The courses available at our Simulation Center aim at better implementing, teaching and evaluating the learning objectives by using simulation procedures. They are directed to anaesthetists, gynaecologists, neonatologists, obstetricians and the medical staff in maternity wards. All the instructors are EuSim-certified by the Medical Training and Simulation Center (MeTS). The scenarios’ contents and the clinical algorithms comply with the Managing Obstetric Emergencies and Trauma (MOET) course guidelines of the Advanced Life Support Group, ALSG Center for Training & Development, UK.
A simulation is a learning method whereby several clinic situations (equal to real ones) are artificially realised in complete safety. This procedure entails the use of advanced technologies that allow to produce interactive and dynamic simulations of clinic scenarios, thereby facilitating a multi-professional training in how to best handle childbirth. By practising simulation scenarios, procedures are learnt, equipment is tested, and it is possible to attain interdisciplinary cooperation needed especially in problematic or unusual cases, without risking the patient’s life or health. The advanced simulation technology and methodology make it possible to realistically stage many birthing and maternal-neonatal care situations, all of this through the operator’s team-work, leadership and communicative skills and in a completely risk-free environment.
Our Advanced Simulation Center has state-of-the-art technology such as the SimMom™, an highly-sophisticated mannequin that will clinically respond just like an actual woman in labour. By coupling this extraordinary tool with the intervention of our “actors-instructors”, it is possible to stage clinical scenarios specifically concerning maternal resuscitation, neonatal intensive care, various obstetric manoeuvres, but also more complex multi-disciplinary scenarios such as post-partum bleeding, uterine inversion, maternal convulsion. The simulator meets all the particular child-maternal needs, including the specific training of gynaecologists, anaesthetists, neonatologists, obstetricians and nurses at various difficulty levels, inasmuch as it can reproduce all of the birth-related events and its pathologies. Since human errors make up most of the overall medical errors, the simulation-based training is the most efficient tool to tackle the threat of human error, to single out the weak points in the current procedure and to implement the training solutions, strongly contributing to the improvement of the mother’s and child’s safety.
THE EPIDURAL SIMULATOR
Not only does our Simulator feature standard modular simulation, vital parameters monitoring and obstetric manoeuvres during childbirth, it also features an integrated module of our own design to train the anaesthetists in the neuraxial anaesthesia techniques, both epidural and spinal, which makes it unique.
After taking part in multi-disciplinary groups in the scenarios reproducing clinically critic scenarios, the learners reflect upon their experience and during a “debriefing” phase (directed by specially-trained instructors) acquire the knowledge which is the objective of the simulation itself. This is the most important part of the simulation, whereby all that occurred during the simulation, the decisions made and the participant’s attitudes are constructively commented and discussed. The safety of the patient does not depend exclusively on the operators’ technical skills but also on human factors such as communication, leadership, proper usage of resources, distribution of tasks, information checks with particular focus on what might cause errors (Crisis Resource Management, or CRM).
The Simulation Center has also pre-recorded interactive video-simulations which, by means of choice and interactive participation, engage the participants in behavioural decisions on clinic cases with no certain outcome and depending on the participant’s decision.
The SimMom can also be used exclusively for the practical learning of techniques such as neuraxial anaesthesia, Caesarean Section, complex obstetric manoeuvres, handling of problematic airways. Our center also has training devices, anatomical models and micro-simulators (screen-based simulation).