Standard
Criteria
Mission and governance
1. There exists a clear and publicly stated mission that specifically addresses the intent and functions of the simulation program
Organization and management
1. There is an organizing framework that provides adequate resources to support the mission of the program
2. There is a strategic plan designed to accomplish the mission of the program
3. There are written policies and procedures to assure the program provides high-quality services and meets its obligations and commitments
Facilities, application, and technology
1. There is an appropriate variety and level of technology and applications to support/achieve the activities of the program
2. The environment is conducive to accomplish its mission and activities
Evaluation and improvement
1. The program has a method to evaluate its overall program and services areas, as well as the individual educational, assessment, and/or research activities in a manner that provides feedback for continued improvement
Integrity
1. All activities, communications, and relationships demonstrate a commitment to the highest ethical standards
Expanding the field
1. The program demonstrates commitment to advocate for patients, simulation education, and contributes to the field of simulation.
Simulation areas | Personnel criteria | Curricular requirements | Hardware/infrastructure |
|---|---|---|---|
Assessment | Instructors and staff are qualified by virtue of education and experience Instructors and staff are routinely evaluated to ensure competence | Processes are in place to assure that assessment methods and tools are appropriate, reliable, and valid | Facilities and technologies are appropriate for the individuals being assessed and the level of assessment IRB and data security needs are met and documented |
Adequate technical support for data analysis is present | |||
Human factors, psychometric, and statistical support available when indicated | |||
Research | Instructors demonstrate a capability to perform research | There is evidence of publication and/or presentation of research findings in peer-reviewed forums | Program has an established record of research The mission statement includes a specific commitment to research Evidence of successful efforts to obtain research support exists Program uses a scholarly approach to training assessment Documentation of IRB adherence and data security protocol |
There is a designated director of research with roles delineated in the organizational structure and adequate support time | There is documentation of mentoring simulation researchers | ||
There are instructors with specific research training and internal/external documentation of collaboration | |||
Education | Program oversight is by an expert in simulation education Program facilitates professional development for instructors Instructors engage in certified ongoing training to improve skills Instructors are familiar with capabilities and limitations of simulation modalities | Offers comprehensive simulation-based learning Educational materials are evidence based, reliable, and valid Simulation modalities are appropriate for learning objectives Curriculum design process involves currently understood simulation education theory Program has the ability to offer CME | Educational activities are linked to the strategic plan Records are kept on all instructors and instructor’s professional development Feedback incorporated into programming Program continually updates and improves its courses Record keeping supports evaluation, validation, and research of curriculum Records of learner, instructor, and coordinator activities are maintained |
Systems integration and patient safetya | Simulation personnel are actively involved in performance improvement committees and activities | Process exists to identify and address opportunities for improvement within the organization that utilize principles of process engineering | Systems integration and patient safety activities are linked to the strategic plan Mission statement includes the desire to enhance individual, team, and organizational performance for improved patient outcomes |
Program activities are influenced by risk management activities of the organization |
Table 48.3
Specialty-sponsored simulation program: a summary of characteristics
Sponsoring organization | Scope and model | Personnel criteria | Learner criteria | Curricular requirements | Hardware/infrastructure |
|---|---|---|---|---|---|
ACS education institutesa [6] | Broadb | Institute director appointed for 3 years at 25% time protected | Must include surgeons plus 3 specialties/learner groups, for example: | Incorporates procedural and cognitive skills Curriculum development involves: Needs assessment Development of objectives Selection of instructional methods Creation of instructional materials Effective delivery Learner assessment Program assessment Assessment of effectiveness Educational programs are accredited by the LCME, ACGME, ACCME, or equivalent Faculty are appropriately trained | 1,200 sq. ft contiguous with face to the public No less than 4,000 sq. ft. additional space for storage, lounge, etc. Can accommodate a minimum of 20 trainees at a time Has teleconferencing available Internet capable Has adequate space for administration Has adequate space for skills trainers Annual budget can support the activities of the institute Provides a mission statement Provides an organizational chart Establishes a steering committee or advisory board |
Multilevel Level 1a Comprehensive Level 2 Basic | Surgical director is FACS and has 10% time protected Administrator with 50% time for center Coordinator with 50% time | CME GME UME Allied health Nursing Other Must demonstrate the effectiveness of curriculum Must provide evidence of: Long-term follow-up of learners Maintenance of skills Research Interdisciplinary training Curriculum validation | |||
ASA simulation endorsement [9] | Specialty-specific | Must have an established mechanism for instructor training, evaluation, credentialing Program director should hold a doctoral degree and academic appointment at an accredited institution Course director should: Be credentialed as an instructor ASA member Hold appointment in the Department of Anesthesiology | UME, GME (optional) | Quality assurance program must be in place Methodologically sound program for curriculum development and assessment must be evident Sample curriculum and scenario required | Provides a mission statement Organization should maximize the likelihood that course quality will be maintained Document governance and financial model Program leadership and financial stability required Facilities should be sufficient for the coursework offered, including parking, and meals Written policies and procedures should exist Demonstrate necessary educational technology to conduct courses |
Single level | |||||
ACOG simulation consortium | Specialty-specific | Not currently defined | GME | Simulation-based surgical skills education with patient safety focus
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