endoscopists. INTERVENTIONS: The PRISMA statement was followed during the course of the research. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and ScienceDirect were searched (up to July 2013. Data extraction and assessment were independently performed. MAIN OUTCOME MEASUREMENTS: Independent procedure completion, total procedure time and required assistance. RESULTS: Fifteen studies (n = 354 were eligible for inclusion: 9 studies designed for colonoscopy training, 6 for gastroscopy training. For gastroscopy training, procedure completed independently was reported in 87.7% of participants in simulator training group compared to 70.0% of participants in control group (1 study; 22 participants; RR 1.25; 95% CI 1.13-1.39; P<0.0001. For colonoscopy training, procedure completed independently was reported in 89.3% of participants in simulator training group compared to 88.9% of participants in control group (7 study; 163 participants; RR 1.10; 95% CI 0.88-1.37; P = 0.41; I(2 = 85%. LIMITATIONS: The included studies are quite in-homogeneous with respect to training schedule and procedure. CONCLUSIONS: Virtual endoscopy simulator training might be effective for gastroscopy, but so far no data is available to support this for colonoscopy.

An advanced simulator for orthopedic surgical training.

Science.gov (United States)

Cecil, J; Gupta, Avinash; Pirela-Cruz, Miguel

2018-02-01

The purpose of creating the virtual reality (VR) simulator is to facilitate and supplement the training opportunities provided to orthopedic residents. The use of VR simulators has increased rapidly in the field of medical surgery for training purposes. This paper discusses the creation of the virtual surgical environment (VSE) for training residents in an orthopedic surgical process called less invasive stabilization system (LISS) surgery which is used to address fractures of the femur. The overall methodology included first obtaining an understanding of the LISS plating process through interactions with expert orthopedic surgeons and developing the information centric models. The information centric models provided a structured basis to design and build the simulator. Subsequently, the haptic-based simulator was built. Finally, the learning assessments were conducted in a medical school. The results from the learning assessments confirm the effectiveness of the VSE for teaching medical residents and students. The scope of the assessment was to ensure (1) the correctness and (2) the usefulness of the VSE. Out of 37 residents/students who participated in the test, 32 showed improvements in their understanding of the LISS plating surgical process. A majority of participants were satisfied with the use of teaching Avatars and haptic technology. A paired t test was conducted to test the statistical significance of the assessment data which showed that the data were statistically significant. This paper demonstrates the usefulness of adopting information centric modeling approach in the design and development of the simulator. The assessment results underscore the potential of using VR-based simulators in medical education especially in orthopedic surgery.

Modular modeling and simulation of hybrid power trains; Modulare Modellbildung und Simulation von hybriden Antriebstraengen

Energy Technology Data Exchange (ETDEWEB)

Kelz, Gerald; Hirschberg, Wolfgang [Inst. fuer Fahrzeugtechnik, Technische Univ. Graz (Austria)

2009-07-01

The power train of a hybrid vehicle is considerably more complex than that of conventional vehicles. Whilst the topology of a conventional vehicle is normally fixed, the arrangement of the power train components for innovative propulsion systems is a flexible one. The aim is to find those topologies and configurations which are optimal for the intended use. Fuel consumption potentials can be derived with the aid of vehicle longitudinal dynamics simulation. Mostly these simulations are carried out using commercial software which is optimized for the standard topology and do not offer the flexibility to calculate arbitrary topologies. This article covers the modular modeling and the fuel consumption simulation of complex hybrid power trains for topology analysis. A component library for the development of arbitrary hybrid propulsion systems is introduced. The focus lies on an efficient and fast modeling which provides exact simulation results. Several models of power train components are introduced. (orig.)

Automated testing and reverification for training simulators using SATAR

International Nuclear Information System (INIS)

Charles, R.D.; Gaddy, C.D.; Nargarkar, A.; Colley, R.

1990-01-01

This paper reports that simulators used to train nuclear power plant operators must be recertified periodically to ensure fidelity for training (10 CFR 55.45). The objective of the Simulator Automated Testing and Reverification (SATAR) project was to develop software to reverify dynamic simulator performance automatically. The software resides in a standard configuration personal computer and in the simulator computer; the two computers are linked via serial ports. SATAR will automatically run performance tests, collect and analyze data, and compare data with baseline performance data. With SATAR, support from operations and simulator support personnel can be reduced greatly, and the repeatability of performance tests can be improved

Retention of Mastoidectomy Skills After Virtual Reality Simulation Training.

Science.gov (United States)

Andersen, Steven Arild Wuyts; Konge, Lars; Cayé-Thomasen, Per; Sørensen, Mads Sølvsten

2016-07-01

The ultimate goal of surgical training is consolidated skills with a consistently high performance. However, surgical skills are heterogeneously retained and depend on a variety of factors, including the task, cognitive demands, and organization of practice. Virtual reality (VR) simulation is increasingly being used in surgical skills training, including temporal bone surgery, but there is a gap in knowledge on the retention of mastoidectomy skills after VR simulation training. To determine the retention of mastoidectomy skills after VR simulation training with distributed and massed practice and to investigate participants' cognitive load during retention procedures. A prospective 3-month follow-up study of a VR simulation trial was conducted from February 6 to September 19, 2014, at an academic teaching hospital among 36 medical students: 19 from a cohort trained with distributed practice and 17 from a cohort trained with massed practice. Participants performed 2 virtual mastoidectomies in a VR simulator a mean of 3.2 months (range, 2.4-5.0 months) after completing initial training with 12 repeated procedures. Practice blocks were spaced apart in time (distributed), or all procedures were performed in 1 day (massed). Performance of the virtual mastoidectomy as assessed by 2 masked senior otologists using a modified Welling scale, as well as cognitive load as estimated by reaction time to perform a secondary task. Among 36 participants, mastoidectomy final-product skills were largely retained at 3 months (mean change in score, 0.1 points; P = .89) regardless of practice schedule, but the group trained with massed practice took more time to complete the task. The performance of the massed practice group increased significantly from the first to the second retention procedure (mean change, 1.8 points; P = .001), reflecting that skills were less consolidated. For both groups, increases in reaction times in the secondary task (distributed practice group: mean

Design of 3D simulation engine for oilfield safety training

Science.gov (United States)

Li, Hua-Ming; Kang, Bao-Sheng

2015-03-01

Aiming at the demand for rapid custom development of 3D simulation system for oilfield safety training, this paper designs and implements a 3D simulation engine based on script-driven method, multi-layer structure, pre-defined entity objects and high-level tools such as scene editor, script editor, program loader. A scripting language been defined to control the system's progress, events and operating results. Training teacher can use this engine to edit 3D virtual scenes, set the properties of entity objects, define the logic script of task, and produce a 3D simulation training system without any skills of programming. Through expanding entity class, this engine can be quickly applied to other virtual training areas.

Reactor training simulator for the Replacement Research Reactor (RRR)

International Nuclear Information System (INIS)

Etchepareborda, A; Flury, C.A; Lema, F; Maciel, F; Alegrechi, D; Damico, M; Ibarra, G; Muguiro, M; Gimenez, M; Schlamp, M; Vertullo, A

2004-01-01

The main features of the ANSTO Replacement Research Reactor (RRR) Reactor Training Simulator (RTS) are presented.The RTS is a full-scope and partial replica simulator.Its scope includes a complete set of plant normal evolutions and malfunctions obtained from the plant design basis accidents list.All the systems necessary to implement the operating procedures associated to these transients are included.Within these systems both the variables connected to the plant SCADA and the local variables are modelled, leading to several thousands input-output variables in the plant mathematical model (PMM).The trainee interacts with the same plant SCADA, a Foxboro I/A Series system.Control room hardware is emulated through graphical displays with touch-screen.The main system models were tested against RELAP outputs.The RTS includes several modules: a model manager (MM) that encapsulates the plant mathematical model; a simulator human machine interface, where the trainee interacts with the plant SCADA; and an instructor console (IC), where the instructor commands the simulation.The PMM is built using Matlab-Simulink with specific libraries of components designed to facilitate the development of the nuclear, hydraulic, ventilation and electrical plant systems models [es

Collection and analysis of training simulator data

International Nuclear Information System (INIS)

Krois, P.A.; Haas, P.M.

1985-01-01

The purposes of this paper are: (1) to review the objectives, approach, and results of a series of research experiments performed on nuclear power plant training simulators in support of regulatory and research programs of the US Nuclear Regulatory Commission (NRC), and (2) to identify general research issues that may lead to an improved research methodology using the training simulator as a field setting. Research products consist of a refined field research methodology, a data store on operator performance, and specific results pertinent to NRC regulatory positions. Issues and potential advances in operator performance measurement are discussed

Basic principles simulators - concept training simulators

International Nuclear Information System (INIS)

Benkert, J.

1986-01-01

Basic Principles Simulators have the purpose of teaching general concepts, demonstrating and displaying the fundamental physical processes of a plant. They are used to illustrate theory to students and also to provide a preliminary training to the operators, to aquaint them with the basic dynamic interactions of the various systems during the normal operation of a plant, and to show the consequences of the most important and common transients and malfunctions. Basic principles simulators may vary in size from small desk cabinets to large panels. They represent with a certain detail the nuclear and thermohydraulic part of the plant. The availability of video displays allows to present detailed information about process parameters which are not shown on the control panels. In general the overall plant behaviour is represented well. Limitations are mostly found in the areas of logic and control. (orig./HP)

Determining procedures for simulation-based training in radiology: a nationwide needs assessment.

Science.gov (United States)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth; Bachmann Nielsen, Michael; Paltved, Charlotte; Lindorff-Larsen, Karen Gilboe; Nielsen, Bjørn Ulrik; Konge, Lars

2018-01-09

New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures. Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound. A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.

Central venous catheterization training: current perspectives on the role of simulation

Directory of Open Access Journals (Sweden)

Soffler MI

2018-05-01

Full Text Available Morgan I Soffler,1,2 Margaret M Hayes,2–4 C Christopher Smith3–5 1Harvard Combined Pulmonary and Critical Care Fellowship at Massachusetts General Hospital and Beth Israel Deaconess Medical Center, Boston, MA, USA; 2Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; 3Internal Medicine Residency Program, Beth Israel Deaconess Medical Center, Boston, MA, USA; 4Shapiro Institute for Education and Research, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; 5Division of General Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA Abstract: Simulation is a popular and effective training modality in medical education across a variety of domains. Central venous catheterization (CVC is commonly undertaken by trainees, and carries significant risk for patient harm when carried out incorrectly. Multiple studies have evaluated the efficacy of simulation-based training programs, in comparison with traditional training modalities, on learner and patient outcomes. In this review, we discuss relevant adult learning principles that support simulation-based CVC training, review the literature on simulation-based CVC training, and highlight the use of simulation-based CVC training programs at various institutions. Keywords: simulation, central venous catheterization, assessment, competency, central line insertion

Lack of transfer of skills after virtual reality simulator training with haptic feedback.

Science.gov (United States)

Våpenstad, Cecilie; Hofstad, Erlend Fagertun; Bø, Lars Eirik; Kuhry, Esther; Johnsen, Gjermund; Mårvik, Ronald; Langø, Thomas; Hernes, Toril Nagelhus

2017-12-01

Virtual reality (VR) simulators enrich surgical training and offer training possibilities outside of the operating room (OR). In this study, we created a criterion-based training program on a VR simulator with haptic feedback and tested it by comparing the performances of a simulator group against a control group. Medical students with no experience in laparoscopy were randomly assigned to a simulator group or a control group. In the simulator group, the candidates trained until they reached predefined criteria on the LapSim ® VR simulator (Surgical Science AB, Göteborg, Sweden) with haptic feedback (Xitact TM IHP, Mentice AB, Göteborg, Sweden). All candidates performed a cholecystectomy on a porcine organ model in a box trainer (the clinical setting). The performances were video rated by two surgeons blinded to subject training status. In total, 30 students performed the cholecystectomy and had their videos rated (N = 16 simulator group, N = 14 control group). The control group achieved better video rating scores than the simulator group (p training program did not transfer skills to the clinical setting. Poor mechanical performance of the simulated haptic feedback is believed to have resulted in a negative training effect.

Laparoscopic skill improvement after virtual reality simulator training in medical students as assessed by augmented reality simulator.

Science.gov (United States)

Nomura, Tsutomu; Mamada, Yasuhiro; Nakamura, Yoshiharu; Matsutani, Takeshi; Hagiwara, Nobutoshi; Fujita, Isturo; Mizuguchi, Yoshiaki; Fujikura, Terumichi; Miyashita, Masao; Uchida, Eiji

2015-11-01

Definitive assessment of laparoscopic skill improvement after virtual reality simulator training is best obtained during an actual operation. However, this is impossible in medical students. Therefore, we developed an alternative assessment technique using an augmented reality simulator. Nineteen medical students completed a 6-week training program using a virtual reality simulator (LapSim). The pretest and post-test were performed using an object-positioning module and cholecystectomy on an augmented reality simulator(ProMIS). The mean performance measures between pre- and post-training on the LapSim were compared with a paired t-test. In the object-positioning module, the execution time of the task (P virtual reality simulator improved the operative skills of medical students as objectively evaluated by assessment using an augmented reality simulator instead of an actual operation. We hope that these findings help to establish an effective training program for medical students. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

Individualized feedback during simulated laparoscopic training:a mixed methods study.

Science.gov (United States)

Ahlborg, Liv; Weurlander, Maria; Hedman, Leif; Nisel, Henry; Lindqvist, Pelle G; Felländer-Tsai, Li; Enochsson, Lars

2015-07-29

This study aimed to explore the value of individualized feedback on performance, flow and self-efficacy during simulated laparoscopy. Furthermore, we wished to explore attitudes towards feedback and simulator training among medical students. Sixteen medical students were included in the study and randomized to laparoscopic simulator training with or without feedback. A teacher provided individualized feedback continuously throughout the procedures to the target group. Validated questionnaires and scales were used to evaluate self-efficacy and flow. The Mann-Whitney U test was used to evaluate differences between groups regarding laparoscopic performance (instrument path length), self-efficacy and flow. Qualitative data was collected by group interviews and interpreted using inductive thematic analyses. Sixteen students completed the simulator training and questionnaires. Instrument path length was shorter in the feedback group (median 3.9 m; IQR: 3.3-4.9) as compared to the control group (median 5.9 m; IQR: 5.0-8.1), pfeedback group were more concentrated on the task and also more anxious. Both groups had high ambitions to succeed and also expressed the importance of getting feedback. The authenticity of the training scenario was important for the learning process. This study highlights the importance of individualized feedback during simulated laparoscopy training. The next step is to further optimize feedback and to transfer standardized and individualized feedback from the simulated setting to the operating room.

Comprehensive simulation-enhanced training curriculum for an advanced minimally invasive procedure: a randomized controlled trial.

Science.gov (United States)

Zevin, Boris; Dedy, Nicolas J; Bonrath, Esther M; Grantcharov, Teodor P

2017-05-01

There is no comprehensive simulation-enhanced training curriculum to address cognitive, psychomotor, and nontechnical skills for an advanced minimally invasive procedure. 1) To develop and provide evidence of validity for a comprehensive simulation-enhanced training (SET) curriculum for an advanced minimally invasive procedure; (2) to demonstrate transfer of acquired psychomotor skills from a simulation laboratory to live porcine model; and (3) to compare training outcomes of SET curriculum group and chief resident group. University. This prospective single-blinded, randomized, controlled trial allocated 20 intermediate-level surgery residents to receive either conventional training (control) or SET curriculum training (intervention). The SET curriculum consisted of cognitive, psychomotor, and nontechnical training modules. Psychomotor skills in a live anesthetized porcine model in the OR was the primary outcome. Knowledge of advanced minimally invasive and bariatric surgery and nontechnical skills in a simulated OR crisis scenario were the secondary outcomes. Residents in the SET curriculum group went on to perform a laparoscopic jejunojejunostomy in the OR. Cognitive, psychomotor, and nontechnical skills of SET curriculum group were also compared to a group of 12 chief surgery residents. SET curriculum group demonstrated superior psychomotor skills in a live porcine model (56 [47-62] versus 44 [38-53], Ppsychomotor skills in the live porcine model and in the OR in a human patient (56 [47-62] versus 63 [61-68]; P = .21). SET curriculum group demonstrated inferior knowledge (13 [11-15] versus 16 [14-16]; P<.05), equivalent psychomotor skill (63 [61-68] versus 68 [62-74]; P = .50), and superior nontechnical skills (41 [38-45] versus 34 [27-35], P<.01) compared with chief resident group. Completion of the SET curriculum resulted in superior training outcomes, compared with conventional surgery training. Implementation of the SET curriculum can standardize training

The effect of self-directed virtual reality simulation on dissection training performance in mastoidectomy

DEFF Research Database (Denmark)

Andersen, Steven Arild Wuyts; Foghsgaard, Søren; Konge, Lars

2016-01-01

OBJECTIVES/HYPOTHESIS: To establish the effect of self-directed virtual reality (VR) simulation training on cadaveric dissection training performance in mastoidectomy and the transferability of skills acquired in VR simulation training to the cadaveric dissection training setting. STUDY DESIGN......: Prospective study. METHODS: Two cohorts of 20 novice otorhinolaryngology residents received either self-directed VR simulation training before cadaveric dissection training or vice versa. Cadaveric and VR simulation performances were assessed using final-product analysis with three blinded expert raters....... RESULTS: The group receiving VR simulation training before cadaveric dissection had a mean final-product score of 14.9 (95 % confidence interval [CI] [12.9-16.9]) compared with 9.8 (95% CI [8.4-11.1]) in the group not receiving VR simulation training before cadaveric dissection. This 52% increase...

Full scope simulator commissioning and training experience at Cernavoda NPP

International Nuclear Information System (INIS)

Balan, M.

2000-01-01

The paper presents the experience gained during commissioning and the initial use of the CANDU training full-scope simulator for operation personnel at Cernavoda NPP. The full-scope simulator as an integral part of the training programs that take place in Cernavoda Nuclear Training Department (CNTD), is mainly used for the development of operational skills, knowledge and attitudes required to operate the plant in a safe and efficient manner. (author)

Advanced training simulator models. Implementation and validation

International Nuclear Information System (INIS)

Borkowsky, Jeffrey; Judd, Jerry; Belblidia, Lotfi; O'farrell, David; Andersen, Peter

2008-01-01

Modern training simulators are required to replicate plant data for both thermal-hydraulic and neutronic response. Replication is required such that reactivity manipulation on the simulator properly trains the operator for reactivity manipulation at the plant. This paper discusses advanced models which perform this function in real-time using the coupled code system THOR/S3R. This code system models the all fluids systems in detail using an advanced, two-phase thermal-hydraulic a model. The nuclear core is modeled using an advanced, three-dimensional nodal method and also by using cycle-specific nuclear data. These models are configured to run interactively from a graphical instructor station or handware operation panels. The simulator models are theoretically rigorous and are expected to replicate the physics of the plant. However, to verify replication, the models must be independently assessed. Plant data is the preferred validation method, but plant data is often not available for many important training scenarios. In the absence of data, validation may be obtained by slower-than-real-time transient analysis. This analysis can be performed by coupling a safety analysis code and a core design code. Such a coupling exists between the codes RELAP5 and SIMULATE-3K (S3K). RELAP5/S3K is used to validate the real-time model for several postulated plant events. (author)

Simulators in the urological training armamentarium: A boon or a bane?

Science.gov (United States)

Aggarwal, Gaurav; Adhikary, Samiran D

2017-06-01

Simulation devices have grasped the attention of almost all industries worldwide and the medical field has not been exempt. With technological advancement, it becomes important to assess whether medical simulators are the way forward as an adjunct or as a replacement to traditional training approaches by assessing their safety, efficacy and cost-effectiveness, and whether they should be made mandatory in the curriculum of urology training. The present review aims to clarify some of these issues, as well as assess their role in urological training and present both the pros and cons of this simulation-based training.

Review-Research on the physical training model of human body based on HQ.

Science.gov (United States)

Junjie, Liu

2016-11-01

Health quotient (HQ) is the newest health culture and concept in the 21st century, and the analysis of the human body sports model is not enough mature at present, what's more, the purpose of this paper is to study the integration of the two subjects the health quotient and the sport model. This paper draws the conclusion that physical training and education in colleges and universities can improve the health quotient, and it will make students possess a more healthy body and mind. Then through a new rigid body model of sports to simulate the human physical exercise. After that this paper has an in-depth study on the dynamic model of the human body movement on the basis of establishing the matrix and equation. The simulation results of the human body bicycle riding and pole throwing show that the human body joint movement simulation can be realized and it has a certain operability as well. By means of such simulated calculation, we can come to a conclusion that the movement of the ankle joint, knee joint and hip joint's motion law and real motion are basically the same. So it further verify the accuracy of the motion model, which lay the foundation of other research movement model, also, the study of the movement model is an important method in the study of human health in the future.

The efficacy of virtual reality simulation training in laparoscopy

DEFF Research Database (Denmark)

Larsen, Christian Rifbjerg; Oestergaard, Jeanett; Ottesen, Bent S

2012-01-01

Background. Virtual reality (VR) simulators for surgical training might possess the properties needed for basic training in laparoscopy. Evidence for training efficacy of VR has been investigated by research of varying quality over the past decade. Objective. To review randomized controlled trial...

The use of simulation on courses at the CEGB's nuclear power training centre

International Nuclear Information System (INIS)

Madden, V.J.; Tompsett, P.A.

1986-01-01

Simulation used during training courses held at the Central Electricity Generating Board's (CEGB's) Nuclear Power Training Centre takes the form of desk-top kinetics units, generic Magnox and plant specific Advanced Gas Cooled Reactor (AGR) simulators. This paper reviews the CEGB's experience in the training use of the first three AGR simulators and describes both the developments made since their first commissioning and those currently envisaged. The Heysham 2 simulator is compared with the earlier units and its use during training courses is discussed. The role of the tutor in the provision of simulator training is considered together with the various facilities which he controls. (author)

Development of a virtual training simulator for a challenging refurbishment task

International Nuclear Information System (INIS)

Mort, P.E.

1996-01-01

An overview is presented of the technology, developed by British Nuclear Fuels Limited (BNFL), to create a virtual training simulator for refurbishment tasks. It focuses on the Raffinate Project, a challenging plant modification take, performed remotely, during which component removal, welding and installation of new components are all undertaken. The Training Simulator developed required fast multiprocessor computing with system intercommunication. Operators responded well to the Training Simulator and further improvements to the system are underway. (UK)

Upgrade of the Hunterston B AGR operator training simulator

International Nuclear Information System (INIS)

Morrison, J.; Nicol, D.; Hacking, D.

1997-01-01

Nuclear power plant simulators provide a vital tool in the training of operational staff in the statutory procedures and operational requirements of the nuclear industry. Scottish Nuclear, and its predecessor the South of Scotland Electricity Board, recognised the value such facilities offered to safety and efficiency and commissioned the construction of the Hunterston Operator Training Simulator as early as 1980. The simulator is a full scope, total plant, and real time system, with a complete 'as plant' replication of the operator interface, together with extensive instructor and tutorial facilities. Its uses have extended beyond the operator training role into plant engineering post incident analysis, evolving to be an essential feature of the station as a whole. Operation of the simulator for the foreseeable life of the station was the main driving force behind the current simulator update project, and whilst the need to move to a new computing platform, avoiding impending obsolescence problems, was the prime reason, the retention of 17 years of software development was seen as a valuable legacy to preserve. This paper discusses the main criteria considered during the simulator upgrade programme, highlighting the main technical issues and risks involved. (author)

Simulation technology for resuscitation training: a systematic review and meta-analysis.

Science.gov (United States)

Mundell, William C; Kennedy, Cassie C; Szostek, Jason H; Cook, David A

2013-09-01

To summarize current available data on simulation-based training in resuscitation for health care professionals. MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Web of Science, Scopus and reference lists of published reviews. Published studies of any language or date that enrolled health professions' learners to investigate the use of technology-enhanced simulation to teach resuscitation in comparison with no intervention or alternative training. Data were abstracted in duplicate. We identified themes examining different approaches to curriculum design. We pooled results using random effects meta-analysis. 182 studies were identified involving 16,636 participants. Overall, simulation-based training of resuscitation skills, in comparison to no intervention, appears effective regardless of assessed outcome, level of learner, study design, or specific task trained. In comparison to no intervention, simulation training improved outcomes of knowledge (Hedges' g) 1.05 (95% confidence interval, 0.81-1.29), process skill 1.13 (0.99-1.27), product skill 1.92 (1.26-2.60), time skill 1.77 (1.13-2.42) and patient outcomes 0.26 (0.047-0.48). In comparison with non-simulation intervention, learner satisfaction 0.79 (0.27-1.31) and process skill 0.35 (0.12-0.59) outcomes favored simulation. Studies investigating how to optimize simulation training found higher process skill outcomes in courses employing "booster" practice 0.13 (0.03-0.22), team/group dynamics 0.51 (0.06-0.97), distraction 1.76 (1.02-2.50) and integrated feedback 0.49 (0.17-0.80) compared to courses without these features. Most analyses reflected high between-study inconsistency (I(2) values >50%). Simulation-based training for resuscitation is highly effective. Design features of "booster" practice, team/group dynamics, distraction and integrated feedback improve effectiveness. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Design and use of an engineering simulator for power plant and training simulator updates

International Nuclear Information System (INIS)

Sharawy, P.S.; Kennard, J.R.; Chou, Q.B.

1990-01-01

The advancement in real-time simulators has been facilitated by the availability of increasingly powerful computing devices at reduced costs for use in conjunction with high-fidelity simulation software. Ontario Hydro's commitment to the safe and reliable operation of its nuclear power plants was one of the factors which influenced its decision to build a plant-replica operator training simulator for each of its nuclear generating stations. This investment soon proved to have advantages beyond those originally envisaged. It become apparent that because the software developed for these simulators met rigorous acceptance criteria, it could be used on an engineering simulator to effectively investigate problems occurring at the stations. It could also serve as a design aid for station modifications. Encouraged by the success of early experimentation in the use of its training simulators for concept validation and verification, Ontario Hydro is developing a low-cost central facility - the Instrumentation and Control Engineering Simulator (ICES) - for use in its design work. This facility incorporates the software of its training simulators and includes a user-friendly generic interface which enables designers to configure and operate it. Inclusion of the engineering simulator in all phases of the design process, from the original concept to implementation and verification, will make it possible to shorten the design period significantly while achieving a high level of quality. It will also facilitate the rapid retrofit of simulators to reflect station modifications. This paper will recount Ontario Hydro's experience in the use of simulators for design work and will specifically discuss the design features and system performance of its engineering simulator

SIMULATORS FOR TRAINING OF ROV OPERATOR

Directory of Open Access Journals (Sweden)

B. I. Shakhtarin

2014-01-01

Full Text Available In the article issues of the organization of imitating modeling complexes for training operators of Remotely Operated Underwater Vehicle are considered. It is reported about practical development of sea exercise simulation in Bauman MSTU.

Training human resource for NPP in Vietnam

International Nuclear Information System (INIS)

Nguyen, Trung Tinh; Dam, Xuan Hiep

2008-01-01

Vietnam will establish the first NPP in the near future. With us the first important thing is the human resource, but now there is no university in Vietnam training nuclear engineers. In EPU (Electric Power University), now we are preparing for training nuclear engineers. In this paper, we review the nuclear man power and the way to train the high quality human resource for NPP and for other nuclear application in Vietnam. (author)

Enhanced operator-training simulator for the Fast Flux Test Facility

International Nuclear Information System (INIS)

Schrader, F.D.; Swanson, C.D.

1983-01-01

The FFTF Plant Operator Training Simulator Facility has proven to be a valuable asset throughtout the testing, startup and early operational phases of the Fast Flux Test facility. However, limitations inherent in the existing simulation facility, increased emphasis on the required quality of operator training, and an expanded scope of applications (e.g., MNI development) justify an enhanced facility. Direct use of plant operators in the development of improved reactor control room displays and other man/machine interface equipment and procedures increases the credibility of proposed techniques and reported results. The FFTF Plant Operator Training Simulator provides a key element in this development program

Virtual reality simulation in endovascular surgical training.

LENUS (Irish Health Repository)

Tsang, J S

2008-08-01

Shortened trainingtimes duetothe European Working Time Directive (EWTD) and increased public scrutiny of surgical competency have led to a move away from the traditional apprenticeship model of training. Virtual reality (VR) simulation is a fascinating innovation allowing surgeons to develop without the need to practice on real patients and it may be a solution to achieve competency within a shortened training period.

The role of simulation training in anesthesiology resident education.

Science.gov (United States)

Yunoki, Kazuma; Sakai, Tetsuro

2018-03-09

An increasing number of reports indicate the efficacy of simulation training in anesthesiology resident education. Simulation education helps learners to acquire clinical skills in a safe learning environment without putting real patients at risk. This useful tool allows anesthesiology residents to obtain medical knowledge and both technical and non-technical skills. For faculty members, simulation-based settings provide the valuable opportunity to evaluate residents' performance in scenarios including airway management and regional, cardiac, and obstetric anesthesiology. However, it is still unclear what types of simulators should be used or how to incorporate simulation education effectively into education curriculums. Whether simulation training improves patient outcomes has not been fully determined. The goal of this review is to provide an overview of the status of simulation in anesthesiology resident education, encourage more anesthesiologists to get involved in simulation education to propagate its influence, and stimulate future research directed toward improving resident education and patient outcomes.

Application of Decision Making and Team Training Research to Operational Training. A Translative Technique.

Science.gov (United States)

DECISION MAKING , * GROUP DYNAMICS, NAVAL TRAINING, TRANSFER OF TRAINING, SCIENTIFIC RESEARCH, CLASSIFICATION, PROBLEM SOLVING, MATHEMATICAL MODELS, SUBMARINES, SIMULATORS, PERFORMANCE(HUMAN), UNDERSEA WARFARE.

Disaster response team FAST skills training with a portable ultrasound simulator compared to traditional training: pilot study.

Science.gov (United States)

Paddock, Michael T; Bailitz, John; Horowitz, Russ; Khishfe, Basem; Cosby, Karen; Sergel, Michelle J

2015-03-01

Pre-hospital focused assessment with sonography in trauma (FAST) has been effectively used to improve patient care in multiple mass casualty events throughout the world. Although requisite FAST knowledge may now be learned remotely by disaster response team members, traditional live instructor and model hands-on FAST skills training remains logistically challenging. The objective of this pilot study was to compare the effectiveness of a novel portable ultrasound (US) simulator with traditional FAST skills training for a deployed mixed provider disaster response team. We randomized participants into one of three training groups stratified by provider role: Group A. Traditional Skills Training, Group B. US Simulator Skills Training, and Group C. Traditional Skills Training Plus US Simulator Skills Training. After skills training, we measured participants' FAST image acquisition and interpretation skills using a standardized direct observation tool (SDOT) with healthy models and review of FAST patient images. Pre- and post-course US and FAST knowledge were also assessed using a previously validated multiple-choice evaluation. We used the ANOVA procedure to determine the statistical significance of differences between the means of each group's skills scores. Paired sample t-tests were used to determine the statistical significance of pre- and post-course mean knowledge scores within groups. We enrolled 36 participants, 12 randomized to each training group. Randomization resulted in similar distribution of participants between training groups with respect to provider role, age, sex, and prior US training. For the FAST SDOT image acquisition and interpretation mean skills scores, there was no statistically significant difference between training groups. For US and FAST mean knowledge scores, there was a statistically significant improvement between pre- and post-course scores within each group, but again there was not a statistically significant difference between

Detailed Numerical Simulation of the Graniteville Train Collision

Energy Technology Data Exchange (ETDEWEB)

Buckley, R. L.

2005-10-24

An unfortunate accident occurred in Graniteville, South Carolina on 6 January, 2005 when a train carrying a variety of hazardous chemicals collided with a stationary train parked on a siding rail (spur). The Savannah River National Laboratory (SRNL) runs prognostic atmospheric simulations of the Central Savannah River Area (CSRA) on an operational basis in the event of such airborne releases. Although forecast information was provided at 2-km horizontal grid spacing during the accident response, a higher-resolution simulation was later performed to examine influences of local topography on plume migration. The Regional Atmospheric Modeling System (RAMS, version 4.3.0) was used to simulate meteorology using multiple grids with an innermost grid spacing of 125 meters. This report discusses comparisons of simulated meteorology with local observations and applications using two separate transport models. Results from the simulations are shown to generally agree with meteorological observations at the time. Use of a dense gas model to simulate localized effects indicates agreement with fatalities in the immediate area and visible damage to vegetation.

Simulation laboratories for training in obstetrics and gynecology.

Science.gov (United States)

Macedonia, Christian R; Gherman, Robert B; Satin, Andrew J

2003-08-01

Simulations have been used by the military, airline industry, and our colleagues in other medical specialties to educate, evaluate, and prepare for rare but life-threatening scenarios. Work hour limits for residents in obstetrics and gynecology and decreased patient availability for teaching of students and residents require us to think creatively and practically on how to optimize their education. Medical simulations may address scenarios in clinical practice that are considered important to know or understand. Simulations can take many forms, including computer programs, models or mannequins, virtual reality data immersion caves, and a combination of formats. The purpose of this commentary is to call attention to a potential role for medical simulation in obstetrics and gynecology. We briefly describe an example of how simulation may be incorporated into obstetric and gynecologic residency training. It is our contention that educators in obstetrics and gynecology should be aware of the potential for simulation in education. We hope this commentary will stimulate interest in the field, lead to validation studies, and improve training in and the practice of obstetrics and gynecology.

Simulation and CRM.

Science.gov (United States)

Ostergaard, Doris; Dieckmann, Peter; Lippert, Anne

2011-06-01

Patients are harmed as a result of incidents. Both poor interdisciplinary communication and teamwork are contributing factors to such events. The principles of crisis resource management are meant to help prevent and manage difficulties and reflect both, the social-team-oriented and cognitive-individual-oriented aspects of human factors. This article explores the importance of human factors training for safe care of patients and the role of simulation. Based on the available literature, the need to integrate this type of training to increase awareness of the importance of human factors and to change attitudes appears obvious. A combination of different training methods appears to be useful. Simulation-based training appears to be favourable, although the number of studies demonstrating the impact of training is limited. It is important to develop training programmes for individual teams, based on the knowledge of challenges and deficiencies, and to monitor behavioural change. Several methods, including patient safety data, interviews, observational studies and simulations, can be used to specify learning objectives. The training should be established for the real team(s). Furthermore, leaders need to implement training in the organisation and establish databases to monitor the impact on patient outcome. Copyright © 2011 Elsevier Ltd. All rights reserved.

Surgical simulation: Current practices and future perspectives for technical skills training.

Science.gov (United States)

Bjerrum, Flemming; Thomsen, Ann Sofia Skou; Nayahangan, Leizl Joy; Konge, Lars

2018-06-17

Simulation-based training (SBT) has become a standard component of modern surgical education, yet successful implementation of evidence-based training programs remains challenging. In this narrative review, we use Kern's framework for curriculum development to describe where we are now and what lies ahead for SBT within surgery with a focus on technical skills in operative procedures. Despite principles for optimal SBT (proficiency-based, distributed, and deliberate practice) having been identified, massed training with fixed time intervals or a fixed number of repetitions is still being extensively used, and simulators are generally underutilized. SBT should be part of surgical training curricula, including theoretical, technical, and non-technical skills, and be based on relevant needs assessments. Furthermore, training should follow evidence-based theoretical principles for optimal training, and the effect of training needs to be evaluated using relevant outcomes. There is a larger, still unrealized potential of surgical SBT, which may be realized in the near future as simulator technologies evolve, more evidence-based training programs are implemented, and cost-effectiveness and impact on patient safety is clearly demonstrated.

Simulation-based cutaneous surgical-skill training on a chicken-skin bench model in a medical undergraduate program.

Science.gov (United States)

Denadai, Rafael; Saad-Hossne, Rogério; Martinhão Souto, Luís Ricardo

2013-05-01

Because of ethical and medico-legal aspects involved in the training of cutaneous surgical skills on living patients, human cadavers and living animals, it is necessary the search for alternative and effective forms of training simulation. To propose and describe an alternative methodology for teaching and learning the principles of cutaneous surgery in a medical undergraduate program by using a chicken-skin bench model. One instructor for every four students, teaching materials on cutaneous surgical skills, chicken trunks, wings, or thighs, a rigid platform support, needled threads, needle holders, surgical blades with scalpel handles, rat-tooth tweezers, scissors, and marking pens were necessary for training simulation. A proposal for simulation-based training on incision, suture, biopsy, and on reconstruction techniques using a chicken-skin bench model distributed in several sessions and with increasing levels of difficultywas structured. Both feedback and objective evaluations always directed to individual students were also outlined. The teaching of a methodology for the principles of cutaneous surgery using a chicken-skin bench model versatile, portable, easy to assemble, and inexpensive is an alternative and complementary option to the armamentarium of methods based on other bench models described.

Review of 3-Dimensional Printing on Cranial Neurosurgery Simulation Training.

Science.gov (United States)

Vakharia, Vejay N; Vakharia, Nilesh N; Hill, Ciaran S

2016-04-01

Shorter working times, reduced operative exposure to complex procedures, and increased subspecialization have resulted in training constraints within most surgical fields. Simulation has been suggested as a possible means of acquiring new surgical skills without exposing patients to the surgeon's operative "learning curve." Here we review the potential impact of 3-dimensional printing on simulation and training within cranial neurosurgery and its implications for the future. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a comprehensive search of PubMed, OVID MEDLINE, Embase, and the Cochrane Database of Systematic Reviews was performed. In total, 31 studies relating to the use of 3-dimensional (3D) printing within neurosurgery, of which 16 were specifically related to simulation and training, were identified. The main impact of 3D printing on neurosurgical simulation training was within vascular surgery, where patient-specific replication of vascular anatomy and pathologies can aid surgeons in operative planning and clip placement for reconstruction of vascular anatomy. Models containing replicas of brain tumors have also been reconstructed and used for training purposes, with some providing realistic representations of skin, subcutaneous tissue, bone, dura, normal brain, and tumor tissue. 3D printing provides a unique means of directly replicating patient-specific pathologies. It can identify anatomic variation and provide a medium in which training models can be generated rapidly, allowing the trainee and experienced neurosurgeon to practice parts of operations preoperatively. Future studies are required to validate this technology in comparison with current simulators and show improved patient outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

Teaching basic lung isolation skills on human anatomy simulator: attainment and retention of lung isolation skills.

Science.gov (United States)

Latif, Rana K; VanHorne, Edgar M; Kandadai, Sunitha Kanchi; Bautista, Alexander F; Neamtu, Aurel; Wadhwa, Anupama; Carter, Mary B; Ziegler, Craig H; Memon, Mohammed Faisal; Akça, Ozan

2016-01-20

Lung isolation skills, such as correct insertion of double lumen endobronchial tube and bronchial blocker, are essential in anesthesia training; however, how to teach novices these skills is underexplored. Our aims were to determine (1) if novices can be trained to a basic proficiency level of lung isolation skills, (2) whether video-didactic and simulation-based trainings are comparable in teaching lung isolation basic skills, and (3) whether novice learners' lung isolation skills decay over time without practice. First, five board certified anesthesiologist with experience of more than 100 successful lung isolations were tested on Human Airway Anatomy Simulator (HAAS) to establish Expert proficiency skill level. Thirty senior medical students, who were naive to bronchoscopy and lung isolation techniques (Novice) were randomized to video-didactic and simulation-based trainings to learn lung isolation skills. Before and after training, Novices' performances were scored for correct placement using pass/fail scoring and a 5-point Global Rating Scale (GRS); and time of insertion was recorded. Fourteen novices were retested 2 months later to assess skill decay. Experts' and novices' double lumen endobronchial tube and bronchial blocker passing rates showed similar success rates after training (P >0.99). There were no differences between the video-didactic and simulation-based methods. Novices' time of insertion decayed within 2 months without practice. Novices could be trained to basic skill proficiency level of lung isolation. Video-didactic and simulation-based methods we utilized were found equally successful in training novices for lung isolation skills. Acquired skills partially decayed without practice.

Performance measurement system for training simulators. Interim report

International Nuclear Information System (INIS)

Bockhold, G. Jr.; Roth, D.R.

1978-05-01

In the first project phase, the project team has designed, installed, and test run on the Browns Ferry nuclear power plant training simulator a performance measurement system capable of automatic recording of statistical information on operator actions and plant response. Key plant variables and operator actions were monitored and analyzed by the simulator computer for a selected set of four operating and casualty drills. The project has the following objectives: (1) To provide an empirical data base for statistical analysis of operator reliability and for allocation of safety and control functions between operators and automated controls; (2) To develop a method for evaluation of the effectiveness of control room designs and operating procedures; and (3) To develop a system for scoring aspects of operator performance to assist in training evaluations and to support operator selection research. The performance measurement system has shown potential for meeting the research objectives. However, the cost of training simulator time is high; to keep research program costs reasonable, the measurement system is being designed to be an integral part of operator training programs. In the pilot implementation, participating instructors judged the measurement system to be a valuable and objective extension of their abilities to monitor trainee performance

Using Simulations to Improve Electronic Health Record Use, Clinician Training and Patient Safety: Recommendations From A Consensus Conference

OpenAIRE

Mohan, Vishnu; Woodcock, Deborah; McGrath, Karess; Scholl, Gretchen; Pranaat, Robert; Doberne, Julie W.; Chase, Dian A.; Gold, Jeffrey A.; Ash, Joan S.

2017-01-01

A group of informatics experts in simulation, biomedical informatics, patient safety, medical education, and human factors gathered at Corbett, Oregon on April 30 and May 1, 2015. Their objective: to create a consensus statement on best practices for the use of electronic health record (EHR) simulations in education and training, to improve patient safety, and to outline a strategy for future EHR simulation work. A qualitative approach was utilized to analyze data from the conference and gene...

Nuclear power plant diagnostics study at the Midland training simulator

International Nuclear Information System (INIS)

Reifman, J.; Rank, P.; Lee, J.C.

1991-01-01

Training simulators provide a real world environment for testing advanced diagnostic and control systems as an aid to nuclear power plant operators. The simulators not only duplicate the hardware din the actual control room, allowing for analysis of man-machine interface, but also represent the dynamic behavior of the reference plant in real-time, in a realistic manner. Training simulators provide the means to representing the reference plant operations in a wide range of operation conditions including off-normal and emergency conditions. Transient events with very low probability of occurrence can then be represented and used to test the capabilities of advanced diagnostic and control systems. For these reasons, full-scope operator training simulators have been used as a test bed for a number of advanced diagnostic concepts. The University of Michigan and Consumers Power Company have been collaborating in a program devoted to the development and study of advanced concepts for automatic diagnostics and control of nuclear power plants. The program has been focused on the use of the full-scope operator training Midland Nuclear Power Plant Unit 2 (MNP-2) Simulator for development, testing, and verification of advanced diagnostics concepts. In their current efforts, the authors have developed two artificial intelligent (AI) diagnostic concepts that have been applied to the MNP-2 Simulator: the systematic generation and updating of a rule-based knowledge system for nuclear power plant diagnostics and a nonlinear parameter estimation algorithm called the simulation filter. The simulation filter algorithm is used with the MNP-2 Simulator to improve the simulation of the Three Mile Island Unit 2 (TMI-2) accident. 11 refs., 4 figs

Virtual reality bronchoscopy simulation: a revolution in procedural training.

Science.gov (United States)

Colt, H G; Crawford, S W; Galbraith, O

2001-10-01

In the airline industry, training is costly and operator error must be avoided. Therefore, virtual reality (VR) is routinely used to learn manual and technical skills through simulation before pilots assume flight responsibilities. In the field of medicine, manual and technical skills must also be acquired to competently perform invasive procedures such as flexible fiberoptic bronchoscopy (FFB). Until recently, training in FFB and other endoscopic procedures has occurred on the job in real patients. We hypothesized that novice trainees using a VR skill center could rapidly acquire basic skills, and that results would compare favorably with those of senior trainees trained in the conventional manner. We prospectively studied five novice bronchoscopists entering a pulmonary and critical care medicine training program. They were taught to perform inspection flexible bronchoscopy using a VR bronchoscopy skill center; dexterity, speed, and accuracy were tested using the skill center and an inanimate airway model before and after 4 h of group instruction and 4 h of individual unsupervised practice. Results were compared to those of a control group of four skilled physicians who had performed at least 200 bronchoscopies during 2 years of training. Student's t tests were used to compare mean scores of study and control groups for the inanimate model and VR bronchoscopy simulator. Before-training and after-training test scores were compared using paired t tests. For comparisons between after-training novice and skilled physician scores, unpaired two-sample t tests were used. Novices significantly improved their dexterity and accuracy in both models. They missed fewer segments after training than before training, and had fewer contacts with the bronchial wall. There was no statistically significant improvement in speed or total time spent not visualizing airway anatomy. After training, novice performance equaled or surpassed that of the skilled physicians. Novices performed

Models and Methods for Adaptive Management of Individual and Team-Based Training Using a Simulator

Science.gov (United States)

Lisitsyna, L. S.; Smetyuh, N. P.; Golikov, S. P.

2017-05-01

Research of adaptive individual and team-based training has been analyzed and helped find out that both in Russia and abroad, individual and team-based training and retraining of AASTM operators usually includes: production training, training of general computer and office equipment skills, simulator training including virtual simulators which use computers to simulate real-world manufacturing situation, and, as a rule, the evaluation of AASTM operators’ knowledge determined by completeness and adequacy of their actions under the simulated conditions. Such approach to training and re-training of AASTM operators stipulates only technical training of operators and testing their knowledge based on assessing their actions in a simulated environment.

Computer based training simulator for Hunterston Nuclear Power Station

International Nuclear Information System (INIS)

Bowden, R.S.M.; Hacking, D.

1978-01-01

For reasons which are stated, the Hunterston-B nuclear power station automatic control system includes a manual over-ride facility. It is therefore essential for the station engineers to be trained to recognise and control all feasible modes of plant and logic malfunction. A training simulator has been built which consists of a replica of the shutdown monitoring panel in the Central Control Room and is controlled by a mini-computer. This paper highlights the computer aspects of the simulator and relevant derived experience, under the following headings: engineering background; shutdown sequence equipment; simulator equipment; features; software; testing; maintenance. (U.K.)

Next Generation Simulation Training for Pararescue Forces

Science.gov (United States)

2014-02-13

design, and analysis as well as the build out of its information technology systems and training infrastructure at its Design and Development Center...sessions conducted immediately after training. • Written feedback – Obtained through a web-based survey tool (SurveyMonkey) Data Analysis : Analysis of the...brevity, being detailed in a classical Strengths, Weatknesses, Opportunities, Threats ( SWOT ) structure. STRENGTHS: Identified strengths of the simulation

A small-scale experimental reactor combined with a simulator for training purposes

International Nuclear Information System (INIS)

Destot, M.; Hagendorf, M.; Vanhumbeeck, D.; Lecocq-Bernard, J.

1981-01-01

The authors discuss how a small-scale reactor combined to a training simulator can be a valuable aid in all forms of training. They describe the CEN-based SILOETTE reactor in Grenoble and its combined simulator. They also take a look at prospects for the future of the system in the light of experience acquired with the ARIANE reactor and the trends for the development of simulators for training purposes [fr

Competency-Based Training and Simulation: Making a "Valid" Argument.

Science.gov (United States)

Noureldin, Yasser A; Lee, Jason Y; McDougall, Elspeth M; Sweet, Robert M

2018-02-01

The use of simulation as an assessment tool is much more controversial than is its utility as an educational tool. However, without valid simulation-based assessment tools, the ability to objectively assess technical skill competencies in a competency-based medical education framework will remain challenging. The current literature in urologic simulation-based training and assessment uses a definition and framework of validity that is now outdated. This is probably due to the absence of awareness rather than an absence of comprehension. The following review article provides the urologic community an updated taxonomy on validity theory as it relates to simulation-based training and assessments and translates our simulation literature to date into this framework. While the old taxonomy considered validity as distinct subcategories and focused on the simulator itself, the modern taxonomy, for which we translate the literature evidence, considers validity as a unitary construct with a focus on interpretation of simulator data/scores.

Learning curves and long-term outcome of simulation-based thoracentesis training for medical students

Science.gov (United States)

2011-01-01

Background Simulation-based medical education has been widely used in medical skills training; however, the effectiveness and long-term outcome of simulation-based training in thoracentesis requires further investigation. The purpose of this study was to assess the learning curve of simulation-based thoracentesis training, study skills retention and transfer of knowledge to a clinical setting following simulation-based education intervention in thoracentesis procedures. Methods Fifty-two medical students were enrolled in this study. Each participant performed five supervised trials on the simulator. Participant's performance was assessed by performance score (PS), procedure time (PT), and participant's confidence (PC). Learning curves for each variable were generated. Long-term outcome of the training was measured by the retesting and clinical performance evaluation 6 months and 1 year, respectively, after initial training on the simulator. Results Significant improvements in PS, PT, and PC were noted among the first 3 to 4 test trials (p 0.05). Clinical competency in thoracentesis was improved in participants who received simulation training relative to that of first year medical residents without such experience (p simulation-based thoracentesis training can significantly improve an individual's performance. The saturation of learning from the simulator can be achieved after four practice sessions. Simulation-based training can assist in long-term retention of skills and can be partially transferred to clinical practice. PMID:21696584

Human resources training in coastal science

Digital Repository Service at National Institute of Oceanography (India)

Vijayaraghavan, S.

The paper stresses the importance of training and education to the development and application of knowledge on the coastal marine environment and its resources. Present status of human resources training in India is discussed and changes...

The Drive-Wise Project: Driving Simulator Training increases real driving performance in healthy older drivers

Directory of Open Access Journals (Sweden)

Gianclaudio eCasutt

2014-05-01

Full Text Available Background: Age-related cognitive decline is often associated with unsafe driving behavior. We hypothesized that 10 active training sessions in a driving simulator increase cognitive and on-road driving performance. In addition, driving simulator training should outperform cognitive training.Methods: Ninety-one healthy active drivers (62 – 87 years were randomly assigned to either (1 a driving simulator training group, (2 an attention training group (vigilance and selective attention, or (3 a control group. The main outcome variables were on-road driving and cognitive performance. Seventy-seven participants (85% completed the training and were included in the analyses. Training gains were analyzed using a multiple regression analysis with planned comparisons.Results: The driving simulator training group showed an improvement in on-road driving performance compared to the attention training group. In addition, both training groups increased cognitive performance compared to the control group. Conclusion: Driving simulator training offers the potential to enhance driving skills in older drivers. Compared to the attention training, the simulator training seems to be a more powerful program for increasing older drivers’ safety on the road.

Business Simulations Applied in Support of ERP Training

Science.gov (United States)

Conroy, George

2012-01-01

This quantitative, quasi-experimental study examined the application of a business simulation against training in support of an Enterprise Resource Planning (ERP) system. Defining more effective training strategies is a critical concern for organizational leaders and stakeholders concerned by today's economic challenges. The scope of this…

PWR plant operator training used full scope simulator incorporated MAAP model

International Nuclear Information System (INIS)

Matsumoto, Y.; Tabuchi, T.; Yamashita, T.; Komatsu, Y.; Tsubouchi, K.; Banka, T.; Mochizuki, T.; Nishimura, K.; Iizuka, H.

2015-01-01

NTC makes an effort with the understanding of plant behavior of core damage accident as part of our advanced training. For the Fukushima Daiichi Nuclear Power Station accident, we introduced the MAAP model into PWR operator training full scope simulator and also made the Severe Accident Visual Display unit. From 2014, we will introduce new training program for a core damage accident with PWR operator training full scope simulator incorporated the MAAP model and the Severe Accident Visual Display unit. (author)

Simulation and Non-Simulation Based Human Reliability Analysis Approaches

Energy Technology Data Exchange (ETDEWEB)

Boring, Ronald Laurids [Idaho National Lab. (INL), Idaho Falls, ID (United States); Shirley, Rachel Elizabeth [Idaho National Lab. (INL), Idaho Falls, ID (United States); Joe, Jeffrey Clark [Idaho National Lab. (INL), Idaho Falls, ID (United States); Mandelli, Diego [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2014-12-01

Part of the U.S. Department of Energy’s Light Water Reactor Sustainability (LWRS) Program, the Risk-Informed Safety Margin Characterization (RISMC) Pathway develops approaches to estimating and managing safety margins. RISMC simulations pair deterministic plant physics models with probabilistic risk models. As human interactions are an essential element of plant risk, it is necessary to integrate human actions into the RISMC risk model. In this report, we review simulation-based and non-simulation-based human reliability assessment (HRA) methods. Chapter 2 surveys non-simulation-based HRA methods. Conventional HRA methods target static Probabilistic Risk Assessments for Level 1 events. These methods would require significant modification for use in dynamic simulation of Level 2 and Level 3 events. Chapter 3 is a review of human performance models. A variety of methods and models simulate dynamic human performance; however, most of these human performance models were developed outside the risk domain and have not been used for HRA. The exception is the ADS-IDAC model, which can be thought of as a virtual operator program. This model is resource-intensive but provides a detailed model of every operator action in a given scenario, along with models of numerous factors that can influence operator performance. Finally, Chapter 4 reviews the treatment of timing of operator actions in HRA methods. This chapter is an example of one of the critical gaps between existing HRA methods and the needs of dynamic HRA. This report summarizes the foundational information needed to develop a feasible approach to modeling human interactions in the RISMC simulations.

Nuclear power plant simulators for operator licensing and training. Part I. The need for plant-reference simulators. Part II. The use of plant-reference simulators

International Nuclear Information System (INIS)

Rankin, W.L.; Bolton, P.A.; Shikiar, R.; Saari, L.M.

1984-05-01

Part I of this report presents technical justification for the use of plant-reference simulators in the licensing and training of nuclear power plant operators and examines alternatives to the use of plant-reference simulators. The technical rationale is based on research on the use of simulators in other industries, psychological learning and testing principles, expert opinion and user opinion. Part II discusses the central considerations in using plant-reference simulators for licensing examination of nuclear power plant operators and for incorporating simulators into nuclear power plant training programs. Recommendations are presented for the administration of simulator examinations in operator licensing that reflect the goal of maximizing both reliability and validity in the examination process. A series of organizational tasks that promote the acceptance, use, and effectiveness of simulator training as part of the onsite training program is delineated

Acute care simulation training for foundation doctors: the perceived impact on practice in the workplace.

Science.gov (United States)

Patel, P; Sockalingam, I

2013-01-01

High fidelity simulation allows training of foundation doctors in a safe, structured environment. We explored the perceived impact of such training on subsequent clinical practice. 82 doctors attended and 52% responded to a follow up questionnaire sent two months after their training. 88% felt better able to manage the acutely ill patient than they did before their training. All cited simulation training as a reason for this and 44% felt simulation training was the main contributor. The remainder cited clinical experience as the main contributor. 53% gave real clinical examples where they applied skills attributed to simulation training. Doctors reflected positively on simulation training sometime after the experience, demonstrated transference of learnt skills and felt more confident at work.

The Effects of Simulation-based Transvaginal Ultrasound Training on Quality and Efficiency of Care

DEFF Research Database (Denmark)

Tolsgaard, Martin Grønnebæk; Ringsted, Charlotte; Rosthøj, Susanne

2017-01-01

, but no studies have examined its effects on quality and efficiency of care. METHODS: Trainees from 4 University Hospitals in East Denmark were included (N = 54). Participants were randomized to either simulation-based ultrasound training and clinical training (intervention group, n = 28), or to clinical training......, 33.5-55.1) and 19.8% (95% CI, 4.1-32.9) in the intervention and control group, respectively (P = 0.005). CONCLUSIONS: Simulation-based ultrasound training improved quality of care and reduced the need for repeated patient examination and trainee supervision.......OBJECTIVE: To explore the effect of adding simulation-based transvaginal ultrasound training to trainees' clinical training compared with only clinical training on quality of and efficiency of care. BACKGROUND: Simulation-based ultrasound training may be an effective adjunct to clinical training...

The importance of expert feedback during endovascular simulator training.

LENUS (Irish Health Repository)

Boyle, Emily

2011-07-01

Complex endovascular skills are difficult to obtain in the clinical environment. Virtual reality (VR) simulator training is a valuable addition to current training curricula, but is there a benefit in the absence of expert trainers?

Simulation training improves medical students' learning experiences when performing real vaginal deliveries.

Science.gov (United States)

Dayal, Ashlesha K; Fisher, Nelli; Magrane, Diane; Goffman, Dena; Bernstein, Peter S; Katz, Nadine T

2009-01-01

To determine the relationship between simulation training for vaginal delivery maneuvers and subsequent participation in live deliveries during the clinical rotation and to assess medical students' performance and confidence in vaginal delivery maneuvers with and without simulation training. Medical students were randomized to receive or not to receive simulation training for vaginal delivery maneuvers on a mannequin simulator at the start of a 6-week clerkship. Both groups received traditional didactic and clinical teaching. One researcher, blinded to randomization, scored student competence of delivery maneuvers and overall delivery performance on simulator. Delivery performance was scored (1-5, with 5 being the highest) at weeks 1 and 5 of the clerkship. Students were surveyed to assess self-confidence in the ability to perform delivery maneuvers at weeks 1 and 5, and participation in live deliveries was evaluated using student obstetric patient logs. Thirty-three students were randomized, 18 to simulation training [simulation group (SIM)] and 15 to no simulation training [control group (CON)]. Clerkship logs demonstrated that SIM students participated in more deliveries than CON students (9.8 +/- 3.7 versus 6.2 +/- 2.8, P < 0.005). SIM reported increased confidence in ability to perform a vaginal delivery, when compared with CON at the end of the clerkship (3.81 +/- 0.83 versus 3.00 +/- 1.0, respectively, P < 0.05). The overall delivery performance score was significantly higher in SIM, when compared with CON at week 1 (3.94 +/- 0.94 versus 2.07 +/- 1.22, respectively, P < 0.001) and week 5 (4.88 +/- 0.33 versus 4.31 +/- 0.63, P < 0.001) in the simulated environment. Students who receive simulation training participate more actively in the clinical environment during the course of the clerkship. Student simulation training is beneficial to learn obstetric skills in a minimal risk environment, demonstrate competency with maneuvers, and translate this competence

Human Factors in Training

Science.gov (United States)

Barshi, Immanuel; Byrne, Vicky; Arsintescu, Lucia; Connell, Erin

2010-01-01

Future space missions will be significantly longer than current shuttle missions and new systems will be more complex than current systems. Increasing communication delays between crews and Earth-based support means that astronauts need to be prepared to handle the unexpected on their own. As crews become more autonomous, their potential span of control and required expertise must grow to match their autonomy. It is not possible to train for every eventuality ahead of time on the ground, or to maintain trained skills across long intervals of disuse. To adequately prepare NASA personnel for these challenges, new training approaches, methodologies, and tools are required. This research project aims at developing these training capabilities. By researching established training principles, examining future needs, and by using current practices in space flight training as test beds, both in Flight Controller and Crew Medical domains, this research project is mitigating program risks and generating templates and requirements to meet future training needs. Training efforts in Fiscal Year 09 (FY09) strongly focused on crew medical training, but also began exploring how Space Flight Resource Management training for Mission Operations Directorate (MOD) Flight Controllers could be integrated with systems training for optimal Mission Control Center (MCC) operations. The Training Task addresses Program risks that lie at the intersection of the following three risks identified by the Project: 1) Risk associated with poor task design; 2) Risk of error due to inadequate information; and 3) Risk associated with reduced safety and efficiency due to poor human factors design.

Achieving excellence in human performance through leadership, education, and training in nuclear power industry

International Nuclear Information System (INIS)

Clark, C.R.; Kazennov, A.; Kossilov, A.; Mazour, T.; Yoder, J.

2004-01-01

between IAEA and national institutions (for example, the US DOE) in the field of training and simulators that have led to sustainable improvements in the personnel performance of operation, maintenance and other personnel. Current trends in the area of human performance improvement will also be discussed. (author)

Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey.

Science.gov (United States)

Abrahamsen, Håkon B; Sollid, Stephen J M; Öhlund, Lennart S; Røislien, Jo; Bondevik, Gunnar Tschudi

2015-08-01

Human error and deficient non-technical skills (NTSs) among providers of ALS in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. To document the current level of simulation-based training and assessment of seven generic NTSs in crew members in the Norwegian HEMS. A cross-sectional survey, either electronic or paper-based, of all 207 physicians, HEMS crew members (HCMs) and pilots working in the civilian Norwegian HEMS (11 bases), between 8 May and 25 July 2012. The response rate was 82% (n=193). A large proportion of each of the professional groups lacked simulation-based training and assessment of their NTSs. Compared with pilots and HCMs, physicians undergo statistically significantly less frequent simulation-based training and assessment of their NTSs. Fifty out of 82 (61%) physicians were on call for more than 72 consecutive hours on a regular basis. Of these, 79% did not have any training in coping with fatigue. In contrast, 72 out of 73 (99%) pilots and HCMs were on call for more than 3 days in a row. Of these, 54% did not have any training in coping with fatigue. Our study indicates a lack of simulation-based training and assessment. Pilots and HCMs train and are assessed more frequently than physicians. All professional groups are on call for extended hours, but receive limited training in how to cope with fatigue. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The effect of dyad versus individual simulation-based ultrasound training on skills transfer

DEFF Research Database (Denmark)

Tolsgaard, Martin G; Madsen, Mette E; Oxlund, Birgitte S

2015-01-01

: This study was conducted to compare the effectiveness of simulation-based ultrasound training in pairs (dyad practice) with that of training alone (single-student practice) on skills transfer. METHODS: In a non-inferiority trial, 30 ultrasound novices were randomised to dyad (n = 16) or single-student (n...... through pre-, post- and transfer tests. The transfer test involved the assessment of a transvaginal ultrasound scan by one of two clinicians using the Objective Structured Assessment of Ultrasound Skills (OSAUS). RESULTS: Thirty participants completed the simulation-based training and 24...... interactions between training type and performance (p = 0.59). The dyad group demonstrated higher training efficiency in terms of simulator score per number of attempts compared with the single-student group (p = 0.03). CONCLUSION: Dyad practice improves the efficiency of simulation-based training and is non...

Full immersion simulation: validation of a distributed simulation environment for technical and non-technical skills training in Urology.

Science.gov (United States)

Brewin, James; Tang, Jessica; Dasgupta, Prokar; Khan, Muhammad S; Ahmed, Kamran; Bello, Fernando; Kneebone, Roger; Jaye, Peter

2015-07-01

To evaluate the face, content and construct validity of the distributed simulation (DS) environment for technical and non-technical skills training in endourology. To evaluate the educational impact of DS for urology training. DS offers a portable, low-cost simulated operating room environment that can be set up in any open space. A prospective mixed methods design using established validation methodology was conducted in this simulated environment with 10 experienced and 10 trainee urologists. All participants performed a simulated prostate resection in the DS environment. Outcome measures included surveys to evaluate the DS, as well as comparative analyses of experienced and trainee urologist's performance using real-time and 'blinded' video analysis and validated performance metrics. Non-parametric statistical methods were used to compare differences between groups. The DS environment demonstrated face, content and construct validity for both non-technical and technical skills. Kirkpatrick level 1 evidence for the educational impact of the DS environment was shown. Further studies are needed to evaluate the effect of simulated operating room training on real operating room performance. This study has shown the validity of the DS environment for non-technical, as well as technical skills training. DS-based simulation appears to be a valuable addition to traditional classroom-based simulation training. © 2014 The Authors BJU International © 2014 BJU International Published by John Wiley & Sons Ltd.

Interprofessional communication in a simulation-based team training session in healthcare

DEFF Research Database (Denmark)

Aase, Ingunn; Aase, Karina; Dieckmann, Gerhard Peter

2016-01-01

and attitudes towards interprofessional communication in a simulation-based training session. Methods: The study was designed as an explorative case study based on qualitative content analysis Data was based on observation of two simulation scenarios (“Internal Bleeding”, “Huddle”) and analysis of debriefing...... less explicit in the training session. Conclusion: Exploring the student perspective of interprofessional communication has the following implications for the design and implementation of simulation-based training sessions: (a) to balance clinical exchange and collaborative exchange, (b) to introduce......Background: Interprofessional teamwork and communication training have entered the healthcare education setting, mainly investigated through surveys. However, little is known about the student’s perceptions in more depth. The aim of the study was to investigate healthcare students’ perspectives...

Training auscultatory skills: computer simulated heart sounds or additional bedside training? A randomized trial on third-year medical students

Science.gov (United States)

2010-01-01

Background The present study compares the value of additional use of computer simulated heart sounds, to conventional bedside auscultation training, on the cardiac auscultation skills of 3rd year medical students at Oslo University Medical School. Methods In addition to their usual curriculum courses, groups of seven students each were randomized to receive four hours of additional auscultation training either employing a computer simulator system or adding on more conventional bedside training. Cardiac auscultation skills were afterwards tested using live patients. Each student gave a written description of the auscultation findings in four selected patients, and was rewarded from 0-10 points for each patient. Differences between the two study groups were evaluated using student's t-test. Results At the auscultation test no significant difference in mean score was found between the students who had used additional computer based sound simulation compared to additional bedside training. Conclusions Students at an early stage of their cardiology training demonstrated equal performance of cardiac auscultation whether they had received an additional short auscultation course based on computer simulated training, or had had additional bedside training. PMID:20082701

Faculty Development for Simulation Programs: Five Issues for the Future of Debriefing Training

DEFF Research Database (Denmark)

Cheng, Adan; Grant, Vincent; Dieckmann, Peter

2015-01-01

STATEMENT: Debriefing is widely recognized as a critically important element of simulation-based education. Simulation educators obtain and/or seek debriefing training from various sources, including workshops at conferences, simulation educator courses, formal fellowships in debriefings, or thro...... be used to improve debriefing quality within programs? (5) How can we individualize debriefing training opportunities to the learning needs of our educators?......STATEMENT: Debriefing is widely recognized as a critically important element of simulation-based education. Simulation educators obtain and/or seek debriefing training from various sources, including workshops at conferences, simulation educator courses, formal fellowships in debriefings......, or through advanced degrees. Although there are many options available for debriefing training, little is known about how faculty development opportunities should be structured to maintain and enhance the quality of debriefing within simulation programs. In this article, we discuss 5 key issues to help shape...

DEVELOPMENT OF SIMULATION CENTER AND TRAINING PROGRAMMES IN IVANO-FRANKIVSK PERINATAL CENTER

Directory of Open Access Journals (Sweden)

Zoryana Kocherga

2017-06-01

Full Text Available Current system of medical education in Ukraine needs improvement and reforms in order to enhance the proficiency of doctors and paramedics. Training of practical/technical skills, communication, as well as teamwork skills is considerably important.The use of simulation techniques and methods in medical education is called simulation training in medicine. Medical skills are acquired through cognitive (knowledge and psychomotor (practice skills. The first medical simulation centers appeared in Ukraine in 2006 according to the order of the Ministry of Health Care of Ukraine.On June 20, 2013, a new simulation training center was opened in Ivano-Frankivsk on the base of Regional Perinatal Center. Similar medical simulation centers were opened in the second half of 2013 in Volyn and Vinnytsia regions under the Ukrainian-Swiss Mother and Child Health Programme, which started in the area of perinatology. Their goal is to improve the teamwork of all specialists involved in the process of delivery and neonatal intensive care,as well as to engage internship doctors and senior medical students in clinical skills training programmes.The use of simulation techniques and training programs offers a powerful platform to study and practice clinical reasoning behaviors and patterns.

Best practices across surgical specialties relating to simulation-based training.

Science.gov (United States)

Gardner, Aimee K; Scott, Daniel J; Pedowitz, Robert A; Sweet, Robert M; Feins, Richard H; Deutsch, Ellen S; Sachdeva, Ajit K

2015-11-01

Simulation-based training is playing an increasingly important role in surgery. However, there is insufficient discussion among the surgical specialties regarding how simulation may best be leveraged for training. There is much to be learned from one another as we all strive to meet new requirements within the context of Undergraduate Medical Education, Graduate Medical Education, and Continuing Medical Education. To address this need, a panel was convened at the 6th Annual Meeting of the Consortium of the American College of Surgeons-Accredited Education Institutes consisting of key leaders in the field of simulation from 4 surgical subspecialties, namely, general surgery, orthopedic surgery, cardiothoracic surgery, urology, and otolaryngology. An overview of how the 5 surgical specialties are using simulation-based training to meet a wide array of educational needs for all levels of learners is presented. Copyright © 2015 Elsevier Inc. All rights reserved.

Simulation-based camera navigation training in laparoscopy-a randomized trial

DEFF Research Database (Denmark)

Nilsson, Cecilia; Sørensen, Jette Led; Konge, Lars

2017-01-01

patient safety. The objectives of this trial were to examine how to train laparoscopic camera navigation and to explore the transfer of skills to the operating room. MATERIALS AND METHODS: A randomized, single-center superiority trial with three groups: The first group practiced simulation-based camera...... navigation tasks (camera group), the second group practiced performing a simulation-based cholecystectomy (procedure group), and the third group received no training (control group). Participants were surgical novices without prior laparoscopic experience. The primary outcome was assessment of camera.......033), had a higher score. CONCLUSIONS: Simulation-based training improves the technical skills required for camera navigation, regardless of practicing camera navigation or the procedure itself. Transfer to the clinical setting could, however, not be demonstrated. The control group demonstrated higher...

The EPR operators are trained on simulator

International Nuclear Information System (INIS)

Maincent, G.

2009-01-01

Three years before the EPR reactor of Flamanville (Normandie, France) is generating its very first kilowatt hours, Electricite de France has started to train its teams on a simulator which reproduces the man-machine interface of the future nuclear power plant. The simulator used is an evolutive tool specific to the Flamanville reactor and capable to test about 20 different accidental situations. (J.S.)

Cultural respect encompassing simulation training: being heard about health through broadband

Directory of Open Access Journals (Sweden)

Phyllis Min-yu Lau

2016-04-01

Full Text Available Background. Cultural Respect Encompassing Simulation Training (CREST is a learning program that uses simulation to provide health professional students and practitioners with strategies to communicate sensitively with culturally and linguistically diverse (CALD patients. It consists of training modules with a cultural competency evaluation framework and CALD simulated patients to interact with trainees in immersive simulation scenarios. The aim of this study was to test the feasibility of expanding the delivery of CREST to rural Australia using live video streaming; and to investigate the fidelity of cultural sensitivity – defined within the process of cultural competency which includes awareness, knowledge, skills, encounters and desire – of the streamed simulations. Design and Methods. In this mixed-methods evaluative study, health professional trainees were recruited at three rural academic campuses and one rural hospital to pilot CREST sessions via live video streaming and simulation from the city campus in 2014. Cultural competency, teaching and learning evaluations were conducted. Results. Forty-five participants rated 26 reliable items before and after each session and reported statistically significant improvement in 4 of 5 cultural competency domains, particularly in cultural skills (P<0.05. Qualitative data indicated an overall acknowledgement amongst participants of the importance of communication training and the quality of the simulation training provided remotely by CREST. Conclusions. Cultural sensitivity education using live video-streaming and simulation can contribute to health professionals’ learning and is effective in improving cultural competency. CREST has the potential to be embedded within health professional curricula across Australian universities to address issues of health inequalities arising from a lack of cultural sensitivity training.

Self-perceived long-term transfer of learning after postpartum hemorrhage simulation training

DEFF Research Database (Denmark)

Melo, Brena C P; Falbo, Ana R; Sorensen, Jette Led

2018-01-01

OBJECTIVE: To explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice. METHODS: In this qualitative study, semi-structured interviews...... simulation format, residents perceived long-term transfer effects. Training design factors influencing transfer were, in their opinion, related to trainees' characteristics, simulation design, and workplace environment. Trainees who participated in the ID-based simulation perceived better communication...... skills and better overall situational awareness: "I didn't do that before." CONCLUSION: All residents perceived long-term transfer after simulation training for postpartum hemorrhage. Those who attended the ID format additionally perceived improvements in communication skills and situational awareness...

Development of a human cadaver model for training in laparoscopic donor nephrectomy.

Science.gov (United States)

Sutton, Erica R H; Billeter, Adrian; Druen, Devin; Roberts, Henry; Rice, Jonathan

2017-06-01

The organ procurement network recommends a surgeon record 15 cases as surgeon or assistant for laparoscopic donor nephrectomies (LDN) prior to independent practice. The literature suggests that the learning curve for improved perioperative and patient outcomes is closer to 35 cases. In this article, we describe our development of a model utilizing fresh tissue and objective, quantifiable endpoints to document surgical progress, and efficiency in each of the major steps involved in LDN. Phase I of model development focused on the modifications necessary to maintain visualization for laparoscopic surgery in a human cadaver. Phase II tested proposed learner-based metrics of procedural competency for multiport LDN by timing procedural steps of LDN in a novice learner. Phases I and II required 12 and nine cadavers, with a total of 35 kidneys utilized. The following metrics improved with trial number for multiport LDN: time taken for dissection of the gonadal vein, ureter, renal hilum, adrenal and lumbrical veins, simulated warm ischemic time (WIT), and operative time. Human cadavers can be used for training in LDN as evidenced by improvements in timed learner-based metrics. This simulation-based model fills a gap in available training options for surgeons. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Arthroscopic Shoulder Surgical Simulation Training Curriculum: Transfer Reliability and Maintenance of Skill Over Time.

Science.gov (United States)

Dunn, John C; Belmont, Philip J; Lanzi, Joseph; Martin, Kevin; Bader, Julia; Owens, Brett; Waterman, Brian R

2015-01-01

Surgical education is evolving as work hour constraints limit the exposure of residents to the operating room. Potential consequences may include erosion of resident education and decreased quality of patient care. Surgical simulation training has become a focus of study in an effort to counter these challenges. Previous studies have validated the use of arthroscopic surgical simulation programs both in vitro and in vivo. However, no study has examined if the gains made by residents after a simulation program are retained after a period away from training. In all, 17 orthopedic surgery residents were randomized into simulation or standard practice groups. All subjects were oriented to the arthroscopic simulator, a 14-point anatomic checklist, and Arthroscopic Surgery Skill Evaluation Tool (ASSET). The experimental group received 1 hour of simulation training whereas the control group had no additional training. All subjects performed a recorded, diagnostic arthroscopy intraoperatively. These videos were scored by 2 blinded, fellowship-trained orthopedic surgeons and outcome measures were compared within and between the groups. After 1 year in which neither group had exposure to surgical simulation training, all residents were retested intraoperatively and scored in the exact same fashion. Individual surgical case logs were reviewed and surgical case volume was documented. There was no difference between the 2 groups after initial simulation testing and there was no correlation between case volume and initial scores. After training, the simulation group improved as compared with baseline in mean ASSET (p = 0.023) and mean time to completion (p = 0.01). After 1 year, there was no difference between the groups in any outcome measurements. Although individual technical skills can be cultivated with surgical simulation training, these advancements can be lost without continued education. It is imperative that residency programs implement a simulation curriculum and

Current state of virtual reality simulation in robotic surgery training: a review.

Science.gov (United States)

Bric, Justin D; Lumbard, Derek C; Frelich, Matthew J; Gould, Jon C

2016-06-01

Worldwide, the annual number of robotic surgical procedures continues to increase. Robotic surgical skills are unique from those used in either open or laparoscopic surgery. The acquisition of a basic robotic surgical skill set may be best accomplished in the simulation laboratory. We sought to review the current literature pertaining to the use of virtual reality (VR) simulation in the acquisition of robotic surgical skills on the da Vinci Surgical System. A PubMed search was conducted between December 2014 and January 2015 utilizing the following keywords: virtual reality, robotic surgery, da Vinci, da Vinci skills simulator, SimSurgery Educational Platform, Mimic dV-Trainer, and Robotic Surgery Simulator. Articles were included if they were published between 2007 and 2015, utilized VR simulation for the da Vinci Surgical System, and utilized a commercially available VR platform. The initial search criteria returned 227 published articles. After all inclusion and exclusion criteria were applied, a total of 47 peer-reviewed manuscripts were included in the final review. There are many benefits to utilizing VR simulation for robotic skills acquisition. Four commercially available simulators have been demonstrated to be capable of assessing robotic skill. Three of the four simulators demonstrate the ability of a VR training curriculum to improve basic robotic skills, with proficiency-based training being the most effective training style. The skills obtained on a VR training curriculum are comparable with those obtained on dry laboratory simulation. The future of VR simulation includes utilization in assessment for re-credentialing purposes, advanced procedural-based training, and as a warm-up tool prior to surgery.

Simulation in Canadian postgraduate emergency medicine training - a national survey.

Science.gov (United States)

Russell, Evan; Hall, Andrew Koch; Hagel, Carly; Petrosoniak, Andrew; Dagnone, Jeffrey Damon; Howes, Daniel

2018-01-01

Simulation-based education (SBE) is an important training strategy in emergency medicine (EM) postgraduate programs. This study sought to characterize the use of simulation in FRCPC-EM residency programs across Canada. A national survey was administered to residents and knowledgeable program representatives (PRs) at all Canadian FRCPC-EM programs. Survey question themes included simulation program characteristics, the frequency of resident participation, the location and administration of SBE, institutional barriers, interprofessional involvement, content, assessment strategies, and attitudes about SBE. Resident and PR response rates were 63% (203/321) and 100% (16/16), respectively. Residents reported a median of 20 (range 0-150) hours of annual simulation training, with 52% of residents indicating that the time dedicated to simulation training met their needs. PRs reported the frequency of SBE sessions ranging from weekly to every 6 months, with 15 (94%) programs having an established simulation curriculum. Two (13%) of the programs used simulation for resident assessment, although 15 (94%) of PRs indicated that they would be comfortable with simulation-based assessment. The most common PR-identified barriers to administering simulation were a lack of protected faculty time (75%) and a lack of faculty experience with simulation (56%). Interprofessional involvement in simulation was strongly valued by both residents and PRs. SBE is frequently used by Canadian FRCPC-EM residency programs. However, there exists considerable variability in the structure, frequency, and timing of simulation-based activities. As programs transition to competency-based medical education, national organizations and collaborations should consider the variability in how SBE is administered.

Evaluation of the Effectiveness of LTR Training versus Simulation Training and Stress Inoculation

Science.gov (United States)

2016-10-01

noncash compensation including health care, 16 retirement pay, child care and free or subsidized food, housing and education . Those supplements...the impact of a stressful environment on acquisition and retention of clinical skills is critically important . The Combat Casualty Training...translation of the Department of Defense’s medical education training objectives. The integration of simulation technology has augmented but not replaced the

Human Thiel-Embalmed Cadaveric Aortic Model with Perfusion for Endovascular Intervention Training and Medical Device Evaluation.

Science.gov (United States)

McLeod, Helen; Cox, Ben F; Robertson, James; Duncan, Robyn; Matthew, Shona; Bhat, Raj; Barclay, Avril; Anwar, J; Wilkinson, Tracey; Melzer, Andreas; Houston, J Graeme

2017-09-01

The purpose of this investigation was to evaluate human Thiel-embalmed cadavers with the addition of extracorporeal driven ante-grade pulsatile flow in the aorta as a model for simulation training in interventional techniques and endovascular device testing. Three human cadavers embalmed according to the method of Thiel were selected. Extracorporeal pulsatile ante-grade flow of 2.5 L per min was delivered directly into the aorta of the cadavers via a surgically placed connection. During perfusion, aortic pressure and temperature were recorded and optimized for physiologically similar parameters. Pre- and post-procedure CT imaging was conducted to plan and follow up thoracic and abdominal endovascular aortic repair as it would be in a clinical scenario. Thoracic endovascular aortic repair (TEVAR) and endovascular abdominal repair (EVAR) procedures were conducted in simulation of a clinical case, under fluoroscopic guidance with a multidisciplinary team present. The Thiel cadaveric aortic perfusion model provided pulsatile ante-grade flow, with pressure and temperature, sufficient to conduct a realistic simulation of TEVAR and EVAR procedures. Fluoroscopic imaging provided guidance during the intervention. Pre- and post-procedure CT imaging facilitated planning and follow-up evaluation of the procedure. The human Thiel-embalmed cadavers with the addition of extracorporeal flow within the aorta offer an anatomically appropriate, physiologically similar robust model to simulate aortic endovascular procedures, with potential applications in interventional radiology training and medical device testing as a pre-clinical model.

Simulation-based cutaneous surgical-skill training on a chicken-skin bench model in a medical undergraduate program

Directory of Open Access Journals (Sweden)

Rafael Denadai

2013-01-01

Full Text Available Background: Because of ethical and medico-legal aspects involved in the training of cutaneous surgical skills on living patients, human cadavers and living animals, it is necessary the search for alternative and effective forms of training simulation. Aims: To propose and describe an alternative methodology for teaching and learning the principles of cutaneous surgery in a medical undergraduate program by using a chicken-skin bench model. Materials and Methods: One instructor for every four students, teaching materials on cutaneous surgical skills, chicken trunks, wings, or thighs, a rigid platform support, needled threads, needle holders, surgical blades with scalpel handles, rat-tooth tweezers, scissors, and marking pens were necessary for training simulation. Results: A proposal for simulation-based training on incision, suture, biopsy, and on reconstruction techniques using a chicken-skin bench model distributed in several sessions and with increasing levels of difficultywas structured. Both feedback and objective evaluations always directed to individual students were also outlined. Conclusion: The teaching of a methodology for the principles of cutaneous surgery using a chicken-skin bench model versatile, portable, easy to assemble, and inexpensive is an alternative and complementary option to the armamentarium of methods based on other bench models described.

Quantitative evaluation for training results of nuclear plant operator on BWR simulator

International Nuclear Information System (INIS)

Sato, Takao; Sato, Tatsuaki; Onishi, Hiroshi; Miyakita, Kohji; Mizuno, Toshiyuki

1985-01-01

Recently, the reliability of neclear power plants has largely risen, and the abnormal phenomena in the actual plants are rarely encountered. Therefore, the training using simulators becomes more and more important. In BWR Operator Training Center Corp., the training of the operators of BWR power plants has been continued for about ten years using a simulator having the nearly same function as the actual plants. The recent high capacity ratio of nuclear power plants has been mostly supported by excellent operators trained in this way. Taking the opportunity of the start of operation of No.2 simulator, effort has been exerted to quantitatively grasp the effect of training and to heighten the quality of training. The outline of seven training courses is shown. The technical ability required for operators, the items of quantifying the effect of training, that is, operational errors and the time required for operation, the method of quantifying, the method of collecting the data and the results of the application to the actual training are described. It was found that this method is suitable to quantify the effect of training. (Kako, I.)

The development of fully dynamic rotating machine models for nuclear training simulators

International Nuclear Information System (INIS)

Birsa, J.J.

1990-01-01

Prior to beginning the development of an enhanced set of electrical plant models for several nuclear training simulators, an extensive literature search was conducted to evaluate and select rotating machine models for use on these simulators. These models include the main generator, diesel generators, in-plant electric power distribution and off-side power. Form the results of this search, various models were investigated and several were selected for further evaluation. Several computer studies were performed on the selected models in order to determine their suitability for use in a training simulator environment. One surprising result of this study was that a number of established, classical models could not be made to reproduce actual plant steady-state data over the range necessary for a training simulator. This evaluation process and its results are presented in this paper. Various historical, as well as contemporary, electrical models of rotating machines are discussed. Specific criteria for selection of rotating machine models for training simulator use are presented

Virtual Reality and Simulation in Neurosurgical Training.

Science.gov (United States)

Bernardo, Antonio

2017-10-01

Recent biotechnological advances, including three-dimensional microscopy and endoscopy, virtual reality, surgical simulation, surgical robotics, and advanced neuroimaging, have continued to mold the surgeon-computer relationship. For developing neurosurgeons, such tools can reduce the learning curve, improve conceptual understanding of complex anatomy, and enhance visuospatial skills. We explore the current and future roles and application of virtual reality and simulation in neurosurgical training. Copyright © 2017 Elsevier Inc. All rights reserved.

Examples of Unsafe Act Identification from Simulator Training Records for Interfacing System Loss of Coolant Accident

Energy Technology Data Exchange (ETDEWEB)

Choi, Sun Yeong; Kim, Yochan; Park, Jinkyun; Kim, Seunghwan; Jung, Wondea [Korea Atomic Research Institute, Daejeon (Korea, Republic of)

2016-10-15

Operating procedures such as EOPs (Emergency Operating Procedures) and AOPs (Abnormal Operating Procedures) have been developed to maximize the operator’s performance during emergency/abnormal situations of critical-safety systems. In this regard, it is very important to point out that one of the significant factors causing accidents or incidents is an inappropriate human performance of operating personnel working in the socio-technical systems. A lot of efforts to collect HRA data by using a simulator of NPP have progressed. We developed a standardized guideline to specify how to gather HRA data from simulator training records, and created IGT (Information Gathering Template) specifying what kinds of measures should be observed during the simulations and defined UA (Unsafe Act) and describe the UA identification method under interactions between crew members to suggest a practical UA type classification scheme under a procedure driven operation. We also developed a framework for data collection and analysis to produce HEPs. The framework is named HuREX (Human Reliability data Extraction) system. In this paper, we described a process to identify UAs as well as UA candidates during an AOP/EOP operation with simulator training records. We presented examples of UA candidates and UAs grouped by consequences based on UA identification criteria. Based on this research, we are to achieve insights about the UA pattern and procedure instruction in which UAs occurred frequently. With this result, we are to analyze the root cause of UAs to find a way to reduce UAs.

Simulation training for medical emergencies in the dental setting using an inexpensive software application.

Science.gov (United States)

Kishimoto, N; Mukai, N; Honda, Y; Hirata, Y; Tanaka, M; Momota, Y

2017-11-09

Every dental provider needs to be educated about medical emergencies to provide safe dental care. Simulation training is available with simulators such as advanced life support manikins and robot patients. However, the purchase and development costs of these simulators are high. We have developed a simulation training course on medical emergencies using an inexpensive software application. The purpose of this study was to evaluate the educational effectiveness of this course. Fifty-one dental providers participated in this study from December 2014 to March 2015. Medical simulation software was used to simulate a patient's vital signs. We evaluated participants' ability to diagnose and treat vasovagal syncope or anaphylaxis with an evaluation sheet and conducted a questionnaire before and after the scenario-based simulation training. The median evaluation sheet score for vasovagal syncope increased significantly from 7/9 before to 9/9 after simulation training. The median score for anaphylaxis also increased significantly from 8/12 to 12/12 (P simulation training. This simulation course improved participants' ability to diagnose and treat medical emergencies and improved their confidence. This course can be offered inexpensively using a software application. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Enhancing Job-Site Training of Supported Workers With Autism: A Reemphasis on Simulation

OpenAIRE

Perry Lattimore, L; Parsons, Marsha B; Reid, Dennis H; Ahearn, William

2006-01-01

Currently recommended practice in supported work emphasizes training job skills to workers with severe disabilities while on the job. Early behavioral research indicated that skills needed in natural environments could also be trained in simulated settings. We compared job-site plus simulation training for teaching job skills to supported workers with autism to provision of training exclusively on the job. Job-site training occurred in a small publishing company during the regular work routin...

A research reactor simulator for operators training and teaching

International Nuclear Information System (INIS)

De Carvalho, R. P.; Maiorino, J. R.

2006-01-01

This work describes a training simulator of Research Reactors (RR). The simulator is an interactive tool for teaching and operator training of the bases of the RR operation, reactor physics and thermal hydraulics. The Brazilian IEA-R1 RR was taken as the reference (default configuration). The implementation of the simulator consists of the modeling of the process and system (neutronics, thermal hydraulics), its numerical solution, and the implementation of the man-machine interface through visual interactive screens. The point kinetics model was used for the nuclear process and the heat and mass conservation models were used for the thermal hydraulic feed back in the average core channel. The heat exchanger and cooling tower were also modeled. The main systems were: the reactivity control system, including the automatic control, and the primary and secondary coolant systems. The Visual C++ was used to codes and graphics lay-outs. The simulator is to be used in a PC with Windows XP system. The simulator allows simulation in real time of start up, power maneuver, and shut down. (authors)

The effect of a simulation training package on skill acquisition for duplex arterial stenosis detection.

Science.gov (United States)

Jaffer, Usman; Normahani, Pasha; Singh, Prashant; Aslam, Mohammed; Standfield, Nigel J

2015-01-01

In vascular surgery, duplex ultrasonography is a valuable diagnostic tool in patients with peripheral vascular disease, and there is increasing demand for vascular surgeons to be able to perform duplex scanning. This study evaluates the role of a novel simulation training package on vascular ultrasound (US) skill acquisition. A total of 19 novices measured predefined stenosis in a simulated pulsatile vessel using both peak systolic velocity ratio (PSVR) and diameter reduction (DR) methods before and after a short period of training using a simulated training package. The training package consisted of a simulated pulsatile vessel phantom, a set of instructional videos, duplex ultrasound objective structured assessment of technical skills (DUOSATS) tool, and a portable US scanner. Quantitative metrics (procedure time, percentage error using PSVR and DR methods, DUOSAT scores, and global rating scores) before and after training were compared. Subjects spent a median time of 144 mins (IQR: 60-195) training using the simulation package. Subjects exhibited statistically significant improvements when comparing pretraining and posttraining DUOSAT scores (pretraining = 17 [16-19.3] vs posttraining = 30 [27.8-31.8]; p duplex images in a pulsatile simulated phantom following a short period of goal direct training using a simulation training package. A simulation training package may be a valuable tool for integration into a vascular training program. However, further work is needed to explore whether these newly attained skills are translated into clinical assessment. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

Low-Fidelity Haptic Simulation Versus Mental Imagery Training for Epidural Anesthesia Technical Achievement in Novice Anesthesiology Residents: A Randomized Comparative Study.

Science.gov (United States)

Lim, Grace; Krohner, Robert G; Metro, David G; Rosario, Bedda L; Jeong, Jong-Hyeon; Sakai, Tetsuro

2016-05-01

There are many teaching methods for epidural anesthesia skill acquisition. Previous work suggests that there is no difference in skill acquisition whether novice learners engage in low-fidelity (LF) versus high-fidelity haptic simulation for epidural anesthesia. No study, however, has compared the effect of LF haptic simulation for epidural anesthesia versus mental imagery (MI) training in which no physical practice is attempted. We tested the hypothesis that MI training is superior to LF haptic simulation training for epidural anesthesia skill acquisition. Twenty Post-Graduate Year 2 (PGY-2) anesthesiology residents were tested at the beginning of the training year. After a didactic lecture on epidural anesthesia, they were randomized into 2 groups. Group LF had LF simulation training for epidural anesthesia using a previously described banana simulation technique. Group MI had guided, scripted MI training in which they initially were oriented to the epidural kit components and epidural anesthesia was described stepwise in detail, followed by individual mental rehearsal; no physical practice was undertaken. Each resident then individually performed epidural anesthesia on a partial-human task trainer on 3 consecutive occasions under the direct observation of skilled evaluators who were blinded to group assignment. Technical achievement was assessed with the use of a modified validated skills checklist. Scores (0-21) and duration to task completion (minutes) were recorded. A linear mixed-effects model analysis was performed to determine the differences in scores and duration between groups and over time. There was no statistical difference between the 2 groups for scores and duration to task completion. Both groups showed similarly significant increases (P = 0.0015) in scores over time (estimated mean score [SE]: group MI, 15.9 [0.55] to 17.4 [0.55] to 18.6 [0.55]; group LF, 16.2 [0.55] to 17.7 [0.55] to 18.9 [0.55]). Time to complete the procedure decreased

Studying distributed cognition of simulation-based team training with DiCoT.

Science.gov (United States)

Rybing, Jonas; Nilsson, Heléne; Jonson, Carl-Oscar; Bang, Magnus

2016-03-01

Health care organizations employ simulation-based team training (SBTT) to improve skill, communication and coordination in a broad range of critical care contexts. Quantitative approaches, such as team performance measurements, are predominantly used to measure SBTTs effectiveness. However, a practical evaluation method that examines how this approach supports cognition and teamwork is missing. We have applied Distributed Cognition for Teamwork (DiCoT), a method for analysing cognition and collaboration aspects of work settings, with the purpose of assessing the methodology's usefulness for evaluating SBTTs. In a case study, we observed and analysed four Emergo Train System® simulation exercises where medical professionals trained emergency response routines. The study suggests that DiCoT is an applicable and learnable tool for determining key distributed cognition attributes of SBTTs that are of importance for the simulation validity of training environments. Moreover, we discuss and exemplify how DiCoT supports design of SBTTs with a focus on transfer and validity characteristics. Practitioner Summary: In this study, we have evaluated a method to assess simulation-based team training environments from a cognitive ergonomics perspective. Using a case study, we analysed Distributed Cognition for Teamwork (DiCoT) by applying it to the Emergo Train System®. We conclude that DiCoT is useful for SBTT evaluation and simulator (re)design.

The method research of the simulator training and examination of the nuclear electricity staff

International Nuclear Information System (INIS)

Huang Fangzhi; Zhang Yuanfang

1994-01-01

The simulator training and examination of nuclear power plant operator are of an important guarantee for the nuclear power plant operation safety. The authors introduce various training courses which have been held in the Nuclear Power Plant Simulation Training Center of Tsinghua University since 1988, and analyze the different requirements and features for different classes such as operator candidate training course, operator retraining course and nuclear and electricity staff course. The lesson arrangement, examination method and mark standard are presented, which is carried out in the Nuclear Power Plant Simulation Training Center of Tsinghua University

A new model with an anatomically accurate human renal collecting system for training in fluoroscopy-guided percutaneous nephrolithotomy access.

Science.gov (United States)

Turney, Benjamin W

2014-03-01

Obtaining renal access is one of the most important and complex steps in learning percutaneous nephrolithotomy (PCNL). Ideally, this skill should be practiced outside the operating room. There is a need for anatomically accurate and cheap models for simulated training. The objective was to develop a cost-effective, anatomically accurate, nonbiologic training model for simulated PCNL access under fluoroscopic guidance. Collecting systems from routine computed tomography urograms were extracted and reformatted using specialized software. These images were printed in a water-soluble plastic on a three-dimensional (3D) printer to create biomodels. These models were embedded in silicone and then the models were dissolved in water to leave a hollow collecting system within a silicone model. These PCNL models were filled with contrast medium and sealed. A layer of dense foam acted as a spacer to replicate the tissues between skin and kidney. 3D printed models of human collecting systems are a useful adjunct in planning PCNL access. The PCNL access training model is relatively low cost and reproduces the anatomy of the renal collecting system faithfully. A range of models reflecting the variety and complexity of human collecting systems can be reproduced. The fluoroscopic triangulation process needed to target the calix of choice can be practiced successfully in this model. This silicone PCNL training model accurately replicates the anatomic architecture and orientation of the human renal collecting system. It provides a safe, clean, and effective model for training in accurate fluoroscopy-guided PCNL access.

Real-time "x-ray vision" for healthcare simulation: an interactive projective overlay system to enhance intubation training and other procedural training.

Science.gov (United States)

Samosky, Joseph T; Baillargeon, Emma; Bregman, Russell; Brown, Andrew; Chaya, Amy; Enders, Leah; Nelson, Douglas A; Robinson, Evan; Sukits, Alison L; Weaver, Robert A

2011-01-01

We have developed a prototype of a real-time, interactive projective overlay (IPO) system that creates augmented reality display of a medical procedure directly on the surface of a full-body mannequin human simulator. These images approximate the appearance of both anatomic structures and instrument activity occurring within the body. The key innovation of the current work is sensing the position and motion of an actual device (such as an endotracheal tube) inserted into the mannequin and using the sensed position to control projected video images portraying the internal appearance of the same devices and relevant anatomic structures. The images are projected in correct registration onto the surface of the simulated body. As an initial practical prototype to test this technique we have developed a system permitting real-time visualization of the intra-airway position of an endotracheal tube during simulated intubation training.

Teaching aseptic technique for central venous access under ultrasound guidance: a randomized trial comparing didactic training alone to didactic plus simulation-based training.

Science.gov (United States)

Latif, Rana K; Bautista, Alexander F; Memon, Saima B; Smith, Elizabeth A; Wang, Chenxi; Wadhwa, Anupama; Carter, Mary B; Akca, Ozan

2012-03-01

Our goal was to determine whether simulation combined with didactic training improves sterile technique during ultrasound (US)-guided central venous catheter (CVC) insertion compared with didactic training alone among novices. We hypothesized that novices who receive combined didactic and simulation-based training would perform similarly to experienced residents in aseptic technique, knowledge, and perception of comfort during US-guided CVC insertion on a simulator. Seventy-two subjects were enrolled in a randomized, controlled trial of an educational intervention. Fifty-four novices were randomized into either the didactic group or the simulation combined with didactic group. Both groups received didactic training but the simulation combined with didactic group also received simulation-based CVC insertion training. Both groups were tested by demonstrating US-guided CVC insertion on a simulator. Aseptic technique was scored on 8 steps as "yes/no" and also using a 7-point Likert scale with 7 being "excellent technique" by a rater blinded to subject randomization. After initial testing, the didactic group was offered simulation-based training and retesting. Both groups also took a pre- and posttraining test of knowledge and rated their comfort with US and CVC insertion pre- and posttraining on a 5-point Likert scale. Subsequently, 18 experienced residents also took the test of knowledge, rated their comfort level, and were scored while performing aseptic US-guided CVC insertion using a simulator. The simulation combined with didactic group achieved a 167% (95% confidence interval [CI] 133%-167%) incremental increase in yes/no scores and 115% (CI 112%-127%) incremental increase in Likert scale ratings on aseptic technique compared with novices in the didactic group. Compared with experienced residents, simulation combined with didactic trained novices achieved an increase in aseptic scores with a 33.3% (CI 16.7%-50%) increase in yes/no ratings and a 20% (CI 13

Reliance on Simulation in Initial Entry Rifle Marksmanship Training and Future Directions for Simulation

Science.gov (United States)

2016-11-01

drills has direct and valuable application to training marksmanship skills, for the novice firers in the assessment, more attention was needed to insure... training in a simulator at real time, actual flight seemed to take place at a much faster time frame. However, pilots reported that after practicing in...who used the EST 2000 (Scholtes & Stapp, 1994), where a concern was raised about less attention paid to weapon safety during EST training than on

Mapping the plateau of novices in virtual reality simulation training of mastoidectomy

DEFF Research Database (Denmark)

A.W. Andersen, Steven; Konge, Lars; Mikkelsen, Peter Trier

2016-01-01

To explore why novices' performance plateau in directed, self-regulated virtual reality (VR) simulation training and how performance can be improved.......To explore why novices' performance plateau in directed, self-regulated virtual reality (VR) simulation training and how performance can be improved....

Shoulder Arthroscopy Simulator Training Improves Shoulder Arthroscopy Performance in a Cadaver Model

Science.gov (United States)

Henn, R. Frank; Shah, Neel; Warner, Jon J.P.; Gomoll, Andreas H.

2013-01-01

Purpose The purpose of this study was to quantify the benefits of shoulder arthroscopy simulator training with a cadaver model of shoulder arthroscopy. Methods Seventeen first year medical students with no prior experience in shoulder arthroscopy were enrolled and completed this study. Each subject completed a baseline proctored arthroscopy on a cadaveric shoulder, which included controlling the camera and completing a standard series of tasks using the probe. The subjects were randomized, and nine of the subjects received training on a virtual reality simulator for shoulder arthroscopy. All subjects then repeated the same cadaveric arthroscopy. The arthroscopic videos were analyzed in a blinded fashion for time to task completion and subjective assessment of technical performance. The two groups were compared with students t-tests, and change over time within groups was analyzed with paired t-tests. Results There were no observed differences between the two groups on the baseline evaluation. The simulator group improved significantly from baseline with respect to time to completion and subjective performance (parthroscopy simulator training resulted in significant benefits in clinical shoulder arthroscopy time to task completion in this cadaver model. This study provides important additional evidence of the benefit of simulators in orthopaedic surgical training. Clinical Relevance There may be a role for simulator training in shoulder arthroscopy education. PMID:23591380