Establishing a Simulation Centre: Essentials and Guidelines

Experience from the Mother and Child Health Project

Ágata Correia

Kiev, 20th March 2015

Content

A. Introduction

B. Handbook Part I - Simulation Centre context

C. Handbook Part II - Implementation of Maternal and Child Health

Simulation Centres

D. Final Remarks

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A. Introduction

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Ukrainian-Swiss Mother and Child Health Program

Program has two main targets:

To improve quality and efficiency of perinatal services;

To support Maternal Child Health (MCH) reform efforts with policy

development and capacity building.

On-going since 2005

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Establishment of simulation centers in four perinatal hospitals in

Ukraine:

• Crimea

• Ivano-Frankivsk

• Vinnytsia

• Volyn

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Interest for developing a handbook for MCH Simulation Centres…

Growing evidence that Simulation Based

Medical Education (SBME) has a

substantial positive impact on the daily

practice routine of health professionals in

Ukraine

Interest of other Ukrainian Regions in

adopting this innovative training/teaching

methodology

Objective

Guide professional communities within Ukraine and in other

countries where SBME has not been developed yet on

establishing Simulation Centres

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Creating the handbook…

1. Content and chapters definition (Workshop with International/National

experts and PIO)

2. Assignment of authors/contributors and proof-readers. Includes

International/National experts in the areas of expertise: • Health Project Management

• Medical Education and Medical Simulation

• Health Technology Planning

• Medical Specialists such as Obstetricians, Anaesthesiologists,

Gynaecologist, Neonatologists, Paediatrics, Intensive Care

3. Draft creation and proof-reading of each chapter

4. Translation and Publishing

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Divided in two main chapters:

Part I – Simulation Centres

Concepts, educational grounding, international experiences

Part II – Implementation

Implementation phases, resources, M&E, Stakeholders and Planning

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-> Educational grounding: achieving health system goals, defining educational objectives

-> International Experiences: examples of SBME from Moldova, Portugal and Tajikistan

-> Ukrainian Development Approach: overview of MCH Program experience

-> Concepts definition: basic concepts and didactic approaches used in SBME

B. Part I: Simulation Centres

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Concepts definition

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Educational grounding for the establishment of Simulation Centres

How can SBME help achieve the Health system goals?

Defining educational goals of Simulation Centres

Integrating SBME in different settings:

-> Pre-graduation

-> Post–graduation

-> Continuing education

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International Experiences

Moldova

Portugal

Tajikistan

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Ukrainian Development Approach

SBME Development in Ukraine

Activities in MCH Program

Challenges and Future Steps

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C. Part II - Implementation of Maternal and Child Health

Simulation Centres

-> Development plan: essential information on Simulation Centre

implementation phases

-> Resources requirements: costs and sustainability

-> Monitoring and Evaluation: defining a M&E framework

-> Engagement with Stakeholders: best practices in defining and

collaborating with Stakeholders

-> Implementation plan: a guide for planning implementation

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Development plan

1. Human Resources

2. Infrastructure

3. Organisational /

Institutional

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Development plan

4. Curriculum

Development

6. Technology Management

5. Training Provision

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Resources Requirements

Defining and describing

- One time costs

- Recurrent costs

Approach to ensure sustainability, operation and further development of

a Simulation Centre

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Monitoring and Evaluation

Offers a methodology and guidance in development of a training

management model for evaluation of simulation-based learning, indicating

what type of tools can be used for:

• Initial assessment of trainees

• Learning

• Satisfaction, educational methodology and instructors

• Impact

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Engagement with Stakeholders

Guidance on defining and identifying stakeholders taking into account

the need of institutional anchorage and support.

Description of the several implementation phases for the establishment

of a MCH Simulation Centre, including prioritization of phases, time

panning and roles definition.

Implementation Phases and Planning

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Contact information for simulation centers established in Ukraine by

the Swiss-Ukrainian Mother and Child Health Programme

D. Conclusion

The thematic focus is currently on MCH but the underlying concepts

of SBME are similar to other topic areas.

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Contributors of Handbook

Àgata Correia

Ala Curteanu

Ana Reynolds

Andrii Tkachenko

Andriy Zagrebelny

Artem Chernov

Dmitry Konkov

Erik van Twillert

Kahhor Nosirov

Grigory Naumovets

Lucas Optiz

Martina Gisin

Martin Raab

Natalia Riabtseva

Oksana Chopko

Tetiana Bondarenko

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