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Medical Simulators and Internet2:

Combining Technology To

Improve Medical Education



Internet2 2003 Fall Member Meeting

Tuesday October 14, 2003

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

Loretto, PA

Rural America





Where the information super highway

becomes a dirt road

SCOPE OF

ALLIED HEALTH PROGRAMS

• The Commission on Accreditation of

Allied Health Education Programs lists

21 allied health professions.

• 2100 allied health education programs

at more than 1300 institutions.

• 196 Physician Assistant programs in

the United States.

CLASSIFICATION OF PA

PROGRAMS IN PENNSYLVANIA

School Size

Arcadia University S

Chatham College S

DeSales University S

Drexel University L

Duquesne University M

Gannon University M

Kings College S

Lock Haven University M

Marywood University S

Pennsylvania College of Technology S

Philadelphia College of Osteopathic Medicine S

Philadelphia University M

Seton Hill University S

Saint Francis University S

CLASSIFICATION OF PA

PROGRAMS IN PENNSYLVANIA

School Size

Arcadia University S

Chatham College S - <3000 S

M – 3000 to 7000

DeSales University S

L - 7000

Drexel University L

Duquesne University L

Gannon University M

Kings College S

Lock Haven University M

Marywood University S

Pennsylvania College of Technology M

Philadelphia College of Osteopathic Medicine S

Philadelphia University S

Seton Hill University S

Saint Francis University S

CLASSIFICATION OF PA

PROGRAMS IN PENNSYLVANIA

School Size

Arcadia University S

Chatham College S

DeSales University S







64%

Drexel University L

Duquesne University M

Gannon University M

Kings College S

Lock Haven University M

Marywood University, S

Pennsylvania College of Technology S

Philadelphia College of Osteopathic Medicine S

Philadelphia University M

Seton Hill University S

Saint Francis University S

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

USING SIMULATION MODELS ON I2



Saint Francis ISDN

University



7/23/03

National Library of Medicine I2





Uniformed Services University

of the

Health Sciences

Commodity I2

Internet

Heart Rate









Blood Pressure









Pulse Oximetry (O2)

Which of the following life threatening

conditions held the highest priority in the initial

treatment of the patient?

Chemical 8.3

toxicity 7.7

Respiratory

Response









50

arrest 80.8 Clinical

Respiratory 41.7 Didactic

depression 7.7



Other 0

3.8



0 50 100

Percent

How does the condition occur with this

patient?



Renal failure 0

0

CNS

Response









8.3

depression 11.5 Clinical

Pulmonary 86.1 Didactic

edema 76.9



Other 5.6

11.5



0 50 100

Percent

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

ISDN









Recorded IP

USUHS

(Patient Simulator)









National Library of Medicine



Commodity Internet





CERMUSA Distance Learning Prototype Laboratory

ISDN







ChorusCall Bridging Service

ISDN









Padua 110 Sullivan 102

Altoona, PA

$5,000/mo

178 miles

Loretto, PA

$6,500/mo

12.5 miles

Value of High Speed Networks



• Immediate

– QoS, speed, clarity, multicast

– Per minute cost savings, long term sustainability

– International reach

• Near Future

– Further enhanced video (hi-def, DVTS, etc)

– Even more bandwidth

– Better E2E performance

– Ability to incorporate digital libraries, 3-D, haptics,

etc.

Sustaining the Effort



• Low cost fees that ensure the

continuity of good work

• Bringing the benefit of advanced

networking to the rural areas

• Medicine, music, art, foreign

languages, K12 Professional

Development…

Cleveland Institute of Music Distance

Learning Program

• Free programs for Ohio students/K12s

• Fee-based for out of state

• Distance Learning Interactive Programs in

– Math and Music

– Let’s go to the Show!

– Music Theory

– Jazz Band Coaching

– Master Classes

– Welcome to Opera

– Science of Sound

– Careers in Music

Health Sciences



• Penn School of Medicine,

Pathology faculty

presented remotely on

Telepathology

• Tissue analysis when

there are no pathologists Dr. Michael Feldman

in the region Penn, School of Medicine



• Remote diagnostics in a

crisis situation

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

TODAY’S AGENDA



• The plight of small universities

teaching the medical sciences.

• The Saint Francis University (SFU) /

Uniformed Services University of the

Health Sciences (USUHS) experiment.

• The value of high speed computer

networks.

Thank you – Q&A



URLs

www.cermusa.org

www.usuhs.edu

www.magpi.net

Email

rgriffin@cermusa.francis.edu

mshanafelt@cermusa.francis.edu

jmacdoug@magpi.net

gpalmer@magpi.net



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