Dr Rowan Molnar :- The benefits of simulation training in anaesthesia

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Dr. Rowan Molnar

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Nov 25, 2014, 2:23:44 AM11/25/14
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Specialist anaesthetists like Dr. Rowan Molnar have been at the forefront of education when it comes to the use of simulators. There are specifically three types of anaesthesia simulators: hands-on simulators, screen-based and virtual reality simulators. The first hands-on or realistic simulator was produced way back in the late 1960s.

 

Hands-on simulators

Hands-on simulators were used primarily for training of endow-tracheal intubation and the induction of anaesthesia. There were only outputs for peripheral pulses and heart sounds in the mannequin. However, there were no electronic monitor outputs. Two realistic simulators were produced in the early 1990s with as many as 120 anaesthesia simulators installed worldwide. Realistic patient simulators have been used to train a variety of healthcare providers such as anaesthesia residents, medical students, paramedics, nurses, and emergency medicine residents. Over the years, and with the support of several anaesthesiologists like Dr. Rowan Molnar, who has a Masters of Science in Health Professional Education (Simulation Major) from MGH Institute of Health Professions, an increasing number of medical schools and residency programs are using simulators.

 

Innovative training experience and reflective learning

The duration and quality of clinical experience are what training in anaesthesia relies on, which involves exposure to a wide range of interventions. In routine cases the objective can be easily accomplished but in life-threatening events the anaesthetist must have the ability to carry out multiple tasks swiftly and simultaneously. Since anaesthetists face rapidly changing situations in a clinical setting, it mandates the need for on the spot decision making and communication within everyone in the operation theatre. Simulation offers an innovative training experience to such individuals and enables reflective learning and the building of standardised scenarios. During simulation training, various aspects of an anaesthetist’s daily routine can also be addressed. This technology is effective in the assessment of competence too.

 

Anaesthesia and beyond

The current generation of simulators are classified according to user interaction, physiological base and utility basis. Interactive simulators are screen based, hardware based or virtual reality based. The latter includes the use of special devices. Some simulators are physiology based and have script-controlled or model-controlled, and are usually computer controlled. Anaesthetist specialists like Dr. Rowan Molnar, who was Chairman - Simulation Special Interest Group of Australian and New Zealand College of Anaesthetists and a teacher of simulation at various organisations, are dedicated to the development of simulators to teach procedural skills.

 

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