Dr. Allan L. and Mary L. Graham Clinical Performance

University of Illinois at Chicago

Department of Medical Education

Dr. Allan L. and Mary L. Graham

Clinical Performance Center

Annual Report 2016-2017

Rachel Yudkowsky, MD, MHPE, Director

Christine Park, MD, Co-Director

Robert Kiser, Associate Director

Graham CPC 2017 Annual Report

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Dr. Allan L and Mary L Graham Clinical Performance Center

Annual Report 2016-2017

Rachel Yudkowsky, MD, MHPE, Director


Bob Kiser, Associate Director

Mission

The mission of the Dr. Allan L. and Mary L. Graham Clinical Performance Center (GCPC) is to

help educators in the health professions improve clinical performance and patient safety by using

simulated clinical encounters for

Instruction

Assessment

Quality Improvement

Research

Who We Are and What We Do

The GCPC supports the learning and assessment of communication skills, data gathering, clinical

reasoning, decision-making, procedural skills and team skills through simulation-based

educational programs. Our programs leverage standardized patients, task trainers, mannequins

and other simulations to provide learners with opportunities for safe, repeated practice of clinical

skills, in an environment rich with feedback and coaching.

GCPC facilities include two eight-room “clinics” for standardized

patient encounters, two mannequin simulation suites, two procedural

skills labs, and two classrooms, all equipped with AV recording and

playback capability; as well as office and administrative spaces.

The GCPC is affiliated with the College of Medicine’s Surgical Skills

Lab and Perinatal Simulation Lab, together comprising the UIC Health

Sciences Simulation Consortium. The Consortium was re-accredited by

the American College of Surgeons as a Comprehensive Accredited Educational Institute in 2017.

The GCPC is a unit of the Department of Medical Education (DME) in the UIC College of

Medicine. We serve medical students and residents, nursing and nurse practitioner students,

pharmacy students and residents, hospital staff including nurses and respiratory therapists,

physicians in practice, and mid-career professionals in the DME’s Masters of Health Professions

Education (MHPE) and Masters in Patient Safety Leadership (MPSL) Programs. Health

Professions educators from around the world attend certificate and short-term fellowship

programs at the GCPC to learn how to implement simulation activities effectively in their own

schools.


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GCPC faculty and staff serve as workshop instructors, plenary speakers and Special Project

faculty for health professions students and residents at UIC. We disseminate knowledge gained

through our activities in peer reviewed publications, at workshops across the US and abroad, and

at invited and peer reviewed presentations at national and international conferences, including

the American Association of Medical Colleges (AAMC), the International Meeting on

Simulation in Healthcare (IMSH), the Association of Standardized Patient Educators (ASPE),

and others.

GCPC Highlights - 2016 and 2017

GCPC Expansion

GCPC staff have been working closely with

architects from Holabird & Root + SLAM to design

the new College of Medicine simulation facility on

the fourth and fifth floors of the building housing the

Mile Square Health Center on Roosevelt and Wood.

The move will more than double the space available

for simulation activities, allowing the GCPC to meet

the growing demand for simulation-based

educational programs for learners at all levels of

training and practice. The new center is projected to

be complete in 2019.

Staffing Updates

The GCPC welcomed Dr. Christine Park as Co-Director In the fall of 2017. Bob Kiser rose to the

position of Associate Director in the spring of 2016 while Laura McKenzie became Assistant

Director. Raina Long joined the GCPC team as an SP Coordinator and Angelo Dindia as a

Technology-Based Simulation Coordinator. Read more about our new team members in the

Faculty and Staff update below.

American Heart Association Training Site

The GCPC was accredited as an AHA Training Site in 2015, enabling us to provide training in

Basic Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support at

both the learner and instructor level for students, residents and staff. In 2017 we took on the

majority of CPR training from the UIC Safety Department, and became the main BLS training

site for University of Illinois Hospital physicians.

We are currently applying for AHA Training Center status.


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Professional Development Programs for Simulation Educators

The GCPC Certificate Program in Standardized-Patient-Based Education is an intensive one-

week program that provides faculty and simulation educators with the knowledge and skills

needed to create effective instruction and assessment programs utilizing standardized patients

(SPs). The certificate program has taken place annually since 2012, and is one of only two

programs in the US dedicated to teaching faculty about SP methodology. National and

international participation, which has included participants from Switzerland, Ethiopia, Antigua,

and Nigeria, provides a stimulating peer group and promotes networking opportunities.

In 2016 and 2017 we added two 2-day advanced workshops for SP educators: Training SPs to

Debrief and Provide Feedback, and Advanced Instruction and Assessment with SPs.

In May 2017 Dr Rachel Yudkowsky, Director of the

GCPC, and Bob Kiser, Associate Director of the

GCPC, conducted a series of professional

development workshops based on the SP educator

certificate program for faculty and SP educators at

Plymouth State University in Plymouth, NH.

Participants improved their skills in writing SP cases,

training SPs, managing an SP program, and

developing SP-based assessments.

In October 2016 Bob provided a 2-day workshop on

SP debriefing at Baylor University in Houston, Texas.

Rachel also provided workshops and presentations at

the Sentara Center for Simulation and Immersive

Learning, Eastern Virginia Medical School, Norfolk

VA; University of Minnesota College of Medicine, Minneapolis MN; Oakland University

William Beaumont School of Medicine, Rochester MI; Northwestern University Feinberg

School of Medicine, Chicago IL; and SUNY Downstate Medical School, Brooklyn NY.

The GCPC’s professional development programs have had an impact both globally and

nationally. For an interactive map of GCPC programs go to http://tinyurl.com/kolhu69

2017 Week-long Program

2017 Plymouth State University

SPCP Participants

2016 Training SPs to Debrief Learners

and Give Feedback Workshop

http://tinyurl.com/kolhu69


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Resident Orientation Boot Camp

All new UIC PGY1 and PGY2 residents come to the GCPC during their orientation week to be

coached in four basic procedures: IV insertion, arterial puncture (ABG), lumbar puncture (LP),

and basic airway /Oxygen delivery. This “boot camp” ensures that they are well prepared to

perform procedures under supervision on their first night on call. In 2017, at the request of the

hospital and GME office, we added a “patient handoff” station in which new residents practiced

giving and receiving patient transfer information according to a standard protocol.

Medical Students and Physical Therapist Students learn from each other with the help of SPs

In an innovative interprofessional education (IPE) collaboration between the College of

Medicine and the College of Applied Health sciences, physical therapy students and faculty, in

conjunction with GCPC SPs, teach second-year medical students the musculoskeletal physical

exam. In a return visit, fourth-year medical students, again with SP assistance, teach PT students

to perform the abdominal exam. In addition to learning physical exam skills, students learn to

work with and appreciate other professions.

High School Simulation Immersions

High school students from around Chicago came to the GCPC for a half-day simulation

experience as part of the UIC Emergency Medicine sponsored "Champions" high school

program, in which high school juniors and seniors from low-income neighborhoods are trained to

be health advocates in their own communities. At the GCPC high schoolers learned to obtain an

EKG, conduct an ultrasound exam, and provide CPR, and put their new skills into practice in an

exciting high-fidelity mannequin simulation. In 2018 we will be repeating this project for UIC’s

Urban Health High School program.

A similar simulation immersion was conducted in 2016 and 2017 for Northwestern University’s

National Student Leadership Conference, in which high-school students from around the world

come to NU to explore the qualities of effective leadership and gain an insider's perspective on

some of today's most sought-after professions. Students enjoyed the challenge of performing

procedures on task-trainer models and engaging in high-fidelity clinical scenarios.


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New Ultrasound Curricula for Students and Residents

Point-of-care ultrasound (POCUS) technology allows clinicians to obtain critical images of

patients at the bedside. The GCPC has acquired new POCUS equipment and ultrasound

simulators, and Drs Ananya Gangopadhyaya and Stefan Tchernodrinski are spearheading the

development of new ultrasound curricula to ensure that UIC students and residents are well

prepared to utilize this increasingly useful new approach.

New Equipment Laerdal high-fidelity pediatric Sim Jr.

Lumify Portable Ultrasounds

GE Venue 50 Ultrasound

Ultrasound Knee Module for Aspiration & Injection


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Graham CPC Statistics for Academic Year 2017

Over 14,900 participants

About 2.000 unique learners

Over 33,000 learner-hours

1329 simulation-based educational sessions provided

101 unique simulation-based education programs

5.3 education and training activities per day on average

Activities conducted on 249 of 260 days (96% program utilization rate.)

Client FY13

Programs FY14

Programs FY15

Programs FY16

Programs FY17

Programs

FY17 Learner Hours

COM 37 39 44 46 48 25,813

CON 7 6 5 6 4 677

COP 2 2 2 2 2 204

GME 14 18 15 20 15 3,108

UIH 5 7 9 7 7 500

Other Internal 9 16 11 18 16 1,689

External 9 4 6 7 9 1,205

Total 83 92 92 106 101 33,194

0

5000

10000

15000

20000

25000

30000

35000

FY16 FY17

Learner Hours

GME

CON

UIH

Other Internal

External

COM


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18%

4%

5%

12%

4%

57%

Center Usage FY17

GME

CON

UIH

Other Internal

External

COM

10%

37%

40%

13%

COM Center Usage FY17

M1

M2

M3

M4


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Research and Development Projects in the GCPC

Meeting Service Needs of Veterans Experiencing Homelessness: A Process

Improvement Initiative Using USV's: In this collaboration with Drs Saul Weiner

(Internal Medicine, JBVA) and Alan Schwartz (DME) and their research team, the GCPC

is sub-contracted to recruit, train and manage sending incognito SPs around the country

as unannounced standardized veterans to assess the services provided to vets. Phase 1

was completed successfully in 2017, Phase 2 is currently in progress. Funded by the US

Department of Veterans Affairs.

Family-Physician Communication Study: Drs Michelle Barnes and Amanda Osta

(Pediatrics), Alan Schwartz (DME), Linda Gilkerson and Rachel Justice (Erikson

Institute) and Alisa Seo-Lee (Stroger Hospital) are evaluating the impact of a training

program to improve pediatric residents’ empathy and communication with parents and to

increase family satisfaction with residents’ communication in the clinical setting. The

UIC pediatric resident communication OSCE provides the context for outcome measures

for the study. The study is funded by a grant from the Erikson Institute and the

Association of Pediatric Program Directors. Previous pilot data showed an increase in

empathy and mindfulness and satisfaction with communication as reported by the

residents. The current study expands the mixed methods design to include a simulated

patient protocol as well as self-report measures and resident and program director

interviews.

Immersive Touch Module Development: Drs. Cristian Luciano and Rachel

Yudkowsky (DME, GCPC) worked with Dr. Pat Banerjee of the UIC College of

Engineering and Immersive Touch Inc to develop new simulator modules and curricula

for the Immersive Touch augmented reality/haptic simulator, focusing on Lumbar

Puncture.

Core + Clusters Physical Exam: The GCPC and Dale Lorens (DME), Dr Asra Kahn

(IM) and Dr Ananya Gangopadhyaya (IM), directors of the Essential of Clinical

Medicine (ECM) Program are collaborating with faculty from Columbia, George

Washington University, Harvard, University of Connecticut, and Texas Tech to develop a

new approach to teaching and assessing the physical exam while promoting clinical

reasoning.

Telemedicine Curriculum for Internal Medicine Residents: Drs Ananya

Gangopadhyaya and Mahesh Patel (IM) and Rachel Yudkowsky (DME, GCPC), along

with Jerry Stapleton (DME) and Bob Kiser (GCPC), continue to develop an online

curriculum to teach residents to work effectively in an online environment. The

curriculum includes live tele-encounters with standardized patients to allow residents to

experience telemedicine and practice telemedicine communication skills. This work

begun with funding from the UIC Center for Excellence in Teaching and Learning

(CETL).


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C.A.R.E.S.: Clinicians Acting to Reinforce Empathy Skills. This curriculum was

designed to strengthen medical students’ empathic skills through the use of acting

exercises and techniques. Students learn to identify empathic moments through role-

playing both patients and clinicians within simulated clinical encounters. Project

collaborators include Drs Josh Nathan, Amber May, Kelly Volpe, Sean Blitzstein and

Geri Fox (all from Psychiatry), Dr Fred Zar (IM), GCPC staff Martin Hurm, Bob Kiser,

Laura McKenzie, Lynda Shadrake and Shole Milos, and medical student Katherine Bock.

The GCPC team members continue to be instrumental in developing the course content,

including acting exercises and patient characteristics and scenarios, and teaching the

course alongside a physician co-educator. The pilot project was originally funded by the

UIC Center for Excellence in Teaching and Learning (CETL).

Biomedical Visualization Projects. The GCPC collaborates with the Biomedical

Visualization (BVIS) masters degree program of the College of Applied Health Sciences,

providing a venue for BVIS students to observe and illustrate medical procedures as well

as opportunities for thesis projects.

o 2016 BVIS student Carrie Shaw collaborated with faculty of the COM Essentials

of Clinical Medicine geriatrics curriculum to create The Alfred Lab, an interactive

virtual reality experience to teach health professions students about aging.

Wearing a VR headset, students can experience a taste of what it’s like to be an

elderly man with visual and hearing impairments. The Alfred Lab was piloted in

the geriatrics curriculum for second-year medical students.

o 2017 BVIS student Emma Chai is working with Drs Yudkowsky and

Gangopadhyaya to create an online resource for COM students to practice

conducting a virtual pelvic speculum exam.

o Additional BVIS student projects are in progress in the GCPC Mixed Reality Lab,

see below.


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Mixed Reality Lab R&D Projects

The Mixed Reality Lab, directed by Christian Luciano, is a collaboration between the GCPC and

the COM Department of BioEngineering.

Project Graduate student

Application of Haptic Virtual Fixtures in Psychomotor Skill Development for Robotic Surgical Training

Cecilia Gatti

MS (May 2017)

Visual, auditory, and touch senses have

been widely used in training. In particular,

tactile (cutaneous) and kinesthetic

(muscle) sensing are the main haptic

feedback modalities used by human beings

to interact with the world around them.

Recently, the combination of haptics and

virtual reality (VR) has been able to

improve motor skill training. The

technique of visually and/or haptically

magnified errors (known as error

augmentation) has shown positive results

in skill development. However, the use of

haptics in psychomotor learning is still not

completely understood and thus underdeveloped. The goal of this project was to provide a

platform for conducting research on psychomotor skill learning to better understand how haptic

error augmentation can provide more effective methods to improve training and facilitate re-

learning.

Haptic and Virtual Reality Surgical Simulator for Training in Percutaneous Renal Access

Andrea Faso

MS (May 2017)

Percutaneous renal access (PCA) is a

technically challenging surgical procedure that

requires extensive training and presents a steep

learning curve for residents. Traditional PCA

trainers using manikins and animals are

inaccurate, highly priced, and subject to quick

tissue degradation. Moreover, prolonged

training with fluoroscopic guidance exposes

trainees to high amount of radiation, limiting

its benefits. Currently-available virtual reality

simulators (VRSs) for PCA are unable to

realistically recreate the tactile sensation

perceived when puncturing real patient anatomy. Thus, a novel haptic VRS for PCA was

developed using a low-cost 3D Systems TouchTM 3D Stylus haptic device. A preliminary

evaluation of this system suggests the simulator is able to improve the performance of medical

students developing the psychomotor skills needed for conducting PCA.


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Autonomous Training for Central Line Placement Using Mixed Reality and Machine Learning

Nihar Sheth

PhD (expected July 2018)

This project aims to develop and evaluate

an autonomous mixed reality simulator

for practice and performance assessment

of CVC placement. Trainees often forget

some of the 23 surgical steps, perform

them out of order or incorrectly, lack

proper technique for hand and instrument

manipulation, and are unable to correct

their own errors. The “instructor-less”

mixed reality proctor, which will be

tested in two teaching hospitals, uses a

patient-derived physical manikin, a

tracking system of trainee hand and

instrument movements, a 3D display to show virtual internal anatomy and ideal instrument

guidance, and an artificial-intelligence-based algorithm to autonomously coach and score

medical residents in learning this procedure without risk to patients.

BVIS Student Theses in the Mixed Reality Lab:

Haptic and virtual reality neonatal chest tube training simulator

Suzanne Hayes (MS expected May 2018)

Virtual reality visualization tool for anatomical exploration of cerebral blood

vessels and brain aneurysms for diagnosis and pre-surgical planning

Talia Weiss (MS expected May 2018)

Virtual reality game for engaging rehabilitation of patients who suffered a stroke

Eliza Knipscher (MS expected May 2018)

Augmented/mixed reality training simulator for teaching musculoskeletal

structures of arm and forearm

Andrea Kim (MS expected May 2018)


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Peer-Reviewed Publications Based on Work Done in or with the GCPC

1. Park YS, Hyderi A, Heine N, May W, Nevins A, Lee M, Bordage G, Yudkowsky R:

Validity Evidence and Scoring Guidelines for Standardized Patient Encounters and

Patient Notes from a Multisite Study of Clinical Performance Examinations in Seven

Medical Schools. Academic Medicine 2017; 92:S12-S20. DOI:

10.1097/ACM.0000000000001918

2. Park YS, Lineberry M, Hyderi A, Bordage G, Xing K, Yudkowsky R: Differential

Weighting for Subcomponent Measures of Integrated Clinical Encounter Scores Based on

the USMLE Step 2 CS Examination: Effects on Composite Score Reliability and Pass–

Fail Decisions. Academic Medicine 2016; 91(11):S24-S30. doi:

10.1097/ACM.0000000000001359

3. Park YS, Hyderi A, Bordage G, Xing K, Yudkowsky R: Inter-rater Reliability and

Generalizability of Patient Note Scores Using a Scoring Rubric Based on the USMLE

Step-2 CS Format. Advances in Health Sciences Education, 2016; 21(4):761–773.

Published first online 12 January 2016.

Peer-Reviewed Presentations by GCPC faculty and staff or based on work done in or with the GCPC

1. Park YS, Lineberry M, Hyderi A, Bordage G, Xing K, Yudkowsky R: Differential

Weighting for Subcomponent Measures of Integrated Clinical Encounter Scores Based on

the USMLE Step2 CS Examination: Effects on Composite Score Reliability and Pass-

Fail Decisions. Paper presented at the Annual Meeting of the Association of American

Medical Colleges, Seattle WA November 2016.

2. Gangopadhyaya A, Park YS, Yudkowsky R: Comparing Residents’ Communication and

Interpersonal Skills Between Telemedicine and Face-to Face Encounters. Oral abstract

presented at the Annual Meeting of the Association of American Medical Colleges,

Seattle WA November 2016.

3. Nathan J, Blitzsetin S, Fox G, Shadrake L: C.A.R.E.S.: Clinicians Acting to Reinforce

Empathic Skill. Workshop presented the Association for Academic Psychiatry 2016

Annual Meeting, San Juan Puerto Rico September 2016

4. Park YS, Yudkowsky R: Understanding Generalizability Theory – A Primer. Workshop

presented at the Annual Meeting of the Association of Standardized Patient Educators,

Tampa FL, June 2016

5. Kiser R, Hurm M, McKenzie L, Shadrake L, Milos S, Yudkowsky R: SP Coordination

101. Workshop presented at the Annual Meeting of the Association of Standardized

Patient Educators, Tampa FL June 2016

6. Cunningham J, Kiser R, Shadrake L: Keeping it Real—Using Sim Techs with Medical

Backgrounds in SP Interprofessional Cases. Panel presentation at IMSH Society for

Simulation in Healthcare, Orlando Florida January 2017


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7. Kiser R, Hurm M, McKenzie L, Shadrake L, Milos S: SP Coordination 101. Workshop

presented at the Annual Meeting of the Association of Standardized Patient Educators,

Alexandria VA June 2017

8. Gatti, C., Luciano, C., Patton, J., Virtual reality test bed for haptic error augmentation in

psychomotor skill development, IEEE World Haptics 2017, Fürstenfeldbruck (Munich)

Germany, June 2017

9. Nathan J, Blitzstein S, Ozga M, Bock K, McKenzie L, Milos S, Shadrake L, Fox G,

Yudkowsky R: C.A.R.E.S. a Little: Can We Teach Empathy? Poster presented at the

Association for Academic Psychiatry 2017 Annual Meeting, Denver CO, September

2017

10. Park YS, Hyderi A, Heine N, May W, Nevins A, Lee M, Bordage G, Yudkowsky R:

Validity Evidence and Scoring Guidelines for Standardized Patient Encounters and

Patient Notes from a Multisite Study of Clinical Performance Examinations in Seven

Medical Schools. Paper presented at the Annual Meeting of the Association of American

Medical Colleges, Boston MA November 2017.

11. Gangopadhyaya A, Khan A, Rajagopal N, Hirshfield L, Ramahi R, Lorens D, Dauner S,

Yudkowsky R: The Alfred Lab: A Pilot Study of Second-Year Medical Students to

Assess the Impact of Embodying a Geriatric Patient through Virtual Reality. Poster

presented at the Annual Meeting of the Association of American Medical Colleges,

Boston MA November 2017.

These have been a busy and exciting two years for the GCPC; we look forward to continuing to

provide high quality simulation programs in support of instruction, assessment, patient safety and

research.


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GCPC Faculty and Staff

Rachel Yudkowsky, MD, MHPE - Director

Rachel Yudkowsky is a Professor in the Department of Medical Education

at the University of Illinois at Chicago College of Medicine. She is the

Director of the GCPC and also serves as Director of the University of

Illinois Health Sciences Simulation Consortium.

Dr. Yudkowsky is an Associate Editor of the journal Simulation in

Healthcare. She received the Outstanding Educator Award from ASPE in

2009, and the Society for Simulation in Healthcare SP SIG Award in 2016.

Her book Assessment in Health Professions Education, co-edited with

Steven Downing, was published by Routledge in 2009. Her areas of research

interest include performance assessment using standardized patients and

other simulations, especially for physical exam skills, communication skills,

clinical reasoning, and basic procedural skills; and setting passing standards

for performance exams.


Christine Park is a Professor of Anesthesiology and Medical Education at

the University of Illinois at Chicago. She serves as the Co-Director of the

Graham Clinical Performance Center, and as the Associate Head for

Learning and Innovation in the Department of Anesthesiology. Dr. Park

received her undergraduate degree in English Literature at Yale University,

followed by her MD degree from Indiana University School of Medicine.

She completed anesthesiology residency at the Brigham and Women's

University.

Dr. Park is the current President of the Society for Simulation in Healthcare,

a global non-profit organization comprising nearly 4000 members from

more than 50 countries. She is also a member of the editorial board of its

journal, Simulation in Healthcare. Her interests include leadership

development, dynamic decision-making during critical events, maintenance

of competence in practicing providers, and most importantly, finding and

growing new applications for simulation across the health professions.


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Robert Kiser, Associate Director

Bob is the Associate Director of the Graham CPC, in charge of day-to-day

operations for both patient-based and technical simulation programs. Bob

began his association with the Clinical Performance Center as a

Standardized Patient in 1994, became a Standardized Patient Coordinator in

September of 2005, Assistant Director in 2009, and Associate Director in

2016. During his time at the university he has joined his team nationally and

internationally in facilitating workshops on the use and training of SPs. Two

particular areas of interest for him are the use of SPs in telemedicine

instruction and SP feedback. Additionally, he is a mediator with the UIC

Office of Access and Equity. Bob is a graduate of Illinois State University

with a B.A. in theater and is both a certified mediator and an executive

coach.

Laura McKenzie, Assistant Director

Laura has been with the GCPC since 2005, beginning as a Standardized

Patient before moving into the role of Standardized Patient Coordinator

and now Assistant Director. Prior to joining the GCPC, Laura was a

teaching artist for such arts advocacy groups as Urban Gateways, After

School Matters, and Barrel of Monkeys. She conducted theater and

dramatic writing residencies with CPS students and also led professional

development workshops. Laura is a graduate of Northwestern University

and continues to write and perform.

Shole Milos, Standardized Patient Coordinator

Shole has served a Standardized Patient Coordinator since 2007 after

spending many years working as a Standardized Patient focusing on

physical exam technique and basic skills instruction. He is a graduate of

Loyola University with a degree in Theatre and Communications with a

focus on children’s theatre education and children’s theatre production.

Lynda Shadrake, Standardized Patient Coordinator

Lynda is a graduate of The Ohio State University and a former high school

English and drama teacher; she has been a professional actress in Chicago

for over 25 years. Lynda started her career at UIC as a standardized patient

in 2006, and joined the staff as SP Coordinator in 2012.

Raina Long, Standardized Patient Coordinator

Raina is a professional actor, writer, and director who has been working in

and around Chicago for 14 years. She has worked with the Chicago Public

Schools as a teacher and an artist educator before beginning her work here at

UIC. She started at the GCPC in 2008 as a Standardized Patient.


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James Haukland, Technology-Based Simulation Coordinator

Prior to joining the GCPC, James worked as both a Paramedic and a Lead

Instructor, teaching ACLS, PALS, CPR, and First Aid, as well as in the

Crisis Prevention Institute (CPI) Non-Violent Crisis Intervention Program.

James received his Bachelors of Science Degree in Technical Management

from DeVry University.

Angelo Dindia, Technology-Based Simulation Coordinator

Angelo has worked in emergency medicine since 2003 as an emergency

medical technician, paramedic, and critical care paramedic. He joined the

GCPC in 2012 as a simulation technician and instructor, transitioning to his

current role of simulation technology coordinator in August 2017. A lifelong

learner, Angelo continues to eagerly amass education, both formal and

experiential.

John Colagrossi, MBA, Assistant Director of Operations

John served as a Business Manager and Assistant Director of Business and

Operations for several departments at UIC since 1999, providing him with

extensive experience in UIC accounting and financial reporting processes.

A UIC graduate, John has an MBA with specialization in Accounting.

Edward Fraim, Operations Manager

Edward has been a member of the GCPC since 2008, beginning as a

Standardized Patient and Practical Instructor. He is a current theatrical

professional with a background in performance, education, operations, and

management. In 2010 he was asked to join the management team and

help to maintain the operation of the center until a new Center Manager

was found. Currently Edward works in the management and operations

side of the center, but still works in the educational aspects as much as he

can.

Julian Lugo, IT Technical Associate

Julian has worked in the IT field for over 15 years for companies such as

AT&T, United Airlines, and Illinois School District 47. He joined the

GCPC in 2012 in the role of technical support for the Center. In addition,

Julian is a long time Chicago area musician and has performed throughout

the Chicagoland area for many years with his own music group. He

earned his Bachelors of Arts degree in Sociology with concentration on

education from Ashford University.


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Cristian Luciano PhD, Research and Development Associate

Dr. Cristian Luciano is the Director of the GCPC’s Mixed Reality Lab. He is

a Research Assistant Professor in the Department of Bioengineering

(Colleges of Medicine Engineering), a Clinical Assistant Professor in the

Department of Biomedical and Health Information Sciences (College of

Applied Health Sciences), and an Adjunct Research Assistant Professor in

the Departments of Medical Education and Urology (College of Medicine) at

UIC. His areas of expertise involve virtual, mixed, and augmented reality,

3D graphics, haptics, and scientific visualization. His research interests are in

surgical simulation, medical training, pre-surgical planning, and robotic

surgery.

Ananya Gangopadhyaya MD, Faculty Associate

Dr. Ananya Gangopadhyaya (aka “Ani” or “Dr G”) is an Assistant Professor

in the Department of Internal Medicine and a Faculty Associate in the

GCPC. She holds several leadership roles in the new COM Curriculum

Transformation, including Doctoring & Clinical Skills Co-Course

Director. As a clinical content expert Dr G helps develop and implement the

GCPC's physical exam workshops, new SP cases for students and residents,

the new ultrasound curriculum for medical students, and the telemedicine

communication curriculum for residents.

Technical Simulation Assistant Coordinators

Noah Lepawsky Jon Cwiok

With an increasing amount of programming, our Technology-Based Simulation Assistant

Coordinators Noah Lepawsky and Jon Cwiok spend two to three days a week in the Graham

CPC assisting in the coordination and facilitation of simulation-based and procedural skill-

based educational programs. They are also GCPC Instructors working with learners during

simulation and standardized patient-based programs both on and offsite. Noah is a licensed

EMT and started working with the GCPC in 2008 as a Standardized Patient, moving into the

Instructor position and now Assistant Coordinator. Jon has been a licensed paramedic for

many years and joined the GCPC in 2012 first as an Instructor and now Assistant Coordinator.


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Dr. Allan L. and Mary L. Graham Clinical Performance Center Programs

AY 2016-2017

Program Number

of Learners

Simulation Modality

Skills Learned or Assessed

Experiential Hours per

Learner GCPC Effort

UIC College of Medicine

M1 ECM Hypothesis-Driven Physical Exam

199 Standardized Patient

Two workshops focused on Cardiac and Core exams teaching students how to use critical thinking to distinguish and diagnose common chief complaints in those areas

Two 3-hour sessions

4 sessions, Over 1 week

M1 ECM Sensitive History Taking Workshop


Learning sensitive patient history taking skills

2 hours 15 sessions, Over 1 month

M1 Gross Anatomy Physical Exam (PE) Workshop

199 Standardized Patient as Instructor

Learning basic physical examination techniques

Four 1.5 hour sessions

24 sessions, Over 7 months

M1 History Interview Assessment


Assessment of history taking skills

3 hours 31 sessions, Over 3 months

M1 Neurology Workshop (New in 2016-2017)


Introduction to basic Neurological exam skills

2 hours 1 plenary session

M1 Physical Exam Plenary


Discussing patient comfort and communication to be used during physical exams

1 hour 1 plenary session

M1 Practice History Workshop


Learning patient history taking skills

1.5 hours 15 sessions, Over 2 week


Page 19 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

M1 Rapport Workshop


Discussing the aspects of patient communication and how the CIS scale is used


M1 Vital Signs Physical Exam Workshop

199 Standardized Patient as Instructor

Learning to take vital signs


M2 Abdominal Physical Exam Workshop

198 Standardized Patient as model

Learning proper abdominal examination and techniques

1.5 hours 2 sessions, On 1 day

M2 Breast Physical Exam Workshop

198 Gynecologic Teaching Associate (GTA)

Learning proper breast examination and techniques


M2 Cardiac Physical Exam Workshop

198 Standardized Patient as model

Learning proper cardiac examination and techniques


M2 Core+Cluster Physical Exam Workshop (New in 2016-2017)

198 Standardized Patient as Instructors and Models

Taking the HDPE model and expanding the Core Exam to include diagnostic driven cases

Two sessions (3.5 hours, 1.5 hours)

2 plenary sessions

M2 Core Physical Exam Workshop

198 Standardized Patient as Instructors and Models

In-depth refresher and demonstration of the Core Physical Exam


M2 Core Physical Exam Practice Workshop

299 (Includes repeats)

Standardized Patient as Instructor

Practicing techniques and language skills of the Core Physical Exam

1.5 hours per session

attended (may attend more than

once)


M2 Core Physical Exam Assessment

240 (Includes retakes)

Standardized Patient

Assessment of the full Core Physical Exam

1.5 hours 43 sessions, Over 6 months

M2 Dermatology Physical Exam Workshop


Student driven and created program learning how to do a focused dermatology exam



Page 20 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

M2 Focused History/Physical Exam Workshop


Learning how to perform a focused history and physical examination (PE)

3 hours 15 sessions, Over 6 weeks

M2 Lung and Thoracic Physical Exam Workshop

198 Standardized Patient as Instructor and model

Learning proper lung and thoracic examination and techniques


M2 Male G/R Physical Exam Workshop

198 Male Urogenital Teaching Associate (MUTA)

Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 10 sessions, Over 1 month

M2 Musculoskeletal Physical Exam Workshop

198 Standardized Patient with real findings

Learning proper musculoskeletal examination and techniques

Two - 2.5 hour sessions

30 sessions, Over 2 days (15 groups scattered)

M2 Neuro Physical Exam Workshop

198 Standardized Patient as Model

Learning proper neurological examination and techniques

2 hours 15 sessions, Over 1 day (15 groups scattered)

M2 Ophthalmic Physical Exam Workshop

198 Standardized Patient used as Instructor

Learning proper ophthalmic examination and techniques


M2 Female Pelvic Physical Exam Workshop

198 Gynecological Teaching Associate (GTA)

Learning proper techniques and communication for the female pelvic examination


M2 Communication Workshop


Learning communication skills with patients


M2 Communication Assessment


Assessment of communication skills with patients


M2 Complete History Workshop


Learning proper history taking skills

1.5 hours 15 sessions, Over 1 week


Page 21 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

M2 Domestic Violence Workshop


Learning how to communicate with women who are victims of domestic violence


M2 Giving Bad News Workshop


Practicing how to deliver bad news


M2 Lifestyle Modification Workshop


Learning how to communicate with patients regarding lifestyle changes effecting health


M2 Mental Status Workshop


Learning to conduct a mental status examination


M2 Palliative Care Project (New in 2016--2017)


Learning how to communicate with patients regarding end of life treatment/POLST form

2.5 hours 1 plenary session

M3 Essentials of Clinical Practice and Professionalism (ECP&P)

186 Standardized Patient, Mannequin and Procedural Task Trainer

Learning 12 basic procedural skills, practicing EKG interpretation and gaining experience in teamwork and decision-making

Eight 4.5 - hour sessions

20 sessions, Over 1 year

M3 Graduation Competency Exam – Procedure Skills Open Lab

163 Procedural Task Trainer

Practice of 12 procedural skills and EKG interpretation


M3 Graduation Competency Exam – Procedure Skills


Assessment of 12 procedural skills and EKG interpretation


M3 Graduation Competency Exam – SP Encounters


Assessment of clinical and communication skills



Page 22 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

M3 UIUC (Urbana campus) Graduation Competency Exam – SP Encounters


Assessment of clinical and communication skills

3.5 hours 4 sessions, Over 2 days

M3 Internal Medicine Clerkship Workshop


Focusing on data gathering and patient-centered communication


M3 Pediatric Clerkship Simulation Workshop

186 Mannequin and Standardized Patient

Working in pairs to elicit a focused pediatric history and physical, and initiate appropriate patient interventions


M3 Psychiatry Clerkship Assessment


Assessment of ability to obtain history and evaluate mental status examination of psychiatric patients

2.5 hours 33 sessions, Over 1 year

M3 Surgery Clerkship Workshop

186 Mannequin and Procedural Task Trainer

Practicing invasive procedures and working in teams to care for mannequin patients


M4 Anesthesia Clerkship Procedure Skills Workshop

92 Mid-Fidelity Mannequin and Procedural Task Trainer

Learning anesthesia procedures and practicing a pre-operative assessment

3 hours 21 sessions, Over 1 year

M4 Anesthesia Clerkship Simulation Workshop

99 Mannequin Practicing with pre-surgical patients and patients requiring ACLS interventions


M4 ECP&P II – Simulation


Practicing team-based communication with family members in death and near death scenarios


M4 ECP&P II – Standardized Patient


Practicing interaction and communication skills with difficult patients



Page 23 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

M4 Emergency Medicine Clerkship Workshop

175 Standardized Patient, Mannequin and Procedural Task Trainer

Practicing invasive procedures commonly seen in an ER setting and working in teams to care for 2-3 critically ill mannequin patients


M4 Interpersonal Tutor Training (New in 2016-2017)


Intended to be a training session for M4 tutors working with PE workshops


M4 Medical Spanish Workshop


Learning Spanish medical language and practicing application with patient encounters

Two ½ - hour sessions

27 sessions, Over 1 month

UIC College of Medicine Masters Programs

Masters in Health Professions Education (MHPE) 505

21 Standardized Patient, Mannequin, and Procedural Task Trainer

Demonstration of standardized patient and mannequin simulations

3 hours 1 session

Masters in Patient Safety Leadership (MPSL)


Practicing disclosure of medical error


UIC College of Nursing

Male Genitourinary Exam Workshop




Family Practice Nurse Practitioner H&P Workshop


Practicing a basic focused history and physical exam


Acute Care Nurse Practitioner H&P Workshop


Practicing obtaining a focused patient history and PE

1.5 hour 18 sessions, Over 9 months


Page 24 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Female Pelvic Exam Workshop


Learning proper techniques and communication of the pelvic examination


Graduate Medical Education

Anesthesia Simulation Workshop


Practicing advanced airway maneuvers, central lines, and managing the surgical patient

About two 3-hour sessions

40 sessions, Over 1 year

Emergency Medicine Communication Skills Assessment


Assessment of patient-centered communication skills


Emergency Medicine Conference Workshop

386 (includes repeats)

Standardized Patient, Mannequin and Procedural Task Trainer

Participating in organ-system themed days that include procedures, assessments and mannequin treatment

About six 3- hour sessions


EM Regional Milestone Assessment


Assessing skills competency for a subset of Chicago area ER Residents

1.5 hours 5 sessions, Over 1 day

Internal Medicine Communication Skills Assessment




Internal Medicine ACLS Review Workshop

106 Mannequin Practicing teamwork to resuscitate patients per ACLS protocols


New Resident Procedural Skills Assessment


Assessment of four basic procedural skills, with remedial instruction if needed


OB/GYN Communication Skills Assessment



3 hours 2 sessions, Over 1 day


Page 25 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Oral & Maxillofacial Surgery Workshop

22 Mannequin Interns practice obtaining an H&P and recognizing abnormal findings, and participate in mannequin simulation scenarios

4 hours 2 sessions, Over 1 week

Pediatrics Communication Skills Assessment




Pediatric PALS Simulation (New in 2016-2017)

38 Mannequin Practicing pediatric advanced life support and resuscitation skills


Pediatric Procedure Skills Workshop


Practicing and assessment of seven pediatric procedure skills


Pediatric Mannequin Workshop


Assessing and treating pediatric mannequin scenarios while practicing team communication


Surgery Communication Skills Assessment




Telemedicine (New in 2016-2017)


Practicing the application of telemedicine skills in online modules

1 hour 4 sessions, Over 1 day

UIC College of Pharmacy

Intro to Pharmacy Practice Workshop


Learning to take a history from a patient

Two ½ hour sessions

11 sessions, Over 1 week

Patient-Centered Communication Workshop


Learning to communicate effectively with a patient

Two ½ hour sessions

18 sessions, Over 1 month


Page 26 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Other UIC Projects

College of Dentistry – In Class History Taking Practice Scenarios


Practicing taking a history from different kinds of patients

2.25 hours 8 plenary sessions, Over 1 year (GCPC provided SPs only)

UIC Champions Program (New in 2016-2017)


High School students participating in mannequin based simulations, practicing CPR skills and ultrasound techniques

3 hours 1 session

Department of Occupational Therapy


Practicing client interview and problem solving

1 hour 1 plenary session (GCPC provided SPs only)

Biomedical Visualization (BVIS) Group Workshop


Developing BVIS projects using task trainers


Interprofessional – Rockford Workshop


Rockford Pharmacy and Medicine SP Case - We referred SPs for them to train and execute project

½ hour 3 sessions, Over 1 day

COM Rockford – Pelvic Exam Workshop


Learning proper techniques and communication for the pelvic examination

2 hours 3 sessions, Over 2 days

CON Rockford – Male G/U Exam Workshop



1.5 hours 1 session

CON Rockford – Pelvic Exam Workshop


Learning proper techniques and communication for the pelvic examination

2 hours 1 session


Page 27 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

External Clients

Becker SP Workshop


Becker uses our facility to conduct practice history and physical exams for their learners


Lewis University –Female Pelvic Exam Workshop

80

GTA Learning proper techniques and communication for the female pelvic examination

2 hours 4 sessions, Over 2 days

Lewis University – Male G/U Exam Workshop

80

MUTA Learning proper techniques and communication for the male genital and prostate examinations

1.5 hours 4 sessions, Over 2 days

Mt Sinai Resident Communication Assessment




Northwestern Leadership Conference (New in 2016-2017)

134 Mannequin, Procedural Task Trainer and Standardized Patient

High School students participating in mannequin based simulations, practicing CPR skills and ultrasound techniques


St. Anthony University Male G/U Exam Workshop

14 MUTA Learning proper techniques and communication for the male genital and prostate examinations


St. Anthony University Breast/Pelvic Exam Workshop

14 GTA Learning proper techniques and communication for the breast and pelvic examinations


The Biology Project (New in 2016-2017)


Interest group of non-medicine students practicing CPR scenarios, IV and airway skills



Page 28 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Research

Role Modeling and Sexual History Taking (New in 2016-2017)


Research study examining the process of learning through observation

1 hour 8 sessions, Over 3 months

Veterans Association Undercover Quality Assessment (New in 2016-2017)

Varies by site


Quality Assurance of VA referral service centers by unannounced standardized veterans

N/A 30 site visits

UIC Hospital and Health Sciences System

Central Venous Catheter Workshop

133 Procedural Task Trainer and Standardized Patient

Assessment and practice of central line placement, removal and time out procedures


Code Team In-Situ Simulation

199 Mannequin Hospital staff work as a team to resuscitate adult patients and debrief to improve critical decision making skills and reinforce proper ACLS protocol

1 hour 30 sessions, Over 1 year

Global Health Workshop


Practicing team based scenarios in various global environments


Interprofessional Surgery Suite In-Situ Simulation

8 Mannequin Medical center staff teams practicing critical care, surgery based scenarios on site


Outpatient In Vitro Clinic In-Situ Simulation

18 Mannequin Clinic staff practice responding to adverse events



Page 29 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Post Anesthesia Care Unit In-Situ Simulation

20 Mannequin Medical center staff practice responding to adverse events with post-surgical patients


GCPC Professional Development Programs for Simulation Educators

Debriefing Workshop


Faculty and staff learn techniques of effective debriefing for mannequin simulations

Two 4 hour sessions

1 session

Certificate Program in Standardized Patient Based Education


An intensive course for faculty and SP educators from around the world who learn to create compelling educational programs using standardized patients

36 hours 4.5-Day Program, Once a year

GCPC American Heart Association Certification Programs

American Heart Association (AHA) Basic Life Support (BLS) Certification Course

136

Procedural Task Trainer

Certification in Healthcare Provider BLS through a didactic and hands-on process

1-2 hours 20 sessions, Scheduled monthly and additionally as needed

AHA Advanced Cardiac Life Support (ACLS) Certification Course (New in 2016-2017)

18


Certification in ACLS through a didactic and hands-on process

4 hours 4 sessions, Scheduled monthly and additionally as needed

AHA Pediatric Advanced Life Support (PALS) Certification Course (New in 2016-2017)

31


Certification in PALS through a didactic and hands-on process

4 hours 4 sessions, Scheduled monthly and additionally as needed


Page 30 of 30

Program Number

of Learners

Simulation Modality



Learner GCPC Effort

Videography/Photography

American Board of Psychiatry and Neurology (ABPN)


Producing Psychiatric Disorder vignettes used for ABPN certification exams

3-7 minutes per vignette

18 new vignettes filmed with audio segment, Over 3 days

UIC M2 ECM Workshop Videos (New in 2016-2017)


Producing training videos for the M2 physical exam workshops

5-10 minutes per video

6 videos filmed, Over 2 weeks

UIC College of Medicine – GCE Skills Procedure Videos (Updated in 2016-2107)


Filming videos of skills procedures to comply with updated checklists for students to use as reference

5-15 minutes per video

12 videos filmed, Over 3 weeks

Alan Schwartz Photography Project


Photos of actors used to observe bias in viewing participants

2 hours 1 session

Documents

Dr. Allan L. and Mary L. Graham Clinical Performance