The Goodman Simulation Center: Knowledge + Experience
In The Spotlight

Hands-on medical training that simulates real-world experience

The techniques, feedback and team-building will be real. But the patients won't be alive — or even organic — at the new Goodman Simulation Center.

“No longer will medical and surgical education be by random opportunity,” says Thomas Krummel, chair of Surgery. “The Goodman Simulation Center will lead the way towards improved patient safety and quality of care by providing the best and most comprehensive learning available.”

The new center, operated by the Department of Surgery, “expands our hands-on training capabilities significantly and provides a fully equipped center available to a wider group of Stanford participants at SHC,” says Thomas Krummel, Emile Holman Professor and Chair of the Department of Surgery.

The surgical resident curriculum has already begun to use the immersive and simulation-based tools, which will soon be available in the new center to a wide variety of clinicians, including attending physicians, nurses, allied health professionals and others at SUMC and Lucile Packard Children’s Hospital (LPCH). Surgical teams will have the ability to rehearse an operation on a patient-specific palpable hologram, and later, deliver the data set of that operation with robotic assistance.

“Simulation is about techniques, not technologies—but many of the technologies have advanced to the point that many things can be learned using simulation that are hard to learn otherwise,” says David Gaba, Associate Dean of the Center for Immersive & Simulation-based Learning (CISL). “As new clinical techniques emerge, all of us are likely to be ‘early learners’ for some things.”

For example, vascular surgery used to be largely practiced as open surgery. Now, up to 50 percent of a vascular surgeon’s practice may be in percutaneous endovascular techniques. “Even highly experienced surgeons are having to learn such techniques from the ground up,” says Gaba.

A wide variety of simulations are available for students at all levels. Contact the center for more information on schedules and availability.

Types of Simulation

Standardized Patients Image

« Standardized Patients
Actors play patients to improve history-taking and physical examination.





Simulation Screen

Part-task & Procedural Simulation »
Three dimensional anatomical models simulate the feel (haptics) of tissue being pulled, cut, and manipulated. Additionally, these trainers can assist in skills training for manipulating laparoscopic and endovascular instrumentation.


Simulation Users

« Patient Simulation for Individuals & Teams
These provide mannequin-based simulation drills to assess decision-making, team collaboration skills and to enhance training, teamwork and skills involving complex surgical cases, ICU patient care and trauma resuscitation.

For The Faculty
facilities illustration
Next-generation facilities for students at all levels

The Goodman Simulation Center will incorporate simulation-based techniques to select, train, credential and retrain physicians and other healthcare professionals.

The Goodman Simulation Center is part of the Stanford University School of Medicine’s overall simulation strategy under the aegis of the Center for Immersive and Simulation-based Learning (CISL), headed by Associate Dean David Gaba, professor of anesthesia.

“We’ve never had this type of training before—but even the most experienced surgeon, anesthesiologist and nurse can benefit from practice on those rare but potentially high risk surgeries that we don’t practice continually,” Gaba explained. “In addition, simulators allow everyone to practice new procedures and to finetune our teamwork skills.”

Gaba is quick to add that there is no substitute for the real thing. “No one is suggesting that healthcare can do without lots of experience with real patients. But, for many situations, the ‘real thing’ is not encountered very often, so when it does occur we need to feel comfortable. Simulation practice allows us to become systematic about our initial and recurrent experiences while we tackle real surgeries that present in a wide range of difficulty and variation.”

The Center will be a place for residents to practice core surgical skills such as suturing, knot tying, and incision biopsies. Trainees can also practice placing central and arterial lines, as well as perform laparoscopic cholecystectomies—all before performing these procedures on patients. “Augmenting surgical training with simulation allows the maneuvers to be practiced over and over until mastered,” he said.

Quick Facts

Name
Goodman Simulation Center at Stanford

Location
H3552 - 3rd floor, Stanford Hospital & Clinic

Curriculum

  • Thomas Krummel, Emile Holman Professor and Chair of the Department of Surgery
  • Ralph Greco, Johnson and Johnson Professor of Surgery and professor, by courtesy, of mechanical engineering
  • Myriam Curet, professor of general surgery
  • Sanjeev Dutta, assistant professor of surgery (pediatric)
  • Jason Lee, assistant professor of surgery (vascular)

CONTACT:
Operations Manager
Eben Kermit, MSEE, CCE
Phone: 650-736-8735
Email: ekermit@stanford.edu

The Goodman Simulation Center welcomes Eben Kermit, MSEE, CCE