Simulation Center Accreditation and Programmatic Benchmarks: A Review for Emergency Medicine

Authors

  • Rosemarie Fernandez MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Ernest Wang MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • John A. Vozenilek MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Emily Hayden MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Steve McLaughlin MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Steven A. Godwin MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Sharon Griswold-Theodorson MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Moira Davenport MD,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • James A. Gordon MD, MPA,

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • for the Simulation Accreditation and Consultation Work Group on behalf of the SAEM Technology in Medical Education Committee

    1. From the Department of Emergency Medicine, Office of Student Programs, Wayne State University School of Medicine (RF), Detroit, MI; the Center for Simulation Technology and Academic Research, Division of Emergency Medicine, NorthShore University Health System (EW), Evanston, IL; the Department of Emergency Medicine and Office of Medical Education, Feinberg School of Medicine, Northwestern University (JAV), Chicago, IL; the Department of Emergency Medicine, Massachusetts General Hospital and the Gilbert Program in Medical Simulation, Harvard Medical School (EH, JAG), Boston, MA; the Department of Emergency Medicine, University of New Mexico (SM), Albuquerque, NM; the Department of Emergency Medicine, Simulation Education, University of Florida College of Medicine–Jacksonville (SAG), Jacksonville, FL; and the Department of Emergency Medicine, Allegheny General Hospital/Drexel University College of Medicine (SG, MD), Philadelphia, PA.
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  • Supervising Editor: John H. Burton, MD.

Address for correspondence and reprints: Rosemarie Fernandez, MD; e-mail: fernanre@comcast.net.

Abstract

Simulation-based education has grown significantly over the past 10 years. As a result, more professional organizations are developing or implementing accreditation processes to help define minimum standards and best practices in simulation-based training. However, the benefits and potential pitfalls of sponsoring and implementing such programs have yet to be fully evaluated across specialties. The board of directors of the Society for Academic Emergency Medicine (SAEM) requested an evaluation of the potential to create an emergency medicine (EM)-based Simulation Consultation and Accreditation Service. In response to this request, the Simulation Accreditation and Consultation Work Group, a subgroup of the Committee on Technology in Medical Education (now Simulation Academy), was created. The work group was charged with: 1) reviewing current benchmarks and standards set by existing simulation accreditation programs; 2) analyzing current EM simulation program structures, including leadership, administrative, and financial components; and 3) proposing a potential model for EM-based simulation accreditation. This article outlines currently existing and proposed accreditation models and identifies components that support best practices. It then goes on to describe three general programmatic models to better understand how simulation training can be operationalized in EM. Finally, the work group uses this collective information to propose how an accreditation process, in concert with the SAEM Simulation Consultation Service, can enhance and advance EM simulation training.

ACADEMIC EMERGENCY MEDICINE 2010; 17:1093–1103 © 2010 by the Society for Academic Emergency Medicine

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