Medical practice changes that limit teacher time and patient availability and advances in technology are stimulating the greater use of simulators and multimedia computers in medical education. Such systems address the problem of a decline in bedside skills training and proficiency. For over 30 years, The University of Miami Center for Research in Medical Education, in collaboration with 12 other university medical schools, has developed simulation teaching and assessment systems for multiprofessional training. 'Harvey', the Cardiology Patient Simulator, teaches bedside skills that are transferrable to live patients. The UMedic Multimedia Computer cardiology curriculum has been fully integrated into all years of medical school and postgraduate training and also assess bedside skills. Programs are being developed in oncology, neurology and emergency medicine. Our Emergency Medical Skills programs utilize simulation technology and standardized patients to train multiprofessional populations, including paramedics/firefighters. The expanded use of simulation for training and certification is inevitable.
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