National Curricula and Training - VHA SimLEARN
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National Curricula and Training

                                                 

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Traditionally, SimLEARN courses were offered via face-to-face and asynchronous modalities managed through Veterans Affairs Talent Management System (TMS) enrollment.  Learners would physically attend training conducted at the National Simulation Center located in Orlando, Florida.  Due to COVID-19, SimLEARN was unable to offer face-to face courses, yet the need for critical clinical training was not only essential for VHA staff, but other federal agencies such as Department of Defense military personnel.  To overcome the challenge of being unable to conduct in-person training, SimLEARN developed two training programs as alternatives for traditional training methods. 

SimLEARN Innovation Cells for Education (SLICE)

We are proud to present SimLEARN Innovation Cells for Education!  SimLEARN creates training curriculum, then trains VHA staff to become instructors of that program at their facilities.  These Local SimLEARN-trained instructors facilitate courses and coordinate with the National Simulation Center, ensuring continuity of curricula across the entire VHA workforce.  SLICE allows greater flexibility in providing localized training across the nation.  Through this training model, travel is eliminated for local employees and minimal for nearby sites reducing training cost and the amount of time providers are absent from Veteran care. The following courses are slated to be offered in the future:

Peripherally-Inserted Central Catheter (PICC 102)          
Participants will develop the skills necessary to insert, maintain, and remove a Peripherally Inserted Central Catheter insertion (called PICCs or PICC lines), This virtual and precepted course provides an application-based foundation for providers to utilize while working toward certification at their respective facilities. including troubleshooting, care, and maintenance. This virtual course includes local preceptorship for the practical components. Preceptorship includes observing and directing simulated patient care, incorporating job-shadowing, and assisting with hands-on practice during ultrasound guided PICC insertions.

Maintenance of Certification in Anesthesiology (MOCA)
The purpose of this face-to-face, simulation-based course is to provide VHA anesthesiologists the opportunity to fulfill the American Board of Anesthesiology (ABA) MOCA 2.0. Part IV requirements and improve patient outcomes. SimLEARN will provide VHA physicians the relevant MOCA training in anesthesiology to enhance patient care and safety. MOCA goes through high-risk challenges/situations physicians may face in a real operating room (OR) situation. In this course, anesthesiologists will use high-fidelity simulation to assess personal knowledge and knowledge gaps on high-risk topics such as wrong side regional block in a safe, productive setting.

Trauma Nursing Core Course (TNCC)
The purpose of Trauma Nurse Core Course is to teach Registered Nurses core level knowledge and psychomotor skills, which are defined as central or key elements of the multidimensional processes involved in the initial assessment and management of sick or injured patients. TNCC also provides a foundation for integrated communication and collaboration in identifying and treating the sick or injured. The intent of TNCC is to help the nurse develop a rapid and accurate approach when caring for the ill or injured patient. TNCC consists of lectures, hands-on psychomotor skill stations and interactive online learning. TNCC is based on the nursing process, which is emphasized through the components of the course.

Fundamental Critical Care Support (FCCS)
The purpose of this blended simulation training is to address the gap in qualified clinicians who can facilitate fundamental critical support healthcare using simulation. This course introduces principles important in the initial care of critically ill/injured patients to physicians, physicians-in-training, nurses, and other healthcare providers who may or may not be skilled in critical care but who must deliver care required for early stabilization and in anticipation of the arrival of an intense visit, specialist, or pending transfer of a patient to a tertiary care center.

Simulation for Clinical Excellence in Nursing Services (SCENS)
The purpose of this blended simulation training is to address the gap in qualified nurses who can create healthcare training using simulation. This course introduces principles of simulation scenario building to target registered nurses, licensed practical nurses, and unlicensed assistive personnel who can benefit from using simulation based scenarios to improve the skills while caring for such patients during early stabilization. The curriculum is presented in a series of integrated lectures and skill stations or with online presentations and in-person skills stations to provide knowledge, guidance for decision making, and initial practice in some clinical procedures.

Musculoskeletal Clinician (MSK-C)
The face-to-face Musculoskeletal Instructor Training course provides primary care providers the knowledge, skills and confidence to provide musculoskeletal services and have procedural proficiency to deal with the most common musculoskeletal conditions. This includes Veterans with complex rheumatic diseases presenting to Patient Aligned Care Teams (PACTs) and successfully managing patients wishing a joint injection without referral to orthopedic specialists. In addition to treating Veterans with musculoskeletal complaints, the primary care providers who complete this training will function as instructors to train other primary care providers at their home facility.

Out of Operating Room Airway Management Train the Provider (OOORAM)       
This course provides an application-based foundation for providing instruction within traditional modalities, as well as simulation based training by combining lecture, discussion, practical exercises, and hands-on simulation activities. Participants will develop the skills necessary to provide traditional instruction geared toward adult learners, conduct simulation-based healthcare training scenarios, and be able to thoroughly debrief such events during SimLEARN training programs in their work centers.

Musculoskeletal Emergency Department (MSK-ED)
The purpose of this face-to-face (FTF) simulation training is to enhance Primary Care Providers’ knowledge, skills and confidence to manage common musculoskeletal (MSK) problems in the emergency department. In addition, this training emphasizes appropriate resource utilization and access to specialty care. MSK diseases are common, and many patients seek care for these problems in primary care and urgent care clinics. In the past decade, MSK conditions were identified as the most frequent diagnoses in primary care clinic encounters in the US. Despite this prevalence, providers are often not well prepared to effectively address common MSK problems within their clinical setting.

SimLEARN Virtual Academy (SVA)

SimLEARN is pleased to present the SimLEARN Virtual Academy!  SVA leverages innovation and technology to advance simulation education through synchronous and asynchronous modalities.  Synchronous methods are conducted via virtual live instruction on various platforms such as SimIQ, MS Teams, Webex and Zoom to meet the needs or capabilities of each facility.  Asynchronous training will include pre-learning for synchronous events, persistent learning environments for recurring asynchronous courses and just-in-time training solutions.  SVA reduces training costs, minimize logistic requirements and reduces the time clinical staff are away from Veteran care through the elimination of travel.  The following courses are slated to be offered in the future:

Ultrasound-Guided Peripheral IV (UG-PIV)
This  simulation training provides physicians, registered nurses and advanced practice providers with the opportunity to become proficient in the use of ultrasound to insert a peripheral IV. The use of ultrasound guidance during the placement of a peripheral IV has been proven to reduce the number of IV attempts, reduce the need for central venous catheters, reduce the number of complications, and improve patient satisfaction compared to the traditional approach.

Simulation for Clinical Excellence in Nursing Services Instructor (SCENS-I)
This course introduces principles of simulation scenario to target registered nurses, licensed practical nurses, and unlicensed assistive personnel who can benefit from using simulation-based scenarios to improve the skills while caring for such patients.

Mechanical Ventilation
The simulation-based training provides VHA clinicians with the opportunity to address mechanical ventilator basic physics and functions. This course provides VHA clinicians with the skills and knowledge necessary to lead or assist ventilator management teams in critical care settings and ensure the best outcomes for Veteran patients.

Out of Operating Room Airway Management Train the Provider Instructor (OOORAM-I)
This course combines didactic and hands-on simulation activities so participants can develop the skills necessary to design, develop, implement, and debrief simulation based OOORAM training in their work centers.

Point of Care Ultrasound (POCUS)
Point of Care Ultrasound (POCUS) The course is designed to teach novice users the fundamentals applications of POCUS. Training Approach: The training curriculum for SimLEARN's Basic Ultrasound Training course consists of three components: core lectures, hands-on practice with live models and simulation models, and image interpretation practice sessions.  This course is accredited for ACCME, ACCME-NP, ANCC.

Musculoskeletal Master Educator (MSK-ME)
The purpose of this face-to-face (FTF) simulation training is to train educational leaders who want to develop local programs to strengthen musculoskeletal (MSK) skills in primary care providers and trainees. This program will provide these leaders with content expertise in MSK care and education in primary care settings. This face-to-face MSK Master Educator Training course will serve as the blueprint for effective implementation of this curriculum at their local institution and provide a structured plan for tracking educational and relevant clinical outcomes and communicating results through publication and other forms of scholarship. This course is accredited for AAPA, ACCME, ACCME-NP, ANCC.

Peripherally-Inserted Central Catheter (PICC 101)
This introductory course was designed for nurses that have little or no experience with Peripherally Inserted Central Catheter insertion (called PICCs or PICC lines) or using ultrasound to guide intravenous cannulations. This course covers vascular anatomy, general IV insertion, using ultrasound to guide IV insertion, PICC line insertion justifications, complications, line care, use, and removal. This is intended for nurses who want to learn to insert PICCs, or for those nurses that simply want to understand their use to provide improved patient care. Nurses who want to learn to use ultrasound to start lines on patients with difficult IV access could also benefit.

Peripherally-Inserted Central Catheter Instructor (PICC-I)
This Peripherally Inserted Central Catheter insertion (called PICCs or PICC lines) virtual course will bridge the gap by teaching best practices to instructors, to ensure that the same education reaches all learners. The class also covers how to be an effective preceptor. It includes training on the use of simulation, as well as assistive and evaluative approaches that foster learning and encourage improved practices for patient care. Those that successfully complete the PICC Instructor’s course will be approved as preceptors for local learners, working in conjunction with the virtual PICC class offerings.