Sakaguchi, Junichi; Komatsu, Yasuki
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)
Suzuki, Koichi; Noji, Kunio
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)
Zajtsev, K.S.; Serov, A.A.; Ajnutdinov, V.A.
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
Mangano, Alberto; Gheza, Federico; Giulianotti, Pier Cristoforo
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.
Bockhold, G. Jr.; Roth, D.R.
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
Bouaziz, Maha; Yan, Ying; Kassab, Mohamed
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...
Sae-Kee, Bundit; Riener, Robert; Frey, Martin; Pröll, Thomas; Burgkart, Rainer
In this paper, we propose a new interactive simulation system for dental treatment training. The system comprises a virtual reality environment and a force-torque measuring device to enhance the capabilities of a passive phantom of tooth anatomy in dental treatment training processes. The measuring device is connected to the phantom, and provides essential input data for generating the graphic animations of physical behaviors such as drilling and bleeding. The animation methods of those physical behaviors are also presented. This system is not only able to enhance interactivity and accessibility of the training system compared to conventional methods but it also provides possibilities of recording, evaluating, and verifying the training results.
Chang, Kuei-Hu; Chang, Yung-Chia; Chain, Kai; Chung, Hsiang-Yu
The advancement of high technologies and the arrival of the information age have caused changes to the modern warfare. The military forces of many countries have replaced partially real training drills with training simulation systems to achieve combat readiness. However, considerable types of training simulation systems are used in military settings. In addition, differences in system set up time, functions, the environment, and the competency of system operators, as well as incomplete information have made it difficult to evaluate the performance of training simulation systems. To address the aforementioned problems, this study integrated analytic hierarchy process, soft set theory, and the fuzzy linguistic representation model to evaluate the performance of various training simulation systems. Furthermore, importance-performance analysis was adopted to examine the influence of saving costs and training safety of training simulation systems. The findings of this study are expected to facilitate applying military training simulation systems, avoiding wasting of resources (e.g., low utility and idle time), and providing data for subsequent applications and analysis. To verify the method proposed in this study, the numerical examples of the performance evaluation of training simulation systems were adopted and compared with the numerical results of an AHP and a novel AHP-based ranking technique. The results verified that not only could expert-provided questionnaire information be fully considered to lower the repetition rate of performance ranking, but a two-dimensional graph could also be used to help administrators allocate limited resources, thereby enhancing the investment benefits and training effectiveness of a training simulation system.
Ferguson, R.W.; Converse, R.E. Jr.
A system is described for simulating the real-time dynamic operation of a full scope nuclear powered electrical generating plant for operator training utilizing apparatus that includes a control console with plant component control devices and indicating devices for monitoring plant operation. A general purpose digital computer calculates the dynamic simulation data for operating the indicating devices in accordance with the operation of the control devices. The functions for synchronization and calculation are arranged in a priority structure so as to insure an execution order that provides a maximum overlap of data exchange and simulation calculations. (Official Gazette)
Noji, K.; Suzuki, K.; Kobayashi, A.
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)
The article introduced the Virtual Reality and development tools. It put forward the component and the characteristic feature of the simulation training system. It opens up prospects for chemical defense military training. (author)
Hakim, D. L.; Abdullah, A. G.; Mulyadi, Y.; Hasan, B.
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.
Hohorst, J.K.; Allison, C.M.
The RELAP/SCDAPSIM code, designed to predict the behaviour of reactor systems during normal and accident conditions, is being developed as part of an international nuclear technology development program called SDTP (SCDAP Development and Training Program). SDTP involves more than 60 organizations in 28 countries. One of the important applications of the code is for simulator training of university faculty and students, reactor analysts, and reactor operations and technical support staff. Examples of RELAP/SCDAPSIM-based system thermal hydraulic and severe accident simulator packages include the SAFSIM simulator developed by NECSA for the SAFARI research reactor in South Africa, university-developed simulators at the University of Mexico and Shanghai Jiao Tong University in China, and commercial VISA and RELSIM packages used for analyst and reactor operations staff training. This paper will briefly describe the different packages/facilities. (authors)
Hohorst, J.K.; Allison, C.M. [Innovative Systems Software, 1242 South Woodruff Avenue, Idaho Falls, Idaho 83404 (United States)
The RELAP/SCDAPSIM code, designed to predict the behaviour of reactor systems during normal and accident conditions, is being developed as part of an international nuclear technology development program called SDTP (SCDAP Development and Training Program). SDTP involves more than 60 organizations in 28 countries. One of the important applications of the code is for simulator training of university faculty and students, reactor analysts, and reactor operations and technical support staff. Examples of RELAP/SCDAPSIM-based system thermal hydraulic and severe accident simulator packages include the SAFSIM simulator developed by NECSA for the SAFARI research reactor in South Africa, university-developed simulators at the University of Mexico and Shanghai Jiao Tong University in China, and commercial VISA and RELSIM packages used for analyst and reactor operations staff training. This paper will briefly describe the different packages/facilities. (authors)
Yuan, Diping; Jin, Xuesheng; Zhang, Jin; Han, Dong
There's a growing need for fire departments to adopt a safe and fair method of training to ensure that the firefighting commander is in a position to manage a fire incident. Visual simulation training systems, with their ability to replicate and interact with virtual fire scenarios through the use of computer graphics or VR, become an effective and efficient method for fire ground education. This paper describes the system architecture and functions of a visual simulated training system of fire fighting on oil storage, which adopting Delat3D, a open source game and simulation engine, to provide realistic 3D views. It presents that using open source technology provides not only the commercial-level 3D effects but also a great reduction of cost.
Savely, Robert T.; Loftin, R. Bowen
Training is a major endeavor in all modern societies. Common training methods include training manuals, formal classes, procedural computer programs, simulations, and on-the-job training. NASA's training approach has focussed primarily on on-the-job training in a simulation environment for both crew and ground based personnel. NASA must explore new approaches to training for the 1990's and beyond. Specific autonomous training systems are described which are based on artificial intelligence technology for use by NASA astronauts, flight controllers, and ground based support personnel that show an alternative to current training systems. In addition to these specific systems, the evolution of a general architecture for autonomous intelligent training systems that integrates many of the features of traditional training programs with artificial intelligence techniques is presented. These Intelligent Computer Aided Training (ICAT) systems would provide much of the same experience that could be gained from the best on-the-job training.
Ting, Ye; Feng, Chen; Wenqiang, Wang; Kai, Yang
Ship fire training is a very important training to ensure the safety of the ship, but limited by the characteristics of the ship itself, it is difficult to carry out fire training on the ship. This paper proposes to introduce a virtual reality technology to build a set of ship fire simulation training system, used to improve the quality of training, reduce training costs. First, the system design ideas are elaborated, and the system architecture diagram is given. Then, the key technologies in the process of system implementation are analyzed. Finally, the system examples are built and tested.
Hartmannsgruber, M; Good, M; Carovano, R; Lampotang, S; Gravenstein, J S
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)
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)
Marsiletti, M.; Santinelli, A.; Zuenkov, M.; Poletykin, A.
An early fault diagnostic system has been developed addressed to timely trouble shooting in process plants during any operational modes. The theory of this diagnostic system is related with the usage of learning methods for automatic generation of knowledge bases. This approach enables the conversion of ''cause→effect'' relations into ''effect→possible-causes'' ones. The diagnostic rules are derived from the operation of a plant simulator according to a specific procedure. Flexibility, accuracy and high speed are the major characteristics of the training simulator, used to generate the diagnostic knowledge base. The simulator structure is very flexible, being based on LEGO code but allowing the use of practically any kind of FORTRAN routines (recently also ACSL macros has been introduced) as plant modules: this permits, when needed, a very accurate description of the malfunctions the diagnostic system should ''known''. The high speed is useful to shorten the ''learning'' phase of the diagnostic system. The feasibility of the overall system has been assessed, using as reference plant the conventional Sampierdarena (Italy) power station, that is a combined cycle plant dedicated to produce both electrical and heat power. The hardware configuration of this prototype system was made up of a network of a Hewlett-Packard workstation and a Digital VAX-Station. The paper illustrates the basic structure of the simulator used for this diagnostic system training purpose, as well as the theoretical background on which the diagnostic system is based. Some evidence of the effectiveness of the concept through the application to Sampierdarena 40 MW cogeneration plant is reported. Finally an outline of an ongoing application to a WWER-1000 plant is given; the operating system is, in this case, UNIX. (author)
Yamakabe, K.; Nakajima, A.; Shiyama, H.; Noji, K.; Okabe, N.; Murata, F.
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)
Tan, Xianglin; Shao, Zhichao; Tu, Jianhua; Qu, Fuqi
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.
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
Full Text Available In a missile simulation training system with one-master and multi-slaves distributed system structure, a universal controller is necessary due to the system composed with several controllers. In this research, the designed controllers communicate with each other and upper control computer through RS-485 field bus. RS-485 bus including interface circuits, transmission protocol, Cyclic Redundancy Check (CRC method and upper control test software is designed and proposed. The universal controller adopting the designed RS-485 interface circuits is connected through twisted-pair and makes the simulation system, then the controller is tested in line. The results show that the RS-485 bus communicates effectively using the protocol and CRC method, data transmission rates reaches 115.2 kbps, and has a good stability.
Dyer, Jim [Electric Power Group, Llc, Pasadena, CA (United States)
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.
Wang, Yu; Guo, Shuxiang; Tamiya, Takashi; Hirata, Hideyuki; Ishihara, Hidenori; Yin, Xuanchun
Endovascular surgery benefits patients because of its superior short convalescence and lack of damage to healthy tissue. However, such advantages require the operator to be equipped with dexterous skills for catheter manipulation without resulting in collateral damage. To achieve this goal, a training system is in high demand. A training system integrating a VR simulator and a haptic device has been developed within this context. The VR simulator is capable of providing visual cues which assist the novice for safe catheterization. In addition, the haptic device cooperates with VR simulator to apply sensations at the same time. The training system was tested by non-medical subjects over a five days training session. The performance was evaluated in terms of safety criteria and task completion time. The results demonstrate that operation safety is improved by 15.94% and task completion time is cut by 18.80 s maximum. Moreover, according to subjects' reflections, they are more confident in operation. The proposed training system constructs a comprehensive training environment that combines visualization and force sensation. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Kolontarev, K B; Govorov, A V; Rasner, P I; Sheptunov, S A; Prilepskaya, E A; Maltsev, E G; Pushkar, D Yu
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.
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.
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.
Pribozic, F.; Krajnc, J.
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)
Jense, G.J.; Kuijper, F.
Virtual environment (VE) technology is expected to make a big impact on future training and simulation systems. Direct stimulation of human-senses (eyesight, auditory, tactile) and new paradigms for user input will improve the realism of simulations and thereby the effectiveness of training systems.
Hassan, M.W.; Khan, N.M.; Ali, S.; Jafri, M.N.
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)
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.)
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)
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)
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
Curtis, J.; Moore, R.
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)
Davidson, Ingemar J A; Lok, Charmaine; Dolmatch, Bart; Gallieni, Maurizio; Nolen, Billy; Pittiruti, Mauro; Ross, John; Slakey, Douglas
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.
Virtual Squad Training System ( VSTS ). Like some of its predecessors, VSTS included a combination of man-wearable, tethered, and desktop interfaces...Simulator Bayonet w/Omni Directional Treadmill TRAC-WSMR Soldier Station Soldier Visualization Station V-IMTS SVS2-DI, DAGGERS, ASWETS VSTS Dismounted...Simulation, VSTS – Virtual Squad Training System 4 and microphone. The VSMM utilizes radio frequency identification (RFID) tags and hand sensors to
LaPointe, D.J.; Manz, A.; Hall, G.S.
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
Blum, Tobias; Rieger, Andreas; Navab, Nassir; Friess, Helmut; Martignoni, Marc
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.
Hoznek, András; Salomon, Laurent; de la Taille, Alexandre; Yiou, René; Vordos, Dimitrios; Larre, Stéphane; Abbou, Clément-Claude
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.
The training of operators by the use of simulators is common to most countries with nuclear power plants. Simulator training programmes are generally well developed, but their value can be limited by the age, type, size and capability of the simulator. Within these limits, most full scope simulators have a capability of training operators for a range of design basis accidents. It is recognized that human performance under accident conditions is difficult to predict or analyse, particularly in the area of severe accidents. These are rare events and by their very nature, unpredictable. Of importance, therefore, is to investigate the training of operators for severe accident conditions, and to examine ways in which simulators may be used in this task. The International Nuclear Safety Advisory Group (INSAG) has reviewed this field and the associated elements of human behaviour. It has recommended that activities are concentrated on this area. Initially it is encouraging the following objectives: i) To train operators for accident conditions including severe accidents and to strongly encourage the development and use of simulators for this purpose; ii) To improve the man-machine interface by the use of computer aids to the operator; iii) To develop human performance requirements for plant operating staff. As part of this work, the IAEA convened a technical committee on 15-19 September 1986 to review the experience with simulator training for emergency conditions, to review simulator modelling for severe accident training, to examine the role of human cognitive behaviour modelling, and to review guidance on accident scenarios. A substantial deviation may be a major fuel failure, a Loss of Coolant Accident (LOCA), etc. Examples of engineered safety features are: an Emergency Core Cooling System (ECCS), and Containment Systems. This report was prepared by the participants during the meeting and reviewed further in a Consultant's Meeting. It also includes papers which were
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)
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
A power system simulator (PSS) for training system operators has been opened at the Pacific Gas and Electric Training Center at San Ramon, California. The simulator was designed as an instructional aid and is part of a larger, more comprehensive operating training facility. It has the capability of duplicating both routine and emergency situations for transmission and distribution lines, power plants, and substations. Modeled after nuclear plant simulators, the PSS utilizes state-of-the-art technology and is believed to be on the leading edge of power system simulators. The new operator training facility covers 10,000 ft/sup 2/ and is divided into four classrooms, two labs, three simulated dispatch centers, and various administrative offices. Ten full- and part-time instructors are on staff to train the over 900 system, power plant, agency, and trainee personnel. The simulator is considered the heart of the complex and covers over half of the available floor space. It is divided into two large rooms and further separated by the dispatch centers. The indoor room represents the high-voltage transmission and generating stations, the outdoor room is for both the lower-voltage distribution system and simulated physical equipment. In each room, full-size control boards (equipped with actual relay protection and automatic schemes) are arranged into various stations and lines
Li, Hua-Ming; Kang, Bao-Sheng
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.
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
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)
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
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.
Hinchley, E.M.; Yanofsky, N.
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
Wiet, Gregory J.; Stredney, Don; Wan, Dinah
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
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)
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.
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
Penning, H.L.H. de; Kappé, B.; Bosch, K. van den
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
Ocampo, M.H.; DeAlbornoz, B.A.
A model for the Radiation Monitoring System of the Laguna Verde Boiling Water Reactor training simulator is presented. This model comprises enough definitions to assure interactions with the processes related, directly or indirectly, with the transport of radioisotopes. It is capable of following a dynamic behavior of the plant so an operator could be trained to become aware of nuclear radiation hazards. The model is composed of three parts: the electronics for the Process and Area Radiation Monitoring System; a lumped parameter transport model for the most representative radioisotopes; and the interactions with the modeled processes as well as with process not being simulated. The first part represents the radiation monitor controls in the vertical board panels of the nuclear station. The second part allows the carrying of nuclear isotopes between processes. The third part defines the way that the process interacts with the electronics at the point of release to environment or the point of detection. Each part of the model has been tested individually, and the transport model has been incorporated as a part of each process required to simulate nuclear radiation. The model parameters has been calculated using typical BWR nuclear radiation data, and Laguna Verde heat balance data at 100% design power. However, tunning will be necessary once the Simulator is integrated and tested. The tunning allows each detecting channel to behave as expected
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)
Cordell, Curtis C.; And Others
A training effectiveness evaluation of the Navy Advanced Fire Fighting Training System was conducted. This system incorporates simulated fires as well as curriculum materials and instruction. The fires are non-pollutant, computer controlled, and installed in a simulated shipboard environment. Two teams of 15 to 16 persons, with varying amounts of…
Konge, Lars; Clementsen, Paul Frost; Ringsted, Charlotte
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...
Forster, James A; Browning, Anthony J; Paul, Alan B; Biyani, C Shekhar
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.
Kelz, Gerald; Hirschberg, Wolfgang [Inst. fuer Fahrzeugtechnik, Technische Univ. Graz (Austria)
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.)
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
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)
Borkowsky, Jeffrey; Judd, Jerry; Belblidia, Lotfi; O'farrell, David; Andersen, Peter
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)
Psychology in the Air Force, 1974. Creelman , J.A., Evaluation of Approach Training Procedures, U.S. Naval School of Aviation Med., Proj. No. NM001-109-107...training. 3.2 PHYSICAL VERSUS PSYCHOLOGICAL SIMULATION In the previous section, the term "physical simulation" was used to represent the case where... psychology that there is no "step function" threshold. Rather, detection capability plotted against phys- ical parameter strength results in an ogival
De Carvalho, R. P.; Maiorino, J. R.
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)
Sickora, Katrin; Cremer, Hans-Peter
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.)
Park, Hyun Jun; Lee, Joon Ku; Jeong, Kwang Il [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)
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.
Park, Hyun Jun; Lee, Joon Ku; Jeong, Kwang Il
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
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)
Iwashita, Akira; Toeda, Susumu; Fujita, Eimitsu; Moriguchi, Iwao; Wada, Kouji
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)
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.)
Tsuta, T.; Yamamoto, K.; Tetsuka, S.; Koyama, K.
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)
Training Systems Acquisition IDA Document D-4648 Log: H 12-001032 July 2012 Approved for public release; distribution is unlimited...Background The Patriot system began because of the need to replace an aging and limited air defense system in the 1970s, the Nike -Hercules, and...simulation technology, embedded training and distributed learning (DoD Instruction 1322.26), and instrumentation systems that provide “anytime, anyplace
Lehmann, K S; Gröne, J; Lauscher, J C; Ritz, J-P; Holmer, C; Pohlen, U; Buhr, H-J
simulator was successfully mastered during the course. Construct validity could be demonstrated within the course setting. The simulator's assessment system can be of value for the assessment of laparoscopic training performance within surgical skills courses. Acceptance of the simulator training is high. However, simulators are currently too expensive to be used within a large training course. © Georg Thieme Verlag KG Stuttgart · New York.
Koyagoshi, Naoki; Sasaki, Kazuichi; Sawada, Makoto; Kawanishi, Tomotake; Yoshida, Kazuo
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)
Tay, Charison; Khajuria, Ankur; Gupte, Chinmay
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.
Korteling, J.E.; Oprins, E.A.P.B.; Kallen, V.L.
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
Garate Abenza, M.; Mercade Seijas, O.; Munoz, J.F.; Ruiz-Andino, J.L.
ASTRO is an integrated software package used to train system operators and is directly applicable to all types of power-generation plant operator training. The following are its salient characteristics: - Installed in work stations with multimedia capabilities a user-friendly interface - Covers various types of instruction on theory, procedure and maintenance allowing the execution of trainee-customized courses. - Includes all the phases of the teaching-learning task: compilation or creation and adaptation of course design information, execution and evaluation. - Combines the capabilities of traditional teaching tools, focusing basically on theoretical training, with the power of necessary real-time simulators for the assimilation of operation and maintenance procedures. Moreover, it provides the capacity to extract information instantly from the simulated system, without existing the simulation process. - It is run on inexpensive platforms (work stations) as compared to the traditional system of simulator training or training at site. (Author)
Full Text Available The paper describes the numerical simulation of the vertical random vibration of train-slab track-bridge interaction system by means of finite element method and pseudoexcitation method. Each vehicle is modeled as four-wheelset mass-spring-damper system with two-layer suspension systems. The rail, slab, and bridge girder are modeled by three-layer elastic Bernoulli-Euler beams connected with each other by spring and damper elements. The equations of motion for the entire system are derived according to energy principle. By regarding rail irregularity as a series of multipoint, different-phase random excitations, the random load vectors of the equations of motion are obtained by pseudoexcitation method. Taking a nine-span simply supported beam bridge traveled by a train consisting of 8 vehicles as an example, the vertical random vibration responses of the system are investigated. Firstly, the suitable number of discrete frequencies of rail irregularity is obtained by numerical experimentations. Secondly, the reliability and efficiency of pseudoexcitation method are verified through comparison with Monte Carlo method. Thirdly, the random vibration characteristics of train-slab track-bridge interaction system are analyzed by pseudoexcitation method. Finally, applying the 3σ rule for Gaussian stochastic process, the maximum responses of train-slab track-bridge interaction system with respect to various train speeds are studied.
Bjurström, Johanna Margareta; Konge, Lars; Lehnert, Per
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....
The paper gives a brief history of PWR Simulation within the DNST and an outline of the training courses leading to the requirement for the Display Array Simulation System. Focus is then placed upon the flexible use of real time simulation in the teaching of plant dynamics by the use of model generated data. The use of interactive consoles and a large scale colour graphic display has led to the success of the Display Array Simulation System within the DNST. Realisation of the potential of the system has led to many other proposed uses for the installed system and the paper concludes by discussing some of these. (orig./DG)
Reifman, J.; Rank, P.; Lee, J.C.
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
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…
Yoneyama, Mitsuru; Kubota, Ryuji; Fujiwara, Tadashi; Sakuma, Hitoshi
The education and training system for Accident Management was developed by the Japanese BWR group and Hitachi Ltd. The education and training system is composed of two systems. One is computer aided instruction (CAI) education system and the education and training system with computer simulations. Both systems are designed to be executed on personal computers. The outlines of the CAI education system and the education and training system with simulator are reported below. These systems provides plant operators and technical support center staff with the effective education and training for accident management. (author)
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.
Chan, Richard; Sun, C T
Simulation for perfusion education has been used for at least the past 25 years. The earlier models were either electronic (computer games) or fluid dynamic models and provided invaluable adjuncts to perfusion training and education. In 2009, the *North Shore-LIJ Health System at Great Neck, New York, opened an innovative "Bioskill Center" dedicated to simulated virtual reality advanced hands-on surgical training as well as perfusion simulation. Professional cardiac surgical organizations now show great interest in using simulation for training and recertification. Simulation will continue to be the direction for future perfusion training and education. This manuscript introduces a cost-effective system developed from discarded perfusion products and it is not intended to detail the actual lengthy process of its construction.
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.
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)
Jeong, K.-S.; Kim, K.-R.; Jung, W.-D.; Ha, J.-J.
The most operator support systems including the training simulator have been developed to assist the operator and they cover from normal operation to emergency operation. For the severe accident, the overall architecture for severe accident management is being developed in some developed countries according to the development of severe accident management guidelines which are the skeleton of severe accident management architecture. In Korea, the severe accident management guideline for KSNP was recently developed and it is expected to be a central axis of logical flow for severe accident management. There are a lot of uncertainties in the severe accident phenomena and scenarios and one of the major issues for developing a operator support system for a severe accident is the reduction of these uncertainties. In this paper, the severe accident management advisory system with training simulator, SAMAT, is developed as all available information for a severe accident are re-organized and provided to the management staff in order to reduce the uncertainties. The developed system includes the graphical display for plant and equipment status, the previous research results by knowledge-base technique, and the expected plant behavior using the severe accident training simulator. The plant model used in this paper is oriented to severe accident phenomena and thus can simulate the plant behavior for a severe accident. Therefore, the developed system may make a central role of the information source for decision-making for a severe accident management, and will be used as the training simulator for severe accident management
Lallas, Costas D; Davis, John W
Virtual reality (VR) simulation has the potential to standardize surgical training for robotic surgery. We sought to evaluate all commercially available VR robotic simulators. A MEDLINE(®) literature search was performed of all applicable keywords. Available VR simulators were evaluated with regard to face, content, and construct validation. Additionally, a survey was e-mailed to all members of the Endourological Society, querying the pervasiveness of VR simulators in robotic surgical training. Finally, each company was e-mailed to ask for a price quote for their respective system. There are four VR robotic surgical simulators currently available: RoSS™, dV-Trainer™, SEP Robot™, and da Vinci(®) Skills Simulator™. Each system is represented in the literature and all possess varying degrees of face, content, and construct validity. Although all systems have basic skill sets with performance analysis and metrics software, most do not contain procedural components. When evaluating the results of our survey, most respondents did not possess a VR simulator although almost all believed there to be great potential for these devices in robotic surgical training. With the exception of the SEP Robot, all VR simulators are similar in price. VR simulators have a definite role in the future of robotic surgical training. Although the simulators target technical components of training, their largest impact will be appreciated when incorporated into a comprehensive educational curriculum.
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
Destot, M.; Hagendorf, M.; Vanhumbeeck, D.; Lecocq-Bernard, J.
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
Brunckhorst, Oliver; Aydin, Abdullatif; Abboudi, Hamid; Sahai, Arun; Khan, Muhammad Shamim; Dasgupta, Prokar; Ahmed, Kamran
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
Korteling, J.E.; Oprins, E.A.P.B.; Kallen, V.L.
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 ...
and Cyber Constructive Environment– Information Operations System ASCOT Airspace Control and Operations Trainer ASDA Advanced Seal Delivery System...Advanced Seal Delivery System ( ASDA ). Simulates a submarine training system for providing stealthy submerged transportation for insertion into Special
... 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...
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)
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
Yiannakopoulou, Eugenia; Nikiteas, Nikolaos; Perrea, Despina; Tsigris, Christos
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.
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)
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...
Kim, Ko Ryu; Jeong, Kwang Sub; Ha, Jae Joo
This is a report of the development process and related technologies of severe accident graphic simulators, required in industrial severe accident management and training. Here, we say 'a severe accident graphic simulator' as a graphics add-in system to existing calculation codes, which can show the severe accident phenomena dynamically on computer screens and therefore which can supplement one of main defects of existing calculation codes. With graphic simulators it is fairly easy to see the total behavior of nuclear power plants, where it was very difficult to see only from partial variable numerical information. Moreover, the fast processing and control feature of a graphic simulator can give some opportunities of predicting the severe accident advancement among several possibilities, to one who is not an expert. Utilizing graphic simulators' we expect operators' and TSC members' physical phenomena understanding enhancement from the realistic dynamic behavior of plants. We also expect that severe accident training course can gain better training effects using graphic simulator's control functions and predicting capabilities, and therefore we expect that graphic simulators will be effective decision-aids tools both in sever accident training course and in real severe accident situations. With these in mind, we have developed a prototype graphic simulator having surveyed related technologies, and from this development experiences we have inspected the possibility to build a severe accident graphic simulator. The prototype graphic simulator is developed under IBM PC WinNT environments and is suited to Uljin 3and4 nuclear power plant. When supplied with adequate severe accident scenario as an input, the prototype can provide graphical simulations of plant safety systems' dynamic behaviors. The prototype is composed of several different modules, which are phenomena display module, MELCOR data interface module and graphic database interface module. Main functions of
Bowden, R.S.M.; Hacking, D.
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.)
Malkin, S.D.; Shalia, V.V.; Rakitin, I.D.; Khoudiakov, M.M.
Recent developments of Russian Research Center 'Kurchatov Institute' are aimed at the soonest and minimum expenditure's creation of modern high-performance means for personnel's training and regular restraining and also at the development of means of modeling, safety analysis and operators' support with severe accidents to be included. In this view, the most elaborated one is the Training Support Center (TSC) created at the Leningrad NPP, Sosnovy Bor, Russia. To be applied in this center, GSE Systems of USA and RRC 'Kurchatov Institute' have jointly developed the Total Training System that incorporates full-scope simulator; analytical full-scope simulator, expert system, interactive system, psycho-physiological system; and training support programs. Mathematical models creating and special software development were the responsibility of RRC 'Kurchatov Institute', the hardware and general purpose software were the responsibility of GSE Systems. (author)
Kong, Chi Dong; Choi, Soo Young; Park, Min Young; Lee, Duck Jung [Ulsan National Institute of Science and Technology, Ulsan (Korea, Republic of)
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.
Kong, Chi Dong; Choi, Soo Young; Park, Min Young; Lee, Duck Jung
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
Sato, Takao; Hashimoto, Shigeo; Kato, Kanji; Mizuno, Toshiyuki; Asaoka, Koichi.
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.)
Takayesu, James Kimo; Peak, David; Stearns, Dana
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.
Nabavi, A; Schipper, J
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.
Madden, V.J.; Tompsett, P.A.
The development of simulators in the Central Electricity Generating Board's nuclear power training are traced, and, in describing the overall training programme of an advanced gas-cooled reactor operations engineer, the contribution made by a range of simulation devices from concept through to full-scope replica simulators is indicated. The capabilities of today's simulators are such that they are also making other contributions to the commissioning and safe operation of nuclear power plants. They are being successfully used for ergonomic and procedure validation work and the testing and commissioning of software for automatic control systems, and data and alarm processing systems. (author)
Choi, Sun Yeong; Kim, Yochan; Park, Jinkyun; Kim, Seunghwan; Jung, Wondea [Korea Atomic Research Institute, Daejeon (Korea, Republic of)
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.
Mirghani, I; Mushtaq, F; Allsop, M J; Al-Saud, L M; Tickhill, N; Potter, C; Keeling, A; Mon-Williams, M A; Manogue, M
Virtual reality simulators are becoming increasingly popular in dental schools across the world. But to what extent do these systems reflect actual dental ability? Addressing this question of construct validity is a fundamental step that is necessary before these systems can be fully integrated into a dental school's curriculum. In this study, we examined the sensitivity of the Simodont (a haptic virtual reality dental simulator) to differences in dental training experience. Two hundred and eighty-nine participants, with 1 (n = 92), 3 (n = 79), 4 (n = 57) and 5 (n = 61) years of dental training, performed a series of tasks upon their first exposure to the simulator. We found statistically significant differences between novice (Year 1) and experienced dental trainees (operationalised as 3 or more years of training), but no differences between performance of experienced trainees with varying levels of experience. This work represents a crucial first step in understanding the value of haptic virtual reality simulators in dental education. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Katz, Aric; Tepper, Ronnie; Shtub, Avraham
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.
Samosky, Joseph T; Baillargeon, Emma; Bregman, Russell; Brown, Andrew; Chaya, Amy; Enders, Leah; Nelson, Douglas A; Robinson, Evan; Sukits, Alison L; Weaver, Robert A
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.
Bric, Justin D; Lumbard, Derek C; Frelich, Matthew J; Gould, Jon C
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.
Kim, Ko Ryu; Jeong, Kwang Sub; Ha, Jae Joo
This is a report of the development process and related technologies of severe accident graphic simulators, required in industrial severe accident management and training. Here, we say 'a severe accident graphic simulator' as a graphics add-in system to existing calculation codes, which can show the severe accident phenomena dynamically on computer screens and therefore which can supplement one of main defects of existing calculation codes. With graphic simulators it is fairly easy to see the total behavior of nuclear power plants, where it was very difficult to see only from partial variable numerical information. Moreover, the fast processing and control feature of a graphic simulator can give some opportunities of predicting the severe accident advancement among several possibilities, to one who is not an expert. Utilizing graphic simulators' we expect operators' and TSC members' physical phenomena understanding enhancement from the realistic dynamic behavior of plants. We also expect that severe accident training course can gain better training effects using graphic simulator's control functions and predicting capabilities, and therefore we expect that graphic simulators will be effective decision-aids tools both in sever accident training course and in real severe accident situations. With these in mind, we have developed a prototype graphic simulator having surveyed related technologies, and from this development experiences we have inspected the possibility to build a severe accident graphic simulator. The prototype graphic simulator is developed under IBM PC WinNT environments and is suited to Uljin 3and4 nuclear power plant. When supplied with adequate severe accident scenario as an input, the prototype can provide graphical simulations of plant safety systems' dynamic behaviors. The prototype is composed of several different modules, which are phenomena display module, MELCOR data interface module and graphic database
Kim, Ko Ryu; Park, Sun Hee; Choi, Young; Kim, Dong Ha
Recently KAERI has developed the severe accident management guidance to establish the Korea standard severe accident management system. On the other hand the PC-based severe accident training simulator SATS has been developed, which uses the MELCOR code as the simulation engine. The simulator SATS graphically displays and simulates the severe accidents with interactive user commands. Especially the control capability of SATS could make a severe accident training course more interesting and effective. In this paper we will describe the development and functions of the electrical guidance module, HyperKAMG, and the SATS-HyperKAMG linkage system designed for a totally integrated and automated severe accident training. (author)
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.)
B. Bakken; O. Boe
The Norwegian Military Academy (Army) has initiated a project with the main ambition to explore possible avenues to enhancing operational effectiveness through an increased use of simulation-based training and exercises. Within a cost/benefit framework, we discuss opportunities and limitations of vertical and horizontal integration of the existing tactical training system. Vertical integration implies expanding the existing training system to span the full range of traini...
Hajare, Ankur R.; Wick, Daniel T.; Bovenzi, James J.
The purpose of this paper is to describe plans for the Space Station Training Facility (SSTF) which has been designed to meet the envisioned training needs for Space Station Freedom. To meet these needs, the SSTF will integrate networked simulators with real-world systems in five training modes: Stand-Alone, Combined, Joint-Combined, Integrated, and Joint-Integrated. This paper describes the five training modes within the context of three training scenaries. In addition, this paper describes an authoring system which will support the rapid integration of new real-world system changes in the Space Station Freedom Program.
Raiko, Eerikki; Salminen, Kai; Lundstroem, Petra; Harti, Mika; Routamo, Tomi
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
Morrison, J.; Nicol, D.; Hacking, D.
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)
Rybing, Jonas; Nilsson, Heléne; Jonson, Carl-Oscar; Bang, Magnus
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.
Bartak, J.; Fallon, B.
The paper presents recent projects of upgrading screen operated simulators of VVER-440 nuclear power plants to full scale replica simulators, implemented by CORYS TESS. Control room replica full scope simulators were built for the Bohunice NPP in Slovakia and the Novovoronezh NPP in Russia. The scope of simulation was extended to reflect the current status of the units, which have undergone significant modernization programs over the last few years. The paper describes the software and hardware adaptations and evolutions of the existing simulators, the implementation in the simulator of modern supervision systems as well as of systems and equipment designed in the seventies and still used on the reference units. The training benefits of parallel use of control room replica and screen-operated simulators in the training process are discussed. (author)
Cecil, J; Gupta, Avinash; Pirela-Cruz, Miguel
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.
RAM, an NVIDIA GeForce 8800 GTX graphics card, and a 20” LCD monitor with a 16:10 aspect ratio. GDIS, the software used for these scenarios, was...good lead-ins for field training. Company and platoon leaders said they would like a week of simulation training just prior to engaging in field
Buckley, R. L.
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.
Distler, K.; Struss, H.
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
The usefulness of a nuclear power plant training simulator for developing and testing modern estimation and control applications for nuclear power plants is demonstrated. A Kalman filter based instrument failure detection technique for a pressurized water reactor pressurizer is implemented on the Department of Energy N Reactor Training Simulator. This real-time failure detection method computes the first two moments (mean and variance) of each element of a normalized filter innovations vector. Failed pressurizer instrumentation can be detected by comparing these moments to the known statistical properties of the steady state, linear Kalman fitler innovations sequence. The capabilities of the detection system are evaluated using simulated plant transients and instrument failures
Shibuya, Akira; Fujita, Eimitsu; Nakao, Toshihiko; Nakabaru, Mitsugu; Asaoka, Kouchi.
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)
Zhang, Yan; Phillips, Roger; Ward, James; Pisharody, Sandhya
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.
Kalun, Portia; Wagner, Natalie; Yan, James; Nousiainen, Markku T; Sonnadara, Ranil R
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.
Marlow, Nicholas; Altree, Meryl; Babidge, Wendy; Field, John; Hewett, Peter; Maddern, Guy J
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.
Khoudiakov, M.; Slonimsky, V.; Mitrofanov, S.
The paper describes a continuation of efforts of an international Russian - Norwegian joint team to improve operational safety during the refuelling process of an RBMK-type reactor by implementing a training simulator based on an innovative Virtual Reality (VR) approach. During the preceding 1st stage of the project a display-based simulator was extended with VR models of the real Refuelling Machine (RM) and its environment in order to improve both the learning process and operation's effectiveness. The simulator's challenge is to support the performance (operational activity) of RM operational staff firstly by helping them to develop basic knowledge and skills as well as to keep skilled staff in close touch with the complex machinery of the Refuelling Machine. During the 2nd stage of the joint project the functional scope of the VR-simulator was greatly enhanced - firstly, by connecting to the RBMK-unit full-scope simulator, and, secondly, by including a training program and simulator model upgrade. The present 3rd stage of the Project is primarily oriented towards the improvement of the training process for maintenance and operational personnel by means of a development of the Training Support Methodology and Courses (TSMC) to be based on Virtual Reality and enlarged functionality of 3D and process modelling. The TMSC development is based on Russian and International Regulatory Bodies requirements and recommendations. Design, development and creation of a specialised VR-based Training System for RM Maintenance Personnel are very important for the Russian RBMK plants. The main goal is to create a powerful, autonomous VR-based simulator for training technical maintenance personnel on the Refuelling Machine. VR based training is expected to improve the effect of training compared to the current training based on traditional methods using printed documentation. The LNPP management and the Regulatory Bodies supported this goal. The VR-based Training System should
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
Simulator training and retraining of operations personnel is essential for their acquiring the necessary knowledge, skills and qualification for operating a nuclear power plant, and for effective feedback of experience including human based operating errors. Simulator training is the most effective way by far of training operations personnel in co-operation and communication in a team, which also involves instilling attitudes and approaches for achieving excellence and individual responsibility and alertness. This technical document provides guidance to Member States on the procurement, setting up and utilization of a simulator training centre; it will also be useful for organizations with previous experience in the use of simulators for training. The document is the result of a series of advisory and consultants meetings held in the framework of the International Working Group on Nuclear Power Plant Control and Instrumentation in 1989-1992. 17 refs, 2 tabs
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
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.
Tang Tao; Li Keping
This paper presents a new cellular automaton (CA) model for train control system simulation. In the proposed CA model, the driver reactions to train movements are captured by some updated rules. The space-time diagram of traffic flow and the trajectory of train movement is used to obtain insight into the characteristic behavior of railway traffic flow. A number of simulation results demonstrate that the proposed CA model can be successfully used for the simulations of railway traffic. Not only the characteristic behavior of railway traffic flow can be reproduced, but also the simulation values of the minimum time headway are close to the theoretical values.
Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth
, 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...
Marinescu, N.; Predescu, D.; Valeca, S.
A main way to increase the nuclear plant safety is related to selection and continuous training of the operation staff. In this order, the computer programs for training, testing and evaluation of the knowledge get, or training simulators including the advanced analytical models of the technological systems are using. The Institute for Nuclear Research from Pitesti, Romania intend to design and build an Fuel Handling Simulator at his F/M Head Test Rig facility, that will be used for training of operating personnel. This paper presents simulated system, advantages to use the simulator, and the experimental model of simulator, that has been built to allows setting of the requirements and fabrication details, especially for the software kit that will be designed and implement on main simulator. (authors)
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.
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
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.
Sharawy, P.S.; Kennard, J.R.; Chou, Q.B.
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
Tarykin, V. [Operation Personnel Training Department, Khmelnitsky NPP, Training Center, Neteshin 30100, Khmelnitsky region (Ukraine)]. E-mail: firstname.lastname@example.org
Modern personnel training and retraining system is a guarantee of NPPs safe reliable operation. Since the time when independence of Ukraine was proclaimed personnel training system was created directly at NPPs. This system is based on the latest legislation framework, developed subject to IAEA recommendations, gained international experience in the field of personnel training in view of increased demands to personnel qualification. Training Centers, formed at each plant, form one of the main components of NPP personnel training. Personnel training at Training Centers is performed in accordance with standard programmes. Simulator training base was created by joint efforts of specialists from the USA, Russia and Ukraine. Establishing manager training system and replacement reserves for National Nuclear Energy Generating Company 'ENERGOATOM' (NNEGC 'ENERGOATOM') managerial personnel, including training programme and training materials development, teacher selection and training, is under way. (author)
... 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...
Groeneveld, B.J.; Nannister, D.G.; Estes, K.R.; Johnsen, M.R.
The Advanced Test Reactor (ATR) Simulator at the Test Reactor Area of the Idaho National Engineering Laboratory (INEL) has recently been upgraded to reflect plant installation of a distributed control system (DCS). The ATR Simulator re-design implements traditional needs for software extensibility and plant installation prototyping, but the driving force behind its new design was an instruction requirement for multiple, concurrent-training sessions. Support is provided for up to three concurrent, independent or interacting, training sessions of reactor, balance of plant, and experiment loop operators. This capability has been achieved by modifying the existing design to consistently apply client-server, parent-child, and peer-to-peer processing technologies, and then to encapsulate concurrency software into all interfaces. When the resulting component-oriented design is linked with build and runtime flexibility in a distributed computing environment, traditional needs for extensibility and parallel software and scenario development are satisfied with minimal additional effort. Sensible configuration management practices coupled with the ability to perform piecewise system builds also greatly facilitate prototyping of plant changes prior to installation
Green, Leili Hayati
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…
Shetty, Shohan; Zevin, Boris; Grantcharov, Teodor P; Roberts, Kurt E; Duffy, Andrew J
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
Yoshikawa, Hidekazu; Tezuka, Tetsuo; Kashiwa, Ken-ichiro; Ishii, Hirotake
The periodical inspection of nuclear power plants needs a lot of workforces with a high degree of technical skill for the maintenance of various sorts of machines. Therefore, a new type of maintenance training system is required, where trainees can get training safely, easily and effectively. In this study we developed a training simulation system for disassembling a check valve in virtual environment (VE). The features of this system are as follows: Firstly, the trainees can execute tasks even in wrong order, and can experience the resultant conditions. In order to realize this environment, we developed a new Petri-net model for representing the objects' states in VE. This Petri-net model has several original characteristics, which make it easier to manage the change of the objects' states. Furthermore, we made a support system for constructing the Petri-net model of machine-disassembling training, because the Petri-net model is apt to become of large size. The effectiveness of this support system is shown through the system development. Secondly, this system can perform appropriate tasks to be done next in VE whenever the trainee wants even after some mistakes have been made. The effectiveness of this function has also been confirmed by experiments. (author)
Walsh, Catharine M; Sherlock, Mary E; Ling, Simon C; Carnahan, Heather
Traditionally, training in gastrointestinal endoscopy has been based upon an apprenticeship model, with novice endoscopists learning basic skills under the supervision of experienced preceptors in the clinical setting. Over the last two decades, however, the growing awareness of the need for patient safety has brought the issue of simulation-based training to the forefront. While the use of simulation-based training may have important educational and societal advantages, the effectiveness of virtual reality gastrointestinal endoscopy simulators has yet to be clearly demonstrated. To determine whether virtual reality simulation training can supplement and/or replace early conventional endoscopy training (apprenticeship model) in diagnostic oesophagogastroduodenoscopy, colonoscopy and/or sigmoidoscopy for health professions trainees with limited or no prior endoscopic experience. Health professions, educational and computer databases were searched until November 2011 including The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Scopus, Web of Science, Biosis Previews, CINAHL, Allied and Complementary Medicine Database, ERIC, Education Full Text, CBCA Education, Career and Technical Education @ Scholars Portal, Education Abstracts @ Scholars Portal, Expanded Academic ASAP @ Scholars Portal, ACM Digital Library, IEEE Xplore, Abstracts in New Technologies and Engineering and Computer & Information Systems Abstracts. The grey literature until November 2011 was also searched. Randomised and quasi-randomised clinical trials comparing virtual reality endoscopy (oesophagogastroduodenoscopy, colonoscopy and sigmoidoscopy) simulation training versus any other method of endoscopy training including conventional patient-based training, in-job training, training using another form of endoscopy simulation (e.g. low-fidelity simulator), or no training (however defined by authors) were included. Trials comparing one method of virtual reality training versus
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.
Milashenko, A.; Afanasiev, A.
This paper reports that the computer system for NPP personnel training was developed for training centers in the Soviet Union. The system should be considered as the first step in training, taking into account that further steps are to be devoted to part-task and full scope simulator training. The training room consists of 8-12 IBM PC/AT personal computers combined into a network. A trainee accesses the system in a dialor manner. Software enables the instructor to determine the trainee's progress in different subjects of the program. The quality of any trainee preparedness may be evaluated by Knowledge Control operation. Simplified dynamic models are adopted for separate areas of the program. For example, the system of neutron flux monitoring has a dedicated model. Currently, training, requalification and support of professional qualifications of nuclear power plant operators is being emphasized. A significant number of emergency situations during work are occurring due to operator errors. Based on data from September-October 1989, more than half of all unplanned drops in power and stoppages of power plants were due to operator error. As a comparison, problems due to equipment malfunction accounted for no more than a third of the total. The role of personnel, especially of the operators, is significant during normal operations, since energy production costs as well as losses are influenced by the capability of the staff. These facts all point to the importance of quality training of personnel
Stansfield, S.; Sobel, A.
Sandia National Laboratories has developed a distributed, high fidelity simulation system for training and planning small team Operations. The system provides an immersive environment populated by virtual objects and humans capable of displaying complex behaviors. The work has focused on developing the behaviors required to carry out complex tasks and decision making under stress. Central to this work are techniques for creating behaviors for virtual humans and for dynamically assigning behaviors to CGF to allow scenarios without fixed outcomes. Two prototype systems have been developed that illustrate these capabilities: MediSim, a trainer for battlefield medics and VRaptor, a system for planning, rehearsing and training assault operations.
Lam, K.; MacBeth, M.J.
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)
Helton, M.; Young, P.
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
Yan, Ying; Bouaziz, Maha; Kassab, Mohamed
The project SAFE4RAIL (SAFE architecture for Robust distributed Application Integration in roLling stock) from the Shift2Rail Joint Undertaking will provide a cosimulation platform based on hardware/software co-simulation. The platform will be used for Train-to-Ground (T2G) test environments...... in the context of the validation of the new wireless Train Control Management System (TCMS) transmission over LTE technologies in order to evaluate performances with realistic services and under various railway traffic conditions....
Kim, K. R.; Park, S. H.; Kim, D. H.
Recently KAERI has developed severe accident management guidance to establish Korea standard severe accident management system. On the other hand PC-based severe accident training simulator SATS has been developed, which uses MELCOR computing code as the simulation engine. SATS graphically displays and simulates the severe accident progression with interactive user inputs. The control capability of SATS makes a severe accident training course more interesting and effective. In this paper the development and functions of HyperKAMG module are explained. Furthermore easiness and effectiveness of the HyperKAMG-SATS system in severe accident management are described
Jensen, J K; Dyre, L; Jørgensen, M E
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...
Sikder, Shameema; Tuwairqi, Khaled; Al-Kahtani, Eman; Myers, William G; Banerjee, Pat
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.
Malkin, S.D.; Rakitin, I.D.; Sivokon', V.P.
The evolution of NPP educational facilities - from systems of training of personnel to power simulating systems for the development of Automatic Process Control System (APCS) and safety analysis is followed. High efficiency of simulating systems application for the development of NPP APCS including optimization of man-machine system interface was shown by experiments of USA, France, Japan, United Kingdom, conforming examples were given [ru
KWU as a manufacturer of thermal and nuclear power plants has extensive customer training obligations within its power plant contracts. In this respect KWU has gained large experience in training of personnel, in the production of training material including video tapes an in the design of simulators. KWU developed interactive communication systems (ICS) for training and retraining purposes with a personal computer operating a video disc player on which video instruction is stored. The training program is edited with the help of a self developed editing system which enables the author to easily enter his instructions into the computer. ICS enables the plant management to better monitor the performance of its personnel through computerized training results and helps to save training manpower. German NPPs differ very much from other designs with respect to a more complex and integrated reactor control system and an additional reactor limitation system. Simulators for such plants therefore have also to simulate these systems. KWU developed a Functional Trainer (FT) which is a replica of the primary system, the auxiliary systems linked to it and the associated control, limitation and protection systems including the influences of the turbine operation and control
Li, Rui; Zhou, Hongli; Wu, Yueyuan; Wang, Xiaojie
The urgent train braking could bring structural response menace to the bridge under passive control. Based on the analysis of breaking dynamics of a train-bridge vibration system, a magnetorheological elastomeric bearing (MRB) whose mechanical parameters are adjustable is designed, tested and modeled. A finite element method (FEM) is carried out to model and optimize a full scale vibration isolation system for railway bridge based on MRB. According to the model above, we also consider the effect of different braking stop positions on the vibration isolation system and classify the bridge longitudinal vibration characteristics into several cases. Because the train-bridge vibration isolation system has multiple vibration states and strongly coupling with nonlinear characteristics, a human-simulated intelligent control (HSIC) algorithm for isolating the bridge vibration under the impact of train braking is proposed, in which the peak shear force of pier top, the displacement of beam and the acceleration of beam are chosen as control goals. The simulation of longitudinal vibration control system under the condition of train braking is achieved by MATLAB. The results indicate that different braking stop positions significantly affect the vibration isolation system and the structural response is the most drastic when the train stops at the third cross-span. With the proposed HSIC smart isolation system, the displacement of bridge beam and peak shear force of pier top is reduced by 53.8% and 34.4%, respectively. Moreover, the acceleration of bridge beam is effectively controlled within limited range.
De Groot, S.
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
Mohd Sabri Minhat; Zarina Masood; Muhammad Rawi Mohamed Zin
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)
Reinartz, S.J.; Reinartz, G.
This report is based an a review of the literature published on simulator training and on discussions with representatives from the German nuclear power plant operator training schools. A brief description of the organisation and content of the simulator training of control room operators in a number of countries, together with a categorisation of the various types of simulators which are used. The concepts of the systems approach to training and simulator fidelity are discussed. Some general training principles which are considered important for simulator training are summarised. From the available descriptions and analyses of control room operator tasks, the skills (in most general terms) which can be trained on simulators have been identified. Methods for training these skills which are used in the simulator training programmes in various industries and which have been developed in research work in the area of training psychology have been summarised. Using these methods as a basis, the necessary instructor facilities which should be included in the design of a full simulator for the Konvoi generation of nuclear power plants have been derived. (orig.) [de
During initial training of some 50 young reactor operators and shift supervisors in the last 5 years in Biblis it was found that it takes some time before trainees gain a food overview of the most important plant systems and develop a ''feeling'' of the dynamic plant behaviour which is an important prerequisite for the first full-scope simulator training courses. To enhance this, a PC software training tool was developed SIMULA - C. (author)
Setnikar, T.; Pribozic, F.; Srebotnjak, E.; Gortnar, O.; Kovacic, J.; Stritar, A.
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)
Wang, D; Li, T; Zhang, Y; Hou, J
Compared with traditional dental training methods, virtual reality training systems integrated with multisensory feedback possess potentials advantages. However, there exist many technical challenges in developing a satisfactory simulator. In this manuscript, we systematically survey several current dental training systems to identify the gaps between the capabilities of these systems and the clinical training requirements. After briefly summarising the components, functions and unique features of each system, we discuss the technical challenges behind these systems including the software, hardware and user evaluation methods. Finally, the clinical requirements of an ideal dental training system are proposed. Future research/development areas are identified based on an analysis of the gaps between current systems and clinical training requirements. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Triantafyllou, Konstantinos; Lazaridis, Lazaros Dimitrios; Dimitriadis, George D
The use of simulators as educational tools for medical procedures is spreading rapidly and many efforts have been made for their implementation in gastrointestinal endoscopy training. Endoscopy simulation training has been suggested for ascertaining patient safety while positively influencing the trainees' learning curve. Virtual simulators are the most promising tool among all available types of simulators. These integrated modalities offer a human-like endoscopy experience by combining virtual images of the gastrointestinal tract and haptic realism with using a customized endoscope. From their first steps in the 1980s until today, research involving virtual endoscopic simulators can be divided in two categories: investigation of the impact of virtual simulator training in acquiring endoscopy skills and measuring competence. Emphasis should also be given to the financial impact of their implementation in endoscopy, including the cost of these state-of-the-art simulators and the potential economic benefits from their usage. Advances in technology will contribute to the upgrade of existing models and the development of new ones; while further research should be carried out to discover new fields of application.
Wang Junsan; Wang Yuding; Zhou Shuyong; Cai Ruizhong; Cao Jianting
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)
de Visser, Hans; Watson, Marcus O; Salvado, Olivier; Passenger, Joshua D
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.
Jensen, Katrine; Ringsted, Charlotte; Hansen, Henrik Jessen
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...
Atesok, Kivanc; Mabrey, Jay D; Jazrawi, Laith M; Egol, Kenneth A
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.
Zhao Qiang; Zhang Zhijian; Cao Xinrong
Real-time simulation of ex-core nuclear instrumentation system is an indispensable part of nuclear power plant (NPP) full-scope training simulator. The simulation method, which is based upon the theory of measurement, is introduced in the paper. The fitting formula between the measured data and the three-dimensional neutron flux distribution in the core is established. The fitting parameter is adjusted according to the reactor physical calculation or the experiment of power calibration. The simulation result shows that the method can simulate the ex-core neutron instrumentation system accurately in real-time and meets the needs of NPP full-scope training simulator. (authors)
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)
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.
Fraser, Kristin; Ma, Irene; Teteris, Elise; Baxter, Heather; Wright, Bruce; McLaughlin, Kevin
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
Chavez-Mercado, C.; Hohorst, J.K.; Allison, C.M.
The RELAP/SCDAPSIM code, designed to predict the behavior of reactor systems during normal and accident conditions, is being developed by Innovative Systems Software as part of the International SCDAP Development and Training Program (SDTP). This code is being used as the simulator engine for the National Autonomous University of Mexico's Simulation and Training Facility located at the Campus Morelos in Jiutepec, Mexico. This paper describes the RELAP/SCDAPSIM code, the Simulation and Training facility at the National Autonomous University of Mexico, and the application of the training system to the Laguna Verde Nuclear Power Plant located in the Mexican state of Veracruz. (author)
Zeng, L; Zhao, Z W; Song, S L; Wang, L T
In this paper, a virtual test platform based on malfunction phenomena is designed, using the methods of computer simulation and numerical mask. It is used in the simulation training of angle-measuring system of photoelectric theodolite. Actual application proves that this platform supplies good condition for technicians making deep simulation training and presents a useful approach for the establishment of other large equipment simulation platforms
Billoen, G. van
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.)
Foyle, David C.; Kaiser, Mary K.; Johnson, Walter W.
This paper reviews some of the sources of visual information that are available in the out-the-window scene and describes how these visual cues are important for routine pilotage and training, as well as the development of simulator visual systems and enhanced or synthetic vision systems for aircraft cockpits. It is shown how these visual cues may change or disappear under environmental or sensor conditions, and how the visual scene can be augmented by advanced displays to capitalize on the pilot's excellent ability to extract visual information from the visual scene.
Samareh, Jamshid A.; Wong, Jay Ming
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.
Elessawy, Mohamed; Skrzipczyk, Moritz; Eckmann-Scholz, Christel; Maass, Nicolai; Mettler, Liselotte; Guenther, Veronika; van Mackelenbergh, Marion; Bauerschlag, Dirk O; Alkatout, Ibrahim
The primary objective of our study was to test the construct validity of the HystSim hysteroscopic simulator to determine whether simulation training can improve the acquisition of hysteroscopic skills regardless of the previous levels of experience of the participants. The secondary objective was to analyze the performance of a selected task, using specially designed scoring charts to help reduce the learning curve for both novices and experienced surgeons. The teaching of hysteroscopic intervention has received only scant attention, focusing mainly on the development of physical models and box simulators. This encouraged our working group to search for a suitable hysteroscopic simulator module and to test its validation. We decided to use the HystSim hysteroscopic simulator, which is one of the few such simulators that has already completed a validation process, with high ratings for both realism and training capacity. As a testing tool for our study, we selected the myoma resection task. We analyzed the results using the multimetric score system suggested by HystSim, allowing a more precise interpretation of the results. Between June 2014 and May 2015, our group collected data on 57 participants of minimally invasive surgical training courses at the Kiel School of Gynecological Endoscopy, Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel. The novice group consisted of 42 medical students and residents with no prior experience in hysteroscopy, whereas the expert group consisted of 15 participants with more than 2 years of experience of advanced hysteroscopy operations. The overall results demonstrated that all participants attained significant improvements between their pretest and posttests, independent of their previous levels of experience (p hysteroscopic skills, proving an adequate construct validation of the HystSim. Using the multimetric scoring system enabled a more accurate analysis of the performance of the
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.
Andersen, Steven Arild Wuyts
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
Cieutat , Jean-Marc
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...
Sun, Yanxia; Pan, Chuxiong; Li, Tianzuo; Gan, Tong J
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.
Ikonen, T S; Antikainen, T; Silvennoinen, M; Isojärvi, J; Mäkinen, E; Scheinin, T M
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.
Zisimopoulos, Odysseas; Flouty, Evangello; Stacey, Mark; Muscroft, Sam; Giataganas, Petros; Nehme, Jean; Chow, Andre; Stoyanov, Danail
Computer-assisted interventions (CAI) aim to increase the effectiveness, precision and repeatability of procedures to improve surgical outcomes. The presence and motion of surgical tools is a key information input for CAI surgical phase recognition algorithms. Vision-based tool detection and recognition approaches are an attractive solution and can be designed to take advantage of the powerful deep learning paradigm that is rapidly advancing image recognition and classification. The challenge for such algorithms is the availability and quality of labelled data used for training. In this Letter, surgical simulation is used to train tool detection and segmentation based on deep convolutional neural networks and generative adversarial networks. The authors experiment with two network architectures for image segmentation in tool classes commonly encountered during cataract surgery. A commercially-available simulator is used to create a simulated cataract dataset for training models prior to performing transfer learning on real surgical data. To the best of authors' knowledge, this is the first attempt to train deep learning models for surgical instrument detection on simulated data while demonstrating promising results to generalise on real data. Results indicate that simulated data does have some potential for training advanced classification methods for CAI systems.
Hegland, Pål A; Aarlie, Hege; Strømme, Hilde; Jamtvedt, Gro
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.
Jabbour, Noel; Reihsen, Troy; Sweet, Robert M; Sidman, James D
To develop a robust psychomotor skills curriculum to teach pediatric airway foreign body retrieval and to assess the effect of this curriculum on residents' confidence in and ability to perform the complete task in an infant airway mannequin. Instructional course. Objective Structured Assessment of Technical Skills (OSATS). Surgical simulation laboratory. A half-day simulation-based course was developed to train otolaryngology residents in bronchoscopic foreign body retrieval. This complex psychomotor skill was deconstructed into subtasks. The following curricular learning objectives were presented and assessed: understanding of tracheobronchial anatomy, ability to adequately visualize the larynx with laryngoscopy, proficiency in rigid bronchoscopy, and familiarity with foreign body instrumentation. Residents were objectively evaluated on their ability to perform the complete task on a simulator before and after the course using an OSATS grading system. Confidence in successfully assembling the instruments and completing the task was assessed at these time periods. Seventeen otolaryngology residents completed the study. Confidence in assembling the instruments and in performing the complete task increased on average by 81% and 43%, respectively (P < .001). Using a 15-point OSATS grading system, the average score for the precourse was 7 and for the postcourse was 11.3 (P < .001). Simulation-based subtask training shows promise as an effective and reproducible method to teach the complex psychomotor task of airway foreign body retrieval. Completion of the curriculum led to a significant improvement in residents' confidence in and ability to perform bronchoscopic foreign body retrieval in an infant airway mannequin.
Ye Jing-Jing; Jin Xin-Min; Li Ke-Ping
Based on the optimal velocity car-following model, in this paper, we propose an improved model for simulating train movement in an urban railway in which the regenerative energy of a train is considered. Here a new additional term is introduced into a traditional car-following model. Our aim is to analyze and discuss the dynamic characteristics of the train movement when the regenerative energy is utilized by the electric locomotive. The simulation results indicate that the improved car-following model is suitable for simulating the train movement. Further, some qualitative relationships between regenerative energy and dynamic characteristics of a train are investigated, such as the measurement data of regenerative energy presents a power-law distribution. Our results are useful for optimizing the design and plan of urban railway systems. (general)
The development by British Nuclear Fuels plc BNFL of a training simulator for a plant modification task, the Raffinate Project, is described. The Project involves the remote removal of a section of a vertical process pipeline, welding a new pipe to the upper part and installing a new cap on the lower part. The equipment required to carry out this task comprises a number of work heads, a carriage mounted manipulator system and ancillary equipment including 22 closed-circuit television cameras. The technology put together to create the training simulator for this operation incorporates virtual reality and graphic simulation techniques researched by BNFL's Remote Handling and Robotics Programme over the past five years. (UK)
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.)
Torres, I O; De Luccia, N
To develop an endovascular aneurysm repair (EVAR) simulation system using three dimensional (3D) printed aneurysms, and to evaluate the impact of patient specific training prior to EVAR on the surgical performance of vascular surgery residents in a university hospital in Brazil. This was a prospective, controlled, single centre study. During 2015, the aneurysms of patients undergoing elective EVAR at São Paulo University Medical School were 3D printed and used in training sessions with vascular surgery residents. The 3D printers Stratasys-Connex 350, Formlabs-Form1+, and Makerbot were tested. Ten residents were enrolled in the control group (five residents and 30 patients in 2014) or the training group (five residents and 25 patients in 2015). The control group performed the surgery under the supervision of a senior vascular surgeon (routine procedure, without simulator training). The training group practised the surgery in a patient specific simulator prior to the routine procedure. Objective parameters were analysed, and a subjective questionnaire addressing training utility and realism was answered. Patient specific training reduced fluoroscopy time by 30% (mean 48 min, 95% confidence interval [CI] 40-58 vs. 33 min, 95% CI 26-42 [p training useful and realistic, and reported that it increased their self confidence. The 3D printers Form1+ (using flexible resin) and Makerbot (using silicone) provided the best performance based on simulator quality and cost. An EVAR simulation system using 3D printed aneurysms was feasible. The best results were obtained with the 3D printers Form1+ (using flexible resin) and Makerbot (using silicone). Patient specific training prior to EVAR at a university hospital in Brazil improved residents' surgical performance (based on fluoroscopy time, surgery time, and volume of contrast used) and increased their self confidence. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
Ohshiro, Nobuo; Endou, Hideaki; Fujita, Eimitsu; Miyakita, Kouji
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.)
Sorensen, Asta; Poehlman, Jon; Bollenbacher, John; Riggan, Scott; Davis, Stan; Miller, Kristi; Ivester, Thomas; Kahwati, Leila
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
Jirapinyo, Pichamol; Thompson, Christopher C
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
nuclear power stations will continue playing a major role as an energy source for electric generation and heat production in the world. in this paper, a nuclear power reactor simulator- based training program will be presented . this program is designed to aid in training of the reactor operators about the principles of operation of the plant. also it could help the researchers and the designers to analyze and to estimate the performance of the nuclear reactors and facilitate further studies for selection of the proper controller and its optimization process as it is difficult and time consuming to do all experiments in the real nuclear environment.this program is written in MATLAB code as MATLAB software provides sophisticated tools comparable to those in other software such as visual basic for the creation of graphical user interface (GUI). moreover MATLAB is available for all major operating systems. the used SIMULINK reactor model for the nuclear reactor can be used to model different types by adopting appropriate parameters. the model of each component of the reactor is based on physical laws rather than the use of look up tables or curve fitting.this simulation based training program will improve acquisition and retention knowledge also trainee will learn faster and will have better attitude
Full Text Available Maritime Safety and Security on board ships very much depends on well trained crews. That is why training and exercising emergency response procedures as well as efficiency in reliable management are extremely necessary. On the other hand research as well as technological development in safety and security, tools and other kinds of technical and organizational systems contribute to further improvement and guarantee high levels of safety and security in maritime transportation. Simulation facilities are essential for both exercising and training but also for research and technological development. This paper introduces the innovative concept of a safety and security training simulator (SST7 and describes research work related to the implementation of training scenarios. Selected results of a case study will be presented. A shorter version of this paper was originally presented at the International Conference on “Marine Navigation and Safety of Sea Transportation” at Gdynia in June 2013.
Soffler, Morgan I; Hayes, Margaret M; Smith, C Christopher
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
Ever since the earliest days of the Magnox stations with training programs which were first run in the late 1950s, use has been made of simulation devices. In those early days of nuclear power, analog techniques were used to develop an understanding of reactor dynamics. The value of this type of limited scope device for training in basic principles has been confirmed over the years. The analog simulator - in use for over 20 years -has just been replaced by a microprocessor driven unit with extended scope to include a heat exchanger unit (thus completing the primary circuit). A wider range of faults have been incorporated together with tutor facilities and display systems which have taken advantage of today's technologies. The modelling software and the use of an interchangeable panel enable it to represent either a Magnox or an AGR system
Knowlede --Dunnette (1976) has recently reviewed the literature in the areas of human skills, abilities, and knowledges. The establishment of what types... management 6. Other than rational user responses to R&D studies and to training simulators 7. Deficiencies in training simulator design 23...proficient at managing the introduction of training innovations by applying those factors that can be controlled to influence acceptance. (p. 19) The
Andersen, Steven Arild Wuyts; Konge, Lars; Sørensen, Mads Sølvsten
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.
Song, Haifeng; Liu, Jieyu; Schnieder, Eckehard
Validation, verification and evaluation are necessary processes to assure the safety and functionality of a system before its application in practice. This paper presents a Train to Train Distance Measurement System (TTDMS), which can provide distance information independently from existing onboard equipment. Afterwards, we proposed a new process using Colored Petri Nets to verify the TTDMS system functional safety, as well as to evaluate the system performance. Three main contributions are carried out in the paper: Firstly, this paper proposes a formalized TTDMS model, and the model correctness is validated using state space analysis and simulation-based verification. Secondly, corresponding checking queries are proposed for the purpose of functional safety verification. Further, the TTDMS performance is evaluated by applying parameters in the formal model. Thirdly, the reliability of a functional prototype TTDMS is estimated. It is found that the procedure can cooperate with the system development, and both formal and simulation-based verifications are performed. Using our process to evaluate and verify a system is easier to read and more reliable compared to executable code and mathematical methods. - Highlights: • A new Train to Train Distance Measurement System. • New approach verifying system functional safety and evaluating system performance by means of CPN. • System formalization using the system property concept. • Verification of system functional safety using state space analysis. • Evaluation of system performance applying simulation-based analysis.
Eguchi, Shohei; Koike, Sumio; Takemoto, Noriyuki; Tanimoto, Masataka; Kusunoki, Tsuyoshi
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.)
Wong, Jonathan; Finan, Emer; Campbell, Douglas
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.
Wiese, C H R; Bosse, G; Schröder, T; Lassen, C L; Bundscherer, A C; Graf, B M; Zausig, Y A
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
Takana, Kenchi; Sasou, Kunihide; Sano, Toshiaki; Suzuki, Koichi; Noji, Kunio
Efficient and concurrent operator training seems to be crucial in near future because of an increase in operators to be trained due to generation alternations. Ever developed Man -Machine-Simulator (MMS) has several merits: (1) Operators' cognitive and behavioral activities among team in emergency could be simulated based on the concurrent mental model; (2) Simulated scenarios could be expanded to multiple malfunctions events, to all of which procedures could not be stipulated previously, (3) Standard behavior in coping with anomalies including communication and operations could be presented. This paper describes the development of an operator training system by applying this MMS. Three dimensional computer graphics (3D-CG) was adopted for improving the training effects and attracting operators' interest by visually presenting realistic operating team behavior in the main control room. Towards the completion of the operator training system, following designs of system configuration and developments of several basic techniques were availed: (1) Imaging the utilization of the operator training system, functions to be equipped and system configurations for realizing functions were determined. And three of scenarios were chosen in order to appeal the merits of the MMS and to raise training effects. (2) Knowledge base was completed to execute simulations. And connection between operator team model and plant simulator, that is the 2nd generation type simulator of the BTC -4, was executed to obtain simulation results (time sequential log data of plant dynamics and operating team behavior). (3) Operator's actions seen in VCR tapes in real training were classified for eighteen kinds of fundamental categories and those fundamental actions were modeled on 3D-CG using the People Shop software. The 3D-CG of main control panel was prepared using Multi Gen software. (author)
Full Text Available In the sport science fields, for a long time there are various attempts to explore more advanced technology in order to collect kinds of information concerned during athletes training and matches. In the paper, a footwork training and testing system has been developed by adopting the advanced technology of Wireless Sensor Network (WSN. The system is comprised of some wireless senor nodes and gateways, system control software and so on. By means of the system, the daily footwork training methods and modes will be simulated to automatically guide the training of the athletes, at the same time the training data concerned will be automatically recorded, including moving velocity, moving frequency and success average, moving exercise duration and so on, and it is facilitate to evaluate digitally the training and testing effects for coaches and athletes. The system will bring about an auxiliary means in sport science training and research, make coaches and researchers have more options for the technical and information forms, and provide the technology foundation for synchronizing and intermingling the training and testing smoothly.
The picture used for simulation was the model of a power station control room designed by KWU for the German Museum, the cooling water circuit of which is illustrated, in order to avoid long training times by a manageable problem setting. A process video system equipped with a light pen made by KRUPP ATLAS was available for the VDU representation of simulation, which is used in industry, for the control and supervision of technical system. This process video system was controlled by a Digital PDP 11/40, which has several great advantages over stand-alone operation. (orig./DG) [de
Fukuda, N.; Watanabe, T. [Railway Technical Research Inst. (Japan)
We studied a new control method of the on-board automatic train protection (ATP) system for Shinkansen trains to shorten the operation time and not to degrade ride comfort at changes in deceleration of the train, while maintaining the safety and reliability of the present ATP signal system. We propose a new on-board pattern brake control system based on the present ATP data without changing the wayside equipment. By simulating the ATP braking of the proposed control method, we succeeded in shortening the operation time by 48 seconds per one station in comparison with the present ATP brake control system. This paper reports the concept of the system and simulation results of the on-board pattern. (orig.)
Sickora, Katrin; Cremer, Hans-Peter [Kraftwerksschule e.V., Essen (Germany)
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.)
Minsk, Brian S.; Branch, Kristi M.; Bates, Edward K.; Mitchell, Mark R.; Gore, Bryan F.; Faris, Drury K.
The objective of this study is to determine how simulator physical fidelity influences the effectiveness of training the regulatory personnel responsible for examination and oversight of operating personnel and inspection of technical systems at nuclear power reactors. It seeks to contribute to the U.S. Nuclear Regulatory Commission’s (NRC’s) understanding of the physical fidelity requirements of training simulators. The goal of the study is to provide an analytic framework, data, and analyses that inform NRC decisions about the physical fidelity requirements of the simulators it will need to train its staff for assignment at advanced reactors. These staff are expected to come from increasingly diverse educational and experiential backgrounds.
..., 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...
Savely, Robert T.
Space station training will be a major task, requiring the creation of large numbers of simulation-based training systems for crew, flight controllers, and ground-based support personnel. Given the long duration of space station missions and the large number of activities supported by the space station, the extension of space shuttle training methods to space station training may prove to be impractical. The application of artificial intelligence technology to simulation training can provide the ability to deliver individualized training to large numbers of personnel in a distributed workstation environment. The principal objective of this project is the creation of a software development environment which can be used to build intelligent training systems for procedural tasks associated with the operation of the space station. Current NASA Johnson Space Center projects and joint projects with other NASA operational centers will result in specific training systems for existing space shuttle crew, ground support personnel, and flight controller tasks. Concurrently with the creation of these systems, a general-purpose development environment for intelligent computer-aided training systems will be built. Such an environment would permit the rapid production, delivery, and evolution of training systems for space station crew, flight controllers, and other support personnel. The widespread use of such systems will serve to preserve task and training expertise, support the training of many personnel in a distributed manner, and ensure the uniformity and verifiability of training experiences. As a result, significant reductions in training costs can be realized while safety and the probability of mission success can be enhanced.
Hetaimish, Bandar; Elbadawi, Hussein; Ayeni, Olufemi R
To evaluate the reported outcomes for measuring the effectiveness of simulation during knee arthroscopy training and determine the consistency of reporting and validation of simulation used in knee arthroscopy training. Four databases (MEDLINE, Embase, CINAHL, and Cochrane Central Register of Controlled Trials) were screened for studies involving knee arthroscopy simulation training. Inclusion and exclusion criteria were applied to the searched studies, and a quality assessment was completed for included studies. The reviewers searched the references list in each of the eligible studies to identify other relevant studies that was not captured by our search strategy. We identified 13 eligible studies. The mean number of participants per study was 24 (range: 9 to 42 participants). The 3 most commonly reported surgical skills were the mean time to perform the task (100%), the visualization and probing tasks (77%), and the number of cartilage collisions with measurement of the surgical force (46%). The most commonly described measurement instruments included the Simulation Built-In Scoring System (54%), motion analysis system (23%), and Basic Arthroscopic Knee Skill Scoring System global rating scale (15%). The most frequently reported type of validity for the simulator was construct validity (54%) and concurrent validity (31%). Moreover, construct validity (69%) and concurrent validity (54%) were the most commonly reported type of validity for the measurement instrument. There is significant variation in reported learning outcomes and measurement instruments for evaluating the effectiveness of knee arthroscopic simulation-based education. Despite this, time to perform a task was the most commonly reported skill-evaluating outcome of simulation. The included studies in this review were of variable strength in terms of their evidence and methodologic quality. This study highlights the need for consistent outcome reporting after arthroscopic simulation training. Level IV
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.
Training Division DCS for Personnel LCOL Ralph H. Lauder Aviation Systems Division DCS, RDA CAPT James LeBlanc Aviation Manpower and Training...Since. a commercial flight brings in money to the airlines, their pilots are encouraged to fly up to the limit supported by the market. A military...by 17 percent in FY 1981. Thus, while flight simulators may save money by reducing flying hours, it is also necessary to demonstrate that they are
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
Bruno, R.; Neboyan, V.
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)
Wohlrab, Kyle; Jelovsek, J Eric; Myers, Deborah
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.
Faulent, J.; Brooks, J.G.
The proposed revisions to ANS 3.5-1985 (Section 5) require Utilities to establish a simulator Configuration Management System (CMS). The proposed CMS must be capable of: Establishing and maintaining a simulator design database. Identifying and documenting differences between the simulator and its reference plant. Tracking the resolution of identified differences. Recording data to support simulator certification, testing and maintenance. This paper discusses a CMS capable of meeting the proposed requirements contained in ANS 3.5. The system will utilize a personal computer and a relational database management software to construct a simulator design database. The database will contain records to all reference nuclear plant data used in designing the simulator, as well as records identifying all the software, hardware and documentation making up the simulator. Using the relational powers of the database management software, reports will be generated identifying the impact of reference plant changes on the operation of the simulator. These reports can then be evaluated in terms of training needs to determine if changes are required for the simulator. If a change is authorized, the CMS will track the change through to its resolution and then incorporate the change into the simulator design database
Gould, D.A.; Kessel, D.O.; Healey, A.E.; Johnson, S.J.; Lewandowski, W.E.
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
Etchepareborda, A; Flury, C.A; Lema, F; Maciel, F; Alegrechi, D; Damico, M; Ibarra, G; Muguiro, M; Gimenez, M; Schlamp, M; Vertullo, A
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
The requirements of a training simulator are discussed. The algorithms of the lumped and distributed parameter system and real time system are analysed on principle in software design. The assumed schemes of a hardware system are proposed, too
Vaughan, Neil; Dubey, Venketesh N; Wainwright, Thomas W; Middleton, Robert G
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.
Harpham-Lockyer, Louis; Laskaratos, Faidon-Marios; Berlingieri, Pasquale; Epstein, Owen
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.
Shilmover, S. Jr.
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
Freschi, C; Parrini, S; Dinelli, N; Ferrari, M; Ferrari, V
Ultrasound (US) imaging offers advantages over other imaging modalities and has become the most widespread modality for many diagnostic and interventional procedures. However, traditional 2D US requires a long training period, especially to learn how to manipulate the probe. A hybrid interactive system based on mixed reality was designed, implemented and tested for hand-eye coordination training in diagnostic and interventional US. A hybrid simulator was developed integrating a physical US phantom and a software application with a 3D virtual scene. In this scene, a 3D model of the probe with its relative scan plane is coherently displayed with a 3D representation of the phantom internal structures. An evaluation study of the diagnostic module was performed by recruiting thirty-six novices and four experts. The performances of the hybrid (HG) versus physical (PG) simulator were compared. After the training session, each novice was required to visualize a particular target structure. The four experts completed a 5-point Likert scale questionnaire. Seventy-eight percentage of the HG novices successfully visualized the target structure, whereas only 45% of the PG reached this goal. The mean scores from the questionnaires were 5.00 for usefulness, 4.25 for ease of use, 4.75 for 3D perception, and 3.25 for phantom realism. The hybrid US training simulator provides ease of use and is effective as a hand-eye coordination teaching tool. Mixed reality can improve US probe manipulation training.
Harpham-Lockyer, Louis; Laskaratos, Faidon-Marios; Berlingieri, Pasquale; Epstein, Owen
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...
Full Text Available Increasing attention is being paid to the energy efficiency in metro systems to reduce the operational cost and to advocate the sustainability of railway systems. Classical research has studied the energy-efficient operational strategy and the energy-efficient system design separately to reduce the traction energy consumption. This paper aims to combine the operational strategies and the system design by analyzing how the infrastructure and vehicle parameters of metro systems influence the operational traction energy consumption. Firstly, a solution approach to the optimal train control model is introduced, which is used to design the Optimal Train Control Simulator(OTCS. Then, based on the OTCS, the performance of some important energy-efficient system design strategies is investigated to reduce the trains’ traction energy consumption, including reduction of the train mass, improvement of the kinematic resistance, the design of the energy-saving gradient, increasing the maximum traction and braking forces, introducing regenerative braking and timetable optimization. As for these energy-efficient strategies, the performances are finally evaluated using the OTCS with the practical operational data of the Beijing Yizhuang metro line. The proposed approach gives an example to quantitatively analyze the energy reduction of different strategies in the system design procedure, which may help the decision makers to have an overview of the energy-efficient performances and then to make decisions by balancing the costs and the benefits.
Thawani, Jayesh P; Ramayya, Ashwin G; Abdullah, Kalil G; Hudgins, Eric; Vaughan, Kerry; Piazza, Matthew; Madsen, Peter J; Buch, Vivek; Sean Grady, M
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.
Andersen, Steven Arild Wuyts; Konge, Lars; Cayé-Thomasen, Per
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...
Yoneyama, Mitsuru; Masuda, Takahiro; Kubota, Ryuji; Fujiwara, Tadashi; Sakuma, Hitoshi
Under severe accident conditions of a nuclear power plant, plant operators and technical support center (TSC) staffs will be under a amount of stress. Therefore, those individuals responsible for managing the plant should promote their understanding about the accident management and operations. Moreover, it is also important to train in ordinary times, so that they can carry out accident management operations effectively on severe accidents. Therefore, the education and training system which works on personal computers was developed by Japanese BWR group (Tokyo Electric Power Co.,Inc., Tohoku Electric Power Co. ,Inc., Chubu Electric Power Co. ,Inc., Hokuriku Electric Power Co.,Inc., Chugoku Electric Power Co.,Inc., Japan Atomic Power Co.,Inc.), and Hitachi, Ltd. The education and training system is composed of two systems. One is computer aided instruction (CAI) education system and the other is education and training system with a computer simulation. Both systems are designed to execute on MS-Windows(R) platform of personal computers. These systems provide plant operators and technical support center staffs with an effective education and training tool for accident management. TEPCO used the simulation system for the emergency exercise assuming the occurrence of hypothetical severe accident, and have performed an effective exercise in March, 2000. (author)
Burden, C; Oestergaard, J; Larsen, C R
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.
Gopal, Mallika; Skobodzinski, Alexus A; Sterbling, Helene M; Rao, Sowmya R; LaChapelle, Christopher; Suzuki, Kei; Litle, Virginia R
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.
Stirling, Leia; Newman, Dava; Willcox, Karen
This research studies reorientation methodologies in a simulated microgravity environment using an experimental framework to reduce astronaut adaptation time and provide for a safety countermeasure during extravehicular activity. There were 20 subjects (10 men, 10 women, mean age of 23.6 +/- 3.5) who were divided into 2 groups, fully trained and minimally trained, which determined the amount of motion strategy training received. Subjects performed a total of 48 rotations about their pitch, roll, and yaw axes in a suspension system that simulated microgravity. In each trial subjects either rotated 90 degrees in pitch, 90 degrees in roll, or 180 degrees in yaw. Experimental measures include subject coordination, performance time, cognitive workload assessments, and qualitative motion control strategies. Subjects in the fully trained group had better initial performance with respect to performance time and workload scores for the pitch and yaw rotations. Further, trained subjects reached a steady-state performance time in fewer trials than those with minimal training. The subjects with minimal training tended to use motions that were common in an Earth environment since no technique was provided. For roll rotations they developed motions that would have led to significant off-axis (pitch and yaw) rotations in a true microgravity environment. We have shown that certain body axes are easier to rotate about than others and that fully trained subjects had an easier time performing the body rotations than the minimally trained subjects. This study has provided the groundwork for the development of an astronaut motion-control training program.
Full Text Available On the LHS line (Broad-gauge Metallurgical Line, far out West of the railway line with a gauge of 1520 mm, heavy goods trains for a gross weight 5500 tons and a length of 850 m are operated. The article presents the results of a simulation study of the forces that occur in the automatic coupling device of SA-3 type of Russian production train consisting of 60 coal wagons of Russian construction of gross mass 91 tons each. The train moves on the 1520 mm gauge tracks curve S type (the radius of curvature of curves 300 m. Simulation studies were conducted using the Train Module of program to dynamic study multi-elements systems of Universal Mechanism UM 6.0.
Reifman, J.; Rank, P.; Lee, J.C.; Wehe, D.K.
This paper discusses the implementation of two advanced diagnostic concepts for nuclear power plant diagnostics, the systematic generation and updating of a rule-based system and the simulation filter, at the Midland Nuclear Power Plant Unit 2 Training Simulator. The authors use an entropy minimax pattern recognition algorithm for the systematic construction of the diagnostic rule base. By extracting information from a transient database constructed with the Midland Simulator, the algorithm searches for trends in plant parameters, forming patterns or rules that describe the behavior of the transients. The rules are updated in an incremental manner within the context of the entropy minimax algorithm. The simulation filter is a nonlinear parameter estimation algorithm based on the extended Kalman filter. The authors use the simulation filter to improve the results of crude simulation models by optimally estimating system states given a set of measurements and results from a nonlinear simulation program. The Midland Simulator results of the Three Mile Island accident are significantly improved with the use of the simulation filter
E. B. Demchenko
Full Text Available Purpose. One of the priorities of station sorting complex functioning improvement is the breaking-up process energy consumptions reduction, namely: fuel consumption for train pushing and electric energy consumption for cut braking. In this regard, an effective solution of the problem of energy consumption reduction at breaking-up subsystem requires a comprehensive handling of train pushing and cut rolling down processes. At the same time, the analysis showed that the current task of pushing process improvement and cut rolling down effectiveness increase are solved separately. To solve this problem it is necessary to develop the complex simulation model of train breaking up process at humps. Methodology. Pushing process simulation was done based on adapted under the shunting conditions traction calculations. In addition, the features of shunting locomotives work at the humps were taken into account. In order to realize the current pushing mode the special algorithm of hump locomotive controlling, which along with the safety shunting operation requirements takes into account behavioral factors associated with engineer control actions was applied. This algorithm provides train smooth acceleration and further movement with speed, which is close to the set speed. Hump locomotive fuel consumptions were determined based on the amount of mechanical work performed by locomotive traction. Findings. The simulation model of train pushing process was developed and combined with existing cut rolling down model. Cut initial velocity is determined during simulation process. The obtained initial velocity is used for further cut rolling process modeling. In addition, the modeling resulted in sufficiently accurate determination of the fuel rates consumed for train breaking-up. Originality. The simulation model of train breaking-up process at the humps, which in contrast to the existing models allows reproducing complexly all the elements of this process in detail
Safety analysis and operational experience consistently indicate that human error is the greatest contributor to the risk of a severe accident in a nuclear power plant. Subsequent to the Three Mile Island accident, major changes were made internationally in reducing the potential for human error through improved procedures, information presentation, and training of operators. The use of full scope simulators in the training of operators is an essential element of these efforts to reduce human error. The operators today spend a large fraction of their time training and retraining on the simulator. As indicated in the IAEA Safety Guide on Recruitment, Qualification and Training of Personnel for Nuclear Power Plants, NS-G-2.8, 2002, representative simulator facilities should be used for training of control room operators and shift supervisors. Simulator training should incorporate normal, abnormal and accident conditions. The ability of the simulator to closely represent the actual conditions and environment that would be experienced in a real situation is critical to the value of the training received. The objective of this report is to provide nuclear power plant (NPP) managers, training centre managers and personnel involved with control room simulator training with practical information they can use to improve the performance of their personnel. While the emphasis in this publication is on simulator training of control room personnel using full scope simulators, information is also provided on how organizations have effectively used control room simulators for training of other NPP personnel, including simulators other than full-scope simulators
Fang, Te-Yung; Wang, Pa-Chun; Liu, Chih-Hsien; Su, Mu-Chun; Yeh, Shih-Ching
Virtual reality simulation training may improve knowledge of anatomy and surgical skills. We evaluated a 3-dimensional, haptic, virtual reality temporal bone simulator for dissection training. The subjects were 7 otolaryngology residents (3 training sessions each) and 7 medical students (1 training session each). The virtual reality temporal bone simulation station included a computer with software that was linked to a force-feedback hand stylus, and the system recorded performance and collisions with vital anatomic structures. Subjects performed virtual reality dissections and completed questionnaires after the training sessions. Residents and students had favorable responses to most questions of the technology acceptance model (TAM) questionnaire. The average TAM scores were above neutral for residents and medical students in all domains, and the average TAM score for residents was significantly higher for the usefulness domain and lower for the playful domain than students. The average satisfaction questionnaire for residents showed that residents had greater overall satisfaction with cadaver temporal bone dissection training than training with the virtual reality simulator or plastic temporal bone. For medical students, the average comprehension score was significantly increased from before to after training for all anatomic structures. Medical students had significantly more collisions with the dura than residents. The residents had similar mean performance scores after the first and third training sessions for all dissection procedures. The virtual reality temporal bone simulator provided satisfactory training for otolaryngology residents and medical students. Copyright © 2013. Published by Elsevier Ireland Ltd.
Graphics Computer Based Training (GCBT) roles include drilling, tutoring, simulation and problem solving. Of these, Commonwealth Edison uses mainly tutoring, simulation and problem solving. These roles are not separate in any particular program. They are integrated to provide tutoring and part-task simulation, part-task simulation and problem solving, or problem solving tutoring. Commonwealth's Graphics Computer Based Training program was a result of over a year's worth of research and planning. The keys to the program are it's flexibility and control. Flexibility is maintained through stand alone units capable of program authoring and modification for plant/site specific users. Yet, the system has the capability to support up to 31 terminals with a 40 mb hard disk drive. Control of the GCBT program is accomplished through establishment of development priorities and a central development facility (Commonwealth Edison's Production Training Center)
Mi, Shao-Hua; Hou, Zeng-Gunag; Yang, Fan; Xie, Xiao-Liang; Bian, Gui-Bin
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.
Doerr, Kai-Uwe; Rademacher, Holger; Huesgen, Silke; Kubbat, Wolfgang
Since Head Mounted Displays (HMD), datagloves, tracking systems, and powerful computer graphics resources are nowadays in an affordable price range, the usage of PC-based "Virtual Training Systems" becomes very attractive. However, due to the limited field of view of HMD devices, additional modalities have to be provided to benefit from 3D environments. A 3D sound simulation can improve the capabilities of VR systems dramatically. Unfortunately, realistic 3D sound simulations are expensive and demand a tremendous amount of computational power to calculate reverberation, occlusion, and obstruction effects. To use 3D sound in a PC-based training system as a way to direct and guide trainees to observe specific events in 3D space, a cheaper alternative has to be provided, so that a broader range of applications can take advantage of this modality. To address this issue, we focus in this paper on the evaluation of a low-cost 3D sound simulation that is capable of providing traceable 3D sound events. We describe our experimental system setup using conventional stereo headsets in combination with a tracked HMD device and present our results with regard to precision, speed, and used signal types for localizing simulated sound events in a virtual training environment.
Full Text Available Game-based simulators, sometimes referred to as “lightweight” simulators, have benefits such as flexible technology and economic feasibility. In this article, we extend the notion of a game-based simulator by introducing multiple screen view and physical interaction. These features are expected to enhance immersion and fidelity. By utilizing these concepts we have constructed a training simulator for breathing apparatus entry. Game hardware and software have been used to produce the application. More important, the application itself is deliberately designed to be a game. Indeed, one important design goal is to create an entertaining and motivating experience combined with learning goals in order to create a serious game. The system has been evaluated in cooperation with the Swedish Rescue Services Agency to see which architectural features contribute to perceived fidelity. The modes of visualization and interaction as well as level design contribute to the usefulness of the system.
Whitehurst, Sabrina V; Lockrow, Ernest G; Lendvay, Thomas S; Propst, Anthony M; Dunlow, Susan G; Rosemeyer, Christopher J; Gobern, Joseph M; White, Lee W; Skinner, Anna; Buller, Jerome L
To compare the efficacy of simulation-based training between the Mimic dV- Trainer and traditional dry lab da Vinci robot training. A prospective randomized study analyzing the performance of 20 robotics-naive participants. Participants were enrolled in an online da Vinci Intuitive Surgical didactic training module, followed by training in use of the da Vinci standard surgical robot. Spatial ability tests were performed as well. Participants were randomly assigned to 1 of 2 training conditions: performance of 3 Fundamentals of Laparoscopic Surgery dry lab tasks using the da Vinci or performance of 4 dV-Trainer tasks. Participants in both groups performed all tasks to empirically establish proficiency criterion. Participants then performed the transfer task, a cystotomy closure using the daVinci robot on a live animal (swine) model. The performance of robotic tasks was blindly assessed by a panel of experienced surgeons using objective tracking data and using the validated Global Evaluative Assessment of Robotic Surgery (GEARS), a structured assessment tool. No statistically significant difference in surgeon performance was found between the 2 training conditions, dV-Trainer and da Vinci robot. Analysis of a 95% confidence interval for the difference in means (-0.803 to 0.543) indicated that the 2 methods are unlikely to differ to an extent that would be clinically meaningful. Based on the results of this study, a curriculum on the dV- Trainer was shown to be comparable to traditional da Vinci robot training. Therefore, we have identified that training on a virtual reality system may be an alternative to live animal training for future robotic surgeons. Published by Elsevier Inc.
Holl, B.; Probst, H.; Wischert, W.
The paper focuses on strategic aspects of the implementation of modern digital instrumentation and control system (I and C) in nuclear power plant (NPP) training simulators and points out the way to identify the most appropriate implementation method of the digital I and C system in the simulator development environment which fulfils the requirement imposed by the nuclear power plants. This regards mainly training aspects, simulator as a test bed for design verification and validation (V and V), and software maintenance aspects with respect to future evolutions of the digital I and C system. (author)
Ballangrud, Randi; Hall-Lord, Marie Louise; Hedelin, Birgitta; Persenius, Mona
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.
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)
W. K. Chow
Full Text Available Railway is the key transport means in China including the Mainland, Taiwan, and Hong Kong. Consequent to so many big arson and accidental fires in the public transport systems including trains and buses, fire safety in passenger trains is a concern. Numerical simulations with Computational Fluid Dynamics on identified fire scenarios with typical train compartments in China will be reported in this paper. The heat release rate of the first ignited item was taken as the input parameter. The mass lost rate of fuel vapor of other combustibles was estimated to predict the resultant heat release rates by the combustion models in the software. Results on air flow, velocity vectors, temperature distribution, smoke layer height, and smoke spread patterns inside the train compartment were analyzed. The results are useful for working out appropriate fire safety measures for train vehicles and determining the design fire for subway stations and railway tunnels.
Full Text Available Educational games may improve learning by taking advantage of the new knowledge and skills of todayÃ¢Â€Â™s students obtained from extensive use of interactive games. This paper describes how interactive dynamic simulators of advanced technical systems and phenomena can be shaped and adapted as games and competitions supporting technical education and training. Some selected examples at different educational levels are shown, from vocational training to university level courses. The potential benefit and perceived learning effect of this approach is also described and underpinned from comprehensive user feedback.
Ionescu, Teodor; Studineanu, Emil; Radulescu, Catalina; Bolocan, Gabriel
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)
Ionescu, Teodor; Studineanu, Emil; Radulescu, Catalina; Bolocan, Gabriel
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)
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...
Wiederholt, Bradley J.; Browning, Elica J.; Norton, Jeffrey E.; Johnson, William B.
MITT Writer is a software system for developing computer based training for complex technical domains. A training system produced by MITT Writer allows a student to learn and practice troubleshooting and diagnostic skills. The MITT (Microcomputer Intelligence for Technical Training) architecture is a reasonable approach to simulation based diagnostic training. MITT delivers training on available computing equipment, delivers challenging training and simulation scenarios, and has economical development and maintenance costs. A 15 month effort was undertaken in which the MITT Writer system was developed. A workshop was also conducted to train instructors in how to use MITT Writer. Earlier versions were used to develop an Intelligent Tutoring System for troubleshooting the Minuteman Missile Message Processing System.
Donne, Alexsana; Eagan, Justin; Tse, Gabriel; Vanderslice, Tom; Woods, Jerry
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.
Christoph Felsenstein; Knud Benedict; Michael Baldauf
Maritime Safety and Security on board ships very much depends on well trained crews. That is why training and exercising emergency response procedures as well as efficiency in reliable management are extremely necessary. On the other hand research as well as technological development in safety and security, tools and other kinds of technical and organizational systems contribute to further improvement and guarantee high levels of safety and security in maritime transportation. Simulation faci...
Thinggaard, Ebbe; Konge, Lars; Bjerrum, Flemming
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...
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
Mcginness, W. G.
The development of a persistent chemical agent simulation system (PCASS) is described. This PCASS is to be used for the military training of troops to simulate actual chemical warfare. The purpose of this system is to facilitate in the determination of chemical contamination and effectiveness of decontamination for training purposes. The fluorescent tracer employed has no daylight activation, but yet is easily removed with a decontaminate solution or water and surfactants. Also employed is a time delayed color developing system. When an individual is subjected to the PCASS and does not decontaminate adequately, red blotches or red coloration will develop as a function of time and temperature. The intent of this is to simulate the delayed chemical reaction of mustard contaminates.
Rankin, W.L.; Bolton, P.A.; Shikiar, R.; Saari, L.M.
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
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
Harnois, Olivier; Gain, Pascal; Bartak, Jan; Gathmann, Ralf
Full text: Simulation technologies have always been widely used on nuclear applications, but with a clear division between engineering application, using highly validated code run in batch mode, and training purpose where real time computation is a mandatory requirement. Thanks to the flexibility of modern simulation technology and the increased performance of computers, it becomes now possible to develop Nuclear Power plant simulators that can be used both for engineering and training purposes. In the last years, the revival of nuclear industry raised a number of new construction or plant finishing projects in which the application of this combined approach would result in decisive improvement on plant construction lead times, better project control and cost optimizations. The simulator development is to be executed in a step-wise approach, scheduled in parallel with the plant design and construction phases. During a first step, the simulator will model the plant nuclear island systems plus the corresponding instrumentation and control, specific malfunctions and local commands. It can then be used for engineering activities defining and validating the plant operating strategies in case of incidents or accidents. The Simulator executive Station and Operator Station will be in prototype version with an interface imagery enabling monitoring and control of the simulator. Availability of such simulation platform leads to a significant increase in efficiency of the engineering works, the possibility to validate basic design hypotheses and detect defects and conflicts early. The second phase will consist in the fully detailed simulation of Main Control Room plant supervision and control MMI, taking into account I and C control loops detailed design improvement, while having sufficient fidelity in order to be suitable for the future operator training. Its use will enable the engineering units not only to specify and validate normal, incident and accident detailed plant
The purpose of the report is to present an analysis of the role of simulators in the training of nuclear power plant operators, from a human factors point of view. Task 5, and this report, consist of the following main parts: 'Current practices in operator training with simulators' (its objective was to identify the role of simulators in the operator training programs, from a human factors point of view, in OECD countries; the information requested was oriented towards the techniques and criteria used for establishing and evaluating that role in the different countries). 'Experiences or studies on specific issues' (its objective was to discuss in-depth some of the issues more difficult or not completely solved yet, with the aim to draw lessons learned and current practices which are used to avoid incidents originated by operator errors due to inadequate training; the selected issues were: Teamwork, Diagnosis and Decision-Making, Stress, and Simulator Fidelity, Issues and Concerns). 'Conclusions and recommendations' (its objective was to gather, present and sum up the conclusions and recommendations reached all over the contributions reported by the ETF-HF members and during the discussions held at the ETF-HF meetings)
Cole, Colin; Spiryagin, Maksym; Wu, Qing; Sun, Yan Quan
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.
Frevert, Ronny; Jancke, Roland; Knöchel, Uwe; Schwarz, Peter; Kakerow, Ralf; Darianian, Mohsen
Focusing on RF specific modeling and simulation methods, and system and circuit level descriptions, this work contains application-oriented training material. Accompanied by a CD- ROM, it combines the presentation of a mixed-signal design flow, an introduction into VHDL-AMS and Verilog-A, and the application of commercially available simulators.
Full Text Available Endoscopy is one of the most important procedures in diagnosis and treatment of gastrointestinal tract problems. While endoscopic procedure has tremendous benefits, physicians require considerable practice and time to develop competency. Current endoscopic training process involves cognitive learning and hands-on training under the supervision of an expert gastroenterologist. Previous studies have shown that fellow involvement prolongs procedural time and incurs additional expenses to the institution. Moreover, the patient also experiences more discomfort and injury risk. Introduction of training simulator into the training process could reduce the involvement of the patients and thus reduce the risk. Porcine model is commonly used for training in endoscopy due to the similar tactile response to a human gastrointestinal tract. However, information on elastic behavior of pig or human gastrointestinal tract for the engineering purposes was limited. In this study, the modulus of elasticity and ultimate tensile stress data of the pig stomach and intestines, small and large intestines, were measured and compared with multiple rubber stomach and intestines models. Based on the experimental results and experienced gastroenterologists feedback, the proposed dipped rubber composition can provide a satisfactory tactile feedback and could be used to simulate a human gastrointestinal tract for an endoscopic simulation training model.
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.
Same, Adam; Stipe, Alex; Grossman, David; Park, Jae Wan [Department of Mechanical and Aeronautical Engineering, University of California, Davis, One Shields Ave, Davis, CA 95616 (United States)
This study investigates the advantages and disadvantages of three hybrid drive train configurations: series, parallel, and ''through-the-ground'' parallel. Power flow simulations are conducted with the MATLAB/Simulink-based software ADVISOR. These simulations are then applied in an application for the UC Davis SAE Formula Hybrid vehicle. ADVISOR performs simulation calculations for vehicle position using a combined backward/forward method. These simulations are used to study how efficiency and agility are affected by the motor, fuel converter, and hybrid configuration. Three different vehicle models are developed to optimize the drive train of a vehicle for three stages of the SAE Formula Hybrid competition: autocross, endurance, and acceleration. Input cycles are created based on rough estimates of track geometry. The output from these ADVISOR simulations is a series of plots of velocity profile and energy storage State of Charge that provide a good estimate of how the Formula Hybrid vehicle will perform on the given course. The most noticeable discrepancy between the input cycle and the actual velocity profile of the vehicle occurs during deceleration. A weighted ranking system is developed to organize the simulation results and to determine the best drive train configuration for the Formula Hybrid vehicle. Results show that the through-the-ground parallel configuration with front-mounted motors achieves an optimal balance of efficiency, simplicity, and cost. ADVISOR is proven to be a useful tool for vehicle power train design for the SAE Formula Hybrid competition. This vehicle model based on ADVISOR simulation is applicable to various studies concerning performance and efficiency of hybrid drive trains. (author)
Liu, May; Curet, Myriam
PHENOMENON: Virtual reality simulators are the subject of several recent studies of skills training for robot-assisted surgery. Yet no consensus exists regarding what a core skill set comprises or how to measure skill performance. Defining a core skill set and relevant metrics would help surgical educators evaluate different simulators. This review draws from published research to propose a core technical skill set for using the da Vinci surgeon console. Publications on three commercial simulators were used to evaluate the simulators' content addressing these skills and associated metrics. An analysis of published research suggests that a core technical skill set for operating the surgeon console includes bimanual wristed manipulation, camera control, master clutching to manage hand position, use of third instrument arm, activating energy sources, appropriate depth perception, and awareness of forces applied by instruments. Validity studies of three commercial virtual reality simulators for robot-assisted surgery suggest that all three have comparable content and metrics. However, none have comprehensive content and metrics for all core skills. INSIGHTS: Virtual reality simulation remains a promising tool to support skill training for robot-assisted surgery, yet existing commercial simulator content is inadequate for performing and assessing a comprehensive basic skill set. The results of this evaluation help identify opportunities and challenges that exist for future developments in virtual reality simulation for robot-assisted surgery. Specifically, the inclusion of educational experts in the development cycle alongside clinical and technological experts is recommended.
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.
Sweet, Robert M
The challenges of training and assessing endourologic skill have driven the development of new training systems. The Center for Research in Education and Simulation Technologies (CREST) has developed a team and a methodology to facilitate this development process. Backwards design principles were applied. A panel of experts first defined desired clinical and educational outcomes. Outcomes were subsequently linked to learning objectives. Gross task deconstruction was performed, and the primary domain was classified as primarily involving decision-making, psychomotor skill, or communication. A more detailed cognitive task analysis was performed to elicit and prioritize relevant anatomy/tissues, metrics, and errors. Reference anatomy was created using a digital anatomist and clinician working off of a clinical data set. Three dimensional printing can facilitate this process. When possible, synthetic or virtual tissue behavior and textures were recreated using data derived from human tissue. Embedded sensors/markers and/or computer-based systems were used to facilitate the collection of objective metrics. A learning Verification and validation occurred throughout the engineering development process. Nine endourology-relevant training systems were created by CREST with this approach. Systems include basic laparoscopic skills (BLUS), vesicourethral anastomosis, pyeloplasty, cystoscopic procedures, stent placement, rigid and flexible ureteroscopy, GreenLight PVP (GL Sim), Percutaneous access with C-arm (CAT), Nephrolithotomy (NLM), and a vascular injury model. Mixed modalities have been used, including "smart" physical models, virtual reality, augmented reality, and video. Substantial validity evidence for training and assessment has been collected on systems. An open source manikin-based modular platform is under development by CREST with the Department of Defense that will unify these and other commercial task trainers through the common physiology engine, learning
Linde, Amber S; Kunkler, Kevin
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.
Konakondla, Sanjay; Fong, Reginald; Schirmer, Clemens M
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
Reinartz, S.J.; Reinartz, G.
This report is based on a review of the literature published on simulator training and on discussions with representatives from the German nuclear power plant operator training schools. A brief description of the organisation and content of the simulator training of control room operators in a number of countries, together with a catagorisation of the various types of simulators which are used. The concepts of the systems approach to training and simulator fidelity are discussed. Some general training principles which are considered important for simulator training are summarised. From the available descriptions and analyses of control room operator tasks, the skills (in most general terms) which can be trained at simulators have been identified. Methods for training these skills which are used in the simulator training programmes in various industries and which have been developed in research work in the area of training psychology have been summarised. Using these methods as a basis, the necessary instructor facilities which should be included in the design of a full simulator for the Konvoi generation of nuclear power plants have been derived. (orig.) [de
Full Text Available This work presents a software and hardware framework for a telerobotic surgery safety and motor skill training simulator. The aims are at providing trainees a comprehensive simulator for acquiring essential skills to perform telerobotic surgery. Existing commercial robotic surgery simulators lack features for safety training and optimal motion planning, which are critical factors in ensuring patient safety and efficiency in operation. In this work, we propose a hardware-in-the-loop simulator directly introducing these two features. The proposed simulator is built upon the Raven-II™ open source surgical robot, integrated with a physics engine and a safety hazard injection engine. Also, a Fast Marching Tree-based motion planning algorithm is used to help trainee learn the optimal instrument motion patterns. The main contributions of this work are (1 reproducing safety hazards events, related to da Vinci™ system, reported to the FDA MAUDE database, with a novel haptic feedback strategy to provide feedback to the operator when the underlying dynamics differ from the real robot’s states so that the operator will be aware and can mitigate the negative impact of the safety-critical events, and (2 using motion planner to generate semioptimal path in an interactive robotic surgery training environment.
Arimura, Yasuji; Komatsu, Hiroyuki; Yanagi, Shigehisa; Matsumoto, Nobuhiro; Okayama, Akihiko; Hayashi, Katsuhiro; Nakazato, Masamitsu
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.
Murakami, Yohei; Sugimoto, Yuki; Ishida, Toru
Constructing highly realistic agents is essential if agents are to be employed in virtual training systems. In training for collaboration based on face-to-face interaction, the generation of emotional expressions is one key. In training for guidance based on one-to-many interaction such as direction giving for evacuations, emotional expressions must be supplemented by diverse agent behaviors to make the training realistic. To reproduce diverse behavior, we characterize agents by using a various combinations of operation rules instantiated by the user operating the agent. To accomplish this goal, we introduce a user modeling method based on participatory simulations. These simulations enable us to acquire information observed by each user in the simulation and the operating history. Using these data and the domain knowledge including known operation rules, we can generate an explanation for each behavior. Moreover, the application of hypothetical reasoning, which offers consistent selection of hypotheses, to the generation of explanations allows us to use otherwise incompatible operation rules as domain knowledge. In order to validate the proposed modeling method, we apply it to the acquisition of an evacuee's model in a fire-drill experiment. We successfully acquire a subject's model corresponding to the results of an interview with the subject.
This is a PowerPoint presentation. Situated in North Bulgaria, in the vicinity of the town of Kozloduy, near the Danube River bank, there is the Bulgarian Kozloduy Nuclear Power plant operating four WWER-440 and two WWER-1000 units. Units 1 and 2 were commissioned in July, 1974 and November, 1975, respectively. These were shut down at the end of 2003. Units 3 and 4 were commissioned in December, 1980 and May, 1982. They were shut down at the end of 2006 as a precondition for Bulgaria's accession to the European Union. The 1000 MW units 5 and 6 of Kozloduy NPP were commissioned in September, 1988 and December, 1993, respectively. Large-scale modernization have been implemented and now the units meet all international safety standards. The paper describes the multifunctional simulator Kozloduy NPP for the operational staff training. The training stages are as follows: - Preparatory; -Theoretical studies; - Training at the Training Centre by means of technical devices; - Preparation and sitting for an exam before a Kozloduy NPP expert commission; - Simulator training ; - Preparation to obtain a permit for a license, corresponding to the position to begin work at the NPP; - Exams before the Nuclear Regulatory Agency (NRA) and licensing; - Shadow training at the working place; - Permission for unaided operation. The following positions are addressed by the simulator training: - Chief Plant Supervisor; - Shift Unit Supervisor; - Senior Reactor Operator; - Simulator Instructor; - Controller physicist; -Senior Turbine Operator; - Senior Operator of Turbine Feedwater Pumps of Kozloduy NPP. Improving of training method led to a reduction of number of significant events while worldwide practice proves that improvement of engineering resulted in an increase in the percentage of events, related to human factor. Analysis of human reliability in 2005 and 2006 in cooperation with representatives from Great Britain and the Technical University in Sofia were worked on the DTI NSP B
Alyaev, Yu G; Sirota, E S; Bezrukov, E A; Ali, S Kh; Bukatov, M D; Letunovskiy, A V; Byadretdinov, I Sh
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.
Ann Kirkham, Lucy
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.
ONLY 2. REPORT DATE June 2016 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE TOWARDS A GAME -BASED PERISCOPE SIMULATOR...career to learn and practice these skills. Following an instructional system design process, this thesis developed a 3D, game -based periscope tactical...experience. Results of this thesis support the use of game -based simulation as training tools and that feedback type could be tailored to individuals based
Biswas, Monodeep; Patel, Rajendrakumar; German, Charles; Kharod, Anant; Mohamed, Ahmed; Dod, Harvinder S; Kapoor, Poonam Malhotra; Nanda, Navin C
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.
Yoshimura, Seiichi; Fujimoto, Junzo; Okamoto, Hisatake; Tsunoda, Ryohei; Watanabe, Takao; Masuko, Jiro.
The purpose of this system is to make easy the comprehension of the facility and dynamics of nuclear power plants. This report describes the tendency and future position of how the educational training system should be, and furthermore describes the experiment. Main results are as follows. 1. The present status and the future tendency of educational training system for nuclear power plant operators. CAI (Computer Assisted Instruction) system has following characteristics. (1) It is easy to introduce plant specific characteristics to the educational training. (2) It is easy to execute the detailed training for the compensation of the full-scale simulator. 2. Plant status display system for on-site educational training system. The fundamental function of the system is as follows. (1) It has 2 CRT displays and voice output devices. (2) It has easy manupulation type of man-machine interface. (3) It has the function for the evaluation of the training results. 3. The effectiveness of this system. The effectiveness evaluation test has been carried out by using this system actually. (1) This system has been proved to be essentially effective and some improvements for the future utilization has been pointed out. (2) It should be faster when the CRT displayes are changed, and it should have the explanation function when the plant transients are displayed. (author)
Andersen, Steven Arild Wuyts; Mikkelsen, Peter Trier; Konge, Lars; Cayé-Thomasen, Per; Sørensen, Mads Sølvsten
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.
Makam, Ramesh; Rajan, C S; Brendon, Tulip; Shreedhar, V; Saleem, K; Shrivastava, Sangeeta; Sudarshan, R; Naidu, Prakash
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.
Risola, F.; Morzuch, G.
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.
Trentzsch, H; Urban, B; Sandmeyer, B; Hammer, T; Strohm, P C; Lazarovici, M
Patient safety became paramount in medicine as well as in emergency medicine after it was recognized that preventable, adverse events significantly contributed to morbidity and mortality during hospital stay. The underlying errors cannot usually be explained by medical technical inadequacies only but are more due to difficulties in the transition of theoretical knowledge into tasks under the conditions of clinical reality. Crew Resource Management and Human Factors which determine safety and efficiency of humans in complex situations are suitable to control such sources of error. Simulation significantly improved safety in high reliability organizations, such as the aerospace industry.Thus, simulator-based team training has also been proposed for medical areas. As such training is consuming in cost, time and human resources, the question of the cost-benefit ratio obviously arises. This review outlines the effects of simulator-based team training on patient safety. Such course formats are not only capable of creating awareness and improvements in safety culture but also improve technical team performance and emphasize team performance as a clinical competence. A few studies even indicated improvement of patient-centered outcome, such as a reduced rate of adverse events but further studies are required in this respect. In summary, simulator-based team training should be accepted as a suitable strategy to improve patient safety.
Stirling, Euan R B; Lewis, Thomas L; Ferran, Nicholas A
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.
Heldal, Ilona; Backlund, Per; Johannesson, Mikael; Lebram, Mikael; Lundberg, Lars
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.
Barber, John P.; Johnston, Kyle B.; Daigle, Matthew
Simulations serve as important tools throughout the design and operation of engineering systems. In the context of sys-tems health management, simulations serve many uses. For one, the underlying physical models can be used by model-based health management tools to develop diagnostic and prognostic models. These simulations should incorporate both nominal and faulty behavior with the ability to inject various faults into the system. Such simulations can there-fore be used for operator training, for both nominal and faulty situations, as well as for developing and prototyping health management algorithms. In this paper, we describe a methodology for building such simulations. We discuss the design decisions and tools used to build a simulation of a cryogenic fluid test bed, and how it serves as a core technology for systems health management development and maturation.
Kim, Sujeong; Park, Chang; O'Rourke, Jennifer
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.
Harnof, Sagi; Hadani, Moshe; Ziv, Amitai; Berkenstadt, Haim
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.
Haji, Faizal A; Dubrowski, Adam; Drake, James; de Ribaupierre, Sandrine
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.
Bruno, Christie J; Glass, Kristen M
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.
Hollnagel, E.; Rasmussen, J.
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)
Fernandez, Gladys L; Lee, Patrick C; Page, David W; D'Amour, Elizabeth M; Wait, Richard B; Seymour, Neal E
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
Vahdatikhaki, Faridaddin; Hammad, Amin; olde Scholtenhuis, Léon Luc; Miller, Seirgei Rosario; Makarov, Denis
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
Kurup, Viji; Matei, Veronica; Ray, Jessica
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.
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.
Li, Nan; Zhang, Jun; Chai, Ziqi; Wang, Jingpeng; Yang, Baowei
The voltage transformer test is an important means to monitor its operating state. The accuracy and reliability of the test data is directly related to the test skill level of the operator. However, the risk of test instruments damage, equipment being tested damage and electric shock in operator is caused by improper operation when training the transformer test. In this paper, a simulation device of voltage transformer is set up, and a simulation model is built for the most common 500kV capacitor voltage transformer (CVT), the simulation model can realize several test items of CVT by combing with teaching guidance platform, simulation instrument, complete set of system software and auxiliary equipment in Changchun. Many successful applications show that the simulation device has good practical value and wide application prospect.
Webb, J. T.
A new approach to the training, certification, recertification, and proficiency maintenance of the Shuttle launch team is proposed. Previous training approaches are first reviewed. Short term program goals include expanding current training methods, improving the existing simulation capability, and scheduling training exercises with the same priority as hardware tests. Long-term goals include developing user requirements which would take advantage of state-of-the-art tools and techniques. Training requirements for the different groups of people to be trained are identified, and future goals are outlined.
Toe, Kyaw Kyar; Huang, Weimin; Yang, Tao; Duan, Yuping; Zhou, Jiayin; Su, Yi; Teo, Soo-Kng; Kumar, Selvaraj Senthil; Lim, Calvin Chi-Wan; Chui, Chee Kong; Chang, Stephen
This work presents a surgical training system that incorporates cutting operation of soft tissue simulated based on a modified pre-computed linear elastic model in the Simulation Open Framework Architecture (SOFA) environment. A precomputed linear elastic model used for the simulation of soft tissue deformation involves computing the compliance matrix a priori based on the topological information of the mesh. While this process may require a few minutes to several hours, based on the number of vertices in the mesh, it needs only to be computed once and allows real-time computation of the subsequent soft tissue deformation. However, as the compliance matrix is based on the initial topology of the mesh, it does not allow any topological changes during simulation, such as cutting or tearing of the mesh. This work proposes a way to modify the pre-computed data by correcting the topological connectivity in the compliance matrix, without re-computing the compliance matrix which is computationally expensive.
Stylopoulos, N; Cotin, S; Maithel, S K; Ottensmeye, M; Jackson, P G; Bardsley, R S; Neumann, P F; Rattner, D W; Dawson, S L
There is a large and growing gap between the need for better surgical training methodologies and the systems currently available for such training. In an effort to bridge this gap and overcome the disadvantages of the training simulators now in use, we developed the Computer-Enhanced Laparoscopic Training System (CELTS). CELTS is a computer-based system capable of tracking the motion of laparoscopic instruments and providing feedback about performance in real time. CELTS consists of a mechanical interface, a customizable set of tasks, and an Internet-based software interface. The special cognitive and psychomotor skills a laparoscopic surgeon should master were explicitly defined and transformed into quantitative metrics based on kinematics analysis theory. A single global standardized and task-independent scoring system utilizing a z-score statistic was developed. Validation exercises were performed. The scoring system clearly revealed a gap between experts and trainees, irrespective of the task performed; none of the trainees obtained a score above the threshold that distinguishes the two groups. Moreover, CELTS provided educational feedback by identifying the key factors that contributed to the overall score. Among the defined metrics, depth perception, smoothness of motion, instrument orientation, and the outcome of the task are major indicators of performance and key parameters that distinguish experts from trainees. Time and path length alone, which are the most commonly used metrics in currently available systems, are not considered good indicators of performance. CELTS is a novel and standardized skills trainer that combines the advantages of computer simulation with the features of the traditional and popular training boxes. CELTS can easily be used with a wide array of tasks and ensures comparability across different training conditions. This report further shows that a set of appropriate and clinically relevant performance metrics can be defined and a
Charles, R.D.; Gaddy, C.D.; Nargarkar, A.; Colley, R.
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
The Hunterston 'B' full scope AGR Simulator, built for the South of Scotland Electricity Board by Marconi Instruments, encompasses all systems under direct and indirect control of the Hunterston central control room operators. The resulting breadth and depth of simulation together with the specification for the real time implementation of a large number of highly interactive detailed plant models leads to the classic problem of identifying acceptance and acceptability criteria. For example, whilst the ultimate criterion for acceptability must clearly be that within the context of the training requirement the simulator should be indistinguishable from the actual plant, far more measurable (i.e. less subjective) statements are required if a formal contractual acceptance condition is to be achieved. Within the framework, individual models and processes can have radically different acceptance requirements which therefore reflect on the commissioning approach applied. This paper discusses the application of a combination of quality assurance methods, design code results, plant data, theoretical analysis and operator 'feel' in the commissioning of the Hunterston 'B' AGR Operator Training Simulator. (author)
Andersen, Steven Arild Wuyts; Konge, Lars; Cayé-Thomasen, Per; Sørensen, Mads Sølvsten
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
Reznek, Martin; Harter, Phillip; Krummel, Thomas
The traditional system of clinical education in emergency medicine relies on practicing diagnostic, therapeutic, and procedural skills on live patients. The ethical, financial, and practical weaknesses of this system are well recognized, but the alternatives that have been explored to date have shown even greater flaws. However, ongoing progress in the area of virtual reality and computer-enhanced simulation is now providing educational applications that show tremendous promise in overcoming most of the deficiencies associated with live-patient training. It will be important for academic emergency physicians to become more involved with this technology to ensure that our educational system benefits optimally.
Krois, P.A.; Haas, P.M.
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
Wheeler, Derek S; Geis, Gary; Mack, Elizabeth H; LeMaster, Tom; Patterson, Mary D
In situ simulation training is a team-based training technique conducted on actual patient care units using equipment and resources from that unit, and involving actual members of the healthcare team. We describe our experience with in situ simulation training in a major children's medical centre. In situ simulations were conducted using standardised scenarios approximately twice per month on inpatient hospital units on a rotating basis. Simulations were scheduled so that each unit participated in at least two in situ simulations per year. Simulations were conducted on a revolving schedule alternating on the day and night shifts and were unannounced. Scenarios were preselected to maximise the educational experience, and frequently involved clinical deterioration to cardiopulmonary arrest. We performed 64 of the scheduled 112 (57%) in situ simulations on all shifts and all units over 21 months. We identified 134 latent safety threats and knowledge gaps during these in situ simulations, which we categorised as medication, equipment, and/or resource/system threats. Identification of these errors resulted in modification of systems to reduce the risk of error. In situ simulations also provided a method to reinforce teamwork behaviours, such as the use of assertive statements, role clarity, performance of frequent updating, development of a shared mental model, performance of independent double checks of high-risk medicines, and overcoming authority gradients between team members. Participants stated that the training programme was effective and did not disrupt patient care. In situ simulations can identify latent safety threats, identify knowledge gaps, and reinforce teamwork behaviours when used as part of an organisation-wide safety programme.
Adermann, Jens; Geissler, Norman; Bernal, Luis E; Kotzsch, Susanne; Korb, Werner
An initial research indicated that realistic haptic simulators with an adapted training concept are needed to enhance the training for spinal surgery. A cognitive task analysis (CTA) was performed to define a realistic and helpful scenario-based simulation. Based on the results a simulator for lumbar discectomy was developed. Additionally, a realistic training operating room was built for a pilot. The results were validated. The CTA showed a need for realistic scenario-based training in spine surgery. The developed simulator consists of synthetic bone structures, synthetic soft tissue and an advanced bleeding system. Due to the close interdisciplinary cooperation of surgeons between engineers and psychologists, the iterative multicentre validation showed that the simulator is visually and haptically realistic. The simulator offers integrated sensors for the evaluation of the traction being used and the compression during surgery. The participating surgeons in the pilot workshop rated the simulator and the training concept as very useful for the improvement of their surgical skills. In the context of the present work a precise definition for the simulator and training concept was developed. The additional implementation of sensors allows the objective evaluation of the surgical training by the trainer. Compared to other training simulators and concepts, the high degree of objectivity strengthens the acceptance of the feedback. The measured data of the nerve root tension and the compression of the dura can be used for intraoperative control and a detailed postoperative evaluation.
Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth; Bachmann Nielsen, Michael; Paltved, Charlotte; Lindorff-Larsen, Karen Gilboe; Nielsen, Bjørn Ulrik; Konge, Lars
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.
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
Våpenstad, Cecilie; Hofstad, Erlend Fagertun; Bø, Lars Eirik; Kuhry, Esther; Johnsen, Gjermund; Mårvik, Ronald; Langø, Thomas; Hernes, Toril Nagelhus
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.
Nomura, Tsutomu; Mamada, Yasuhiro; Nakamura, Yoshiharu; Matsutani, Takeshi; Hagiwara, Nobutoshi; Fujita, Isturo; Mizuguchi, Yoshiaki; Fujikura, Terumichi; Miyashita, Masao; Uchida, Eiji
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.
Koyagoshi, Naoki; Sasaki, Kazuichi; Sawada, Makoto
The MARS has been operating for operator training and operation procedure's verification of the prototype fast breeder reactor 'Monju' since April 1991. In order to carry out the above results more effectively, the MARS supporting system which consists of several computer system has being developed. This report covers the following three supporting systems developed from 1994 to 2001 and study on evaluation method of Monju operator training data. Expanded Monju visual animation system. The Monju visual animation system was developed to visualize the inner structure of equipments and the parameters without measuring points. This system is used for training form 1993. And then, the training limits of the system has been extended. Development of the Monju min simulator for reactor core analysis. Development of the Monju min simulator which analyzes thermo-hydraulic behavior in the Monju reactor in detail is proceeding with the aims; of upgrading Monju operator training effect. The obtained results will be reflected to remodeling of MARS's reactor core analysis mode. Development of the severe accident CAI (Computer Assisted Instruction) system. The prototype system which supports study on accident management was developed. This system will be converted when the severe accident procedure of Monju is fixed, and it will be used for training. Study on evaluation method of Monju operate training data. In order to reconstruct the operator training system, the evaluation method of training data was considered. The availability has been checked as a result of evaluating crew communication using this method. (author)
Buiël, E.F.T.; Lubbers, J.
TNO Defence, Security & Safety has a long history of applied research in the area of automated simulator-based training by means of Computer-Assisted Instruction (CAI). Traditionally, a CAI system does not enable a true dialogue between the learner and the virtual instructor. Most frequently, the
Ahlborg, Liv; Weurlander, Maria; Hedman, Leif; Nisel, Henry; Lindqvist, Pelle G; Felländer-Tsai, Li; Enochsson, Lars
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.
Sawada, Makoto; Terano, Toshihiro; Hunaki, Isao
A JOYO full scope operator training simulator installed in 1983, is being used with high average unit availability factor of more than 70% per annum. The education and training for the operators using it has been greatly contributing to safety operation of the experimental fast reactor JOYO. The simulator mainly consisting of five control panels, a computer system having two computers and an instructor's console, is able to simulate the plant behaviors and the sequential processes with real time under normal or anomaly conditions. Now, according as the JOYO MK-ILL project which enhances the irradiation capability of JOYO, an upgrading program of the simulator is proceeding with the aim of advancing its efficient usage by improving the training function and the analytical accuracy of the simulator. (author)
Hamza-Lup, Felix G; Farrar, Shane; Leon, Erik
External beam X-ray therapy (XRT) and proton therapy (PT) are effective and widely accepted forms of treatment for many types of cancer. However, the procedures require extensive computerized planning. Current planning systems for both XRT and PT have insufficient visual aid to combine real patient data with the treatment device geometry to account for unforeseen collisions among system components and the patient. The 3D surface representation (S-rep) is a widely used scheme to create 3D models of physical objects. 3D S-reps have been successfully used in CAD/CAM and, in conjunction with texture mapping, in the modern gaming industry to customize avatars and improve the gaming realism and sense of presence. We are proposing a cost-effective method to extract patient-specific S-reps in real time and combine them with the treatment system geometry to provide a comprehensive simulation of the XRT/PT treatment room. The X3D standard is used to implement and deploy the simulator on the web, enabling its use not only for remote specialists' collaboration, simulation, and training, but also for patient education. An objective assessment of the accuracy of the S-reps obtained proves the potential of the simulator for clinical use.
Andersen, Steven Arild Wuyts; Foghsgaard, Søren; Konge, Lars
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...
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)
Lund, Bodil; Fors, Uno; Sejersen, Ronny; Sallnäs, Eva-Lotta; Rosén, Annika
Yearly surveys among the undergraduate students in oral and maxillofacial surgery at Karolinska Institutet have conveyed a wish for increased clinical training, and in particular, in surgical removal of mandibular third molars. Due to lack of resources, this kind of clinical supervision has so far not been possible to implement. One possible solution to this problem might be to introduce simulation into the curriculum. The purpose of this study was to investigate undergraduate students' perception of two different simulation methods for practicing clinical reasoning skills and technical skills in oral and maxillofacial surgery. Forty-seven students participating in the oral and maxillofacial surgery course at Karolinska Institutet during their final year were included. Three different oral surgery patient cases were created in a Virtual Patient (VP) Simulation system (Web-SP) and used for training clinical reasoning. A mandibular third molar surgery simulator with tactile feedback, providing hands on training in the bone removal and tooth sectioning in third molar surgery, was also tested. A seminar was performed using the combination of these two simulators where students' perception of the two different simulation methods was assessed by means of a questionnaire. The response rate was 91.5% (43/47). The students were positive to the VP cases, although they rated their possible improvement of clinical reasoning skills as moderate. The students' perception of improved technical skills after training in the mandibular third molar surgery simulator was rated high. The majority of the students agreed that both simulation techniques should be included in the curriculum and strongly agreed that it was a good idea to use the two simulators in concert. The importance of feedback from the senior experts during simulator training was emphasised. The two tested simulation methods were well accepted and most students agreed that the future curriculum would benefit from
Aggarwal, Gaurav; Adhikary, Samiran D
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.
Larsen, Christian Rifbjerg; Oestergaard, Jeanett; Ottesen, Bent S
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...
Madden, V.J.; Tompsett, P.A.
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)
Proper operator training is needed to help ensure the safe operation of fusion facilities by personnel who are qualified to carry out their assigned responsibilities. Operators control and monitor the Tritium Systems Test Assembly (TSTA) during normal, emergency, and maintenance phases. Their performance is critical both to operational safety, assuring no release of tritium to the atmosphere, and to the successful simulation of the fusion reaction progress. Through proper training we are helping assure that TSTA facility operators perform their assignments in a safe and efficient manner and that the operators maintain high levels of operational proficiency through continuing training, retraining, requalification, and recertification
Mundell, William C; Kennedy, Cassie C; Szostek, Jason H; Cook, David A
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.
Sasou, Kunihide; Ebisu, Mitsuhiro; Takano, Kenichi; Watabe, Kazuyuki
In training, it has been important to show good performance of operators dealing with abnormal operating; condition simulated by a training simulator. Video-taping of the scenario-based performance by instructors of a training center is the most common way. However, it is difficult for the experienced instructors to show good performance due to the stress of being video-taped. Therefore, the authors developed a system named Operator Behavior Computer Graphic System (OBCGS) to computer-graphically show the behavior of operators. The input data of this system are data on operation, watching, walking and utterances with time, objects of operation and watching, contents of their behavior, etc. The system temporally uses the output data of Man Machine Simulator developed by CRIEPI. OBCGS has 3 kinds of user interfaces. The first one computer-graphically shows 3 operators and one shift supervisor behaving in the control room from a bird's eye viewpoint. The second one has multi windows to show details of computer graphics of operators and control panels. The last one shows the history of operations, warnings and utterance. The system shows reasonable computer graphics in quality from the viewpoint of showing good performance of operations. This report also describes how to use the OBCGS and ways of application to the operator training. (author)
Pena, Guilherme; Altree, Meryl; Field, John; Sainsbury, David; Babidge, Wendy; Hewett, Peter; Maddern, Guy
The best surgeons demonstrate skills beyond those required for the performance of technically competent surgery. These skills are described under the term nontechnical skills. Failure in these domains has been associated with adverse events inside the operating room. These nontechnical skills are not learned commonly in a structured manner during surgery training. The main purpose of this study was to explore the effects of participation in simulation-based training, either as a sole strategy or as part of a combined approach on surgeons and surgical trainees nontechnical skills performance in simulation environment. The study consisted of a single-blinded, prospective comparative trial. Forty participants were enrolled, all participating in 2 simulation sessions challenging nontechnical skills comprising 3 surgical scenarios. Seventeen participants attended a 1-day, nontechnical skills workshop between simulation sessions. Scenarios were video-recorded for assessment and debriefing purposes. Assessment was made by 2 observers using the Non-Technical Skills for Surgeons (NOTSS) scoring system. There was a significant improvement in nontechnical skills performance of both groups from the first to the second simulation session, for 2 of the 3 scenarios. No difference in performance between the simulation and the simulation plus workshop groups was noted. This study provides evidence that formal training in nontechnical skills is feasible and can impact positively participants' nontechnical performance in a simulated environment. The addition of a 1-day didactic workshop does not seem to provide additional benefit over simulation-based training as a sole strategy for nontechnical skills training. Copyright © 2015 Elsevier Inc. All rights reserved.
B. I. Shakhtarin
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.
Kim, J. K.; Koh, S. N. [Joong Ang Inspection Co., Seoul (Korea, Republic of); Kim, M. K.; Shim, Y. J. [Ajou University, Suwon (Korea, Republic of)
This paper is written to introduce a multimedia tutoring system for nondestructive testing using personal computer. Nondestructive testing, one of the chief methods for inspecting welds and many other components, is very difficult for the NDT inspectors to understand its technical basis without a wide experience. And it is necessary for considerable repeated education and training for keeping their knowledge. The tutoring system that can simulate NDT works is suggested to solve the above problem based on reasonable condition. The tutoring system shows basic theories of nondestructive testing in a book-style with video images and hyper-links, and it offers practices, in which users can simulate the testing equipment. The book-style and simulation practices provide effective and individual environments for learning nondestructive testing
Kim, J. K.; Koh, S. N.; Kim, M. K.; Shim, Y. J.
This paper is written to introduce a multimedia tutoring system for nondestructive testing using personal computer. Nondestructive testing, one of the chief methods for inspecting welds and many other components, is very difficult for the NDT inspectors to understand its technical basis without a wide experience. And it is necessary for considerable repeated education and training for keeping their knowledge. The tutoring system that can simulate NDT works is suggested to solve the above problem based on reasonable condition. The tutoring system shows basic theories of nondestructive testing in a book-style with video images and hyper-links, and it offers practices, in which users can simulate the testing equipment. The book-style and simulation practices provide effective and individual environments for learning nondestructive testing
Tabrizi, Pooneh R.; Sang, Hongqiang; Talari, Hadi F.; Preciado, Diego; Monfaredi, Reza; Reilly, Brian; Arikatla, Sreekanth; Enquobahrie, Andinet; Cleary, Kevin
Cochlear implantation is the standard of care for infants born with severe hearing loss. Current guidelines approve the surgical placement of implants as early as 12 months of age. Implantation at a younger age poses a greater surgical challenge since the underdeveloped mastoid tip, along with thin calvarial bone, creates less room for surgical navigation and can result in increased surgical risk. We have been developing a temporal bone dissection simulator based on actual clinical cases for training otolaryngology fellows in this delicate procedure. The simulator system is based on pre-procedure CT (Computed Tomography) images from pediatric infant cases (hospital. The simulator includes: (1) simulation engine to provide the virtual reality of the temporal bone surgery environment, (2) a newly developed haptic interface for holding the surgical drill, (3) an Oculus Rift to provide a microscopic-like view of the temporal bone surgery, and (4) user interface to interact with the simulator through the Oculus Rift and the haptic device. To evaluate the system, we have collected 10 representative CT data sets and segmented the key structures: cochlea, round window, facial nerve, and ossicles. The simulator will present these key structures to the user and warn the user if needed by continuously calculating the distances between the tip of surgical drill and the key structures.
Schrader, F.D.; Swanson, C.D.
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
Tsang, J S
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.
Yunoki, Kazuma; Sakai, Tetsuro
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.
Alliston, W.H.; Johnson, S.J.; Mutafelija, B.A.
A description is given of a training simulator for the real-time dynamic operation of a nuclear power plant which utilizes apparatus that includes control consoles having manual and automatic devices corresponding to simulated plant components and indicating devices for monitoring physical values in the simulated plant. A digital computer configuration is connected to the control consoles to calculate the dynamic real-time simulated operation of the plant in accordance with the simulated plant components to provide output data including data for operating the control console indicating devices. In the method and system for simulating a fluid distribution network of the power plant, such as that which includes, for example, a main steam system which distributes steam from steam generators to high pressure turbine steam reheaters, steam dump valves, and feedwater heaters, the simultaneous solution of linearized non-linear algebraic equations is used to calculate all the flows throughout the simulated system. A plurality of parallel connected steam generators that supply steam to the system are simulated individually, and include the simulation of shrink-swell characteristics
Paddock, Michael T; Bailitz, John; Horowitz, Russ; Khishfe, Basem; Cosby, Karen; Sergel, Michelle J
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
Macedonia, Christian R; Gherman, Robert B; Satin, Andrew J
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.
Bjerrum, Flemming; Thomsen, Ann Sofia Skou; Nayahangan, Leizl Joy; Konge, Lars
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.
In this paper, the simulation trajectory simulation of KUKA arc welding robot system is realized by means of VC platform. It is used to realize the teaching of professional training of welding robot in middle school. It provides teaching resources for the combination of work and study and integration teaching, which enriches the content of course teaching.
Vakharia, Vejay N; Vakharia, Nilesh N; Hill, Ciaran S
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.
Smith, G.; Zinger, V.; Kumar, A.; Jenkins, T.
In 1991, General Physics International Engineering and Simulation (GPI) won a contract for the first Western-supplied full-scope simulator and training system for a Soviet-designed RBMK. GPI was chosen by the former Soviet Ministry of Nuclear Power and Industry in open competition with other Western simulation companies. The Leningrad power plant near St Petersburg will be the host site for the simulator and training system. The total training system consists of: A full-scope, high fidelity simulator featuring: replica panels; advanced RISC technology computers; a UNIX-based, graphical X-Window, Russian text, instructor station; engineering workstations; GPI simulation software technology; and UNIX simulation development tools. Hardware and software for one analytical simulator, including instructor station, engineering workstations and several remote PC stations. Hardware and software for an interactive graphical training system. Methodology for expert system training. A psychophysiological system. Training facility equipment, including TV monitors, video players and printers. Training in hardware, software and instructor skills. This project will be carried out in co-operation with several Russian partners. Similar co-operative agreements have also been set up with Czechoslovakia and Taiwan. (author)
SAPHIR, the new simulator developed by FRAMATOME, has been designed to be a convenient tool for engineering and training for different types of nuclear power plants. Its first application is for the French 'N4' four-loop 1500MWe PWR. The basic features of SAPHIR are: (1) Use of advanced codes for modelling He primary and secondary systems' including an axial steam generator model, (2) Use of a simulation workshop containing different tools for modelling fluid, electrical, instrument and control networks, (3) A Man-Machine Interface designed for an easy and convivial use which can simulate the different computerized control consoles of the 'N4' control room. This paper outlines features and capabilities of this tool, both for engineering and training purposes. (author)
A description is given of a method and system for the real-time dynamic simulation of a nuclear power plant for training purposes, wherein a control console has a plurality of manual and automatic remote control devices for operating simulated control rods and has indicating devices for monitoring the physical operation of a simulated reactor. Digital computer means are connected to the control console to calculate data values for operating the monitoring devices in accordance with the control devices. The simulation of the reactor control rod mechanism is disclosed whereby the digital computer means operates the rod position monitoring devices in a real-time that is a fraction of the computer time steps and simulates the quick response of a control rod remote control lever together with the delayed response upon a change of direction
Colt, H G; Crawford, S W; Galbraith, O
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
Lisitsyna, L. S.; Smetyuh, N. P.; Golikov, S. P.
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.
Glogowski, Tomasz; Hlosta, Pawel; Stepniak, Slawomir; Swiderski, Waldemar
Multimedia shooting training systems are increasingly being used in the training of security staff and uniformed services. An advanced practicing-training system SPARTAN for simulation of small arms shooting has been designed and manufactured by Autocomp Management Ltd. and Military Institute of Armament Technology for the Polish Ministry of National Defence. SPARTAN is a stationary device designed to teach, monitor and evaluate the targeting of small arms and to prepare soldiers for: • firing the live ammunition at open ranges for combat targets and silhouettes • detection, classification and engagement of real targets upon different terrains, weather conditions and periods during the day • team work as a squad during the mission by using different types of arms • suitable reactions in untypical scenarios. Placed in any room the training set consists of: • the projection system that generates realistic 3D imaging of the battlefield (such as combat shooting range) in high-resolution • system that tracks weapons aiming points • sound system which delivers realistic mapping of acoustic surroundings • operator station with which the training is conducted and controlled • central processing unit based on PC computers equipped with specialist software realizing individual system functions • units of smart weapons equipped with radio communication modules, injection laser diodes and pneumatic reloading system. The system make possible training by firing in dynamic scenarios, using combat weapons and live ammunition against visible targets moving on a screen. The use of infrared camera for detecting the position of impact of a projectile.
Noureldin, Yasser A; Lee, Jason Y; McDougall, Elspeth M; Sweet, Robert M
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.
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
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.
expressions; and improved sensors and communication systems for current medical training simulators. He has prior experience in software development for DoD...the "look and feel" of such injuries by providing the highly realistic visual, auditory, and haptic (touch) stimuli necessary to elicit stress...addressed during development included the following: • Microcontroller-based control system for monitoring sensors and automating the actions of the
Matsumoto, Y.; Tabuchi, T.; Yamashita, T.; Komatsu, Y.; Tsubouchi, K.; Banka, T.; Mochizuki, T.; Nishimura, K.; Iizuka, H.
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)
Rankin, W.L.; Bolton, P.A.; Shikiar, R.; Saari, L.M.
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
Patel, P; Sockalingam, I
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.
Tolsgaard, Martin Grønnebæk; Ringsted, Charlotte; Rosthøj, Susanne
, 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...
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?
Harvey, Jason; Moore, Michael
The General-Use Nodal Network Solver (GUNNS) is a modeling software package that combines nodal analysis and the hydraulic-electric analogy to simulate fluid, electrical, and thermal flow systems. GUNNS is developed by L-3 Communications under the TS21 (Training Systems for the 21st Century) project for NASA Johnson Space Center (JSC), primarily for use in space vehicle training simulators at JSC. It has sufficient compactness and fidelity to model the fluid, electrical, and thermal aspects of space vehicles in real-time simulations running on commodity workstations, for vehicle crew and flight controller training. It has a reusable and flexible component and system design, and a Graphical User Interface (GUI), providing capability for rapid GUI-based simulator development, ease of maintenance, and associated cost savings. GUNNS is optimized for NASA's Trick simulation environment, but can be run independently of Trick.
Santiago Lucas, A.
The IGS is a natural response, in the training area, to the high technological advances in the computer disciplines for the graphic representations and advanced process models with a high level of reliability and friendliness. Tecnatom has integrated a representation of advanced models in several workstations which permits, through its high resolution colour screens, the visualization of all the information available in control room with graphical representation of NPP's system. Simultaneously with this, the IGS permits to operate any component in order to change its status, in the same way that operations upon the panels. Through the flexibility of the software for graphic representations and the advanced models. Tecnatom has generated, based in the use of IGS, several training courses which have provided a tutorial worth, to understand complex phenomena, with a man-machine interface more friendly than the full scope simulator. Therefore, the IGS appears as an important flexible tool which can adapt itself to the training of several collectives in a NPP, and it has a special importance for those which the ignorance of panels interferes with the training in a full scope simulator. (author)
Dayal, Ashlesha K; Fisher, Nelli; Magrane, Diane; Goffman, Dena; Bernstein, Peter S; Katz, Nadine T
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
Hong, J. H.
The purpose of this paper is to introduce the PCATS-II system in which most all the models included in KSNP simulator are loaded and users can easily handle several accidents including severe accidents in realtime or super-realtime manner. Especially, 3 dimensional neutronics model, RETRAN03-based thermal-hydraulics model (ARTS) and MAAP4-based severe accident model (RSAM) are loaded as it is in the KSNP simulator to consist with the calculations of the KSNP simulator. And also interactive controls enable the novice to easily operate the PCATS system through the object-oriented user interface. Finally the PCATS is expected to greatly help the operator analyze the accidents and improve the quality of education
Hammond, R. A.; Mcgehee, R. K.
A computer program to simulate hybrid and electric advanced vehicle systems (HEAVY) is described. It is intended for use early in the design process: concept evaluation, alternative comparison, preliminary design, control and management strategy development, component sizing, and sensitivity studies. It allows the designer to quickly, conveniently, and economically predict the performance of a proposed drive train. The user defines the system to be simulated using a library of predefined component models that may be connected to represent a wide variety of propulsion systems. The development of three models are discussed as examples.
Tolsgaard, Martin G; Madsen, Mette E; Oxlund, Birgitte S
: 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 Text Available This work addresses the design of an active multi-link micro-catheter actuated by Shape Memory Alloy (SMA micro actuators. This may be a response to one medical major demand on such devices, which will be useful for surgical explorations and interventions. In this paper, we focus on a training and design simulator dedicated to such catheters. This simulator is based on an original simulation platform (OpenMASK. The catheter is a robotic system, which is evaluated by a dynamical simulation addressing a navigation task in its environment. The design of the prototype and its mechanical model are presented. We develop an interaction model for contact. This model uses a real medical database for which distance cartography is proposed. Then we focus on an autonomous control model based on a multi-agent approach and including the behaviour description of the SMA actuators. Results of mechanical simulations including interaction with the ducts are presented. Furthermore, the interest of such a simulator is presented by applying virtual prototyping techniques for the design optimization. This optimization process is achieved by using genetic algorithms at different stages with respect to the specified task.
Full Text Available This work addresses the design of an active multi-link micro-catheter actuated by Shape Memory Alloy (SMA micro actuators. This may be a response to one medical major demand on such devices, which will be useful for surgical explorations and interventions. In this paper, we focus on a training and design simulator dedicated to such catheters. This simulator is based on an original simulation platform (OpenMASK. The catheter is a robotic system, which is evaluated by a dynamical simulation addressing a navigation task in its environment. The design of the prototype and its mechanical model are presented. We develop an interaction model for contact. This model uses a real medical database for which distance cartography is proposed. Then we focus on an autonomous control model based on a multi-agent approach and including the behaviour description of the SMA actuators. Results of mechanical simulations including interaction with the ducts are presented. Furthermore, the interest of such a simulator is presented by applying virtual prototyping techniques for the design optimization. This optimization process is achieved by using genetic algorithms at different stages with respect to the specified task.
Yang Lixing; Li Xiang; Li Keping
Based on the discrete time method, an effective movement control model is designed for a group of highspeed trains on a rail network. The purpose of the model is to investigate the specific traffic characteristics of high-speed trains under the interruption of stochastic irregular events. In the model, the high-speed rail traffic system is supposed to be equipped with the moving-block signalling system to guarantee maximum traversing capacity of the railway. To keep the safety of trains' movements, some operational strategies are proposed to control the movements of trains in the model, including traction operation, braking operation, and entering-station operation. The numerical simulations show that the designed model can well describe the movements of high-speed trains on the rail network. The research results can provide the useful information not only for investigating the propagation features of relevant delays under the irregular disturbance but also for rerouting and rescheduling trains on the rail network. (general)
Nearly all Swedish nuclear power plants, 9 ABB Atom BWRs and 3 Westinghouse PWRs in total, are presently in various stages of modernizing their I and C systems. This includes also major changes to the main control room with the introduction of large numbers of workstations for soft process control and supervision. These modernization programs also have implications on the seven plant specific full-scope simulators used at the KSU Nuclear Training and Safety Center for operator training. The utilities are considering this training to be an integral part of their programs and have requested KSU to provide training of operators before commissioning of the new equipment in the plants. There is also a request to validate modified operating procedures with the new I and C systems integrated into the simulators. Since the utilities are using different vendors, KSU is now Working with equipment from three vendors in the upgrading of the simulators. (author)
Brewin, James; Tang, Jessica; Dasgupta, Prokar; Khan, Muhammad S; Ahmed, Kamran; Bello, Fernando; Kneebone, Roger; Jaye, Peter
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.
Aase, Ingunn; Aase, Karina; Dieckmann, Gerhard Peter
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...
Cheng, Adan; Grant, Vincent; Dieckmann, Peter
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...
Gardner, Aimee K; Scott, Daniel J; Pedowitz, Robert A; Sweet, Robert M; Feins, Richard H; Deutsch, Ellen S; Sachdeva, Ajit K
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.
Nilsson, Cecilia; Sørensen, Jette Led; Konge, Lars
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...
Full Text Available Evaluation and Weapon Assignment (TEWA) at this level contain multiple threats and defensive force elements, taxing the cognitive abilities of the commander. Development of new doctrine and training simulators require systems that adequately reflect...
Abrahamson, Kathleen; Anderson, James G; Borycki, Elizabeth M; Kushniruk, Andre W; Malovec, Shannon; Espejo, Angela; Anderson, Marilyn
Training providers appropriately, particularly early in their caregiving careers, is an important aspect of electronic medical record (EMR) implementation. Considerable time and resources are needed to bring the newly hired providers 'up to speed' with the actual use practices of the organization. Similarly, universities lose valuable clinical training hours when students are required to spend those hours learning organization-specific EMR systems in order to participate in care during clinical rotations. Although there are multiple real-world barriers to university/health care organization training partnerships, the investment these entities share in training care providers, specifically nurses, to use and understand EMR technology encourages a question: What would be the cumulative effect of integrating a mutually agreed upon EMR system training program in to nursing classroom training on downstream hospital costs in terms of hours of direct caregiving lost, and benefits in terms of number of overall EMR trained nurses hired? In order to inform the development of a large scale study, we employed a dynamic systems modeling approach to simulate the theoretical relationships between key model variables and determine the possible effect of integrating EMR training into nursing classrooms on hospital outcomes. The analysis indicated that integrating EMR training into the nursing classroom curriculum results in more available time for nurse bedside care. Also, the simulation suggests that efficiency of clinical training can be potentially improved by centralizing EMR training within the nursing curriculum.
Stansfield, S.; Shawver, D.; Sobel, A.
This paper presents a prototype virtual reality (VR) system for training medical first responders. The initial application is to battlefield medicine and focuses on the training of medical corpsmen and other front-line personnel who might be called upon to provide emergency triage on the battlefield. The system is built upon Sandia`s multi-user, distributed VR platform and provides an interactive, immersive simulation capability. The user is represented by an Avatar and is able to manipulate his virtual instruments and carry out medical procedures. A dynamic casualty simulation provides realistic cues to the patient`s condition (e.g. changing blood pressure and pulse) and responds to the actions of the trainee (e.g. a change in the color of a patient`s skin may result from a check of the capillary refill rate). The current casualty simulation is of an injury resulting in a tension pneumothorax. This casualty model was developed by the University of Pennsylvania and integrated into the Sandia MediSim system.
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.)
Phyllis Min-yu Lau
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.
Melo, Brena C P; Falbo, Ana R; Sorensen, Jette Led
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...
Dunn, John C; Belmont, Philip J; Lanzi, Joseph; Martin, Kevin; Bader, Julia; Owens, Brett; Waterman, Brian R
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
Sze, B.; Ridgway, G.H.
The creation, implementation and management of engineering design tools are important to the quality and efficiency of any large engineering project. Some of the most complicated tools to develop are system simulators. The development and implementation of system simulators to support replacement fuel handling control systems is of particular interest to the Canadian nuclear industry given the current age of installations and the risk of obsolescence to many utilities. The use of such simulator tools has been known to significantly improve successful deployment of new software packages and maintenance-related software changes while reducing the time required for their overall development. Moreover, these simulation systems can also serve as operator training stations and provide a virtual environment for site engineers to test operational changes before they are uploaded to the actual system. (author)
Bokhorst, J. A. C.; Gaalman, G. J. C.
In this paper, we explore the effect of cross-training workers in Dual Resource Constrained (DRC) systems with machines having different mean processing times. By means of queuing and simulation analysis, we show that the detrimental effects of pooling (cross-training) previously found in single
Durlach, Paula J.; Priest, Heather; Martin, Glenn A.; Saffold, Jay
The projected use of small unmanned aerial systems (SUAS) in military operations will produce training requirements which go beyond current capabilities. The paper describes the development of prototype training procedures and accompanying research simulations to address this need. We initially constructed a testbed to develop simulation-based training for an SUAS operator equipped with a simulated vertical-lift and land SUAS. However, the required training will go beyond merely training an operator how to pilot an SUAS. In addition to tactics, techniques, and procedures for employment of SUASs, collective training methods must be trained. Moreover, the leader of a unit equipped with SUAS will need to learn how to plan missions which incorporate the SUAS, and take into account air space and frequency management considerations. The demands of the task require the leader to allocate personnel to the SUAS mission, communicate and coordinate with those personnel during the mission, and make use of the information provided. To help address these training issues, we expanded our research testbed to include a command and control node (C2 node), to enable communications between a leader and the SUAS operator. In addition, we added a virtual environment in which dismounted infantry missions can be conducted. This virtual environment provides the opportunity for interactions among human-controlled avatars and non-player characters (NPCs), plus authoring tools to construct scenarios. Using these NPCs, a collective exercise involving friendly, enemy, and civilian personnel can be conducted without the need for a human role-player for every entity. We will describe the results of our first experiment, which examined the ability of players to negotiate use of the C2 node and the virtual environment at the same time, in order to see if this is a feasible combination of tools for training development.
Russell, Evan; Hall, Andrew Koch; Hagel, Carly; Petrosoniak, Andrew; Dagnone, Jeffrey Damon; Howes, Daniel
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.
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
Sato, Takao; Sato, Tatsuaki; Onishi, Hiroshi; Miyakita, Kohji; Mizuno, Toshiyuki
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.)
Lukasz M. Mazur, PhD
Full Text Available There is a need to better prepare radiation therapy (RT providers to safely operate within the health information technology (IT sociotechnical system. Simulation-based training has been preemptively used to yield meaningful improvements during providers' interactions with health IT, including RT settings. Therefore, on the basis of the available literature and our experience, we propose principles for the effective design and use of simulated scenarios and describe a conceptual framework for a debriefing approach to foster successful training that is focused on safety mindfulness during RT professionals' interactions with health IT.
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
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.
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
Yoshijima, S.; Tomita, J.; Yoneda, Y.
Training and indoctrination of personnel are very important for performing quality assurance activities in nuclear power plants. The paper presents policies, procedures and practices with regard to a training system for site construction workers, a training system for plant operation personnel at a special facility, and services and activities for operating plants. The training system for site workers and technicians offers basic training for all workers, and special training and qualification for field welders, cable-termination workers and non-destructive examination personnel. In addition to the qualification system for field welders applied by the regulatory body, a privat-company qualification system exists. Also, a training centre for BWR operators has been established. This facility has a simulator duplicating the main control room of an actual plant and a computer-assisted instruction system. Standard training courses, short-term basic courses, re-training courses, group training courses and special training courses are held at the training centre. Finally, the services and activities performed by Toshiba Corporation for operating plants are described. These activities of the plant supplier aim at keeping up and further enhancing the safety and reliability of operating plants and mainly consist of: (1) collection and evaluation of plant operation data, with re-evaluation and improvement of systems and components; (2) development of new maintenance techniques; (3) development of measures for reducing annual outage periods; and (4) plant emergency preparedness. (author)
Kishimoto, N; Mukai, N; Honda, Y; Hirata, Y; Tanaka, M; Momota, Y
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.
An attempt was made to establish here the need to incorporate ''Accident Situations'' in Training Simulators, and, to indicate that the modelling of such otherwise complex situations could admit a great deal of simplifications. In most cases, a ''semidynamic'' model to display time dependent flows or Tank levels would do while ESF actuated start/stop or open/close of equipment could be modelled merely ''Live''. Transport delays and Time Constants in most cases are of no significance as are the accuracy considerations of most variables. The systems which need complete Dynamic Simulation are the ones which are always running, such as Pressuriser, RCS, Reactor, and the Steam Generator with the added advantages of the modest accuracy requirements and the plant being shutdown. (author)
DETRAS system is a PWR reactor simulator system for operation trainings whose distinguished feature is that it can be operated from the remote place of the simulator site. The document which is the third one of a series of three volumes of the user's guide of DETRAS, describes firstly an outline of the simulated reactor system then a user's interface needed for operation of the simulator of interest and finally a series of procedure for startup of the simulated reactor and shutdown of it from its rated operation state. (author)
Perry Lattimore, L; Parsons, Marsha B; Reid, Dennis H; Ahearn, William
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...
Østergaard, Mia L.; Ewertsen, Caroline; Konge, Lars
of Science, and the Cochrane Library was searched. Articles were divided into three categories based on study design (randomized controlled trials, before-and-after studies and descriptive studies) and assessed for level of evidence using the Oxford Centre for Evidence Based Medicine (OCEBM) system......PURPOSE: The aim is to provide a complete overview of the different simulation-based training options for abdominal ultrasound and to explore the evidence of their effect. MATERIALS AND METHODS: This systematic review was performed according to the PRISMA guidelines and Medline, Embase, Web...
Jaffer, Usman; Normahani, Pasha; Singh, Prashant; Aslam, Mohammed; Standfield, Nigel J
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.
Huang Fangzhi; Zhang Yuanfang
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
Bridge, P.; Crowe, S.B.; Gibson, G.; Ellemor, N.J.; Hargrave, C.; Carmichael, M.
Aim: Simulation forms an increasingly vital component of clinical skills development in a wide range of professional disciplines. Simulation of clinical techniques and equipment is designed to better prepare students for placement by providing an opportunity to learn technical skills in a “safe” academic environment. In radiotherapy training over the last decade or so this has predominantly comprised treatment planning software and small ancillary equipment such as mould room apparatus. Recent virtual reality developments have dramatically changed this approach. Innovative new simulation applications and file processing and interrogation software have helped to fill in the gaps to provide a streamlined virtual workflow solution. This paper outlines the innovations that have enabled this, along with an evaluation of the impact on students and educators. Method: Virtual reality software and workflow applications have been developed to enable the following steps of radiation therapy to be simulated in an academic environment: CT scanning using a 3D virtual CT scanner simulation; batch CT duplication; treatment planning; 3D plan evaluation using a virtual linear accelerator; quantitative plan assessment, patient setup with lasers; and image guided radiotherapy software. Results: Evaluation of the impact of the virtual reality workflow system highlighted substantial time saving for academic staff as well as positive feedback from students relating to preparation for clinical placements. Students valued practice in the “safe” environment and the opportunity to understand the clinical workflow ahead of clinical department experience. Conclusion: Simulation of most of the radiation therapy workflow and tasks is feasible using a raft of virtual reality simulation applications and supporting software. Benefits of this approach include time-saving, embedding of a case-study based approach, increased student confidence, and optimal use of the clinical environment
Latif, Rana K; Bautista, Alexander F; Memon, Saima B; Smith, Elizabeth A; Wang, Chenxi; Wadhwa, Anupama; Carter, Mary B; Akca, Ozan
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
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
A.W. Andersen, Steven; Konge, Lars; Mikkelsen, Peter Trier
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....
Henn, R. Frank; Shah, Neel; Warner, Jon J.P.; Gomoll, Andreas H.
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
Henn, R Frank; Shah, Neel; Warner, Jon J P; Gomoll, Andreas H
The purpose of this study was to quantify the benefits of shoulder arthroscopy simulator training with a cadaveric model of shoulder arthroscopy. 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 9 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 2 groups were compared by use of Student t tests, and change over time within groups was analyzed with paired t tests. There were no observed differences between the 2 groups on the baseline evaluation. The simulator group improved significantly from baseline with respect to time to completion and subjective performance (P arthroscopy simulator training resulted in significant benefits in clinical shoulder arthroscopy time to task completion in this cadaveric model. This study provides important additional evidence of the benefit of simulators in orthopaedic surgical training. There may be a role for simulator training in shoulder arthroscopy education. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Burden, Christy; Fox, Robert; Hinshaw, Kim; Draycott, Timothy J; James, Mark
The objectives of this study were to explore current provision of laparoscopic simulation training, and to determine attitudes of trainers and trainees to the role of simulators in surgical training across the UK. An anonymous cross-sectional survey with cluster sampling was developed and circulated. All Royal College of Obstetricians and Gynaecologists (RCOG) Training Programme Directors (TPD), College Tutors (RCT) and Trainee representatives (TR) across the UK were invited to participate. One hundred and ninety-six obstetricians and gynaecologists participated. Sixty-three percent of hospitals had at least one box trainer, and 14.6% had least one virtual-reality simulator. Only 9.3% and 3.6% stated that trainees used a structured curriculum on box and virtual-reality simulators, respectively. Respondents working in a Large/Teaching hospital (p = 0.008) were more likely to agree that simulators enhance surgical training. Eighty-nine percent agreed that simulators improve the quality of training, and should be mandatory or desirable for junior trainees. Consultants (p = 0.003) and respondents over 40 years (p = 0.011) were more likely to hold that a simulation test should be undertaken before live operation. Our data demonstrated, therefore, that availability of laparoscopic simulators is inconsistent, with limited use of mandatory structured curricula. In contrast, both trainers and trainees recognise a need for greater use of laparoscopic simulation for surgical training.
Larsen, Christian Rifbjerg; Oestergaard, Jeanett; Ottesen, Bent S; Soerensen, Jette Led
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.
Ciporen, Jeremy; Gillham, Haley; Noles, Michele; Dillman, Dawn; Baskerville, Mark; Haley, Caleb; Spight, Donn; Turner, Ryan C; Lucke-Wold, Brandon P
Simulation training has been shown to be an effective teaching tool. Learner management of an intraoperative crisis such as a major cerebrovascular bleed requires effective teamwork, communication, and implementation of key skill sets at appropriate time points. This study establishes a first of a kind simulation experience in a neurosurgery/anesthesia resident (learners) team working together to manage an intraoperative crisis. Using a cadaveric cavernous carotid injury perfusion model, 7 neurosurgery and 6 anesthesia learners, were trained on appropriate vascular injury management using an endonasal endoscopic technique. Learners were evaluated on communication skills, crisis management algorithms, and implementation of appropriate skill sets at the right time. A preanatomic and postanatomic examination and postsimulation survey was administered to neurosurgery learners. Anesthesia learners provided posttraining evaluation through a tailored realism and teaching survey. Neurosurgery learners' anatomic examination score improved from presimulation (33.89%) to postsimulation (86.11%). No significant difference between learner specialties was observed for situation awareness, decision making, communications and teamwork, or leadership evaluations. Learners reported the simulation realistic, beneficial, and highly instructive. Realistic, first of kind, clinical simulation scenarios were presented to a neurosurgery/anesthesia resident team who worked together to manage an intraoperative crisis. Learners were effectively trained on crisis management, the importance of communication, and how to develop algorithms for future implementation in difficult scenarios. Learners were highly satisfied with the simulation training experience and requested that it be integrated more consistently into their residency training programs.
Wagner, Robert; Razek, Vit; Gräfe, Florentine; Berlage, Thomas; Janoušek, Jan; Daehnert, Ingo; Weidenbach, Michael
Congenital heart diseases (CHD) are responsible for substantial morbidity and mortality in neonates. The preliminary diagnosis often is made by noncardiologists. For this reason, there is a huge demand of training in echocardiography of CHD. This is difficult to achieve due to limited resources of specialized centers. The goal of this study was to investigate the training effect of the echocardiography simulator EchoCom on trainee's ability to diagnose CHD. We enrolled 10 residents for simulator-based training in echocardiography of CHD. All participants were instructed on the simulator's basic handling and had one hour to scan the first 9 datasets information (ventricular septal defect, atrial septal defect, atrioventricular septal defect, Tetralogy of Fallot, transposition of great arteries, congenital corrected transposition of great arteries, common arterial trunk, hypoplastic left heart syndrome, normal anatomy) and establish a diagnosis. No help was given except for support regarding simulator related issues. Afterward, 2 rounds of structured simulator based echocardiography training focused on echocardiographic anatomy, spatial orientation, standard views, and echocardiographic anatomy of different CHD followed. All participants completed a standardized questionnaire containing 10 multiple-choice (MC) questions focusing on basic theoretical knowledge in echocardiographic anatomy and common CHD. Almost all of the residents invited from the affiliated children's hospital had little (20%) or no experience (80%) in echocardiography of CHD. Their Pretest and Posttest scores showed significant improvement for both, MC test and performance test, respectively. Our study showed that simulator-based training in echocardiography in CHD could be very effective and may assist with training outside the scope of CHD. © 2013, Wiley Periodicals, Inc.
Ahlborg, Liv; Hedman, Leif; Nisell, Henry; Felländer-Tsai, Li; Enochsson, Lars
To investigate how simulator training and non-technical factors affect laparoscopic performance among residents in obstetrics and gynecology. In this prospective study, trainees were randomized into three groups. The first group was allocated to proficiency-based training in the LapSimGyn(®) virtual reality simulator. The second group received additional structured mentorship during subsequent laparoscopies. The third group served as control group. At baseline an operation was performed and visuospatial ability, flow and self-efficacy were assessed. All groups subsequently performed three tubal occlusions. Self-efficacy and flow were assessed before and/or after each operation. Simulator training was conducted at the Center for Advanced Medical Simulation and Training, Karolinska University Hospital. Sterilizations were performed at each trainee's home clinic. Twenty-eight trainees/residents from 21 hospitals in Sweden were included. Visuospatial ability was tested by the Mental Rotation Test-A. Flow and self-efficacy were assessed by validated scales and questionnaires. Laparoscopic performance was measured as the duration of surgery. Visuospatial ability, self-efficacy and flow were correlated to the laparoscopic performance using Spearman's correlations. Differences between groups were analyzed by the Mann-Whitney U-test. No differences across groups were detected at baseline. Self-efficacy scores before and flow scores after the third operation were significantly higher in the trained groups. Duration of surgery was significantly shorter in the trained groups. Flow and self-efficacy correlate positively with laparoscopic performance. Simulator training and non-technical factors appear to improve the laparoscopic performance among trainees/residents in obstetrics and gynecology. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.
Undre, Shabnam; Koutantji, Maria; Sevdalis, Nick; Gautama, Sanjay; Selvapatt, Nowlan; Williams, Samantha; Sains, Parvinderpal; McCulloch, Peter; Darzi, Ara; Vincent, Charles
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.
Lee, Suk Jeong; Kim, Sang Suk; Park, Young-Mi
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.
Over the last several years, integration of multiple media sources into a single information system has been rapidly developing. It has been found that when sound, graphics, text, animations, and simulations are skillfully integrated, the sum of the parts exceeds the individual parts for effective learning. In addition, simulations can be used to design and understand complex engineering processes. With the recent introduction of many high-level authoring, animation, modeling, and rendering programs for personal computers, significant multimedia programs can be developed by practicing engineers, scientists and even managers for both training and education. However, even with these new tools, a considerable amount of time is required to produce an interactive multimedia program. The development of both CD-ROM and Web-based programs are discussed in addition to the use of technically oriented animations. Also examined are various multimedia development tools and how they are used to develop effective engineering education courseware. Demonstrations of actual programs in engineering mechanics are shown.
Abbott, Terence S.
One of the biggest challenges for a pilot in the transition to a 'glass' cockpit is understanding the flight management system (FMS). Because of both the complex nature of the FMS and the pilot-FMS interface, a large portion of transition training is devoted to the FMS. The current study examined the impact of the primary pilot-FMS interface, the control display unit (CDU), on FMS training. Based on the hypothesis that the interface design could have a significant impact on training, an FMS simulation with two separate interfaces was developed. One interface was similar to a current-generation design, and the other was a multiwindows CDU based on graphical user interface techniques. For both application and evaluation reasons, constraints were applied to the graphical CDU design to maintain as much similarity as possible with the conventional CDU. This preliminary experiment was conducted to evaluate the interface effects on training. Sixteen pilots with no FMS experience were used in a between-subjects test. A time-compressed, airline-type FMS training environment was simulated. The subjects were trained to a fixed-time criterion, and performance was measured in a final, full-mission simulation context. This paper describes the technical approach, simulation implementation, and experimental results of this effort.
Full Text Available Considering the issues of lower limb rehabilitation robots with single control strategies and poor training types, a training method for improving muscle strength was put forward in this paper. Patients’ muscle strength could be achieved by targeted exercises at the end of rehabilitation. This approach could be realized through programming wires’ force. On the one hand, each wires force was measured by tension sensor and force closed loop control was established to control the value of wires’ force which was acted on trainees. On the other hand, the direction of output force was changed by detecting the trainees’ state of motion and the way of putting load to patient was achieved. Finally, the target of enhancing patients’ muscle strength was realized. Dynamic model was built by means of mechanism and training types of robots. Force closed loop control strategy was established based on training pattern. In view of the characteristics of the redundance and economy of wire control, the process for simple wire's load changes was discussed. In order to confirm the characteristics of robot control system, the controller was simulated in Matlab/Simulink. It was verified that command signal could be traced by control system availably and the load during muscle training would be provided effectively.
Gallagher, Anthony G; Ritter, E Matt; Champion, Howard; Higgins, Gerald; Fried, Marvin P; Moses, Gerald; Smith, C Daniel; Satava, Richard M
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.
Berkenstadt, Haim; Ben-Menachem, Erez; Simon, Daniel; Ziv, Amitai
Simulation-based medical education (SBME) offers a safe and "mistake-forgiving" environment to teach and train medical professionals. The diverse range of medical-simulation modalities enables trainees to acquire and practice an array of tasks and skills. SBME offers the field of trauma training multiple opportunities to enhance the effectiveness of the education provided in this challenging domain. Further research is needed to better learn the role of simulation-based learning in trauma management and education. Copyright © 2013 Elsevier Inc. All rights reserved.
This paper describes the methods and results of INPO observations of simulator training for licensed operators. It discusses the history of the observation program to the present. Effective methods for conducting and documenting simulator observations are discussed. The methods used to analyze the observations is also discussed. The major conclusion of the analysis is that opportunities exist for improvement in the use of emergency operating procedures. Teamwork, communication, and simulator instructor skills are also areas where improvement could be made
Hoffman, J. A.
Two stand-alone analyzers constructed for real time simulation of the complex dynamic characteristics of horizontal-axis wind energy systems are described. Mathematical models for an aeroelastic rotor, including nonlinear aerodynamic and elastic loads, are implemented with high speed digital and analog circuitry. Models for elastic supports, a power train, a control system, and a rotor gimbal system are also included. Limited correlation efforts show good comparisons between results produced by the analyzers and results produced by a large digital simulation. The digital simulation results correlate well with test data.
The International Atomic Energy Agency (IAEA) has established an activity in nuclear reactor simulation computer programs to assist its Member States in education. The objective is to provide, for a variety of advanced reactor types, insight and practice in their operational characteristics and their response to perturbations and accident situations. To achieve this, the IAEA arranges for the development and distribution of simulation programs and educational material and sponsors courses and workshops. The workshops are in two parts: techniques and tools for reactor simulator development; and the use of reactor simulators in education. Workshop material for the first part is covered in the IAEA publication: Training Course Series No.12, Reactor Simulator Development (2001). Course material for workshops using a pressurized water reactor (PWR) simulator developed for the IAEA by Cassiopeia Technologies Inc. of Canada is presented in the IAEA publication, Training Course Series No. 22, 2nd edition, Pressurized Water Reactor Simulator (2005) and Training Course Series No.23, 2nd edition, Boiling Water Reactor Simulator (2005). This report consists of course material for workshops using the WWER-1000 Reactor Department Simulator from the Moscow Engineering and Physics Institute, Russian Federation
Keelan, Robert; Shimada, Kenji
This study presents an efficient computational technique for the simulation of ultrasound imaging artifacts associated with cryosurgery based on nonlinear ray tracing. This study is part of an ongoing effort to develop computerized training tools for cryosurgery, with prostate cryosurgery as a development model. The capability of performing virtual cryosurgical procedures on a variety of test cases is essential for effective surgical training. Simulated ultrasound imaging artifacts include reverberation and reflection of the cryoprobes in the unfrozen tissue, reflections caused by the freezing front, shadowing caused by the frozen region, and tissue property changes in repeated freeze–thaw cycles procedures. The simulated artifacts appear to preserve the key features observed in a clinical setting. This study displays an example of how training may benefit from toggling between the undisturbed ultrasound image, the simulated temperature field, the simulated imaging artifacts, and an augmented hybrid presentation of the temperature field superimposed on the ultrasound image. The proposed method is demonstrated on a graphic processing unit at 100 frames per second, on a mid-range personal workstation, at two orders of magnitude faster than a typical cryoprocedure. This performance is based on computation with C++ accelerated massive parallelism and its interoperability with the DirectX-rendering application programming interface. PMID:26818026
Akasum, G. F.; Ramdhania, L. N.; Suprijanto; Widyotriatmo, A.
Minimally Invasive Surgery (MIS) has been widely used to perform any surgical procedures nowadays. Currently, MIS has been applied in some cases in Indonesia. Needle insertion is one of simple MIS procedure that can be used for some purposes. Before the needle insertion technique used in the real situation, it essential to train this type of medical student skills. The research has developed an open platform of needle insertion simulator with haptic feedback that providing the medical student a realistic feel encountered during the actual procedures. There are three main steps in build the training simulator, which are configure hardware system, develop a program to create soft tissue model and the integration of hardware and software. For evaluating its performance, haptic simulator was tested by 24 volunteers on a scenario of soft tissue model. Each volunteer must insert the needle on simulator until rearch the target point with visual feedback that visualized on the monitor. From the result it can concluded that the soft tissue model can bring the sensation of touch through the perceived force feedback on haptic actuator by looking at the different force in accordance with different stiffness in each layer.
Aras, Rifat; Shen, Yuzhong; Li, Jiang
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.
Naur, Therese Maria Henriette; Nilsson, Philip Mørkeberg; Pietersen, Pia Iben
. The studies included participants of varying experience and most commonly used a virtual reality simulator as a training modality. Assessment of the participants' skills was based on simulator metrics or on an assessment tool. Some studies included performance on patients for assessment of the operator after...... training on a simulator. CONCLUSIONS: Simulation-based training was demonstrated to be more efficient than the traditional apprenticeship model. Physical models and virtual reality simulators complement each other. Simulation-based education should be based on a mastery learning approach and structured...
MacLean, Sharon; Geddes, Fiona; Kelly, Michelle; Della, Phillip
Simulated patients (SPs) are frequently used for training nursing students in communication skills. An acknowledged benefit of using SPs is the opportunity to provide a standardized approach by which participants can demonstrate and develop communication skills. However, relatively little evidence is available on how to best facilitate and evaluate the reliability and accuracy of SPs' performances. The aim of this study is to investigate the effectiveness of an evidenced based SP training framework to ensure standardization of SPs. The training framework was employed to improve inter-rater reliability of SPs. A quasi-experimental study was employed to assess SP post-training understanding of simulation scenario parameters using inter-rater reliability agreement indices. Two phases of data collection took place. Initially a trial phase including audio-visual (AV) recordings of two undergraduate nursing students completing a simulation scenario is rated by eight SPs using the Interpersonal Communication Assessments Scale (ICAS) and Quality of Discharge Teaching Scale (QDTS). In phase 2, eight SP raters and four nursing faculty raters independently evaluated students' (N=42) communication practices using the QDTS. Intraclass correlation coefficients (ICC) were >0.80 for both stages of the study in clinical communication skills. The results support the premise that if trained appropriately, SPs have a high degree of reliability and validity to both facilitate and evaluate student performance in nurse education. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.
Burden, Christy; Appleyard, Tracy-Louise; Angouri, Jo; Draycott, Timothy J; McDermott, Leanne; Fox, Robert
Virtual-reality (VR) training has been demonstrated to improve laparoscopic surgical skills in the operating theatre. The incorporation of laparoscopic VR simulation into surgical training in gynaecology remains a significant educational challenge. We undertook a pilot study to assess the feasibility of the implementation of a laparoscopic VR simulation programme into a single unit. An observational study with qualitative analysis of semi-structured group interviews. Trainees in gynaecology (n=9) were scheduled to undertake a pre-validated structured training programme on a laparoscopic VR simulator (LapSim(®)) over six months. The main outcome measure was the trainees' progress through the training modules in six months. Trainees' perceptions of the feasibility and barriers to the implementation of laparoscopic VR training were assessed in focus groups after training. Sixty-six percent of participants completed six of ten modules. Overall, feedback from the focus groups was positive; trainees felt training improved their dexterity, hand-eye co-ordination and confidence in theatre. Negative aspects included lack of haptic feedback, and facility for laparoscopic port placement training. Time restriction emerged as the main barrier to training. Despite positive perceptions of training, no trainee completed more than two-thirds of the modules of a self-directed laparoscopic VR training programme. Suggested improvements to the integration of future laparoscopic VR training include an additional theoretical component with a fuller understanding of benefits of VR training, and scheduled supervision. Ultimately, the success of a laparoscopic VR simulation training programme might only be improved if it is a mandatory component of the curriculum, together with dedicated time for training. Future multi-centred implementation studies of validated laparoscopic VR curricula are required. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
The first training simulator for nuclear power plant personnel in Germany was commissioned twenty-five years ago. This date was rather early, both when measured by the development of the German nuclear power program and when compared with the international situation. This farsighted decision demonstrates the importance nuclear power plant operators attach to the sound training of plant personnel. The consistent, and also costly, further development over the past twenty-five years shows that this attitude has not changed. A modern simulator center was built at a total cost of approx. 250 million Euro which can be characterized briefly as follows: - 13 full simulators cover most specific features of existing nuclear power plants. These simulators are backfitted continuously and represent the current state of simulation technology. - Their experience over many years has allowed the staff of approx. 140 to accumulate a high level of know-how in training and simulator operation. Learning from experience is greatly assisted by the fact that all activities are concentrated at one center. - The way in which the center is organized ensures close cooperation with the nuclear power plants responsible for the training of their personnel. - There is a systematic training concept which is being actively developed further. Some of the main developments in recent years include training for emergencies; intensified training in behavioral aspects, such as communication and leadership; the use of simulators for emergency drills; testing of modifications, etc. (orig.) [de
Storm, J.; Goemann, A.
In August 1993 KSG Kraftwerks-Simulator-Gesellschaft, Germany, awarded a contract to STN ATLAS Elektronik for the delivery of two full scope replica training simulators for the German BWR plants Isar 1 and Philipsburg 1, known as the double simulator project S30 (S31/S32). For both projects a computer based Configuration Management System (CMS) was required to overcome deficiencies of older simulator systems in terms of limited upgrade and maintenance capabilities and incomplete documentation. The CMS allows complete control over the entire simulator system covering all software- and hardware-items and therewith exceed quality assurance requirements as defined in ISO 9000-3 which gives recommendations for software configuration management only. The system is realized under the project using the UNIX based relational database system EMPRESS and is in use as a development- and maintenance-tool to improve simulator quality and ensure simulator configuration integrity
Billoen, G. van
In the paper, it is discussed the contribution of a Multifunctional Optimised Scope Simulator (MOSS), to the training of nuclear power plant operators and we will explain how this tool can be integrated into a training plan including On the Job Training (OJT). Then it is analyzed to what extent OJT and MOSS based training can be complementary
Tolsgaard, M G; Ringsted, C; Dreisler, E; Nørgaard, L N; Petersen, J H; Madsen, M E; Freiesleben, N L C; Sørensen, J L; Tabor, A
Objective To study the effect of initial simulation-based transvaginal sonography (TVS) training compared with clinical training only, on the clinical performance of residents in obstetrics and gynecology (Ob-Gyn), assessed 2 months into their residency. Methods In a randomized study, new Ob-Gyn residents (n = 33) with no prior ultrasound experience were recruited from three teaching hospitals. Participants were allocated to either simulation-based training followed by clinical training (intervention group; n = 18) or clinical training only (control group; n = 15). The simulation-based training was performed using a virtual-reality TVS simulator until an expert performance level was attained, and was followed by training on a pelvic mannequin. After 2 months of clinical training, one TVS examination was recorded for assessment of each resident's clinical performance (n = 26). Two ultrasound experts blinded to group allocation rated the scans using the Objective Structured Assessment of Ultrasound Skills (OSAUS) scale. Results During the 2 months of clinical training, participants in the intervention and control groups completed an average ± SD of 58 ± 41 and 63 ± 47 scans, respectively (P = 0.67). In the subsequent clinical performance test, the intervention group achieved higher OSAUS scores than did the control group (mean score, 59.1% vs 37.6%, respectively; P training leads to substantial improvement in clinical performance that is sustained after 2 months of clinical training. © 2015 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology. PMID:25580809
Picard, Melissa; Nelson, Rachel; Roebel, John; Collins, Heather; Anderson, M Bret
To determine the benefit of the addition of low-fidelity simulation-based training to the standard didactic-based training in teaching radiology residents common CT-guided procedures. This was a prospective study involving 24 radiology residents across all years in a university program. All residents underwent standard didactic lecture followed by low-fidelity simulation-based training on three common CT-guided procedures: random liver biopsy, lung nodule biopsy, and drain placement. Baseline knowledge, confidence, and performance assessments were obtained after the didactic session and before the simulation training session. Approximately 2 months later, all residents participated in a simulation-based training session covering all three of these procedures. Knowledge, confidence, and performance data were obtained afterward. These assessments covered topics related to preprocedure workup, intraprocedure steps, and postprocedure management. Knowledge data were collected based on a 15-question assessment. Confidence data were obtained based on a 5-point Likert-like scale. Performance data were obtained based on successful completion of predefined critical steps. There was significant improvement in knowledge (P = .005), confidence (P simulation-based training to the standard didactic curriculum for all procedures. This study suggests that the addition of low-fidelity simulation-based training to a standard didactic-based curriculum is beneficial in improving resident knowledge, confidence, and tested performance of common CT-guided procedures. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.
Campain, Nicholas J; Kailavasan, Mithun; Chalwe, Mumba; Gobeze, Aberra A; Teferi, Getaneh; Lane, Robert; Biyani, Chandra Shekhar
An estimated 5 billion people worldwide lack access to any surgical care, whilst surgical conditions account for 11-30% of the global burden of disease. Maximizing the effectiveness of surgical training is imperative to improve access to safe and essential surgical care on a global scale. Innovative methods of surgical training have been used in sub-Saharan Africa to attempt to improve the efficiency of training healthcare workers in surgery. Simulation training may have an important role in up-scaling and improving the efficiency of surgical training and has been widely used in SSA. Though not intended to be a systematic review, the role of simulation for teaching surgical skills in Sub-Saharan Africa was reviewed to assess the evidence for use and outcomes. A systematic search strategy was used to retrieve relevant studies from electronic databases PubMed, Ovid, Medline for pertinent articles published until August 2016. Studies that reported the use of simulation-based training for surgery in Africa were included. In all, 19 articles were included. A variety of innovative surgical training methods using simulation techniques were identified. Few studies reported any outcome data. Compared to the volume of surgical training initiatives that are known to take place in SSA, there is very limited good quality published evidence for the use of simulation training in this context. Simulation training presents an excellent modality to enhance and improve both volume and access to high quality surgical skills training, alongside other learning domains. There is a desperate need to meticulously evaluate the appropriateness and effectiveness of simulation training in SSA, where simulation training could have a large potential beneficial impact. Training programs should attempt to assess and report learner outcomes.
Kurashima, Yo; Hirano, Satoshi
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.
Eldred-Evans, David; Grange, Philippe; Cheang, Adrian; Yamamoto, Hidekazu; Ayis, Salma; Mulla, Mubashir; Immenroth, Marc; Sharma, Davendra; Reedy, Gabriel
Laparoscopic simulators have been introduced as safe and effective methods of developing basic skills. Mental training is a novel training method likened to using the mind as a simulator to mentally rehearse the movements of a task or operation. It is widely used by professional athletes and musicians and has been suggested as a technique that could be used by surgical trainees. The purpose of this study was to assess the use of mental training in developing basic laparoscopic skills in novices. Sixty-four medical students without laparoscopic experience were randomized into 4 groups. The first 3 groups were trained to cut a circle on a box trainer. Group 1 received no additional training (BT), Group 2 received additional virtual reality training (BT + VRS), and Group 3 received additional mental training (BT + MT). The fourth group was trained on a virtual reality simulator with additional mental training (box-free). The following 4 assessment criterias: time, accuracy, precision and overall performance were measured on both the box-trainer and virtual simulator. The mental training group (BT + MT) demonstrated improved laparoscopic skills over both assessments. The improvement in skills in the VRS group (BT + VRS) was limited to VRS assessment and not observed in the box assessment. The fourth group (box-free) had the worst performance on both methods of assessment. The addition of mental training led to improved laparoscopic skills development. It is a flexible technique and has the potential to challenge VRS as a more cost-effective training method associated with lower capital investment. Given the benefits of mental training with further research, it could be considered for inclusion in training curricula. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Walliczek-Dworschak, U; Mandapathil, M; Förtsch, A; Teymoortash, A; Dworschak, P; Werner, J A; Güldner, C
The increasing use of minimally invasive techniques such as robotic-assisted devices raises the question of how to acquire robotic surgery skills. The da Vinci Skills Simulator has been demonstrated to be an effective training tool in previous reports. To date, little data are available on how to acquire proficiency through simulator training. We investigated the outcome of a structured training programme for robotic surgical skills by robotic novices. This prospective study was conducted from January to December 2013 using the da Vinci Skills Simulator. Twenty participants, all robotic novices, were enrolled in a 4-week training curriculum. After a brief introduction to the simulator system, three consecutive repetitions of five selected exercises (Match Board 1, 2, 3 and Ring and Rail 1, 2) were performed in a defined order on days 1, 8, 15 and 22. On day 22, one repetition of a previously unpractised more advanced module (Needle Targeting) was also performed. After completion of each study day, the overall performance, time to completion, economy in motion, instrument collisions, excessive instrument force, instruments out of view, master workspace range and number of drops were analysed. Comparing the first and final repetition, overall score and time needed to complete all exercises, economy of motion and instrument collisions were significantly improved in nearly all exercises. Regarding the new exercise, a positive training effect could be demonstrated. While its overall entry score was significantly higher, the time to completion and economy of motion were significantly lower than the scores on the first repetition of the previous 5 exercises. It could be shown that training on the da Vinci Skills Simulator led to an improvement in technical performance of robotic novices. With regard to a new exercise, the training had a positive effect on the technical performance. © 2016 John Wiley & Sons Ltd.
Miltenberger, Raymond; Gross, Amy; Knudson, Peter; Bosch, Amanda; Jostad, Candice; Breitwieser, Carrie Brower
This study compared the effectiveness of behavioral skills training (BST) to BST plus simulated in situ training (SIT) for teaching safety skills to children to prevent gun play. The results were evaluated in a posttest only control group design. Following the first assessment, participants in both training groups and the control group who did not…
Khan, Zohaib Amjad; Kamal, Nabeel; Hameed, Asad; Mahmood, Amama; Zainab, Rida; Sadia, Bushra; Mansoor, Shamyl Bin; Hasan, Osman
Virtual reality (VR) training simulators have started playing a vital role in enhancing surgical skills, such as hand-eye coordination in laparoscopy, and practicing surgical scenarios that cannot be easily created using physical models. We describe a new VR simulator for basic training in laparoscopy, i.e. SmartSIM, which has been developed using a generic open-source physics engine called the simulation open framework architecture (SOFA). This paper describes the systems perspective of SmartSIM including design details of both hardware and software components, while highlighting the critical design decisions. Some of the distinguishing features of SmartSIM include: (i) an easy-to-fabricate custom-built hardware interface; (ii) use of a generic physics engine to facilitate wider accessibility of our work and flexibility in terms of using various graphical modelling algorithms and their implementations; and (iii) an intelligent and smart evaluation mechanism that facilitates unsupervised and independent learning. Copyright © 2016 John Wiley & Sons, Ltd.
Tolsgaard, M G; Ringsted, C; Dreisler, E
on a virtual-reality transvaginal ultrasound simulator until an expert performance level was attained followed by training on a pelvic mannequin. After two months of clinical training, one transvaginal ultrasound scan was recorded for assessment of participants' clinical performance. Two blinded ultrasound...
Moyer, Michael R.; Brown, Rhonda Douglas
Described is an innovative approach currently being used to inspire group work, specifically a medical team training model, referred to as The Simulation Model, which includes as its major components: (1) Prior Training in Group Work of Medical Team Members; (2) Simulation in Teams or Groups; (3) Multidisciplinary Teamwork; (4) Team Leader…
Full Text Available The paper presents a mechanistic system level simulation model for mode/big hybrid and conventional vehicle topologies. The paper addresses the Dynamic interaction between different domains: internal combustion engine. exhaust after treatment devices, electric components. mechanical drive train. cooling circuit system and corresponding control units. To achieve a good ratio between accuracy. predictability and computational speed of the model an innovative time domain decoupling is presented, which is based on applying domain specific integration steps to ditferent domains and subsequent consistent cross-domain coupling ol’thefluxes. In addition, a computationally efficient frunieveork for transporting active and passive gaseous species is introduced to combine computational efficiency with the need for modeling pollutant transport in the gas path. The applicability and versatility of the mechanistic system level simulations model is presented through analyses of transient phenomena caused by the high interdependency of the sub-systems, i.e. domains. Results of a hyt’hrid vehicle are compared to results of a conventional vehicle to highlight differences in operating regimes of partiular components that are inherent to particular poster train topology. L’article présente un modèle de simulation au niveau mécanique destiné à la modélisation de topologies de véhicules hydrides et conventionnels. L’article décrit l’interaction dynamique entre différents domaines : moteur à combustion interne, dispositifs de post-traitement d’échappement, composants électriques, chaîne cinématique mécanique, circuit de refroidissement et les unités de contrôle correspondantes. Afin d’obtenir un rapport correct entre précision, prévisibilité et vitesse de calculs du modèle, un découplage innovant du domaine temporel est présenté, lequel est basé sur l’application à différents domaines, d’étapes d’intégration sp
Sweeney, Lynn A; Warren, Otis; Gardner, Liz; Rojek, Adam; Lindquist, David G
The objectives of this study were to evaluate the effectiveness of Project CLEAR!, a novel simulation-based training program designed to instill Crew Resource Management (CRM) as the communication standard and to create a service-focused environment in the emergency department (ED) by standardizing the patient encounter. A survey-based study compared physicians' and nurses' perceptions of the quality of communication before and after the training program. Surveys were developed to measure ED staff perceptions of the quality of communication between staff members and with patients. Pretraining and posttraining survey results were compared. After the training program, survey scores improved significantly on questions that asked participants to rate the overall communication between staff members and between staff and patients. A simulation-based training program focusing on CRM and standardizing the patient encounter improves communication in the ED, both between staff members and between staff members and patients.
Fu, Shangxi; Liu, Xiao; Zhou, Li; Zhou, Meisheng; Wang, Liming
The purpose of this study was to estimate the effects of surgical laparoscopic operation course on laparoscopic operation skills after the simulated training for medical students with relatively objective results via data gained before and after the practice course of laparoscopic simulator of the resident standardized trainees. Experiment 1: 20 resident standardized trainees with no experience in laparoscopic surgery were included in the inexperienced group and finished simulated cholecystectomy according to simulator videos. Simulator data was collected (total operation time, path length, average speed of instrument movement, movement efficiency, number of perforations, the time cautery is applied without appropriate contact with adhesions, number of serious complications). Ten attending doctors were included in the experienced group and conducted the operation of simulated cholecystectomy directly. Data was collected with simulator. Data of two groups was compared. Experiment 2: Participants in inexperienced group were assigned to basic group (receiving 8 items of basic operation training) and special group (receiving 8 items of basic operation training and 4 items of specialized training), and 10 persons for each group. They received training course designed by us respectively. After training level had reached the expected target, simulated cholecystectomy was performed, and data was collected. Experimental data between basic group and special group was compared and then data between special group and experienced group was compared. Results of experiment 1 showed that there is significant difference between data in inexperienced group in which participants operated simulated cholecystectomy only according to instructors' teaching and operation video and data in experienced group. Result of experiment 2 suggested that, total operation time, number of perforations, number of serious complications, number of non-cauterized bleeding and the time cautery is applied
Voogd, J.M.; Roza, M.
The Dutch Ministry of Defense (NL-MoD) has recently acquired an update of its medium range anti tank (MRAT) missile system, called the GILL. The update to the SPIKE Long Range (LR) weapon system is accompanied with the acquisition of new simulation training devices (STDs). These devices are bought
Bhula, Dlilpkumar; Kurt, Cindy Marie; Luty, Roger
This paper describes the system engineering approach used to develop distributed multi-purpose simulations. The multi-purpose simulation architecture focuses on user needs, operations, flexibility, cost and maintenance. This approach was used to develop an International Space Station (ISS) simulator, which is called the International Space Station Integrated Simulation (ISIS)1. The ISIS runs unmodified ISS flight software, system models, and the astronaut command and control interface in an open system design that allows for rapid integration of multiple ISS models. The initial intent of ISIS was to provide a distributed system that allows access to ISS flight software and models for the creation, test, and validation of crew and ground controller procedures. This capability reduces the cost and scheduling issues associated with utilizing standalone simulators in fixed locations, and facilitates discovering unknowns and errors earlier in the development lifecycle. Since its inception, the flexible architecture of the ISIS has allowed its purpose to evolve to include ground operator system and display training, flight software modification testing, and as a realistic test bed for Exploration automation technology research and development.
Bartoldus, Klaus H.
The research and technology demonstration program was co-funded by the Ministries of Defence of five European countries under the framework of the "EUropean Cooperation for the Long term in Defence" (EUCLID) MoU to include Germany, Italy, The Netherlands, Portugal and Turkey with considerable financial contribution from the industrial entities. EADS Military Aircraft Munich has led a team of seven industries and research centers, including Aermacchi of Italy, DutchSpace and NLR of The Netherlands, OGMA and INETI of Portugal and Marmara Research Center of Turkey. The purpose of the project was the design, realization and demonstration of an embedded real time simulation system allowing the combat training of operational aircrew in a virtual air defence scenario and threat environment against computer generated forces in the air and on the ground while flying on a real aircraft. The simulated scenario is focused on air-to-air beyond visual range engagements of fighter aircraft. WaSiF represents one of the first demonstrations of an advanced embedded real time training system onboard a fighter/training aircraft. The system is integrated onboard the MB339CX aircraft. The overall flight test activity covered a wide variety of test conditions for a total of 21 test flights; the operational airborne time of the WaSiF amounted to nearly 18 hours. The demonstration and evaluation were quite positive; the five-nation aircrew was very fond of their first encounter with the virtual world in the military flight training. A common view and approach towards Network Centric Warfare is but emerging. WaSiF in a future networked configuration holds lots of promise to serve the needs of Integrated Air Defence: Common training in a virtual environment.
A review of the evolution of the control room team is necessary to understand team training needs. As control room responsibilities have increased and members have been added to the operating crews, teamwork and strong leadership has become crucial to the efficiency of these operating crews. In order to conduct effective team training in a simulated control room, it is essential that the fundamental principles of role definition and common team values are fully developed. The diagnostics model used to develop problem-solving skills must be adaptable to the dynamic environment of the control room. Once the fundamental principles of team building and a good diagnostics model are mastered, many training techniques using a simulator are available to perfect the development of team building and diagnostic skills
A comparison of educational strategies for the acquisition of nursing student's performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies).
Zarifsanaiey, Nahid; Amini, Mitra; Saadat, Farideh
There is a need to change the focus of nursing education from traditional teacher-centered training programs to student-centered active methods. The integration of the two active learning techniques will improve the effectiveness of training programs. The objective of this study is to compare the effects of the integrated training (simulation and critical thinking strategies) and simulation-based training on the performance level and critical thinking ability of nursing students. The present quasi-experimental study was performed in 2014 on 40 students who were studying practical nursing principles and skills course in the first half of the academic year in Shiraz University of Medical Sciences. Students were randomly divided into control (n = 20) and experimental (n = 20) groups. After training students through simulation and integrated education (simulation and critical thinking strategies), the students' critical thinking ability and performance were evaluated via the use of California Critical Thinking Ability Questionnaire B (CCTST) and Objective Structured Clinical Examination (OSCE) comprising 10 stations, respectively. The external reliability of the California Critical Thinking questionnaire was reported by Case B.to be between 0.78 and 0.80 and the validity of OSCE was approved by 5 members of the faculty. Furthermore, by using Split Half method (the correlation between odd and even stations), the reliability of the test was approved with correlation coefficient of 0.66. Data were analyzed using t-test and Mann-Whitney test. A significance level of 0.05 was considered to be statistically significant. The mean scores of the experimental group performance level were higher than the mean score of the control group performance level. This difference was statistically significant and students in the experimental group in OSCE stations had significantly higher performance than the control group (P critical thinking did not increase before and after the
Kozaki, T.; Imanaga, K.; Nakamura, S.; Maeda, K.; Sakurai, N.; Miyamoto, M.
In the Advanced Thermal Reactor (ATR ) of the JNC, 'FUGEN', a symptom based Emergency Operating Procedure (EOF) was introduced in order to operate Fugen more safely and it became necessary for the plant operators to master the EOF. However it took a lot of time for the instructor to teach the EOP to operators and to train them. Thus, we have developed a Computer Aided Instruction (CAI) and Training System for the EOP, by which the operators can learn the EOP and can be trained. This system has two major functions, i.e., CAI and training. In the CAI function, there are three learning courses, namely, the EOP procedure, the simulation with guidance and Q and A, and the free simulation. In the training function, all of necessary control instruments (indicators, switches, annunciators and so forth) and physics models for the EOP training are simulated so that the trainees can be trained for all of the EOPs. In addition, 50 kinds of malfunction models are installed in order to perform appropriate accident scenarios for the EOP. The training of the EOP covers the range from AOO (Anticipated Operational Occurrence) to Over-DBAs (Design Based Accidents). This system is built in three personal computers that are connected by the computer network. One of the computers is expected to be used for the instructor and the other two are for the trainees. The EOP is composed of eight guidelines, such as 'Reactor Control' and 'Depression and Cooling', and the operation screens which are corresponded to the guidelines are respectively provided. According to the trial, we have estimated that the efficiency of the learning and the training would be improved about 30% for the trainee and about 75% for the instructor in the actual learning and training. (author)
Patel, Achal; Koshy, Nick; Ortega-Barnett, Juan; Chan, Hoi C; Kuo, Yong-Fan; Luciano, Cristian; Rizzi, Silvio; Matulyauskas, Martin; Kania, Patrick; Banerjee, Pat; Gasco, Jaime
To determine if a computer-based simulation with haptic technology can help surgical trainees improve tactile discrimination using surgical instruments. Twenty junior medical students participated in the study and were randomized into two groups. Subjects in Group A participated in virtual simulation training using the ImmersiveTouch simulator (ImmersiveTouch, Inc., Chicago, IL, USA) that required differentiating the firmness of virtual spheres using tactile and kinesthetic sensation via haptic technology. Subjects in Group B did not undergo any training. With their visual fields obscured, subjects in both groups were then evaluated on their ability to use the suction and bipolar instruments to find six elastothane objects with areas ranging from 1.5 to 3.5 cm2 embedded in a urethane foam brain cavity model while relying on tactile and kinesthetic sensation only. A total of 73.3% of the subjects in Group A (simulation training) were able to find the brain cavity objects in comparison to 53.3% of the subjects in Group B (no training) (P = 0.0183). There was a statistically significant difference in the total number of Group A subjects able to find smaller brain cavity objects (size ≤ 2.5 cm2) compared to that in Group B (72.5 vs. 40%, P = 0.0032). On the other hand, no significant difference in the number of subjects able to detect larger objects (size ≧ 3 cm2) was found between Groups A and B (75 vs. 80%, P = 0.7747). Virtual computer-based simulators with integrated haptic technology may improve tactile discrimination required for microsurgical technique.
Régo Patricia M
Full Text Available Abstract Background Foot ulcers are a frequent reason for diabetes-related hospitalisation. Clinical training is known to have a beneficial impact on foot ulcer outcomes. Clinical training using simulation techniques has rarely been used in the management of diabetes-related foot complications or chronic wounds. Simulation can be defined as a device or environment that attempts to replicate the real world. The few non-web-based foot-related simulation courses have focused solely on training for a single skill or "part task" (for example, practicing ingrown toenail procedures on models. This pilot study aimed to primarily investigate the effect of a training program using multiple methods of simulation on participants' clinical confidence in the management of foot ulcers. Methods Sixteen podiatrists participated in a two-day Foot Ulcer Simulation Training (FUST course. The course included pre-requisite web-based learning modules, practicing individual foot ulcer management part tasks (for example, debriding a model foot ulcer, and participating in replicated clinical consultation scenarios (for example, treating a standardised patient (actor with a model foot ulcer. The primary outcome measure of the course was participants' pre- and post completion of confidence surveys, using a five-point Likert scale (1 = Unacceptable-5 = Proficient. Participants' knowledge, satisfaction and their perception of the relevance and fidelity (realism of a range of course elements were also investigated. Parametric statistics were used to analyse the data. Pearson's r was used for correlation, ANOVA for testing the differences between groups, and a paired-sample t-test to determine the significance between pre- and post-workshop scores. A minimum significance level of p Results An overall 42% improvement in clinical confidence was observed following completion of FUST (mean scores 3.10 compared to 4.40, p Conclusions This pilot study suggests simulation training
Lakey, S.R.A.; Gibbs, D.C.C.; Marchant, C.P.
The Royal Naval College has devised a number of computer aided learning programmes applicable to health physics which include radiation shield design and optimisation, environmental impact of a reactor accident, exposure levels produced by an inert radioactive gas cloud, and the prediction of radiation detector response in various radiation field conditions. Analogue computers are used on reduced or fast time scales because time dependent phenomenon are not always easily assimilated in real time. The build-up and decay of fission products, the dynamics of intake of radioactive material and reactor accident dynamics can be effectively simulated. It is essential to relate these simulations to real time and the College applies a research reactor and analytical phantom to this end. A special feature of the reactor is a chamber which can be supplied with Argon-41 from reactor exhaust gases to create a realistic gaseous contamination environment. Reactor accident situations are also taught by using role playing sequences carried out in real time in the emergency facilities associated with the research reactor. These facilities are outlined and the training technique illustrated with examples of the calculations and simulations. The training needs of the future are discussed, with emphasis on optimisation and cost-benefit analysis. (H.K.)
The Bio- Visualization, Imaging and Simulation (BioVIS) Technology Center at NASA's Ames Research Center is dedicated to developing and applying advanced visualization, computation and simulation technologies to support NASA Space Life Sciences research and the objectives of the Fundamental Biology Program. Research ranges from high resolution 3D cell imaging and structure analysis, virtual environment simulation of fine sensory-motor tasks, computational neuroscience and biophysics to biomedical/clinical applications. Computer simulation research focuses on the development of advanced computational tools for astronaut training and education. Virtual Reality (VR) and Virtual Environment (VE) simulation systems have become important training tools in many fields from flight simulation to, more recently, surgical simulation. The type and quality of training provided by these computer-based tools ranges widely, but the value of real-time VE computer simulation as a method of preparing individuals for real-world tasks is well established. Astronauts routinely use VE systems for various training tasks, including Space Shuttle landings, robot arm manipulations and extravehicular activities (space walks). Currently, there are no VE systems to train astronauts for basic and applied research experiments which are an important part of many missions. The Virtual Glovebox (VGX) is a prototype VE system for real-time physically-based simulation of the Life Sciences Glovebox where astronauts will perform many complex tasks supporting research experiments aboard the International Space Station. The VGX consists of a physical display system utilizing duel LCD projectors and circular polarization to produce a desktop-sized 3D virtual workspace. Physically-based modeling tools (Arachi Inc.) provide real-time collision detection, rigid body dynamics, physical properties and force-based controls for objects. The human-computer interface consists of two magnetic tracking devices
Full Text Available Introduction: The article is aimed to highlight usage of innovative teaching methods within simulation education in the professional training of nurses abroad and to present our experience based on passing intensive study programme at School of Nursing, Midwifery and Social Work, University of Salford (United Kingdom, UK within Intensive EU Lifelong Learning Programme (LPP Erasmus EU RADAR 2013. Methods: Implementation of simulation methods such as role-play, case studies, simulation scenarios, practical workshops and clinical skills workstation within structured ABCDE approach (AIM© Assessment and Management Tool was aimed to promote the development of theoretical knowledge and skills to recognize and manage acutely deteriorated patients. Structured SBAR approach (Acute SBAR Communication Tool was used for the training of communication and information sharing among the members of multidisciplinary health care team. OSCE approach (Objective Structured Clinical Examination was used for student’s individual formative assessment. Results: Simulation education is proved to have lots of benefits in the professional training of nurses. It is held in safe, controlled and realistic conditions (in simulation laboratories reflecting real hospital and community care environment with no risk of harming real patients accompanied by debriefing, discussion and analysis of all activities students have performed within simulated scenario. Such learning environment is supportive, challenging, constructive, motivated, engaging, skilled, flexible, inspiring and respectful. Thus the simulation education is effective, interactive, interesting, efficient and modern way of nursing education. Conclusion: Critical thinking and clinical competences of nurses are crucial for early recognition and appropriate response to acute deterioration of patient’s condition. These competences are important to ensure the provision of high quality nursing care. Methods of
Brunckhorst, Oliver; Volpe, Alessandro; van der Poel, Henk; Mottrie, Alexander; Ahmed, Kamran
Urology is at the forefront of minimally invasive surgery to a great extent. These procedures produce additional learning challenges and possess a steep initial learning curve. Training and assessment methods in surgical specialties such as urology are known to lack clear structure and often rely on differing operative flow experienced by individuals and institutions. This article aims to assess current urology training modalities, to identify the role of simulation within urology, to define and identify the learning curves for various urologic procedures, and to discuss ways to decrease complications in the context of training. A narrative review of the literature was conducted through December 2015 using the PubMed/Medline, Embase, and Cochrane Library databases. Evidence of the validity of training methods in urology includes observation of a procedure, mentorship and fellowship, e-learning, and simulation-based training. Learning curves for various urologic procedures have been recommended based on the available literature. The importance of structured training pathways is highlighted, with integration of modular training to ensure patient safety. Valid training pathways are available in urology. The aim in urology training should be to combine all of the available evidence to produce procedure-specific curricula that utilise the vast array of training methods available to ensure that we continue to improve patient outcomes and reduce complications. The current evidence for different training methods available in urology, including simulation-based training, was reviewed, and the learning curves for various urologic procedures were critically analysed. Based on the evidence, future pathways for urology curricula have been suggested to ensure that patient safety is improved. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.
Montgomery, K; Thonier, G; Stephanides, M; Schendel, S
Access to medical care during long duration space missions is extremely important. Numerous unanticipated medical problems will need to be addressed promptly and efficiently. Although telemedicine provides a convenient tool for remote diagnosis and treatment, it is impractical due to the long delay between data transmission and reception to Earth. While a well-trained surgeon-internist-astronaut would be an essential addition to the crew, the vast number of potential medical problems necessitate instant access to computerized, skill-enhancing and diagnostic tools. A functional prototype of a virtual reality based surgical training and assistance tool was created at our center, using low-power, small, lightweight components that would be easy to transport on a space mission. The system consists of a tracked, head-mounted display, a computer system, and a number of tracked surgical instruments. The software provides a real-time surgical simulation system with integrated monitoring and information retrieval and a voice input/output subsystem. Initial medical content for the system has been created, comprising craniofacial, hand, inner ear, and general anatomy, as well as information on a number of surgical procedures and techniques. One surgical specialty in particular, microsurgery, was provided as a full simulation due to its long training requirements, significant impact on result due to experience, and likelihood for need. However, the system is easily adapted to realistically simulate a large number of other surgical procedures. By providing a general system for surgical simulation and assistance, the astronaut-surgeon can maintain their skills, acquire new specialty skills, and use tools for computer-based surgical planning and assistance to minimize overall crew and mission risk.
Xu Xiao-Ming; Li Ke-Ping; Yang Li-Xing
The aim of this paper is to present a discrete event model-based approach to simulate train movement with the considered energy-saving factor. We conduct extensive case studies to show the dynamic characteristics of the traffic flow and demonstrate the effectiveness of the proposed approach. The simulation results indicate that the proposed discrete event model-based simulation approach is suitable for characterizing the movements of a group of trains on a single railway line with less iterations and CPU time. Additionally, some other qualitative and quantitative characteristics are investigated. In particular, because of the cumulative influence from the previous trains, the following trains should be accelerated or braked frequently to control the headway distance, leading to more energy consumption. (general)
MacDougall, Benjamin J; Robinson, Jennifer D; Kappus, Liana; Sudikoff, Stephanie N; Greer, David M
Despite straightforward guidelines on brain death determination by the American Academy of Neurology (AAN), substantial practice variability exists internationally, between states, and among institutions. We created a simulation-based training course on proper determination based on the AAN practice parameters to address and assess knowledge and practice gaps at our institution. Our intervention consisted of a didactic course and a simulation exercise, and was bookended by before and after multiple-choice tests. The 40-min didactic course, including a video demonstration, covered all aspects of the brain death examination. Simulation sessions utilized a SimMan 3G manikin and involved a complete examination, including an apnea test. Possible confounders and signs incompatible with brain death were embedded throughout. Facilitators evaluated performance with a 26-point checklist based on the most recent AAN guidelines. A senior neurologist conducted all aspects of the course, including the didactic session, simulation, and debriefing session. Ninety physicians from multiple specialties have participated in the didactic session, 38 of whom have completed the simulation. Pre-test scores were poor (41.4 %), with attendings scoring higher than residents (46.6 vs. 40.4 %, p = 0.07), and neurologists and neurosurgeons significantly outperforming other specialists (53.9 vs. 38.9 %, p = 0.003). Post-test scores (73.3 %) were notably higher than pre-test scores (45.4 %). Participant feedback has been uniformly positive. Baseline knowledge of brain death determination among providers was low but improved greatly after the course. Our intervention represents an effective model that can be replicated at other institutions to train clinicians in the determination of brain death according to evidence-based guidelines.
Demerouti, Evangelia; Veldhuis, Wouter; Coombes, Claire; Hunter, Rob
In this study among airline pilots, we aim to uncover the work characteristics (job demands and resources) and the outcomes (job crafting, happiness and simulator training performance) that are related to burnout for this occupational group. Using a large sample of airline pilots, we showed that 40% of the participating pilots experience high burnout. In line with Job Demands-Resources theory, job demands were detrimental for simulator training performance because they made pilots more exhausted and less able to craft their job, whereas job resources had a favourable effect because they reduced feelings of disengagement and increased job crafting. Moreover, burnout was negatively related to pilots' happiness with life. These findings highlight the importance of psychosocial factors and health for valuable outcomes for both pilots and airlines. Practitioner Summary: Using an online survey among the members of a European pilots' professional association, we examined the relationship between psychosocial factors (work characteristics, burnout) and outcomes (simulator training performance, happiness). Forty per cent of the participating pilots experience high burnout. Job demands were detrimental, whereas job resources were favourable for simulator training performance/happiness. Twitter text: 40% of airline pilots experience burnout and psychosocial work factors and burnout relate to performance at pilots' simulator training.
Hahn, M. E
The Chromakey Augmented Virtual Environment (ChrAVE) 3.0 System is a training system created to augment initial, refresher, and proficiency training in helicopter aviation using accurate simulation...
Nuclear Power Training Center (NTC) was established in 1972 for PWR operator training. As the result of introduction of quality assurance management into NTC operator training, it became possible to confirm each step of systematic approach to training (SAT) process and then feedback process became clearer. Simulation models were modified based on domestic or overseas accidents cases and so training was improved using simulators closer to actual plants. Also a new multipurpose simulator with modified reactor coolant system (RCS) visual display device (RVD) and parameter-event-log (PEL) device was introduced in 2003 to provide more information so as to upgrade knowledge level of operators. (T. Tanaka)
Schaaf, T.; Lamontain, M.; Hilpert, J.; Schilling, F.; Tolxdorff, T.
The use of ultrasound imaging technology during techniques of peripheral nerve blockade offers several clinical benefits. Here we report on a new method to educate residents in ultrasound-guided regional anesthesia. The daily challenge for the anesthesiologists is the 3D angle-depending handling of the stimulation needle and the ultrasound probe while watching the 2D ultrasound image on the monitor. Purpose: Our approach describes how a computer-aided simulation and training set for ultrasound-guided regional anesthesia could be built based on wireless low-cost devices and an interactive simulation of a 2D ultrasound image. For training purposes the injection needle and the ultrasound probe are replaced by wireless Bluetooth-connected 3D tracking devices, which are embedded in WII-mote controllers (Nintendo-Brand). In correlation to the tracked 3D positions of the needle and transducer models the visibility and position of the needle should be simulated in the 2D generated ultrasound image. Conclusion: In future, this tracking and visualization software module could be integrated in a more complex training set, where complex injection paths could be trained based on a 3D segmented model and the training results could be part of a curricular e-learning module.
Chinnugounder, Sankar; Hippe, Daniel S; Maximin, Suresh; O'Malley, Ryan B; Wang, Carolyn L
Although subjective and objective benefits of high-fidelity simulation have been reported in medicine, there has been slow adoption in radiology. The purpose of our study was to identify the perceived barriers in the use of high-fidelity hands-on simulation for contrast reaction management training. An IRB exempt 32 questions online web survey was sent to 179 non-military radiology residency program directors listed in the Fellowship and Residency Electronic Interactive Database Access system (FREIDA). Survey questions included the type of contrast reaction management training, cost, time commitment of residents and faculty, and the reasons for not using simulation training. Responses from the survey were summarized as count (percentage), mean ± standard deviation (SD), or median (range). 84 (47%) of 179 programs responded, of which 88% offered CRM training. Most (72%) conducted the CRM training annually while only 4% conducted it more frequently. Didactic lecture was the most frequently used training modality (97%), followed by HFS (30%) and computer-based simulation (CBS) (19%); 5.5% used both HFS and CBS. Of the 51 programs that offer CRM training but do not use HFS, the most common reason reported was insufficient availability (41%). Other reported reasons included cost (33%), no access to simulation centers (33%), lack of trained faculty (27%) and time constraints (27%). Although high-fidelity hands-on simulation training is the best way to reproduce real-life contrast reaction scenarios, many institutions do not provide this training due to constraints such as cost, lack of access or insufficient availability of simulation labs, and lack of trained faculty. As a specialty, radiology needs to better address these barriers at both an institutional and national level. Copyright © 2015 Mosby, Inc. All rights reserved.
Driscoll, Virginia D; Oleson, Jacob; Jiang, Dingfeng; Gfeller, Kate
The simulation of the CI (cochlear implant) signal presents a degraded representation of each musical instrument, which makes recognition difficult. To examine the efficiency and effectiveness of three types of training on recognition of musical instruments as presented through simulations of the sounds transmitted through a CI. Participants were randomly assigned to one of three training conditions: repeated exposure, feedback, and direct instruction. Sixty-six adults with normal hearing. Each participant completed three training sessions per week, over a five-week time period, in which they listened to the CI simulations of eight different musical instruments. Analyses on percent of instruments identified correctly showed statistically significant differences between recognition accuracy of the three training conditions (p different types of training are differentially effective with regard to improving recognition of musical instruments presented through a degraded signal, which has practical implications for the auditory rehabilitation of persons who use cochlear implants.
Sanchez J, J.
In the nucleo electric centrals, the information systems, support for the decisions making and training are every day more complex and important. The present work is a contribution in this sense, specifically, it is part of a tool of training and analysis developed by the Laboratory of Analysis in Engineering of Nuclear Reactors (LAIRN) of the Faculty of Engineering of the UNAM that consists essentially of a simulator of the Laguna Verde Nucleo electric plant; the classroom simulator, understands the physical systems that compose to the power station and graphic interfaces for its operation and the analysis of results. The project of the classroom simulator is carried out in independent modules that are integrated to the total system as these they are developed and proven. The central objective of this work consists on the development, implementation and it proves of a model of the pressure control system according to the characteristics of the Nucleo electric plant of Laguna Verde, as well as the development of the mimic ones and unfolding necessary graphics to make its interactive operation from sensitive monitors to the tact. The pattern of the control system was developed using as tool the nuclear code of simulation RELAP/SCDAP, designed for the analysis of the types of nuclear reactors more common in occident, and it allows the typical maneuvers in the ways of start up, heating and operation to power, showing an appropriate behavior during the more common operational transitoriness. (Author)
core. These capabilities include the optimized use of design margins as well as complementary measures for the prevention of accident progression, its monitoring, and the mitigation of severe accidents. Finally, level 5 includes off-site emergency response measures, the objective of which is to mitigate the radiological consequences of significant releases of radioactive material. Accident management is defined in the IAEA Safety Report on Development and Implementation of Accident Management Programmes in Nuclear Power Plants. The IAEA definitions are in line with the definitions of severe accident management in OECD/NEA documents as given, for example. This report describes simulation techniques used in the training of personnel involved in accident management of NPPs. This concerns both the plant personnel and the persons involved in the management of off-site releases. The report pertains to light water reactors (LWRs) and pressurized heavy water reactors (PHWRs), but it can equally be applied to power reactors of other types. The report is intended for use by experts responsible for planning, developing, executing or supervising the training of personnel involved in the implementation of AMPs in NPPs. It concentrates on existing techniques, but future prospects are also discussed. Various simulation techniques are considered, from incorporating graphical interfaces into existing severe accident codes to full-scope replica simulators. Both preventive and mitigative accident management measures, different training levels and different target personnel groups are taken into account. Based on the available information compiled worldwide, present views on the applicability of simulation techniques for the training of personnel involved in accident management are provided in this report. Apart from the introduction, this report consists of four sections and three appendices. In Section 2, specific aspects of accident management are summarized. Basic approache