Join us for Friday afternoon discussions with visionary innovators sharing their work on the virtual frontier, hosted by John ‘Pathfinder’ Lester and Jon Brouchoud. Skip ahead to past events with Dr. Nick Slamon, Bill Ballo, Your Guide to Running a Virtual Simulation, Carly Brady, Kim Ernstmeyer, Dee McGonigle, Frank Emanuele, Dr. Eric B. Bauman and Dr. Ryan McAdams.
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Virtually a Reality: The Future of Neonatology Simulation-based Education with Dr. Ryan M. McAdams
Dr. Ryan M. McAdams is a neonatologist in Madison, Wisconsin an Associate Professor and Division Chief for the University of Wisconsin Department of Pediatrics’ Division of Neonatology & Newborn Nursery, and a faculty member in the Division of Global Pediatrics. Through research, scholarship, and clinical work, he is committed to providing the best care to every baby everywhere so they can survive and thrive.
- Dr. McAdams interest in using art as a way to help kids pay for school, medical services, and food
- Didn’t grow up as a gamer, but as an educator, he sees a lot of gaps in the way we teach, and the effectiveness of it.
- VR is a contemporary approach that could memorable learning – help lock information into the memory.
- Traditional neonatal simulations are quickly forgotten, but he can remember real life resuscitations he was at.
- VR experiences can be easily remembered later
- Use of Acadicus with Quest 2 over wireless Air link to a PC.
- Acadicus expanding support to Valve Index, Reverb G2, and HTC Vive
- Plastic baby mannequin doesn’t seem real, so they’re very aware of it, people have a hard time absorbing the learning experience
- 3D scan of delivery room at hospital, operating room – used to develop the virtual reality scene in high definition
- Side-by-side comparison of photo vs. virtual scene
- Your brain thinks it’s real – important to trigger memory, allows for better learning, doesn’t feel as artificial
- VR scene can’t be too empty – needs details to improve immersion
- Importance of audio – conversations, noise, alarms. If you don’t have that, it doesn’t seem as real. Where is the threshold? Otherwise you focus on what’s not there.
- Simulating life, not simulation.
- This virtual simulation focuses on MR. SOPA technique – how to breathe for the baby
- So much of what VR can do is touch on conversations, or dialogue within medicine
- How do you counsel a grieving parent whose child is dying?
- Opportunities for coaching to do it differently with actors – maybe actors who have real world experience who can give advice. More comfortable and have better outcomes with practice.
- We created a preterm baby around 30 weeks gestation that needs some help breathing at the time of delivery.
- Head moves, can see vocal chords, can do basic intubation steps
- You’re paged to delivery – baby was already born and on the table, but you need to recognize that the baby is in distress. You can ask people what the story is.
- How do you troubleshoot the baby’s airway? If you don’t know what to do, we can talk about it.
- The instructor can modify it depending on the learner’s importance.
- Babies they work with are so tiny – there’s a way to go about caring for these patients that can make a big difference in how well they do. You really want to practice that.
- One advantage of a virtual simulation is to orient someone to an environment – you’re so often thrown into an environment and just have to figure it out. Not a pleasant feeling, and we could make things much more user friendly and safer and a better experience if they could step in virtually, the equipment, etc. You could do it anytime, anywhere.
- VR simulation can be tailored to the learner. This sim is geared toward people with a little more experience, but it could be oriented toward someone newer.
- Patients and family members can be manipulated with the Simulation Manager.
- The focus is on the activity, not just how I look as an avatar – I’m wearing a spiffy hat, etc. doesn’t matter. It’s more about the patient, family members.
- Pathfinder goes into VR. Jon shows the Acadicus Commons, then enters the Neonatology virtual simulation.
- Demo of ambient sound boards, assets, environment, stethoscope, PIP/PEP adjustments, mask position, bp cuff
- Visualizing the airway, using the laryngoscope – when you intubate, you can see the vocal cords
- Not focused on haptic touch, but knowing what to do – situational awareness, communication skills, critical thinking.
- Can quiz participants on what size endotracheal tube to pick? How far would you put it in? What size blade would you use? How would you know that it’s in correctly?
- It’s about the dialogue and conversation about it – when the alarms are on, and the sounds are crazy, it’s good that it stresses you out so you can practice it, and get used to the sequence, and develop a comfort level.
- If you have an expert who really wants to challenge a participant, you can increase the complexity
- Family members in VR. You would often have the partner waiting to hear how things went. These are often unexpected, urgent / crash sections. Bewildered parent is waiting, and you need to communicate to them – simulate with really good actors, really stressed out people, or someone who doesn’t speak English, to practice and make mistakes so when you have the same conversation in real life, you can communicate in a good way.
- Dad’s stressed out, he’s worried, the baby isn’t doing well or dies – how do you explain that? It can be traumatic for the health provider, not just the parent.
- Prenatal counselling, pre-delivery consult, then post-delivery, then in the NICU, discussions there – when they’re discharged home and have follow-ups. So many opportunities to say, “What would the learning experience be now?”
- Diversity, equity and inclusion – why not train and become aware in a safe environment, with actors who are from different backgrounds, and play that role. What opportunities are there for learning?
- VR could be a very powerful tool to practice these things, and absolutely affects a person’s experience in the hospital.
- So many surreal juxtapositions in medicine that are very difficult to simulate but could be done virtually
Exploring Educational Design in VR with Dr. Eric B. Bauman
Dr. Eric B. Bauman is an award-winning educational designer, and proven innovation executive with expertise in the fields of game-based teaching and learning, simulation, VR/AR and emerging technology. He received his PhD from the University of Wisconsin-Madison School of Education, Department of Curriculum and Instruction. In addition, Dr Bauman is a registered nurse, firefighter, and paramedic with more than 25 years of clinical, research, teaching, and command experience.
- Pathfinder makes Tony dance.
- VR Simulations provide the ability for someone to very quickly refresh their knowledge on a certain aspect of their field.
- The expense to own VR technology has shrunk more so than the expenses of other medical technologies.
- VR Gives the ability to add personality and life details around a patient, more so than a mannequin.
- Anyone can use and operate an Acadicus VR simulation.
Full video: https://vimeo.com/541668365
Exploring Collaborative and Interactive Anatomy Models in VR with Frank Emanuele
Frank Emanuele has been instructing college biology courses since 2002, focusing on anatomy and physiology, pathophysiology and microbiology. He currently instructs courses at Cochise College and has been a faculty member there since 2016 and a faculty advisor in Cochise College’s Undergraduate Research Club since 2017.
Frank has been a pioneer in the use of VR with his classrooms since 2018. In this Roundtable we’ll explore interactive VR anatomy models developed by Frank in Acadicus, providing both collaborative and immersive learning opportunities for his students.
Full video: https://vimeo.com/536731523
- Pathfinder climbs a 20 story skeleton!
- Using VR in an anatomy class at Cochise College
- Social distancing measures
- Lesson plans and activities
- Video of anatomy students at Cochise College in a VR lecture
- Taking apart and examining specific components of digital human skeletons
- Peering inside virtual anatomy to see every piece
- Moving and scaling virtual anatomy models at will
- VR gives your brain the information needed to truly imagine and visualize elements being taught.
- How virtual simulation compares to videos or pictures.
Upping the Virtual Simulation Game with Dee McGonigle
Dee McGonigle, PhD, RN, FAAN, ANEF, is the Director of the Virtual Learning Experiences Simulation Excellence (VLESE) in the Center for Transformational Education and Learning Innovation (TELI) at Chamberlain University and Professor in the Graduate Program in the Chamberlain College of Nursing. She has 44 years of experience in teaching and learning that includes nursing informatics, serious gaming, simulation, and virtual learning with the realities, especially VR.
Full video: https://vimeo.com/530986411
Open RN: Creating OER Nursing Textbooks and Virtual Reality Scenarios with Kim Ernstmeyer
Kim Ernstmeyer is the Director of Open RN and a Nursing Instructor at Chippewa Valley Technical College. She’s an experienced nurse educator and passionate about teaching clinical judgment and patient safety using simulation.
In this interactive Acadicus Roundtable, Kim shared information about her work leading Open RN, a project funded by a $2.5 million dollar grant from the Department of Education and focused on creating 5 OER Nursing Textbooks with 25 associated Virtual Reality scenarios using the Acadicus platform. We also explored firsthand some of the already completed simulations live in VR.
Full video: https://vimeo.com/523203702
“I Got a Headset, Now What?” – Best Practices for Success in Deploying VR-based Learning with Carly Brady
Carly Brady is the Manager of Academic Technology at Madison College’s Center for Excellence in Teaching and Learning (CETL) and leads a team of over ten Instructional Consultants and Technologists who support all faculty at Madison College. With years of experience in online learning and other flexible formats, Carly has recently led Madison College’s exciting journey into Virtual Reality with the help of Bill Ballo and Acadicus.
Your Guide to Running a Virtual Simulation
This event was held on Friday February 12th at 1:30pm Eastern. Participants were able to learn best practices for running a virtual simulation and experience firsthand how people can interact with virtual standardized patients, medical equipment and other learners and educators.
You can watch a 3D Recording of this event in VR or Non-VR mode for free by downloading Acadicus and entering room 9209 on the launch screen.
Bill Ballo is an EMS/Paramedic Instructor and Professor at the Center for Excellence in Teaching and Learning (CETL) at Madison College. In this interactive Roundtable, learn more about how Bill is using Acadicus to build foundational education programs and 3D lectures in anatomy, casualty training and emergency response.
Full video: https://vimeo.com/506308379
Dr. Nick Slamon
Dr. Slamon completed medical school in 2001 at Temple University School of Medicine in Philadelphia PA. He then completed a residency in pediatrics and a fellowship in Pediatric Critical Care Medicine at the Nemours/duPont Hospital for Children in Wilmington Delaware. In addition he serves an Associate Professor of Pediatrics in the Clinical track at Thomas Jefferson University Hospital. From 2007 until June 2011 Dr. Slamon worked at the University of Florida as an attending in the 24 bed mixed cardiac and pediatric intensive care unit. He also served as the fellowship program director for his final two years in Gainesville, overseeing 2 fellows per class. He then returned to duPont in July of 2011 serving as the fellowship director and overseeing the expansion from a one fellow per year program to the current 3 fellow per year, 9 fellow program.
Dr. Slamon recently completed a research study published in the Cureus Journal of Medical Science. The study focused on teaching pediatric airway intubation using VR Simulations in Acadicus with inexperienced junior fellows and residents.
Full Video: https://vimeo.com/500973476
If you would like to be our guest at an upcoming Roundtable, or would like more information about Acadicus, please contact us:
Acadicus Content and Features
Virtual pediatric simulation content includes patients, equipment, preconfigured scene templates, audio effects, and more.
This virtual medical simulation content pack aligns with Emergency Medical Services (EMS) training and education activities.
A library of virtual nursing simulations, scenarios, environments, characters and equipment are being developed. Access demo simulations for free in Acadicus.
These 3D virtual anatomy assets and more are available in Acadicus and can be used to create immersive virtual healthcare education experiences.
In this series of 3D Recorded presentations, Dr. Nick Slamon describes ACLS and PALS heart rhythm disturbances.
Operating room virtual reality simulation content pack with airway management / endotracheal intubation assets.
This virtual simulation content pack includes assets for basic wound treatment in an emergency room environment.
This content pack contains everything needed to conduct ECG lead placement training through virtual simulation. Accessible in VR or non-VR.
The Respiratory Therapy asset pack includes an elderly patient, various oxygen adjuncts, and interactive oxygen flow meter.
Acadicus comes with a library of characters that can be used to stage a wide variety of simulation scenarios that can be manipulated with Sim Manager.
Within the environment, characters, equipment and other assets can be added to the scene depending on the scenario.
The Veterinary Anatomy asset pack contains canine, feline and equine (dog, cat and horse) anatomy for virtual remote education.