SIMULATION FELLOWSHIP FOR PHYSICIANS PURSUING A CAREER IN ACADEMIC EMERGENCY MEDICINE
The Art and Science of Medical Education
WHAT IS A SIMULATION FELLOWSHIP?
A Brief Introduction
With modern medical schools and residencies now realizing the vast potential of simulation and the array of benefits it has to offer, simulation has become an exciting and burgeoning field with promising potential. The Chicago Simulation Fellowship provides advanced training for Emergency Medicine physicians interested in pursuing a career in academic emergency medicine. This one-year fellowship equips fellows to develop, implement and evaluate simulation‐based educational programs for hospital faculty, residents, medical students, nurses and pre-hospital providers while developing a foundation in medical education theory and practice. The experience and training includes the use of simulation modalities such as high‐fidelity mannequins, task-trainers, and standardized patients, and also develops the fellows debriefing and presentation skills.
FREQUENTLY ASKED QUESTIONS
WHAT KINDS OF SIMULATION ARE THERE?
Countless kinds! The argument can be made that any applied education that is not a lecture, IS simulation. From bed side exams, with teaching to prepare you for future similar patients, to high fidelity cases, simulation is everywhere. Common types include: standardized patient interactions, full simulation cases in a mock hospital/clinic, in situ simulation in a hospital/clinic, task trainers, virtual reality, OR video procedure courses, oral boards preparation, verbal case discussions, mental envisioning/meditation of cases and care.
WHAT IS DEBRIEFING?
Debriefing is where the mental retention and learning happens. Often post simulation case, but sometimes during a case, debriefing is the practice of discussing what happened during a simulation, and why learners make certain decisions. This time is vital for learners to decompress and discuss the case and what their thought processes were. Discussions will also naturally entail the pathophysiology of a case, and how to optimize patient care. The fellows in training will learn how to properly debrief learners, to maximize learner education and memory retention.
WHERE DO THE FELLOWS WORK?
There are three distinct sites for the Chicago medical simulation fellowship, and our fellows teach at all three respective simulation centers. This provides triple the education opportunities with more didactics, more learners, and multiple opportunities to implement simulation. Each center is a site of a separate Emergency Medicine residency, and the fellows facilitate the Simulation aspects of each respective residency didactics. There are three fellowship positions per year, and one fellow will be assigned for clinical shift ED duties at each site.
EDUCATIONAL LEARNING OBJECTIVES
Fellows will learn how to develop, implement and evaluate a variety of simulation-based education (SBE) programs. Fellows will assist the CCH Sim Lab staff and participate with the faculty and staff development workshops offered within the Illinois Medical District Simulation Consortium. The CCH Simulation Fellowship will provide readings, direct instruction, and supervised practice for Fellows.
At the completion of the fellowship, the fellow will be able to:
Identify and develop their unique interests with regards to simulation and medical education and their career goals.
Establish successful ongoing mentoring and collaborative relationships within the Simulation community.
Design simulation-based education programs
Develop scenarios for the use in educational programs for different specialties and medical professionals
Develop the skills to operate the high-fidelity mannequins and procedural task-trainers.
Serve as a learning ally in mannequin scenarios
Apply validated debriefing methods for assessment of learners.
Design instructional programs for teaching procedural skills by creating and updating procedural skills checklists and serving as instructors in a variety of skills programs.
Design checklists, rating scales and other instruments for the assessment of learners and evaluation of SBE programs.
Create other instructional materials (e.g. videos) for SBE programs.
Incorporate the ACGME Milestones into the educational initiatives offered.
Complete an administrative project for the Simulation Center
Actively participate in Simulation-based research through direct participation in ongoing projects and development of a new research project.
By the end of the Fellowship, our Fellows should be well prepared to take the Simulation Educator Certification Exam offered by the Society for Simulation in Healthcare.
BENEFITS AND COMPENSATION
Benefits vary depending on the clinical site at which the Fellow works ED shifts. The clinical schedules are designed for flexibility in the schedule to allow time in the Simulation Center and participating in academic projects.
Cook County Hospital
Fellows receive full benefits and work about a total of 4-5 shifts per month in the Cook County Hospital Emergency Department. Fellows are paid as a PGY 4 or 5, depending on the number of years they completed in an EM residency. Moonlighting, both external and internal, is allowed to supplement income.
RUSH University Hospital
Fellows receive full benefits and work 8 shifts per month in the RUSH ED. Fellows are paid as a half-time Attending physician. Only internal moonlighting is allowed.
NorthShore Health System
Fellows receive full benefits and work approximately 6 shifts per month in the NorthShore ED's (4 sites). Fellows are paid as a half-time Attending physician. Internal moonlighting is allowed.
Chicago, IL, USA