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National Center for Collaboration in
Medical Modeling and Simulation

Research Projects

Simulator Validation
  • The NCCMMS has acquired simulators for venous catheter insertion, colonoscopy, developing general laparoscopic surgical skills and knee/shoulder arthroscopy.
     
  • Experimental psychologists and medical professionals at the NCCMMS have developed protocols for experimental validation of these simulators.
     
  • Experiments are currently underway at EVMS and ODU using students from both institutions.
     
  • The NCCMMS is collaborating with the Uniformed Services University of the Health Sciences and the Naval Medical Center, Portsmouth on simulator validation studies in catheter insertion and knee/shoulder arthroscopic procedures. The NCCMMS is procuring additional simulators to expand its current validation efforts.
Technology Development
  • The NCCMMS is acquiring new molecular visualization and pattern recognition modeling software to simulate cellular responses to toxins, including chemical and biological agents and other naturally occurring pathogens, which will allow pre-symptomatic diagnosis and treatment of exposed patients. Ongoing funding of this project is being pursued through DAPRA and NIH.
     
  • The NCCMMS is developing Augmented Standardized Patient technology that, when utilized by current EVMS simulated patients, will greatly expand the range of pathologies (e.g., abnormal heart and lung sounds) that can be portrayed by such patients during their teaching throughout the medical education continuum, greatly enhancing the medical education process and contributing to enhanced patient safety.
     
  • The NCCMMS is developing a Wound Debridement Simulator to rapidly train military medical personnel in a skill that is rarely performed in the civilian medical sector by military medical reservists but is a critical skill for battlefield medicine when such personnel are activated and deployed.
     
  • The NCCMMS is studying Assessing Surgical Skill Training Under Hazardous Conditions in Virtual Environments, including the degrading of medical procedural skills in stressful environments by investigating the performance of personnel on a chest tube insertion procedure in a stress-free environment versus performing the same procedure in an immersive virtual battlefield environment where there is minimal light, the sounds of explosions and sniper fire among other stressful special effects.
Simulators in the Curriculum
  • The NCCMMS is conducting curriculum reviews to determine where simulation is the most appropriate training aid for medical students and residents.
     
  • The NCCMMS is conducting a management inventory of all medical models and simulations currently available on the market to serve as a means to match up available simulations with opportunities to employ them in the medical education curriculum. The resulting database currently includes 15,000 entries.
Regional Medical Response Simulation
  • Extensive work with the Hampton Roads Metropolitan Medical Response System (HRMMRS) has led to its endorsement of the development of a regional model and related simulation by the NCCMMS to enable simulation-based exercise of the HRMMRS plan and training of HRMMRS personnel.
     
  • The U.S. Joint Forces Command suggested the integration of this regional model and simulation into Operation Determined Promise 2004. Operation Determined Promise 2004 was a multi-level major training exercise for the US Northern Command at the Joint Training, Analysis, and Simulation Center (JTASC) held in August 2004 to test NORTHCOM's ability to respond to multiple, simultaneous homeland defense challenges in California and Virginia.
     
  • Identification of "off-the-shelf" models by the NCCMMS is underway to support a near-term exercise at JTASC.
     
  • The design of an architecture for a persistent, distributed simulation capability is currently underway by NCCMMS personnel.
     
  • A review and analysis of DoD medical simulation technology is underway in conjunction with the Naval Health Research Center.
Collaborative Partnerships
  • The NCCMMS is are working closely with the modeling and simulation team at the University of Louisville and the National Cancer Institute to develop joint simulation validation studies that will increase the size of the study population.
     
  • The NCCMMS is beginning to plan for a major national medical modeling and simulation conference in FY06 in cooperation with the Office of Naval Research, the Naval Health Research Center, the U.S. Army's Telemedicine and Advanced Technology Research Center and the JTASC.

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