TOTBV-04: THE DEVELOPMENT OF A HOMEMADE CENTRAL LINE SIMULATOR
Rebecca Brown, MD; University of North Carolina

What problem in education is addressed by this work?:
Changes in graduate medical education paradigms and the focus on patient safety outcomes have driven the rapid expansion of simulation use for resident training, especially in technical fields of medicine. Increased simulation use has led to a large volume of simulator production, but commercial models are very costly, not only in regards to initial investment, but also with respect to the cost of ongoing care and maintenance. The purpose of this study was to develop a cost-effective internal jugular vein central line training (IJCLT) model that would appropriately mimic human anatomy and physiology while withstanding a large number of training cycles.

Describe the intervention:
Using commercially available products, our multidisciplinary team created an IJCLT model designed to have the physical appearance and tissue turgor of a human neck as well as appropriately pressurized arterial and venous components that are easily visualized with use of an ultrasound. This model was then used during a multidisciplinary training course to teach central line insertion to incoming residents.

Describe how this intervention could be applied at other institutions. Please specifically comment on identified barriers that could exist and how they could be overcome:
Simulation continues to gain importance in medical training, especially as the graduate medical education teaching paradigms continue to change. However the expense associated with the purchase of commercial simulators can be cost prohibitive, which has led to a need for both realistic and affordable simulators. Production of a central line simulator that is durable, cost efficient, and anatomically accurate is a valuable asset in the continuation of simulation training.