October 31, 2019By Lance Baily

#FLASIC19 Plenary: Innovation in Clinical Simulation, From the ED to Outer Space

Dr. Roger Daglius Dias MD, MBA, PhD Instructor in Emergency Medicine at Harvard Medical School and Director of Business Ventures and External Programs at the STRATUS Center for Medical Simulation opened Day 2 of the Federación Latinoamericana de Simulación Clínica (FLASIC) Congresso Latinoamericano de Simulacion Clinica in Cancun with his talk on “Innovation in Medical Simulation: From the Emergency Department to Outer Space”.

Dr. Dias opened by talking about his journey into healthcare simulation as an emergency department physician at the Emergencia do Hospital das Clinica in 2012 to his work with the STRATUS Center for Medical Simulation at Harvard and his work supporting NASA clinical training in 2018. He shared that his 10 years of experience has been compounded by his mentors Dr. Yule, Dr. Pozner, and Dr. Scalabrini.

He then explained that to innovate in simulation we must first understand that simulation in healthcare has become the new standard in medical education, and that we must consider that in 20 to 30 years the methodology will be the defacto way of training. Simulation, he suggests, can be utilized for Quality Improvement, Education, and/or research with the latter having a strong opportunity for increased utilization as understood from “Characteristics of simulation activities at North American medical schools and teaching hospitals“. In his PhD work “Stress levels during emergency care: a comparisons between reality and simulated scenario” Dr. Dias showed that stress levels were the same in simulated experiences as real work situations. He shared about several STRATUS simulated learning experiences which have further explored the relationships between learners and simulated experiences.


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Citing his work with NASA via the Center for Medical Simulation he shared how the teams came together to explore how simulation can be used to improve performance in case of medical emergency. In space for example, it would be extremely difficult to perform CPR as patients would literally float away from chest compressions. Exploring unique devices, tools, and learning techniques, the teams came together to build new simulation labs and medical simulator devices unique to space medicine. Going beyond objective checklists, the teams also tracked participant biomarkers including EEG, Heart Rates and Motion Tracking to best understand stress, tension and behavior. The ongoing program is showing how such technologies can be used in the OR, as a proof of concept for future efforts in space.

Asking “What’s Next?”, Dr. Dias shared some of the current and future initiatives for innovation and development in Clinical Simulation. Pointing to NASA’s recent announcement “Space health institute selects new research studies to safeguard guard human health during deep space exploration“, Dr. Dias and his team under Dr. Steven Yule, Ph.D. of Brigham and Women’s Hospital, Boston, Massachusetts will be working on “Mixed reality (MR) care-delivery guidance system to support medical event management on long duration exploration missions”.

Such projects aim to develop novel solutions to some of NASA’s highest priority risks to human health and performance during deep space exploration missions, taking astronauts all the way to Mars.

He shared that to innovate, we must go beyond “solutions” based thinking to include: empathy, problem finding, risk-taking, networking, observing, creating, resilient thinking, and reflective. “Everyone has great ideas” Dr. Dias reminded us, it was about acting, building and doing that best represented innovative creation. Rewarding “outside the box thinking” is a helpful way to promote innovative thinking, and we can all do that!


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About Federación Latinoamericana de Simulación Clínica (FLASIC) & the Congress

In 2017, the FLASIC organization was born from ALASIC to act a federation of smaller regional simulation societies, which now maintains almost 1,000 members from 7 different societies who can collaborate and share via an online network.

Every 2 years FLASIC holds its biennial conference with the 2019 being held in Cancun from yesterday through tomorrow. The event is host to numerous workshops, lectures, posters, and an exhibit hall, all in an all inclusive hotel right on the beach!

Keynote speakers include José Maestre from Spain, speaking on simulation faculty development, Marlova Silva from Chile speaking on simulation implementation, Roger Daglius from Brazil speaking on clinical simulation innovation, and Grl. Dr. Octavio Ruíz from Mexico speaking on leadership in healthcare simulation.

The organizing committee of the Latin American Congress of Clinical Simulation 2019 Cancun invites the community to participate clinical simulation with scientific papers or workshops, and keynote lectures.

Follow @FLASICSP to Learn More!


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