Hands-on workshops abound at Waxman Clinical Skills Center

Internal Medicine 2011 attendees can practice intubation and central line placement, among other procedures.


Hospitalists will have many opportunities to practice hands-on skills like intubation and central line placement at Internal Medicine 2011, thanks to the workshops on offer at the Herbert S. Waxman Clinical Skills Center.

In the advanced airway techniques workshop, participants can practice intubating a mannequin, learn rescue techniques for failed intubation, and weigh the pros and cons of rapid-sequence intubation. The peripherally inserted central catheter (PICC) workshop, meanwhile, allows physicians to practice placing lines using handheld ultrasounds and partial task simulators, and learn the indications, skills and practice implications of PICC line placement.

A central venous line placement workshop will have participants move through three learning stations to find vessels using handheld ultrasounds on live patient models, practice line placement on high-fidelity simulators, and learn about the equipment necessary to perform the procedure. In the lumbar puncture workshop, attendees will watch a demonstration of technique, then practice the procedure on simulation models. Expert faculty will be on hand to offer feedback and discuss pre- and postprocedure protocol.

“There is really a lot going on in the Waxman Center for the hospitalist, particularly as it relates to procedural training,” said Patrick Alguire, FACP, acting senior vice president for medical education for ACP.

An activity to aid with neurological assessment of comatose patients is of special use to hospitalists, he noted. On the basis of a given scenario and examination, participants will be asked to differentially diagnose a live “comatose” patient. They will receive feedback from expert faculty about examination skills, summary diagnosis and treatment plans, as well as a brief didactic lesson on managing patients in the hospital and emergency department.

The self-guided ophthalmology tour, a popular new item last year, will return this year. This station comprises mannequin heads with embedded models of human eyes that contain various funduscopic changes. “You have to use an ophthalmoscope in order to visualize a slide that represents the retina, then make a diagnosis,” Dr. Alguire said. The activity is untimed, so participants can go at their own pace, using materials at the station to check their answers. Similarly, a cardiac murmurs tour is also self-guided, allowing participants to listen to heart sounds while viewing corresponding phonocardiograms.

And of course Harvey, the ever-popular simulated cardiopulmonary patient, is returning to teach participants the most important bedside cardiac findings. Workshops on incision and drainage of abscesses, suturing and soft-tissue injection are available, as well.

Participants should consider getting tickets if they are interested in attending sessions on Thursday, April 7, as this day tends to fill up quickly, Dr. Alguire said. Tickets are optional, free and can be obtained on-site; they are available for all activities except the ophthalmology and cardiac murmurs self-guided tours.