Presentation by Andrei Romancenco at the International conference on Simulation-based training in medicine (Kyiv, Ukraine, March 19-20, 2015) http://motherandchild.org.ua/eng/SimConf-2015

1. CUSIM:
THE DREAM
THAT CAME TRUE
Andrei ROMANCENCO,
director CUSIM
International conference on Simulation-based training in medicine
Kyiv, Ukraine, 19-20 March 2015
State University of Medicine and Pharmacy “Nicolae Testemitanu”
UNIVERSITY CENTER FOR SIMULATION IN MEDICAL TRAINING
Republic of Moldova

2. WHY did we start ?
WHAT did we organize?
HOW do we operate?

3. REACTIONS OF STEPS

5. Global Standards in Medical Education
WFME TRILOGY OF STANDARDS: AREAS
1. Basic Medical Education
2. Postgraduate Medical Education
3. Continuing Professional Development
COMMITMENTS PROMOTED
- highest scientific and ethical standards
- initiating new learning methods
- new instructional tools
- innovative management

6. – is the only high medical education institution in the Republic of
Moldova (www.usmf.md).
- 5700 students
- 1300 residents
- 5000 physician CME
State Medical University of Medicine and
Pharmacy “Nicolae Testemitanu”

7. In Partnership with Eastern Virginia
Medical School, Norfolk, USA
was established the University Center
for Clinical Skills Development (2000-
2002)
The Center applies the StP method.
Annually the beneficiaries are
600 students
200 family medicine residents
Our history in simulation…

8. year 2010…

9. European Union
Parliament of the Republic of Moldova
Governament of the Republic of Moldova
Ministry of Health of the Republic of Moldova
City Hall of Chișinău City
Swiss Agency for Development and Cooperation
World Health Organisation, Regional Office for Europe
Heart to Heart International, USA
Federal Ministry of Health, Germany
Senior Expert Service, Germany
Eastern Virginia Medical School, Norfolk, USA

10. year 2013 !

11. December, 2012
The senate decision of IP Medical University
"Nicolae Testemiţanu" on the establishment of
the University Center for Simulation in Medical
Training
August, 2013
Official Opening
December, 2013
Finalizing the EU project – under equipment and
European audit components
HISTORY CUSIM:

12. Levels
basement
ground floor
floor 1
floor 2
floor 3
floor 4
TOTAL - 1926 sq meters

13. 14 simulation rooms
4 control rooms
5 debriefing rooms
2 classrooms
1 conference room
FACILITIES

14. 1 METI HPS
3 METI iStan
METI Man
GI-Bronch Mentor
2 LapMentor
Hyst/TurpMentor
Schallware
MOES
Noelle
Surgical CHLOE
Premie Hall,
Newborn Hall
Baby Sim
PediaSim
Pelvic mentor
Skill trainers and manikins

15. DEPARTMENT OF STANDARDIZED PATIENTS AND
COMMUNICATION
Contributes to improving patient
communication skills, real
patient physical and
instrumental examination skills ,
and data interpreting
in order to formulate correct
diagnosis.

16. DEPARTMENT OF HIGH FIDELITY SIMULATION
Develops individual and
teamwork skills for novice and
experienced doctors using high
fidelity simulators: adult and
pediatric patients for complex
clinical situations, multiple
trauma and other emergencies at
the hospital stage.

17. basic medical manipulations
emergency
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
surgery
endoscopy
imaging
PROGRAMS

18. BASIC MEDICAL MANIPULATIONS
emergency
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
surgery
endoscopy
imaging
PROGRAMS

19. basic medical manipulations
EMERGENCY
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
surgery
endoscopy
imaging
PROGRAMS

20. basic medical manipulations
emergency
ANESTHESIA AND REANIMATHOLOGY
obstetrics and gynecology
internal medicine
surgery
endoscopy
imaging
PROGRAMS

21. basic medical manipulations
emergency
anesthesia and reanimathology
OBSTETRICS AND GYNECOLOGY
internal medicine
surgery
endoscopy
imaging
PROGRAMS

22. basic medical manipulations
emergency
anesthesia and reanimathology
obstetrics and gynecology
INTERNAL MEDICINE
surgery
endoscopy
imaging
PROGRAMS

23. basic medical manipulations
emergency
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
SURGERY
endoscopy
imaging
PROGRAMS

24. basic medical manipulations
emergency
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
surgery
ENDOSCOPY
imaging
PROGRAMS

25. basic medical manipulations
emergency
anesthesia and reanimathology
obstetrics and gynecology
internal medicine
surgery
endoscopy
IMAGING
PROGRAMS

26. WHAT’S ON?
Impediments:
-High costs
-Resistance to changes
-New type of activity
-Educational and professional skepticism
Actions:
-Regulation (rector’s order, syllabus, simulation
components, etc.)
-Involving all related departments (within their class hours)
-Familiarization and training programs for university staff

27. SIMULATION TRAINING
Benefits:
-clinical experience with no risk for the patient;
-objective assessment;
-unlimited repetitions for skills development;
-development of scenarios as needed for rare
pathologies;
-freedom in training scheduling.

28. CUSIM total number of
beneficiaries in 2014:
5621

29. Students - 4607
Doctors - 916
Rezidents - 98

30. jklklStudents courses:
- Internal Diseases - semiology
- Anaesthesiology and Reanimathology
- Care and patient communication
- Medical emergencies
- Obstetrics and Gynecology

31. Residents and doctors courses :
- Laparoscopy
- Endoscopy
- Bronchoscopy
- Ultrasonography
- Otorhinolaryngology
- Obstetrics and Gynecology

32. Projects CUSIM (I)
- CHRONEX-RD
- Development and Cooperation "Support
Department of Maternal and Child Health"
- MedEspera
- Twinning
- Checklist links crisis

33. Projects CUSIM (II)
- Chronic pain
- Introduction to bronchology /
News in bronchology
- REPEMOL
- REACH 4 MOLDOVA
- Contemporary methods of medical
training

34. CME 2015
- Cardiology
- Pneumology
- Ultrasonography
- Surgery
- Obstetrics and Gynecology
- Endoscopy

35. Obstetrics and Gynecology (I)
Swiss Agency for Development and Cooperation (SDC)
project "Support of Maternal and Child Health department"
(May 2013 to April 2015):
high-fidelity simulators
Task trainers
21 training modules for emergency obstetric,
gynecological and pediatric
trained instructors renowned centers in the world

36. Obstetrics and Gynecology (II)
Period: December 2014 - April 2015
Statute nr Hours
Residents 45 72
Doctors 47 32
Total 92 104

37. SIMULATION COMPONENTS
I. Pre-test, initial training
II. Component base scenario
III. Debriefing
IV. Conclusions and post-test

38. Obținerea competenților și
dezvoltarea abilităților medicale
într-un cadru organizat, după un
program bine structurat şi, foarte
important, fără riscuri asupra
pacientului, cu reducerea erorilor
şi în final îmbunătăţirea calitativă
a asistenţei medicale prestate
populaţiei.

39. STEFAN LINDGREN,
President of the World Federation for Medical Education
(WFME)
DAVID GORDON,
President of the Association of Medical Schools in Europe
(ASME)
High appraisals for performances in implementing new
educational methods and technologies (including simulation
training in medicine) in doctors training that will ensure a
high quality education and improve health care for the
population.
EXPERTS VISIT
9-12 JANUARY 2014

40. SATISFACTION
Beneficiary and
quality of teaching – 96%

42. EUROPEAN
VISIBILITY
http://www.sesam-web.org/

43. WORLD
VISIBILITY
http://www.ssih.org/Home/SIM-Center-Directory/Area/EUROPE

44. - Strong, enthusiastic team
- Communication and advertising
- Managers support
- Teaching stuff support
- Authorities support
- Qualified architectures and engineers
- Legal framework
- Beneficiaries
- Curricula
- Money
- Equipment
- Sustainability
- Consider establish of a specialized society
- Divide your great project in small tasks and Good luck!

45. SIMULATION IN TRAINING, SAFETY IN ACTIONS
Thank you !