In addition to the Center for Medical Simulation in Cambridge which has been operational since 1993, BIDMC has its own on-site state-of-the-art simulation center, the Carl J. Shapiro Simulation and Skills Lab. Anesthesia residents participate in regular training sessions early in their CA-1 year and throughout residency, with the option to do a one-month rotation at the simulation center during the CA-3 year. The center consists of multiple rooms linked by advanced AV equipment, including a realistic OR replica complete with anesthesia machine and patient mannequin which responds to interventions and alters its physiology accordingly. There is a procedure simulation arcade, a surgical simulation arcade, a debriefing room, and a teleconference room with live feeds to 5 ORs, the skills lab, and the Sherman Auditorium at BIDMC. Residents from multiple disciplines are trained at the center in areas such as crisis resource management, procedural skills, group dynamics, and effective communication skills. Videos of scenarios are reviewed in the debriefing room, with discussions led by experienced staff.
As a resident, you participate in sessions at the simulation center during the CA-1 orientation and throughout residency. It is a great place to learn procedural and technical skills before encounters with real patients. The scenarios you participate in range from routine interviewing of patients preoperatively to managing complications in the OR, some of which may be potentially catastrophic. The technology at the simulation center is truly state-of-the-art, and the attendings who facilitate the debriefings are top notch. CA-3s who take the simulator elective have a leadership role in developing, preparing, refining and validating scenarios for future use at the center.