Surgical and Clinical Skills Center
McGovern Medical School Surgical & Clinical Skills Center (SCSC) was completed in 2005. The Center provides hands-on education, training, and quality improvement initiatives to many individuals at differing levels of training. As the name implies, the center brings a unique learning location focusing on both the clinical training and the “hands-on” aspect of healthcare. This combination of both areas under one educational facility provides the most sophisticated learning environment for the healthcare community.
The SCSC has a very robust standardized patient (SP) program. The standardized patient program provides teaching and assessment learning opportunities for undergraduate, graduate, and continuing medical education. The SP Program manages all aspects of providing professionally trained patients, which includes recruiting, training and scheduling.
The SCSC offers Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) training at the center.
The SCSC has an approximately 2,000 square-feet wet lab that provides a unique training environment for all learners. It contains a multitude of partial task trainers, as well as specific equipment such as microscopes for learning.
The SCSC has two patient simulation labs that are equipped with high fidelity manikins and standard clinical equipment, monitors, and supplies to simulate operating rooms or emergency rooms. These labs create a realistic environment for trainees to practice and refine important clinical skills from mask ventilation or endotracheal intubation to advanced crisis management.
The SCSC is equipped with the newest telecommunication equipment, including video monitors and two-way communication with a control booth to facilitate teaching and feedback.
The SCSC is located on the basement level of McGovern Medical School. Upon entering McGovern Medical School, take the Yellow elevators to the basement and exit to the left. The main entrance is near the blue wall section.
6431 Fannin St.
Houston TX, 77030
Phone: 713 500-5900
6431 Fannin St.
Houston, TX 77030
Phone: 713 500-5900
Standardized Patient Program
The Standardized Patient Program provides teaching and assessment learning opportunities for undergraduate, graduate, and continuing medical education. The SP Program manages all aspects of providing professionally trained patients, which includes recruiting, training and scheduling. We currently have standardized patients that range in age from 7 years old to 82 years old. There are established, continuous quality improvement initiatives embedded within the program for observation and evaluation of the professional patients to ensure quality, consistency, and reliability in completing checklists, providing feedback, and performing roles. SPs are valuable tools that are bridging the gap between lectures and practical application. The SP Program can assist you in choosing the most appropriate use for your course. The SP Program is one of the largest programs within the State of Texas and is viewed as a leader in SP methodology.
The SP Program has been under the leadership of Mrs. Marcy Hamburger, MS since 2009, but her experience with SPs for 20 years when she started her career with SPs at Baylor College of Medicine. She has held many responsibilities regarding the SP program, including being an SP herself once! Mrs. Hamburger received an MS in Guidance and Counseling at Long Island University in New York City after completing her BA in Marketing there as well. She has a passion for helping people develop their own skills to become great educators to our medical students. She also dedicates her time to help our faculty members here at McGovern medical school with many different projects. When Mrs. Hamburger isn’t working diligently with our SP program, she is very involved with her family, friends and the community, especially the Dr. Marnie Rose Foundation.
History of SPs
The first simulated patient was born in 1963 at the University of Southern California in Los Angeles. The father of this birth was Dr. Howard S. Barrows, a neurologist and medical educator at the university. Dr. Barrows’ first simulated patient was Rose McWilliams. She was used to teach the normal neurological examination. After teaching the exam, Dr. Barrows pondered how he would evaluate the students. He needed a case that every single student would see in exactly the same way. His first case was Patty Dugger, a paraplegic woman with multiple sclerosis. This was the birth of a standardized patient. Over the years, Dr. Barrows continued to develop and expand the use of simulated patients in medical education. Today, SP methodology has been adopted globally.
Being centrally located within the Office of Educational Programs located in the Dean’s office, the SP Program is accessible to all courses and departments. The staff is continually planning new projects and grant opportunities. Below is a list of current projects and programs using SPs.
- Summer Health Professions Education Program (SHPEP)
- Joint Admissions Medical Program (JAMP)
- Pre Entry Course
- 1st Year Doctoring 1 & 2 Course
- 2nd Year Physical Diagnosis Course
- 1st & 2nd Year Male Genitourinary Examinations
- 1st & 2nd Year Female Breast and Pelvic Examinations
- 2nd Year Doctoring 3 Course
- 3rd Year Internal Medicine Clerkship Small Group Session (Breaking Bad News)
- 3rd Year Pediatric Clerkship Small Group Session
- 3rd Year Internal Medicine Clerkship Session
- 3rd Year Neurology Clerkship Rotation
- 3rd Year Psychiatry Clerkship Rotation
- 3rd Year Comprehensive Clinical Competency Exam (CCCE)
- 4th Year Ambulatory Care Rotation
- Anesthesiology Department
- Emergency Medical Residency Program
- Family Practice Residency Program
- Genetic Counseling
- Internal Medicine Residency Program
- Pediatrics Residency Program
- University of Texas Health Science Center Inter-Professional Education
Information for Prospective SPs
All applicants interested in the Standardized Patient position must complete an application online at the UTHealth Job Site. Once at this site, you need to click on the “search current openings” link from the menu bar located on the left hand side of the screen. Then, search for Standardized Patient at Medical School Building for the SP position at the Medical School.
The Standardized Patient Program is located in the Surgical and Clinical Skills Center (SCSC) in the basement of McGovern Medical School, MSB B.120. The Clinical Skills Facility has 14 patient rooms, a large instructional classroom and a monitor room that allows for full audio and visual supervision of the activities in the patient rooms.
In addition, the Learning Resource Center has approximately ten practice patient care rooms available for medical students to practice clinical skills.
For more information regarding standardized patient education, please visit: Association of Standardized Patient Educators
ACLS - BLS
Basic Life Support and Advanced Cardiovascular Life Support: Training & Certification
Welcome to the Surgical & Clinical Skills Center!
This course is American Heart Association Certified. Before you can begin the modules you will need to register and pay the course fee on-line. For registration please go to: http://go.uth.edu/scscpay.
- BLS…$80.00 (includes all fees, access to part I on-line training modules, parts II/III skills session, provider card, and on-line BLS manual access for 60 days)
- ACLS…$180.00 (includes all fees, access to part I on-line training modules, parts II/III skills session, provider card, and on-line ACLS manual access for 60 days)
- Payments are not accepted in person or over the telephone.
- Refund Policy: When you register, you are assigned an access ‘key’, the system marks the “key” as used. It can only be used by you and cannot be reassigned to someone else. Once you register, a refund can no longer be issued.
There are 3 Parts to the Course:
- All 3 parts must be purchased and completed through the SCSC. We do not accept part I purchased elsewhere. All parts must be completed within 60 days from the registration date.
- Part I consists of on-line modules and testing that can be accessed from any computer with internet access. Once completed you will need to e-mail MS_SCSC_CCP@uth.tmc.edu or call (713) 500-5900 to schedule a time to perform Parts II & III.
- No hardcopy of the ACLS or BLS manual is provided. Access to the on-line manuals are included in the registration fee.
- Parts II & III, the hands-on assessment will be conducted in the SCSC. We are located at 6431 Fannin Street, MSB B.120 Houston TX 77030 in the basement of the UTHealth McGovern Medical School Building. Upon completion, a certificate of completion will be issued which should suffice for credentialing until the card arrives.
- Parts II & III can be completed Monday through Friday at either 9am or 2pm. You must e-mail in advance to schedule a time.
- The SCSC receives the actual provider cards by mail in approximately 2-3 weeks after course completion. You will receive an e-mail to come and pick up your card once we receive it. Center hours are Monday to Friday from 7:30am to 4:30pm.
The average time to complete these courses are noted below. These are average times with a wide range of variability, and depends on how quickly one can complete each module.
||Part I…On-Line Modules on your computer
||Parts II & III…Skills testing in the SCSC
||1 ½ -2 hours
||3 – 6 hours
To access the ACLS or BLS Course
Once you have registered, please go to www.healthstream.com/hlc/scsc
Your username is the e-mail address used for registration and your temporary password is: ‘password’ (make sure it’s all lower case)
Once you sign-on, you must change your password.
You may complete the modules in one session or over multiple sessions as your schedule allows. It is best to complete an individual module before logging off. Once a module is complete, you do not need to redo the module when you later log onto the website to complete the course. If you stop part-way through a module when logging off, you will have to redo that entire module when you later log onto the website to complete the course.
For registration information you can contact Mrs. Cynthia Velasquez at 713-500-5902 or email@example.com. Available Monday to Friday from 7:30am-3:30pm.
For any questions or problems, both during and outside business hours contact Mr. Shadi Qaddoura at 713-500-5913 or firstname.lastname@example.org.
High Fidelity Mannequin
The Skills Center is equipped with a variety of high-fidelity adult and pediatric simulators, which are computerized manikins that simulate real-life medical scenarios. They can produce breath sounds, heart tones, peripheral pulses, pupil dilation/constriction and can display EKG, pulse oximeter, blood pressure, arterial wave forms, pulmonary artery wave forms, anesthetic gases, and other readings. The manikins are linked to computers that regulate compressors on the manikin and provide participants with virtual feedback.
Abnormal conditions such as myocardial infarction, breathing difficulties, and other physiologic changes can be programmed based on physiologically accurate algorithms. The manikins can also react to injected medications and respond hemodynamically as real patients would. The simulator is also able to respond to a participant’s interventions such as defibrillation, needle decompression of a pneumothorax, or other invasive maneuvers. Participants can use the vital cues shown on the simulator monitors to determine the status of their simulated patient and success of any attempted interventions. Trainees can also use the manikins to practice bag-mask ventilation, intubation, chest tube placement, cricothyrotomy and other procedures.
Clinical simulations with these manikins allow all levels of learners from medical students to board-certified anesthesiologists to hone their skills in a realistic and hands-on way. Practicing these skills in the risk-free environment of the simulation lab in turn promotes improved skills, knowledge, and preparedness in more critical, real-world situations.
We currently have one CAE METIman high fidelity mannequin and one CAE PediaSIM high fidelity mannequin. The METIman is a 6-foot, 100 lb. male mannequin with many life-like features such as the following:1
- Airway Management:
- Intubation: orotracheal, nasotracheal, LMA, retrograde, and Fiberoptic
- Bag-valve-mask ventilation
- Head tilt/chin lift
- Tongue swelling
- Surgical or Percutaneous cricothyrotomy
- Neurological: Reactive pupils and blinking eyes
- Automatically calculates 68 intravenous and inhaled medications
- Responses are automatic, dose dependent and follow appropriate time course
- Bilateral and unilateral chest rise and fall
- Measures the presence or absence of carbon dioxide exhalation
- Spontaneous breathing
- Chest tube insertion
- Bilateral needle decompression
- Defibrillation and cardioversion
- 12-lead ECG display
- Bilateral carotid, brachial, radial, femoral, popliteal, posterior tibial, dorsalis pedis pulses
The PediaSIM is a 48-inch, 38-pound mannequin that corresponds to an average 6 year-old child. The PediaSIM has very similar features to the METIman.
Additional information regarding the CAE METIman can be found here
Additional information regarding the CAE PediaSIM can be found here
We have currently two Laerdal 3G SimMan® high fidelity mannequin with the addition of multiple Laerdal SimMan®, SimBaby™, SimNewB®.
The Laerdal 3G SimMan® is an advanced patient simulator that has the ability to project many neurological and physiological conditions.
The following conditions and procedures can be performed using the Laerdal SimMan®:2
- Airway Management:
- Multiple intubation techniques
- Can’t intubated or can’t ventilation anatomy
- Ocular features such as blinking, pupillary accommodation
- Automatic Drug Recognition System
- Automatic and programmable physiological responses
- Spontaneous breathing with normal and abnormal breath sounds
- CO2 exhalation
- Needle thoracentesis
- Chest tube insertion
- BP measured manually
- 12-lead ECG display
- Carotid, femoral, brachial, radial, dorsalis pedis, popliteal and posterior tibialis pulses
- Pulse strength corresponds to BP
- Defibrillation, cardioversion and pacing possible
- CPR detection of quality
The SCSC also carries a variety of additional Laerdal simulation mannequins.
- Laerdal SimMan®: This mannequin allows for a variety of uses and users to teach basic skills of airway, breathing, cardiac and circulation management.
- Laerdal SimBaby™: This infant mannequin is similar to the 3G but encompasses the real life physiology and anatomy of an infant.
- Laerdal SimNewB®: This mannequin allows for training of neonatal resuscitation skills.
Additional information regarding these Laerdal products can be found here
The SCSC brings provides an obstetric high fidelity mannequin through the use of the Gaumard Noelle® simulator. The Noelle® is a maternal and neonatal birthing simulator that presents learner with a complete birthing simulator experience for the entire perinatal period.
Features of the Noelle® include:
- Fetal heart tones
- Resuscitation baby
- Shoulder dystocia anatomy
- Dilating cervix
- Perinatal monitoring
- Postpartum hemorrhage and retained placenta scenarios
More information regarding this product can be found here
Cardionics: Student Auscultation Manikin (SAMII)
The SAMII mannequin is a lightweight, portable mannequin that allows for teaching and training of students in heart, breath and bowel sounds.
Some of the features of the SAMII include:
- Extensive library of sounds
- Variable breath sounds
- Carotid pulses
- Pediatric sounds
More information about the Cardionics SAMII trainer can be found here
- CAE healthcare website: http://caehealthcare.com//images/uploads/documents/METIman-techsheet.pdf
- Laerdal healthcare website: http://www.laerdal.com/us/SimMan3G