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ASA NEWSLETTER
 
 
May 2006
Volume 70
Number 5


A Role for Simulators: The ‘E’ in FAER

he role of simulation-based education is an important topic in anesthesiology circles, and members of our Society are playing a seminal role in the development of simulation as an emerging education modality for residents, medical students, nurses and many other groups in health care. Evidence suggests that experience with simulation has a positive impact on patient safety and overall quality of care, and its use is believed by many to be an important tool for attaining, assessing and maintaining clinical competence.

Despite study in the field for several decades, simulation education suddenly appears to be an overnight success. While its role in education and testing remains to be defined, a number of faculty members of anesthesiology departments have been working for years in this area. Much of this work has been carried out in relation to patient safety and has been presented at Society for Technology in Anesthesia (STA) meetings. In 2003 the Foundation for Anesthesia Education and Research (FAER) funded a study, “Virtual Reality for Regional Anesthesia: A Pilot Study Utilizing the Popliteal Fossa Block,”1 which examined the use of virtual anatomy and was an important step forward in improving patient care, especially procedural outcomes. The premise is that this approach to teaching regional analgesia will provide better training of residents and lead to increased use of these valuable techniques in practice. More recently FAER has received a number of Research in Education Grant applications on the use of simulators in education. FAER currently has five funded projects in progress focusing on simulation:

• David D. Grimes, D.O., University of Rochester School of Medicine, for his study “Designing a Virtual Reality Airway Simulator and Testing It on Residents.”

• Alice Edler, M.D., M.A., Stanford University School of Medicine, for her study “The Use of Discussion Questions to Foster Critical Thinking Skills in Human Patient Simulator Education.”

• Gail I. Randel, M.D., Northwestern University Feinberg School of Medicine, for her study “Effectiveness of a Difficult Airway Program Using the Intranet and a High-Fidelity Human Patient Simulation for Departmental Training.”

• David J. Murray, M.D., Washington University School of Medicine, for his study “Acute Care Skills in Anesthesia Practice: A Simulation-Based Performance Assessment.”

• Brian D. Sites, M.D., Dartmouth Hitchcock Medical Center, for his study “The Design and Validation of a Training Intervention Which Accelerates the Novice to Expert Performance and Limits Risk to Patients for Ultrasound-Guided Regional Anesthesia.”

We believe the outcomes from these FAER research grants will help to ensure that future generations of physicians acquire timely experience and proficiency before performing patient interventions during their training. Simulation is an investment in patient safety and complements overall patient care.

We cannot emphasize too strongly the message in the March 2006 ASA NEWSLETTER by ASA Immediate Past President Eugene P. Sinclair, M.D., “Our Past, Present and Future Are Tied to Science.”2 The article discusses challenges, past and present, facing physician scientists who desire to translate basic science into clinical practice. Among them, he includes financial pressures facing academic anesthesiology departments, a reduction in faculty numbers and restricted time for pursuit of scholarly activities. Studies examining the role for and benefits of simulator education are examples of the innovative thinking necessary to balance the availability of limited resources while seeking continuous quality improvement.

Thanks to your generous support of FAER, we are able to continue to invest in these pioneering activities in anesthesiology education and training.

“In the long run, our best investment in the future of anesthesiology is our commitment to the science of anesthesiology.”3

— James E. Cottrell, M.D., 2003 ASA President


References:
1. Terese T. Horlocker, M.D., Mayo Clinic and Foundation, Rochester, Minnesota: “Virtual Anatomy for Regional Anesthesia: A Pilot Study Utilizing the Popliteal Fossa Block.” Mentor: David O. Warner, M.D. ASA Newsl. 2004; 68(2):40.
2. Sinclair EP. Our past, present and future are tied to science. ASA Newsl. 2006; 70(3):3,5.
3. Cottrell JE. Anesthesiology and public outreach – But who is the public? ASA Newsl. 2004; 68(3):3,7.




FAER Research Councils Seeking Applications

FAER Pain Research Council Request for Applications

n anticipation of the August 15, 2006, and February 15, 2007, application deadlines for FAER Research Grants, the Foundation for Anesthesia Education and Research, through its Pain Research Council, is encouraging research funding applications in the following area(s):

• Frameworks to evaluate safety, efficacy, competency, and outcomes in patient populations with pain from preclinical to clinical settings.

• Studies in the area of physician education in pain medicine.

Although applications for all categories of FAER grants are welcome, applications for Research Starter Grants are especially encouraged. Applications will be evaluated and scored through the same process as other FAER grant applications. The deadlines annually for FAER applications are February 15 and August 15. Information regarding FAER grant guidelines and application materials can be viewed at <faer.org/grants.php>.

FAER Geriatrics Research Council Request for Applications

Through its Geriatrics Research Council, FAER is seeking applications for research funding for studies that will identify factors associated with or predictive of perioperative complications in geriatric patients.

Although applications for all categories of FAER grants are welcome, applications for Research Starter Grants are especially encouraged. Applications will be evaluated and scored through the same process as other FAER grant applications. The deadline for receipt of grant applications is August 15, 2006. Information regarding FAER grants and application materials are available at <www.faer.org>.





ASA Centennial Educational Contest Winner
Dario A. Grisales, M.D.


AER would like to congratulate Dario A. Grisales, M.D., an ASA member residing in Tampa, Florida, on winning the ASA Centennial Educational Contest. Dr. Grisales successfully completed the ASA Centennial Crossword Puzzle and was randomly picked from thousands of entries.

Dr. Grisales worked for many years alongside pain management physicians, and in May 2005, opened a pain management private practice in Tampa. Dr. Grisales is married to Dr. Gloria Grisales, and they have one daughter.

Congratulations, Dr. Grisales!



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