Education and Training

Our Courses

Abdominal Paracentesis

Designed for internal medicine residents, as well as medical students on the internal medicine core clerkship, this course focuses on the proper performance of abdominal paracentesis, including patient positioning and aseptic technique. The course includes a multimedia didactic module emphasizing site anatomy, Paracentesis indications and alternatives, as well as recognition of complications and corrective maneuvers. A hands-on practical component is then undertaken using partial task trainers to develop psychomotor skills for the procedure.
Course director: Joshua Lenchus, DO
Instructors: Amar Deshpande, MD; Aldo Pavon, MD; Win Aung, MD; Muzammil Mushtaq, MD; Jill S. Sanko, ARNP

Anesthesia Critical Event Management

Anesthesiology residents learn the principles and skills necessary for effective critical event management. Simulated critical incidents give residents hands-on experience with complex, infrequently occurring scenarios that they would otherwise only read about. Participants experience crisis events in the context of realistic operative procedures or perioperative care. Video recordings of the events are reviewed with the instructors and course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Nicholas Nedeff, MD
Instructors: Ricardo Martinez-Ruiz, MD, Christina Matadial, MD

Anesthesia Rotation for Medical Students

Students become familiar with basic principles of perioperative patient management. These skills include airway evaluation and management, difficult airway management, routine induction of general anesthesia, emergence from general anesthesia, hemodynamic monitoring, and basic principles and dosing of anesthetic drugs. The workshop also provides hands-on use of typical anesthesia equipment and monitoring. A follow-up session focuses on cardio-pulmonary resuscitation, ACLS algorithms, and crisis resource management.
Course director: Edgar Pierre, MD
Instructors: Julie Oppenheimer, MD

Army Trauma Teams

In collaboration with the US Army Trauma Training Center in Miami, the Army Forward Surgical Teams learn and practice necessary teamwork skills for managing trauma patients in the austere conditions of a field hospital. Video recordings of the events are reviewed with the instructors and course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Instructors: US Army

Central Venous Line Cannulation

Presented to residents across the spectrum of training programs who routinely perform this procedure, such as anesthesiology, internal medicine, and surgery, the course focuses on proper central line placement, including the use of ultrasound guidance for locating and verifying venous access sites. The course includes a multimedia didactic module emphasizing site anatomy, central line indications and alternatives, as well as recognition of complications and corrective maneuvers. A hands-on practical component is then undertaken using partial task trainers to develop psychomotor skills for the placement of internal jugular, subclavian, and femoral lines. There is a strong focus on ultrasound use, proper application of the tissue dilator, and sterile technique.
Course director: Joshua Lenchus, DO
Instructors: Kristy O’Phelan, MD; Aldo Pavon, MD; Win Aung, MD; Muzammil Mushtaq, MD

Critical Event Management in Obstetric Anesthesia

Anesthesiology residents learn the principles and refine skills necessary for effective critical event management. Simulated critical incidents give residents hands-on experience with complex, infrequently occurring scenarios that they would otherwise only read about. Participants experience crisis events in the context of peripartum care. Video recordings of the events are reviewed with the instructors and course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: David J. Birnbach, MD, MPH

Critical Event Management in Pediatric Anesthesia

Anesthesiology residents learn the principles and refine skills necessary for effective critical event management. Simulated critical incidents give residents hands-on experience with complex, infrequently occurring scenarios that they would otherwise only read about. Participants experience crisis events in the context of perioperative care of pediatric patients. Video recordings of the events are reviewed with the instructors and course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Jacqueline Tutiven, MD
Instructor: Lydia Jorge, MD

Emergency Medicine Rotation for Medical Students

Students and first-year residents diagnose and treat simulator patients suffering from conditions commonly seen in the emergency room. Video recordings of the events are reviewed with the instructor and all of the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Larry Zaret, MD
Instructors: Marc Grossman, MD, Yoram Guttfruend, MD, Kathleen Schrank, MD, Joseph Scott, MD, John Sullivan, MD

Forensic Procedures

In collaboration with the UM-JMH Center for Patient Safety, the Rape Treatment Center has developed a Sexual Assault Forensic Examination Procedures Simulation Course to train nurse practitioners, physician assistants and physicians to provide 24/7 care at the Roxcy Bolton Rape Treatment Center (RTC) to victims of sexual assault. Utilizing state of the art audiovisual equipment and simulators, the trainees receive real-time feedback regarding their performances on a variety of case scenarios that mimic different clinical situations that the trainees may encounter in the RTC.
Course director: Andrew Ta, MD
Instructors: Maureen Fitzpatrick, ARNP

Hemodynamic Monitoring in Critical Care Nursing

Interns in critical care nursing learn the principles and skills necessary for invasive measurements of blood pressure and cardiac output using a Swan-Ganz catheter. Case-based simulation gives the nurse interns hands-on experience in applying quantitative assessment techniques in realistic clinical setting.
Course director: Silvia Suarez, RN

Knee Arthrocentesis

This course teaches the basic skills of joint aspiration. Didactic training reviews the indications for and the contraindications to joint aspiration. Using synthetic knee models, the learner will master the psychomotor skills necessary to aspirate fluid using either the medial or lateral approach to the knee joint. The trainee is evaluated on both the cognitive and psychomotor components of the course.
Course director: Joshua Lenchus, DO
Instructors: Art Diskin, MD; Aldo Pavon, MD; Win Aung, MD; Muzammil Mushtaq, MD

Lumbar Puncture

Designed for internal medicine, and neurology residents, as well as medical students on the neurology core clerkship, the course focuses on the proper performance of lumbar puncture, including patient positioning and aseptic technique. The course includes a multimedia didactic module emphasizing site anatomy, LP indications and alternatives, as well as recognition of complications and corrective maneuvers. A hands-on practical component is then undertaken using partial task trainers to develop psychomotor skills for the procedure.
Course director: Joshua Lenchus, DO
Instructors: Salim Dib, MD ; Richard Isaacson, MD; Aldo Pavon, MD; Win Aung, MD; Muzammil Mushtaq, MD

Medical Critical Event Management

Internal medicine residents and nursing interns learn the principles and skills necessary for effective critical event management. Simulated cardio-respiratory arrests give residents and nurses hands-on experience with managing resuscitation of critically ill patients. While clinical management and adherence to ACLS guidelines is covered in the sessions, the focus is on teamwork, situational awareness, and resource management. Video recordings of the events are reviewed with the instructors and all of the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Joshua Lenchus, DO
Instructors: Cheryl Furr, RN

Obstetric Critical Event Management

Residents in obstetrics & gynecology learn the principles and skills necessary for effective critical event management. Simulated labor & delivery emergencies give residents hands-on experience in managing complex parturient patients. The focus of the sessions is on the teamwork and resource management. Video recordings of the events are reviewed with the instructors and course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Joseph Lucci, MD
Instructor: David J. Birnbach, MD, MPH, Salih Yasin, MD

Orientation for Anesthesiology Residents

New residents in the department of anesthesiology receive training on the simulator before entering the OR. During their starting month, residents participate in four simulator sessions which emphasize the technique of induction, emergence issues, and management of hypoxemia and intraoperative hemodynamic changes.
Course director: Nicholas Nedeff, MD

Pediatric Critical Event Management

Pediatric residents and ER nurses learn the principles and skills necessary for effective critical event management. Simulated cardio-respiratory arrests give residents and nurses hands-on experience with managing resuscitation of critically ill patients. While clinical management and adherence to PALS guidelines is covered in the sessions, their focus is on the teamwork and resource management. Video recordings of the events are reviewed with the instructors and all of the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: TBA
Instructors: Barbara Desch, RN, Maureen Fitzpatrick, ARNP

Procedural Sedation

This course is designed to teach the proceduralist (gynecologist, GI, etc.) how to administer moderate sedation for the patient through simulation based training. The course includes a multimedia didactic module emphasizing pharmacology of sedatives and contraindications to moderate sedation as well as recognition of complications and corrective measures. A hands-on practical component is then undertaken using full-scale simulators to develop psychomotor skills for airway management and decision-making skills for resolving common complications.
Respiratory Management for Critical Care Nurses
Interns in critical care nursing learn the basics of mechanical ventilation. Case-based simulation gives the nurse interns hands-on experience in caring for critically ill patients on ventilator support.
Course director: Silvia Suarez, RN
Instructors: Carmen Costa, ARNP, Ruth Everett-Thomas, RN, RT Cheryl Furr, RN

SRNA (Student Registered Nurse Anesthetist) Training

Nurse anesthetist students learn the principles and skills necessary for effective management of routine and critical events in the operating room. Simulation sessions are integrated into the SRNA curriculum and give the students hands-on experience with complex, infrequently occurring situations that they would otherwise only encounter in lectures and textbooks. Video recordings of the events are reviewed with the instructors and all of the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.
Course director: Valerie Bell, CRNA

Thoracentesis

Designed for internal medicine residents, the course focuses on the proper performance of thoracentesis, including the use of ultrasound guidance. The course includes a multimedia didactic module emphasizing site anatomy, thoracentesis indications and alternatives, as well as recognition of complications and corrective maneuvers. A hands-on practical component is then undertaken using partial task trainers to develop psychomotor skills for the procedure.
Course director: Joshua Lenchus, DO
Instructors: Efrosyni Sfakianaki, MD; Aldo Pavon, MD; Win Aung, MD; Muzammil Mushtaq, MD