Emergency Medicine

Stanford Emergency Medicine Simulation Fellowship

Overview

Simulation as a venue for education was adopted by healthcare from the airlines industry.  In the 1970’s-80s, NASA Research, in conjunction with the U.S. Air Force, and the airline industry, determined that the technical skills of pilots could be improved through the use of simulation.  Leaders in medicine have adapted the teaching principles from these early aviation pioneers to medical education.  The Emergency Medicine faculty at Stanford University has played a role in this evolution.  The Simulation Fellowship’s co-directors, Dr. Philip Harter and Dr. Rebecca Smith-Coggins, along with Dr. David Gaba, the Dean of Simulation and Immersive Learning, Dr. Martin Reznek,  and others developed  one of the first curricula for Emergency Medicine residents Emergency Medicine Crisis Resource Management (EMCRM): a pilot study of a simulation-based crisis management course for Emergency Medicine. Acad Emerg Med. 2003 Apr;10(4):386-9).  From these beginnings, simulation in Emergency Medicine has blossomed at Stanford University.

Simulation

Program Description

The Stanford Emergency Medicine Simulation Fellowship was developed in 2007 and is a one year mentored fellowship that offers advanced training in simulation teaching, curriculum design, and research for a graduate of an accredited Emergency Medicine residency program. The fellow develops skills in a variety of state-of-the-art simulation centers including: the Goodman Simulation Center at Stanford Hospital, the Simulation Center at the Palo Alto Veteran's Administration Hospital, and the Center for Advanced Pediatrics and Perinatal Education (CAPE): the pediatric simulation suite. This is not an ACGME accredited fellowship as there are no ACGME accredited fellowships in Medical Simulation.

Simulation

Clinical Activities

The Simulation Fellow’s salary is covered by working in the Stanford Emergency Department with a Stanford University appointment as a Clinical Instructor; providing attending physician care in Stanford’s Emergency Department (ED). Stanford Hospital is part of a world renowned medical center and home to a Level I trauma center with aero-medical transport. Additionally, fellows will provide attending physician coverage in the Stanford/Lucile Packard Pediatric ED which is contiguous with the adult ED. The diverse, high acuity patient populations at Stanford and Lucile Packard challenge fellows to continue mastering their clinical skills. The expected work obligation is 16 to 20 hours per week in the ED.

Simulation

Educational Activities

Participation in residency and departmental activities is required which offers the fellow the opportunity to improve their academic, teaching, and presenting skills. This involvement includes resident and medical student education; both within the Stanford Emergency Department and at core lectures, as well as faculty development activities offered by the University and the ED faculty. Fellows lecture regularly on simulation-related topics at the Stanford-Kaiser Emergency Medicine residency program conferences; and may be invited to present at other meetings both locally and at a national level. Fellows are encouraged to attend the Society for Simulation in Healthcare annual international meeting. Additionally, fellows are expected to participate in the monthly Stanford University simulation journal club.

Research Activities

The Simulation Fellow has protected time to develop and execute a research agenda that is based on individual interests. The Co-Directors of the Simulation Fellowship, Drs. Harter and Smith-Coggins, have years of experience in teaching, simulation research and resident direction and will closely mentor the fellow. There is an expectation that the fellow will have a publishable manuscript by the end of the fellowship.  

Application Process

The program is limited to one fellow per year. Graduation from an accredited U.S. Emergency Medicine residency program is required. For further information regarding the fellowship and the application process please contact either of the following Simulation Fellowship Co-Directors:

Rebecca Smith-Coggins, MD, FACEP
Professor of Surgery/Emergency Medicine
Associate Dean for Medical Student Life Advising
Simulation Fellowship Program Director
Stanford University
300 Pasteur Drive (MC: 5119)
Alway Building, M121
Stanford, CA 94305-2200
(650) 723-6576
E-mail: smithcog@stanford.edu

Phillip Harter, MD, FACEP
Associate Professor (Teaching) of Surgery/Emergency Medicine
Simulation Fellowship Program Associate Director & Residency Program Director
Stanford University
300 Pasteur Drive (MC: 5119)
Alway Building, M121
Stanford, CA 94305-2200
(650) 723-6576
E-mail: harter@stanford.edu

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