The NewYork-Presbyterian Queens Simulation Lab utilizes a high fidelity system that allows residents to develop the necessary skills needed to manage emergent patients in the Emergency Department. During the course of the academic year, the lab serves as the setting for teaching both procedural and medical/surgical/pediatric resuscitation competency. On conference days, there are weekly simulation sessions with smaller groups to delve into emergency medicine cases that help to fortify the knowledge gained throughout the years focusing on pathophysiology through team leadership and communication. Throughout these sessions, the residents engage in hands on, interactive, multidisciplinary scenarios that focus on emergent medical management of various clinical cases. We also have additional sessions throughout the year to supplement clinical learning with hands on opportunities to perform and practice all types of procedures.
Simulation is one of the most integral and essential components of every Wednesday conference. Our modular case-based simulation curriculum is designed for the new-age learner where trainees are instructed comprehensively while remaining highly engaged in interactive kinesthetic learning. One resident each week is selected to work one-on-one with the simulation faculty. This session is designed to focus on content that the resident and the core faculty have identified as potential areas for improvement. Each resident is assigned two of these individual 1:1 simulation cases per year. This 30-minute session is followed by another weekly group simulation session. In this session, four selected residents participate in an additional case-based simulation that incorporates principles of leadership and teamwork. The session generally centers on topics of Emergency Medicine Critical Care and incorporates a number of procedures, while serving as an assessment for procedural competency. Lastly, as part of our small-group rotation through four stations, one station is always in the simulation lab, where all residents participate in another group simulation encounter. The bottom line is this: as a resident in this program, you will be in the simulation lab every Wednesday and will encounter anywhere from 1 to 3 individualized and group simulation sessions.
The NewYork-Presbyterian Queens Medical Simulation Fellowship is a guided-mentorship program that offers advanced training and expertise in the field of simulation-based healthcare education. Under the leadership of our fellowship director Dr. Anika Nichlany, this 1-year fellowship is designed to produce the next leaders of simulation education. Our mission is to impart advanced training and mastery in medical simulation through the development, delivery, evaluation, and research of simulation-based educational programs. Additionally, we encourage fellows to be an integral part of all simulation based administrative activities and research projects. Driving the curriculum is a focus on communication, error reduction, and patient safety. We encourage and advocate for our simulation fellows to become leaders in the field of simulation.
The ability to think quickly, make critical decisions, and perform tasks effectively in a critical care setting is an essential part of Emergency Medicine. During this rotation in Emergency Medicine and Critical Care Simulation, you will have the opportunity to implement life-saving actions, which involve emergent procedures, consultations, and coordination of care in a patient-safe, high fidelity, and unstable situation. Emergent procedures include central vascular access, intubation, cricothyrotomy, tube thoracostomy, pericardiocentesis, BLS, ACLS, and PALS resuscitations. By the end of this elective, you will be able to develop critical decision-making and procedural skills while simultaneously developing the ability to create, execute, and assist in debriefing of medical simulation cases.