The real benefit of virtual learning
Text: Evgeniya Surkina
Photo: The Press Center of Moscow City Governmen
A new specialized center for training and retraining of medical specialists has been opened in Moscow. The center provides opportunities for training and treatment of typical and rare diseases, different situational training exercises on virtual patients that will help improve the quality of medical care in general and reduce the number of medical errors.
The simulation center at the City Clinical Hospital (CCH) named after S.P. Botkin was opened in October. Its creation had taken about three years of hard work.
Now it is a fully realized educational institution with a full set of equipment and training programs located on the territory of two thousand square meters. The center has no analogues in Russia and CIS.
Specialists of different professional level, such as hospital physicians and interns, medical practitioners, nursing staff, emergency personnel and caregivers for the elderly, will be able to complete development of competence training.
“There are tens of thousands doctors and other medical personnel in Moscow,” the mayor of Moscow Sergey Sobyanin says. “They must constantly prove their knowledge, skills. Moreover, considering the fact that new technology appears, new equipment is bought annually, they need to improve their skills. And this center will help them do it, “ the mayor said.
The medical simulation center is a multidisciplinary virtual hospital with laparoscopic and robotic surgery, resuscitation and intensive therapy, orthopedy and traumatology, emergency medicine and other departments. Its facilities are equipped with the most advanced training technologies: a complex of simulators, electronic phantoms and interactive equipment.
The Chief Physician of City Clinical Hospital named after S.
P. Botkin, Aleksey Shabunin, noted that there are over 100 cutting edge
simulators in the 50 trends
The mayor of Moscow Sergey Sobyanin at the opening of the center
Simulators fully imitate the human anatomical structure, including that of a newborn baby
The robots can simulate any clinical situation and respond
to any manipulation extremely realistically. The simulators fully reproduce
human anatomy and physiological functions (e.g. heartbeat, breathing, blinking,
and excretory functions), demonstrate verbal reaction, that is, they are able
to call for help, to report their state. The robots also record all activities
of health care workers
In addition to manual skills great attention is paid to the psychological aspect of the interaction between a doctor and a patient. As noted by the Deputy Mayor of Moscow on the Issues of Social Development, Leonid Pechatnikov, it has been planned to attract actors and students of theater schools to the training process. They will play the roles of patients to simulate a variety of diseases and to resort to various manners of communication with a doctor, to simulate a conflict situation. It will allow initiating doctors not only into practical skills, but also into correct behavior in different situations, ability to reassure patients and prepossess them.
To date, more than 20 training programs have been developed and ready to use. The training will be carried out by leading experts in healthcare, professors of medical schools and practitioners. In the future the center will be able to grant admission to up to 20 thousand doctors and nurses a year.
robot-assisted surgical system DA VINCI
Da Vinci surgical system is a complex robotic platform consisting of three consoles, namely a surgeon, a patient and technical vision. The surgeon sits at the console, sees the operation site in 3D with multiple zooming in the stereo viewfinder and begins to use special joysticks (manipulators) to control the system. All movements of the surgeon’s hands are converted via the manipulators into precise hand movements of the robot with miniature instruments. One of the hands of the robot holds the camcorder, transferring the image of the operation site, the other two reproduce the surgeon’s movement in real time, while the fourth hand performs the functions of an assistant.
Miniature tools and a camera located on the console of the patient are introduced into the patient’s body through incisions (1−2 cm). A particular set of tools is applied for each type of operations. During the operation, the assistant situated in the patient’s console, helps the surgeon with switching between tools. The assistant sees the same image as that of the surgeon on the touch screen console of the technical vision. The technical vision console contains video and processing center. Da Vinci system is totally under control of the surgeon and cannot work independently.
A unique da Vinci robotic surgery simulator for carrying out operations requiring high precision is included in delivery. It excludes any error in movements, such as trembling of the surgeon’s hands. The surgeon works with manipulators, and high precision instruments work with the patient. We know that such equipment is already present in Moscow. But since it is rare and usually overloaded and expensive, there might not be an opportunity to study there. Now there is a place in Moscow where you can learn to work with this equipment without any risk for real patients.
We have also installed a system of management of
the whole training center. The center is controlled by Learning Space,
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Sharing the care of medical professionals about their patients’ health and introducing modern innovative technologies, MedImport strives to create the best conditions for doctors and patients.