Simulation Fellowship Director: 

Michelle Sergel, MD
Email:  michelle_sergel@rush.edu
Office: (312) 563-4555

The Rush University Medical Center Simulation Fellowship offers advanced training for Emergency Medicine physicians interested in pursuing a career in academic emergency medicine, utilizing simulation-based medical education. This one-year fellowship equips fellows to develop, implement and evaluate simulation‐based educational programs for faculty, residents, medical students, nurses and pre-hospital providers while developing a foundation in medical education theory and practice. The experience and training includes the use of simulation modalities such as high‐fidelity mannequins, task-trainers and standardized patients.

The fellow with be working under the direction of Fellowship Director – Michelle Sergel, MD, Director of the John H. Stroger, Jr. Hospital of Cook County Simulation Center and Co-Director of the RUSH University Simulation Center – in Chicago, Illinois.

The Simulation Fellowship is comprised of three components: Education, Scholarship and Service.

Education

Fellows will learn how to develop, implement and evaluate a variety of simulation-based education (SBE) programs. Fellows will assist the Rush Center for Clinical Skills and Simulation (RCCSS) and the Cook County Hospital (CCH) Sim Center staff and participate with the faculty and staff development workshops offered within the Illinois Medical District Simulation Consortium. The Rush Simulation Fellowship will provide readings, direct instruction, and supervised practice for Fellows.

Educational Learning Objectives

By the end of the Fellowship, our Fellow should be well prepared to take the Simulation Educator Certification Exam offered by the Society for Simulation in Healthcare.

The Simulation Fellowship requires dedicated time several days a week at the Rush Center for Clinical Skills and Simulation and the Cook County Simulation Center.

Scholarship

Each Fellow will select an SBE program or question to study. Examples include:

  • Developing, piloting and evaluating a new simulation-based educational program.
  • Evaluating an existing SBE program (ACGME Milestone assessment)
  • Comparing two SBE programs, or SBE programs using alternative instructional or assessment methods.
  • Gathering evidence for the validity of an SBE assessment.

Faculty will provide weekly mentorship and supervision of scholarship activities by our CCH Clinical Research Coordinator – Errick Christian.  It is expected that the fellow complete the exercises and readings in the online seminar series “Fundamentals of Scholarship and Study Design”. This will enable the fellow and enhance the likelihood of completing a scholarly project within the one year of the fellowship. Fellows are encouraged to disseminate their work via posters and presentations at national meetings, as well as submissions to MedEdPortal or pubmed indexed journals.

An administrative project is encouraged within the year of the fellowship. Due to the relatively new use of simulation-based medical education, simulation centers, labs and programs are emerging regularly. The fellow should be made prepared for future opportunities involving the creation of a new simulation center or improving upon a center (examples of administrative projects include website improvement/design, staff training/hiring, organization of materials or scheduling, etc.)

Summary of Criteria for Successful Fellowship Completion

  • Participation in most Simulation weekly activities (approximately 20 hours/week)
  • Scholarly project completion
  • Administrative project completion

ACEP Teaching Fellowship

Fellows will participate in this program designed to help develop the skills needed to become successful in an academic environment, become an excellent academic instructor, and enhance management and leadership skills. The program is 11 days and is covered in two sessions (fall and spring) in Dallas, Texas. Costs of this program are covered and registration is guaranteed.

The Fellowship focuses on:

  • Fundamentals of teaching and evaluation
  • Designing effective and efficient instruction
  • The realities of completing demands of an academic career – publishing, teaching, research and clinical work

Comprehensive Instructor Workshop – Center for Medical Simulation

Fellows will receive the opportunity to go to the intensive immersion in healthcare simulation course led by experienced simulation educators.  It covers all high-level elements and concepts involved in running a simulation program.  The program is 5 days in Boston, Massachusetts and costs are covered by the fellowship. For more information visit: https://harvardmedsim.org/ims-comprehensive-workshop.php.

The course focuses on:

  • Operating a simulation program
  • Developing debriefing skills
  • Preparing, building, conducting, and debriefing realistic simulation scenarios
  • Avoiding simulation pitfalls
  • Advancing simulation within one’s institution

International Meeting on Simulation in Healthcare (IMSH)

Fellows are expected to attend the annual International Meeting on Simulation in Healthcare, and to participate in IMSH presentations with CCH Simulation Lab staff.

Conference Participation

Rocky Mountain Conference

Cook County faculty, along with faculty at Denver Health, function as key instructors at this annual conference. Coupled with skiing in the Rocky Mountains, fellows will help coordinate, design and instruct the three days of simulation-based procedure and scenario courses for attendants.

ACEP Simulation Course

Simulation faculty from the Chicagoland area serve as faculty instructors for the ACEP Simulation Course. This 2-3 day course serves to train Emergency Medicine faculty on preparing for emergencies using task training and high-fidelity simulation.   Fellows may help to plan, prepare and instruct this course.

Debriefing Seminar

This two-day workshop will provide an introduction to debriefing techniques with specific relation to debriefing high-fidelity mannequin simulations. Through didactics, discussion, mannequin simulations, and debriefing practice, participants will learn techniques of effective debriefing and be able to apply these skills in simulation-based education programs.

Scenario Building Seminar

This 4-hour course is designed to give an introduction to developing scenarios with specific relation to high-fidelity mannequin simulations. Participants will learn to write a simple scenario with clear objectives. The scenario is then piloted in order to create a final product.

UIC College of Med – Scholars for Teaching Excellence Faculty Fellowship (STEFF)

This optional fellowship offers a collaborative approach for developing expertise among faculty in curriculum and instructional development, quality teaching and education scholarship. The faculty fellowship is a program for faculty interested in on-going curricular and instructional improvement, and interested in developing themselves as educational leaders.

Networking – IMDSC & CSC

The Illinois Medical District Simulation Consortium (IMDSC), founded in 2012, was created for the purpose of resource collaboration with respects to research alliance, equipment utilization, center administrative guidance and faculty development.

Similarly, the Chicago Simulation Consortium (CSC), functions to serve simulation professionals in the city of Chicago and regionally. The goal of this Consortium is to develop open communication in order to facilitate professional development among simulationists while making resources more readily available.

As one of the founders of the IMDSC and the past president of the CSC, fellows are encouraged to participate in the above organizations in order to establish successful ongoing mentoring and collaborative relationships within the Simulation community. There are ample opportunities to become involved in sub-committees focused on collaborative research and faculty development, furthering the development for team leadership, plan implementation and networking.

Evaluation Process

Consistent feedback on progress – Fellowship Director will meet with fellow weekly to discuss fellow’s individual progress in meeting the objectives listed, clinical and academic requirements, research progress, as well as plans for after the fellowship year.

End of Fellowship Evaluation – Director will again meet with the fellow to discuss progress and future plans. A letter documenting this curriculum and the fellow’s efforts will be provided to the fellow and respective chairs.

Service

Fellows will practice their simulation skills by assisting in the implementation of educational programs provided at the RCCSS and the Cook County Simulation Center. Fellows will assist and serve as co-instructors for simulation programs.  Initiatives to be implemented soon include:

  • Combining efforts with ACLS, PALS and BLS certification and recertification
  • Critical Care team training
  • Orientation and credentialing new residents starting at Cook County Hospital
  • Preparation with regulatory compliance (eg. Joint Commission)
  • Fellows may initiate or assist in the development of new simulations and simulation programs of interest to them, in areas such as virtual reality, ultrasound guided procedures, and telemedicine.

Benefits

Fellows are considered ½-time employees of the Rush University Medical Center. They receive full benefits and work about 8 shifts per month in the Rush University Medical Center Emergency Department. This allows flexibility in their schedule for time in the Simulation Center and participating in academic projects.

Time Commitment

  • Beginning in July – (July – Orientation)
  • Family leave time encouraged

Apply

Candidates must submit a Letter of Intent, brief Personal Statement, Curriculum Vitae, and three letters of recommendation. Interviews will be scheduled after the applications have been reviewed.

For further information regarding this fellowship and application process, please contact:

Michelle Sergel, MD, FACEP
Simulation Fellowship Director
Department of Emergency Medicine
1900 W. Polk Street, Suite 1051
Chicago, Illinois 60612
Email: michelle_sergel@rush.edu