SIMUCI: Training in Intensive Medicine

The SIMUCI program is designed to promote cross-curricular and competency-based training.

The practical sessions are held at the Advanced Clinical Simulation Centre and include structured workshops to address critical aspects such as airway management, septic shock, respiratory failure, neurocritical patient care, and sedation, analgesia, and delirium management. Each workshop is accompanied by specific objectives and monitoring tools to assess the progress of participants.

Before each session, you will review the theoretical materials available on the online platform. This preparation ensures optimal use of the practical activities, which reproduce real clinical situations in a controlled environment.

With this program, you will acquire essential skills for the comprehensive and safe management of critical patients, improving your ability to respond to complex and critical situations that you will encounter in the day-to-day work of intensive care units.

SIMPEDIATRIC: Training in simulation for Pediatrics

The SIMPEDIATRIA program offers comprehensive and practical training for pediatric residents, designed to develop essential technical and communication skills in pediatric care. Through specialized workshops and clinical simulation, participants acquire key competencies in a safe and controlled environment.

It includes on-site simulations in the emergency room, hospitalization floor and postpartum floor, essential for R1s, allowing residents to face real situations within their own work environment. In addition, for R2s, R3s and R4s, SIM-Crític Kids sessions are held, an advanced training in highly complex pediatric situations.

The following training courses are offered within the program:

• Lumbar puncture
• Peripheral venous puncture
• Non-invasive respiratory support
• Communication skillsInitial and complete neonatal life support
• Advanced pediatric life support
• Basic ultrasound and echocardiography for pediatricians
• Invasive procedures workshop: central venous access, tracheal intubation, pleural drainage placement
• Child violence careInitial pediatric trauma care
• Pediatric and neonatal stabilization and transport
• Pediatric emergencies

SIMANESTESIA: Training in Anesthesiology and Resuscitation

The SIMANESTESIA program is a comprehensive training in clinical simulation designed for Anesthesiology and Resuscitation residents, covering the entire residency, from R1 to R4. This progressive program adapts the content to each training year, ensuring gradual learning that is appropriate to the level of competence of each resident.

The training combines theory and practical simulation, which allows residents to develop technical and non-technical skills essential for their daily practice. Through practical workshops and simulated scenarios, participants work on aspects such as airway management, mechanical ventilation, anaesthetic pharmacology and the management of surgical and critical care environments.

The use of high-fidelity simulators allows complex clinical situations to be recreated in a safe and controlled environment, fostering confidence and decision-making in different clinical situations. In addition, the program includes personalized feedback from teachers, helping residents to perfect their skills throughout their training.

With SIMANESTESIA you will acquire essential clinical and human skills to guarantee quality and safe care for patients, being better prepared to face the professional challenges of your speciality.

OFTALMOSIM: Training in Ophthalmology

The OFTALMOSIM program offers practical and theoretical training in ophthalmic surgical techniques, focusing on cataract surgery and vitrectomy. This course provides residents with a simulation experience that improves their surgical skills before working with real patients, increasing safety and confidence in the procedures.

The training includes:

• Surgical theory: Essential knowledge of cataract and vitrectomy surgery, including techniques, necessary materials and management of complications.
• Practical simulation: Residents participate in workshops with high-fidelity surgical simulators, designed to accurately replicate real situations. This allows the practice of surgical manoeuvres in a safe and controlled environment.

This course is aimed exclusively at ophthalmology residents and addresses the need to develop advanced surgical skills in a progressive and methodical manner. During the three weeks of training, participants also receive personalized feedback from the teachers to optimize their learning.

With OFTALMOSIM you will acquire complete preparation in ophthalmic surgery, improving your ability to successfully manage surgical challenges in your clinical practice.

LAPSIM: Advanced minimally invasive surgery training

LAPSIM offers residents comprehensive training in minimally invasive surgical techniques. This multidisciplinary training combines practices with pelvitrainers, virtual laparoscopic simulators and robotic simulators to foster collaboration between specialties and enhance the use of new technologies.

The program is structured in three phases adapted to each year of residency:

• Phase 1: Practices with pelvitrainers for R1 and R2, supervised by assistants, where basic manual skills are developed.
• Phase 2: Practices with virtual laparoscopic simulators with exercises adapted to each speciality to delve into advanced surgical techniques.
• Phase 3: Training in robotic simulators for R4 and R5 residents, where psychomotor skills and robotic surgery techniques are applied.

In addition, specific theoretical training is included for each phase, covering everything from the basics to more advanced procedures in robot-assisted surgery. The program is assessed at each phase to ensure the progressive achievement of competencies.

With this training, you will acquire the skills necessary to work effectively in real surgical environments and use innovative technologies safely.

GINESIM: Training in obstetrics and gynecology

The GINESIM program offers advanced and practical training in key obstetrics and gynaecology techniques, through clinical simulation. Aimed exclusively at residents in the speciality, the program is organized into three modules focused on different areas of expertise:

• CESARIASIM: Works on the skills necessary to perform caesarean sections, including fetal extraction in various positions, resolving complications and making quick decisions in unforeseen situations.
• HISTEROSIM: Trains residents in the technique of diagnostic and surgical hysteroscopy. Includes handling of the instrument, resolving complications, and practice with virtual simulators to consolidate skills before practice with real patients.
• ECOGINSIM: Focused on obstetric and gynaecological ultrasound, teaches how to obtain and interpret fundamental ultrasound plans, with an emphasis on fetal biometry, early diagnosis and transvaginal ultrasounds.

Each module combines online theory with supervised practical sessions and time for independent practice, offering a progressive and effective learning experience.

The training culminates in a theoretical and practical assessment, ensuring that participants achieve competencies applicable in real clinical settings.

With GINESIM, you will gain confidence and proficiency in critical obstetrics and gynaecology techniques, improving your preparation to face professional challenges safely and effectively.

eTEAMS: Teamwork training in multidisciplinary care

The eTEAMS program is a comprehensive training for Vall d'Hebron residents focused on training non-technical skills, such as communication, leadership and situational awareness. Throughout the residency, participants follow a progressive simulation itinerary that culminates in the Simulation Instructor competency.

The program is structured into four modules, one for each year of residency, with the involvement of professionals from various specialties and nursing, who guide the residents in this process. Each module focuses on specific aspects of non-technical skills:

• eTEAMS I: Focused on situational awareness and communication within the team. You will learn the SBAR information transfer methodology and the importance of effective communication.
• eTEAMS II: Focused on effective communication with the patient and the team, as well as teamwork. You will practice mutual support techniques and the closed communication model.
• eTEAMS III: You will work on leadership and decision-making in critical situations, training skills to develop effective leadership.
• eTEAMS IV: You will consolidate non-technical skills and train as an instructor. Includes training in the SIMOONS virtual reality platform, created in Vall d'Hebron, to improve learning in a simulation environment.

ENDOVASCULARSIM: Endovascular training

The ENDOVASCULARSIM program offers specialized and progressive training in endovascular techniques for residents of Angiology and Vascular Surgery. It combines theory and simulation to ensure practical, safe learning adapted to each stage of the residency.

The program is structured in modules that correspond to the years of residency (R1 to R5) and cover techniques such as:

• Interventions in iliac and femoral territories (basic, intermediate and advanced).
• Repair of abdominal and thoracic aortic aneurysms (from beginner to advanced).
• Interventions in carotid territory and peripheral embolization.

Each module includes:

• Online theory: Asynchronous sessions to review before practice.
• Supervised practices: In the Advanced Clinical Simulation Centre, with high-fidelity simulators adjusted to the objectives of each year of training.
• Free practices: Autonomous time to achieve the learning curve with a minimum of 20 hours throughout the module.

The training culminates in an assessment that integrates theoretical knowledge and practical skills, ensuring that residents develop technical competencies applicable in real clinical situations.

ENDOVASCULARSIM is a unique opportunity to hone your endovascular skills in a controlled environment, ensuring agile and safe handling in the treatment of complex pathologies.

ECOSIM: Ultrasound training

With this program from the Simulation Centre, we offer you a complete experience to master ultrasound and related techniques. The theoretical training is carried out online with capsules recorded by our teachers, and covers essential areas such as:

•   Basic principles of ultrasound
•   Abdominal module
•   Pulmonary module
•   Vascular module
•   Ultrasound protocols

The practical part of the program is carried out in two blocks with small groups. In these sessions, you will work at three stations and start each workshop with a brief review of the theory. Then, you will be able to put into practice what you have learned with ultrasound equipment, the Vimedix 2.0 simulator, and real clinical cases.

You will also have time for free practice with the simulator, to consolidate your knowledge. At the end of the program, you will take a practical exam with the simulator to verify the knowledge acquired.

Upon completion of the program, you will be able to perform an agile and precise ultrasound examination based on the clinical syndrome presented by patients. You will also be able to differentiate ultrasound images without alterations from others with pathology that may involve clinical decisions in the treatment of patients.

ECOCATHSIM: Ultrasound-guided central venous access channeling

The ECOCATHSIM program offers comprehensive training in ultrasound-guided central venous access cannulation, combining theory and practice to ensure effective and safe learning. Overall, this program provides the necessary tools for expert management of this technique.

The course is structured in four phases:

1. Online theory: Participants review educational videos before the practical sessions to acquire basic knowledge of anatomy, ultrasound and insertion techniques.
2. Tutored practices: Sessions with experts where ultrasound-guided cannulation is perfected in different locations such as the femoral, jugular and subclavian veins. Arterial techniques and verification with IC-ECG systems are also addressed.
3. Free practices: Residents have autonomous time to consolidate skills and achieve the learning curve.
4. Final assessment: Includes a theoretical and practical test to ensure the integration of the knowledge and skills acquired.

The content covers everything from indications and complications to patient preparation and sterile technique. In addition, the program incorporates clinical cases and simulators to reinforce the decision-making process and the safety of the procedure.

With ECOCATHSIM, you will acquire the essential skills for clinical practice, preparing you to apply this technique on real patients with confidence and precision.