1

2

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

3

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

4

TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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STATIC MODELS

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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RESUSCI ANNE™MANIPULATIVE MODEL

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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COMPUTER CONTROLLED MODELS

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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ANIMATED SIMULATION

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TYPES OF SIMULATION

Static Models

Computer ControlledModels Animated Simulations

Manipulative Models

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COST OF A SIMULATOR

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COST OF A SIMULATOR

True Cost Of A Simulator•Simulator - $75,000•Operator cost - $50,000 per year x 5 yrs.•Room - $5000Total = $330,000 (5 years)

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

20

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

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Role of MAGPI GigaPoP

• Sponsored Participant Relationship with University of Pennsylvania

• Technical resources and options• Liaison to Internet2 staff, resources, and I2

community • Support for extension of activity to Saint

Francis University• Support for extension of activity to rural PA

community• Promote awareness of CERMUSA/SFU

initiatives

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25

26

A strong partnership

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

28

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

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USING SIMULATION MODELS ON I2

I2

Uniformed Services Universityof the

Health Sciences

National Library of Medicine

Saint FrancisUniversity

ISDN IP

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Heart Rate

Pulse Oximetry (O2)

Blood Pressure

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CommodityInternet

I2

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34

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Which of the following life threatening conditions held the highest priority in the initial

treatment of the patient?

3.8

7.7

80.8

7.7

0

41.7

50

8.3

0 50 100

Other

Respiratorydepression

Respiratoryarrest

Chemicaltoxicity

Res

po

nse

Percent

Clinical

Didactic

Respiratoryarrest

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How does the condition occur with this patient?

11.5

76.9

11.5

0

5.6

86.1

8.3

0

0 50 100

Other

Pulmonaryedema

CNSdepression

Renal failure

Res

po

nse

Percent

Clinical

DidacticPulmonaryedema

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

38

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

39

RESEARCH OBJECTIVES

• Create patient simulation classes to train medical providers from a distance.

• Evaluate the effectiveness of providing specialized medical simulation training from a distance.

• Demonstrate teaching effectiveness of Internet2.

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USING SIMULATION MODELS ON I2

7/23/03

Uniformed Services Universityof the

Health Sciences

National Library of Medicine

Saint FrancisUniversity

MAGPI

11/21/03

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Inserting aSwan-Ganz

catheter

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Emergency Room

Vital Signs monitor

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Heart rate

Arterial blood pressure

Pulmonary pressure

Central venous pressure

Pulse oximetry

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Digital Video Transport System

(DVTS)

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46

47

This simulation experience was a valuable use of my time.

0

0

0

16.7

83.3

0 25 50 75 100

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Res

po

nse

Percent

N=53

48

SELF REPORT ON MONITOR VIEWINGN = 42

% Amount

> 50% / x

ER / Waveform 24

50 / 50 11

x / > 50%

ER / Waveform 7

49

I prefer this simulation over a comparable lecture on the same material.

0

0

4.8

26.2

69

0 25 50 75 100

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Res

po

nse

Percent

N=53

50

I would like to participate in more distance education exercises with the simulator.

0

0

0

21.4

78.6

0 25 50 75 100

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Res

po

nse

Percent

N=53

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

52

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

53

Firewall Issues…Using DVTS:

Both Computers had IP addresses connected directly to the Abilene

network, so no firewall issues were encountered.

Abilene Network

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Firewall Issues…Using H.323:

The Polycom at USUHS was locatedbehind their firewall, which prevented

CERMUSA from connecting.

Abilene Network

X

Firewall Blocked Ports:1720 – H.323 Setup PortDynamic UDP Ports

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Firewall Issues…Using H.323:

To get around the firewall, we filed Paperwork with USUHS’s IT department.Ports 1720 and a range of dynamic UDP

ports were opened to allow traffic fromCERMUSA’s network to pass through.

Abilene Network

Traffic Permitted!

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

57

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

58

SIMTECHVIRTUAL EMERGENCY ROOM

The Virtual Emergency Room (Stanford University) simulates a team learning situation. Real people enter the

world as “avatars” and play their roles. The patient is totally simulated.

Courtesy Parvati DevStanford University

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TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

61

TODAY’S AGENDA

• What are medical simulators?

• Role of MAGPI GigaPoP

• The experiments– 1st year– 2nd year

• Security issues

• The future

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