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Successful Development of a Simulation Center
Charles N. Pozner, MD
Medical Director, Neil and Elise Wallace STRATUS Center for Medical Simulation
Brigham and Women’s Hospital
Associate Professor of Medicine (Emergency Medicine)
Harvard Medical School
Boston, MA (USA)
Moscow, Russian FederationSeptember 27, 2012
Outline
• Managing the idea
• Working in parallel
• Program/Curriculum development
• Minimizing the barriers to success
Managing the Idea
• Getting support ($)
• Getting assistance
• Looking at how others are doing it
• Needs assessment
Obtain Local Support
• People that will help– Should understand the
politics– Should be smart and
connected
• Political allies
• Finances and other barriers (space)
Obtain Outside Help
• Experienced
• Successful
• Somebody you can work with
• Can collaborate and has flexibility
Needs Assessment• Critical if you’re going to be
successful
• Components– Market– Potential obstacles
• People• Politics• Space• Etc.
• Develop a vision, then a plan
Go Out and Look• Conferences
• Society list serves
• Successful centers
• Telephone conversations
• Publications
• NOT VENDORS!!!!!!!!!!!
Steal!
The Work Begins
• Two parallel tracks based on results of needs assessment as well as what you are certain will succeed1. Hire necessary staff
• Not a doctor or nurse• Must be hard-working, have some medical background, and
must be passionate• Only what you need to start up
2. Build out/equipment • Plans (building, AV, etc.)• Make it scalable• Equipment
– Don’t let your eyes be bigger then your brain– Only what you need to start up, AND BE SUCCESSFUL
Program Development
• Choose and develop first curriculum based on likelihood of success– Recognized institutional need– Eager, competent faculty– Ease of implementation– Doesn’t cost a lot
• Go out and run the program– Practice, practice, practice– Get feedback to make improvements– Be self critical– Get excellent at it!
Build on Success!
• Add programs only after you repeatedly and successfully implement your first program(s)
• Use a similar strategy– Take into consideration likelihood of success– Be critical and take feedback seriously
• Your success will be your biggest marketing tool
Barriers
• Money
• Time
• Technology
• Fear
Organizational StructureBoard of OverseersChief Medical Officer
Chief Operating OfficerChief Nursing Officer
Medical Director, Physicians OrganizationSVP Quality and Safety
VP, Surgical Services and ImagingVP Clinical Services Emergency Medicine
Chairman of EMChairman of
Consumer
Medical Director
Associate Medical Director
Director of Business Development and Strategic
Planning
Simulation Specialists Administrative Coordinator
Assistant Medical DirectorsOB/GYN
AnesthesiologyMedicine
Emergency MedicineSurgery
OrthopedicsPhysician AssistantsNewborn Medicine
Simulation Fellow
Director of Education
Surgical Nurse
Co-Operations Managers
Time and Technology
Fear of Change
Summary
• Get support and develop a plan
• Build staff and center in parallel
• Build on success
• Minimize the barriers
QUESTIONS?