Conversations in the Discipline:
Simulation in Health Care
Dr. Yue Dong, Assistant Professor of Medicine, Mayo Clinic College of Medicine and Research Associate, Mayo Clinic Multidisciplinary Simulation Center
Dr. Dong was trained in China and practiced as an anesthesiologist for six years before he came to the US. Subsequently, he finished research fellowships in anesthesiology and physiology at the Mayo Clinic. He is currently a patient safety researcher and educator at the Mayo Clinic Multidisciplinary Simulation Center (MCMSC) and the METRIC (multidisciplinary Epidemiology and Translational Research in Intensive Care) group at the Mayo Clinic Rochester. Dr. Dong is an Assistant Professor of Medicine at the College of Medicine, Mayo Clinic. His primary research interests are:
- Using systems engineering approaches (discrete event simulation, etc.) to study and improve provider and system performance of healthcare delivery.
- Study the effectiveness of simulation-based medical education (SBME) by developing valid outcome assessment instruments, which stretch measurement endpoints from the simulation lab into clinical practice, and provide highly reliable data for decision support and high-stakes testing.
- Using simulation as a tool, conduct human factor research to study human performance variation under different "stress conditions" (fatigue, cognition, workload, etc.) and conduct usability testing of EMR software, devices and care processes.
Beyond conducting several research projects using various medical simulation applications (task, trainers, computer simulation and modeling), Dr. Dong also teaches several simulation courses (central line, airway, sedation, system thinking) at the MCMSC for clinical fellows, residents and medical students. He also serves as a mentor for Mayo Clinic's Critical Care Fellowship Quality Improvement Curriculum and Mayo Medical School's IHI Open School Chapter.
Tejas Gandhi, PhD, Assistant Vice President of Management Engineering and Lean at Virtua
Dr. Gandhi is a master change agent, leading Virtua in the development of a safe, reliable and cost effective care model through the development of its process improvement toolbox. Dr. Gandhi brings 10 years of quality and process improvement expertise from different industries, lending a unique prospective to problem-solving and operations improvement.
Dr. Gandhi was actively involved with the recent transition planning of the new replacement hospital and integration of the organization's digital journey. He led the "Process Driven Hospital Design" for Virtua's new 368-bed replacement hospital and regional ambulatory center. he has led several projects by collaborating with academia and the healthcare supply chain to apply science to executive decision-making, and by working with all levels of the organization.
Dr. Gandhi earned his doctorate in Health Administration from the Medical University of South Carolina and Master of Science degree in industrial engineering from the State University of New York at Binghamton. He is a certified Black Belt and serves as a faculty member at the New Jersey Institute of Technology and State University of New York. He is actively involved in professional research, has published several articles in peer-reviewed journals and serves as an adviser for several institutes. he is a member of the American College of healthcare Executives, Institute of Industrial Engineers and the American Society for Quality.
Rick Crist, Senior Staff Systems Engineer with Lockheed Martin
Rick Crist is a Senior Staff Systems Engineer with Lockheed Martin's Mission Systems & Sensors (MS2) organization. His current responsibilities include leading an Integrated Product Team (IPT) for the ICE STORM (Integrated Clinical Environment - Systems, Training, Operations, Research & Methods) healthcare project. His IPT is focused on the integration of engineering analysis tools, including 3D virtual reality and analytic simulation models, with live medical devices and healthcare IT systems into a seamless, interoperable representation of clinical environments for training and operations analysis. He has almost 30 years of experience in developing and integrating complex systems & software for the DoD at IBM, Loral, and Lockheed Martin which provides for the unique opportunity of applying engineering lessons learned from the DoD domain to the healthcare domain. He received a B.S. degree in Computer Science from the University of Minnesota in 1982.