Ongoing 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 task trainers to develop psychomotor skills for the procedure.

Course director: Aldo Pavon, MD

Airway Workshop for PICU Fellows

The objective of this course is for the pediatric critical care fellows to obtain working knowledge and proficiency of standard Difficult Airway Management Guidelines and the airway management techniques. The course aims to prepare the trainees for the management of the anticipated and unanticipated pediatric difficult airway. Simulation training focuses on psychomotor skills for various airway management techniques and devices including direct laryngoscopy, indirect and video laryngoscopy, laryngeal mask airway, and fiberoptic intubation. After skill set training, trainees are presented with a range of difficult airway scenarios on the simulator, which they manage in real- time with individualized feedback to gain experience and confidence in their skills.

Course director: Joseph Dayan, MD

Airway Workshop for Pediatric Emergency Medicine Residents

This workshop is a highly specialized training program designed for emergency medicine students looking to enhance their skills in managing pediatric airway emergencies. The program's primary objective is to equip participants with the essential knowledge, skills, and confidence necessary to handle complex pediatric airway cases with ease and efficiency. This comprehensive training program covers a range of topics, including pediatric airway anatomy and physiology, as well as hands-on techniques that are essential for managing complex pediatric airway emergencies. With this training, participants can develop the necessary skills to provide safe and effective care to pediatric patients in critical situations.

Course director: Sara Cortes, MD

Central Line & Arterial Line (A-LINE) Training for Surgery Residents

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 and A-line placement. There is a strong focus on ultrasound use for proper technique.

Course director: Gerd Pust, MD

Central Venous Catheterization

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. Residents who encounter complications in their clinical practice are referred by Risk Management for remediation.

Course director: Aldo Pavon, MD

Critical Care RN Internship

The Critical Care RN internship is a course that incorporates classroom, simulation lab and focused clinical experiences. The internship includes: 1.) Cardiac rhythm interpretation 2.) Critical care class 3.) Simulation lab experience and cases to reinforce classroom concepts and 4.) Clinical practice with focused objectives related to critical care concepts.

Course director: Ellen Weeks, MSN, APRN and Staniesha Rodriguez, MSN, APRN

Critical Event Management for PICU Fellows

Pediatric critical care fellows, respiratory therapists and staff nurses learn the principles and practice the skills necessary for effective critical event management in the pediatric intensive care unit. Simulated cardio-respiratory arrests and rapidresponse scenarios give residents and nurses hands-on experience in managing critically ill patients. While clinical management and adherence to PALS guidelines is covered in these sessions, their focus is on the teamwork, resource management and communicating with the families of critically ill pediatric patients. Video recordings of the events are reviewed with the instructors and the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course director: Jennifer Munoz, MD

Critical Event Management in Obstetric Anesthesia

Anesthesiology residents learn the principles and refined 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: Reine Zbeidy, MD

Difficult Airway Management for Anesthesiology Residents, Neurocritical Care Fellows and Pulmonary and Critical Care Fellows

The objective of this course is for the trainees to obtain a working knowledge and proficiency of standard Difficult Airway Management Guidelines and the airway management techniques. Simulator training focuses on psychomotor skill sets for various airway management techniques and devices including retrograde intubation, lighted stylet, ventilating tube exchanger, laryngeal mask airway, Combi tube, transtracheal jet ventilation, and cricothyrotomy. After skill set demonstrations, trainees are presented with a range of difficult airway scenarios on the simulator, which they manage in realtime with individualized feedback to gain experience and confidence in their skills. Formative and summative assessment of simulation-based performance is provided pre- and post- training.

Course directors: Jorge Cabrera, MD; Nina Massad, MD; and Arpan Mehta, MD

Emergency Medicine Rotation for Medical Students

Students 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 the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course director: Yoni Azoulai, MD

Faculty Bystander Intervention Course: Addressing Microaggressions in The Workplace

In collaboration with Faculty Affairs, Office of Diversity, Inclusion and Community Engagement (ODICE), and The Gordon Center, this course is aimed to empower faculty to address a perceived lack of dialogue when encountering microaggressions and bias. A multi-professional team of educators has developed a workshop that relies on experiential learning to engage participants in various scenarios. The overarching goal is to normalize and advance conversations surrounding microaggressions and bias in the workplace.

Course director: Joni Maga, 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: Aldo Pavon, MD and Nina Massad, MD

Lumbar Puncture and Bone Marrow Biopsy for Hematology and Oncology Fellows

This course allows Hematology and Oncology Fellows to advance their technical skills in performing lumbar puncture and bone marrow biopsies. The course includes a multimedia didactic module emphasizing site anatomy, lumbar puncture 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 instructor: Aldo Pavon, MD

Lumbar Puncture and Bone Marrow Biopsy for Pediatric Interns

This program is a hands-on and intensive training course aimed at providing pediatric interns with the specialized knowledge and skills necessary for proficiently conducting bone marrow aspirations and lumbar punctures in pediatric patients. The course encompasses a comprehensive blend of theoretical understanding, practical training, simulation-based learning, and clinical guidance.

Course director: Warren Alperstein, MD

Maintenance of Certification in Anesthesiology (MOCA) Program

The UM-JMH Center for Patient Safety is an endorsed simulation center by the American Society of Anesthesiologists and a member of their Simulation Education Network. The one-day course fulfills Part IV requirement of the American Board of Anesthesiologists (ABA) Maintenance of Certification in Anesthesiology (MOCA) Program. The overall focus of this course is on learning teamwork and crisis-management skills needed for managing critical events in anesthesia and identifying areas for practice improvement.

Course director: Christina Matadial, MD

Med-Surg Orientation for Nurses

This course prepares nurses to transition Medical or Surgical nursing roles within the Jackson Health System. Nurses coming from a skilled nursing background or from other hospital systems practice responding to simulated critical events while following Jackson procedures and protocols.

Course instructor: Sean Carillon, MSN, RN and Jessica Myers, MSN, RN

Neonatal Resuscitation Program (NRP) for Residents and Fellows in Pediatrics, Family Medicine, Ob/Gyn and Nurses

The Neonatal Resuscitation Program (NRP) uses a blended-learning approach, which includes online testing and case-based simulations as well as hands-on simulation and debriefing that focus on critical leadership, communication, and teamwork skills. Residents and fellows in pediatrics and pediatric subspecialties, family medicine, obstetrics and gynecology work together with nurses in NRP simulation sessions to practice effective team-based care and learn evidence-based approach to care of the newborn at birth.

Course director: Teresa del Moral, MD and Jahli Galloway, MSN, RN

Obstetrics and Gynecology Rotation for Medical Students

During their core clerkship in Obstetrics and Gynecology, students attend a simulation session at the Center for Patient Safety. In small group exercises, the students practice pelvic and breast exams on part-task trainers and are provided the opportunity to practice delivering a baby using a birth simulator.

Course director: Jorge Garcia, MD

Obstetrics and Gynecology Rotation for Residents

The Ob/Gyn simulation program for residents includes a series of three- to four-hour-long sessions occurring throughout the academic year. The residents participate in training sessions using the Noelle simulator, a variety of pelvic models, and surgical simulators. Additionally, residents participate in advanced laparoscopic skills training and cadaver lab with laparoscopy capabilities. The simulation curriculum hosted at the Center for Patient Safety focuses on the following: 1) postpartum hemorrhage; 2) shoulder dystocia; 3) perineal laceration repair and 4) instrumentation and patient positioning.

Course director: Judith Simms-Cendan, MD and Maureen Fitzpatrick, MSN, APRN

Out of the OR Airway Management Workshop

This workshop combines case simulations and task trainer stations and complements didactic teaching. Emphasis is placed on the key principles of emergent airway management outside the operating room and differences from perioperative airway management. Aimed at second-year anesthesiology residents, the workshop is designed to teach and assess their skills before the airway pager is entrusted to them.

Course director: Arpan Mehta, MD

Pediatric Critical Event Management

Pediatric residents and staff 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 the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course director: Monica Alba-Sandoval, MD

Pediatric ED Mock Code

Conducted in the resuscitation room of the pediatric emergency department, monthly mock codes challenge pediatric residents and staff nurses to learn the principles and skills necessary for effective critical event management in a real clinical environment. Simulated cardio-respiratory arrest gives residents and nurses hands-on experience with managing resuscitation of critically ill patients as well as identifying and reporting system issues that might detract from quality patient care. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course director: Sara Cortes, MD

Pediatric Orange Team

Pediatric Orange team is a specialized educational program aimed at enhancing the skills, knowledge, and teamwork of healthcare professionals who work with pediatric patients in critical care and emergency settings. Through a combination of scenario-based simulations, hands-on skill workshops, didactic lectures, and team-building exercises, participants will develop the expertise required to provide effective and coordinated care to critically ill children.

Course director: Warren Alperstein, MD

Pediatric Simulation: Rapid Cycle Deliberate Practice (RCDP)

During this course, residents are given various complex pediatric cases in a RCDP instructional format. Rapid-Cycle Deliberate Practice (RCDP) is a simulation-based instructional strategy that focuses on rapid acquisition of necessary skills. It provides gradually more challenging simulation rounds in rapid repetition with brief direct expert feedback throughout the session. Contrary to traditional debriefing where learning is taught after the scenario during debriefing. In recent years, RCDP’s use in training emergency clinical situations has been associated with improvement team performance in several different studies.

Course director: Monica Alba-Sandoval, MD

Point-of-Care Ultrasound for Anesthesiology Residents

The point-of-care ultrasound (POCUS) course is aimed at CA-2 and CA-3 residents. The Center for Patient Safety owns Sonosite ultrasound machines with vascular, cardiac, and abdominal probes. The training includes procedural technique, proper anatomical identification, and skills assessment. Standardized Patients are also involved to allow for physical examination ultrasound practice of the residents.

Course director: Ivet Cordoba, MD

Point-of-Care Ultrasound for Internal Medicine Residents

The use of point-of-care ultrasound (POCUS) is rapidly expanding across medical and surgical specialties. The Center for Patient Safety owns Sonosite ultrasound machines with vascular, cardiac, and abdominal probes. These machines are readily available for residents’ use and practice.

Course director: Maria Antoinetta Mosetti, MD

Procedures for Pediatric Interns – IV, IO and Lumbar Puncture

Interns practice techniques for Intravenous (IV), Intraosseous Infusion (IO), and Lumbar Puncture (LP) procedures on realistic pediatric task trainers. The interactive training session allows small groups of interns to rotate among the various specialized trainers to acquire skill acquisition while under the direction and guidance of pediatric physicians.

Course director: Monica Alba-Sandoval, MD

Rapid Response and Code Blue Simulation for Internal Medicine Residents on VA-QI Rotation

Internal Medicine residents learn the principles and skills necessary for effective critical event management. Simulated cardiorespiratory arrests and rapid response scenarios give the residents hands-on experience managing acutely ill hospitalized patients. While clinical management and adherence to ACLS 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 the course participants during debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course directors: VA-QI Chiefs

Renal Biopsy for Nephrology Fellows

The focus of this course is to assist nephrology fellows in recognizing and treating the most widespread types of medical renal diseases, which can have an impact on various parts of the kidney such as the glomerulus, tubules, interstitium, and blood vessels. Through this course, fellows will gain the necessary knowledge and skills to accurately diagnose and effectively manage these conditions.

Course director: Maria Antonietta Mosetti, MD

Sexual Assault Forensic Examination Simulation

This course is designed to provide Advanced Practice Registered Nurses with a comprehensive and immersive understanding of the processes involved in conducting medical examinations within the field of forensic science. Through a combination of theoretical learning and hands-on practical exercises, learners will gain the necessary skills to perform accurate and thorough forensic medical examinations on individuals who are victims of sexual assault crimes.

Course director: Maureen Fitzpatrick, MSN, APRN

Shock Simulation for Pediatric Interns

Through simulation sessions in the lab and in-situ training on the hematology-oncology floor, pediatric interns learn the principles and skills necessary for diagnosis and treatment of patients in shock. While clinical management and adherence to shock treatment guidelines is covered in the sessions, their focus is on teamwork, communication, and resource management. Interns’ performance is reviewed with the instructors during video-aided debriefing sessions. Feedback is provided in a supportive and constructive manner with the intention of motivating improved performance.

Course director: Warren Alperstein, MD

Thyroid Fine Needle Aspiration Training for Endocrinology Fellows

First-year fellows from Endocrinology and Cytopathology receive hands-on practice with the use of a Thyroid task trainer and ultrasound machines. The fellows practice determining fine needle placement, aspiration, proper procedural technique, various needle approaches, and documentation. The session also includes preparing specimen samples and biopsy analysis.

Course director: Zeina Hannoush, MD

Transesophageal Echocardiography (TEE) Ultrasound

Aimed at senior anesthesiology residents, adult and pediatric cardiology fellows and critical care attending physicians, this course offers a comprehensive knowledge base through learning practical skills in transesophageal echocardiography (TEE) to complement clinical evaluation. The course has been developed to use the CAE Vimedix Ultrasound Simulator to reinforce clinical simulator case studies. Participants learn practical skills in focused TEE as well as normal and pathological cases relevant to their specialties.

Course director: Martin Bilsker, MD

Transthoracic Echocardiogram (TTE) Ultrasound

Directed at senior emergency medicine residents, critical care, and adult and pediatric cardiology fellows, this course offers a comprehensive knowledge base through learning practical skills in transthoracic echocardiography (TTE) to complement clinical evaluation. The course has been developed to use the CAE Vimedix Ultrasound Simulator to reinforce clinical simulator case studies. Participants learn practical skills in focused TTE as well as normal and pathological cases relevant to their specialties.

Course director: Rhea Sancassani, MD

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: Aldo Pavon, MD

Ultrasound and Amniocentesis Training for Maternal Fetal Medicine Fellows

This course provides MFM fellows and Ob/GYN residents with comprehensive training in advanced ultrasound imaging and amniocentesis procedures. Focusing on amniocentesis, a crucial fetal sampling technique during pregnancy, participants gain hands-on experience using the state-of-the-art Blue Phantom amniocentesis trainer. This training encompasses critical psychomotor skills, including precise ultrasound probe positioning, needle placement, and amniotic fluid withdrawal. The course is further enriched by the integration of the CAE Vimedix Ultrasound Simulator, which reinforces learning through simulated clinical cases relevant to participants' specialties in obstetrics and gynecology. Upon completion, participants emerge with the confidence and competence needed to perform amniocentesis and excel in ultrasound imaging, enhancing their contribution to maternal and fetal medicine.

Course director: Anna Sfakianaki, MD

Ultrasound Skills Assessment for CA-3 Anesthesiology Residents

The objective of this course is for the trainees to obtain a working knowledge and proficiency of The use of point-of-care ultrasound (POCUS) is rapidly expanding across medical and surgical specialties. Aimed at fourth-year anesthesiology residents, this course offers a high-intensity overview of ultrasound skills through the use of two CAE Vimedix Ultrasound Simulators and Sonosite Ultrasound Machines. The workshop is designed to refine and evaluate resident skills as they perform scans on standardized patients, identify normal and pathological indicators via simulators, and are assessed on their knowledge and ultrasound skillset.

Course director: Ivet Cordoba Torres, MD

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