SIM Courses

Emergency Medicine Attending Simulation

Background: After receiving positive feedback from 48 faculty who participated in three different team resuscitations that were high signal, low noise in 2013-2014 this course was restructured to include a pertinent critical care procedure. Based on a needs assessment, the emergency medicine department identified thoracotomy tube placement as the most infrequent critical care procedure performed, and the procedure associated with the most complications. In turn, they developed a faculty development course combining simulation of resuscitation cases with a procedure lab. During this course the procedure lab will offer supervised performance, feedback and instruction in thoracotomy tube placement, securement, and troubleshooting.

SIMTrainFormat: 4 hour session. 3 faculty will participate in sim cases for 2 hours, while the other group of 3 will participate in a procedural lab, then the groups will switch

Venue: Procedural Lab will take place in the OR sim while the resuscitation cases will occur in UB Sim lab

Frequency: Monthly

Participants: 54 Pediatric Emergency Medicine faculty

Expertise Level: Expert

Course Leaders: Richard Bachur, Joshua Nagler, Karen Dull, Cathy Perron, Terri Becker, Kyle Nelson, Lois Lee, Rachel Gallagher


  • Provide feedback/debriefing of key clinical decision points for each case relating to knowledge/skills, critical delays or errors
  • Review any protocol driven or system process actions that impact the efficiency/timeliness of care
  • Identify any knowledge/cognitive and system-based gaps requiring individual or generalized re-education
  • Review, practice, and assess thoracostomy tube placement, with individual feedback based on pre-determined proficiency criteria


Josh Nagler
Karen Dull
Kyle Nelson
Theresa Becker
Rachel Gallagher
General Materials
General Faculty Materials

These materials are accessible by Faculty Members only. If you're interested in becoming a Faculty member, click here. Click here