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Experience-based learning

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Today, thanks to development technology, it is possible to simulate real-life situations in virtually every area of healthcare, with the goal learning and continuing to develop skills without putting patients at risk.

In addition, at the #MedUNAV Simulation Center, we work to help students develop other professional skills, such as communication, work , analysis and decision-making, leadership, conflict resolution, and stress management. All of this, without losing sight of the fundamental purpose of a physician.

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 Facilities

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The School of Medicine simulation center School of Medicine located on the 4th floor of the Sciences Building the University of Navarra and features the following facilities:

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MULTI-PURPOSE ROOMS


The center has four large rooms designed to training students training 1 through 6 training the practical skills they need. Each room is equipped with an audiovisual system for recording and projecting video and audio, as well as movable tables that allow for the use of different teaching methodologies. In addition, they feature fully functional electrical connections for both Degree postgraduate program activities. Thanks to their movable partitions, these rooms can be converted into two classrooms with greater capacity.

The space also features a classroom that can accommodate up to 70 people, designed for small-group workshops, simulations, and training courses, and equipped with an audiovisual system.

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EMERGENCY ROOM


The center has two rooms equipped with real furniture and supplies, designed to replicate the Clínica Universidad de Navarra.

Each station is equipped with a conference room simulation and high-fidelity simulators, where technical specialists work alongside the physician to recreate realistic clinical scenarios. In addition, they feature one-way mirrors made of 6-mm-thick glass, which allow viewing in only one direction, thereby enabling faculty student body observe student body faculty simulation sessions.

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conference room enquiry Debriefings


Simulation is a reflective process. The debriefing session forms the foundation of the student’s learning; that is why, in the conference room , the trainer creates an atmosphere of safety and trust.

conference room enquiry conference room enquiry designed to resemble a enquiry conference room . The goal this conference room for students to develop their skills and become accustomed to interacting with patients in a “real-world” setting.

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Equipment

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HIGH-FIDELITY SIMULATORS

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Vimedix


Ultrasound simulator that performs TTE, TEE (transthoracic and transesophageal echocardiography), and abdominopelvic scans in a single platform.

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Harvey

Harvey


Cardiology patient simulator. Includes 30 different pathologies such as valvulopathies, cardiomyopathies, congenital heart diseases, etc.

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SimMom Simulator

SimMom


SimMom is an advanced birthing simulator that offers manual and automatic deliveries for better obstetric knowledge teaching .

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SimBaby Simulator

SimBaby


Highly advanced and portable universal infant patient simulator, for training on internship clinical cases through team-based work and learning how to manage resources and people in crisis situations.

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SimMan 3G Simulator

SimMan 3G


SimMan 3G can simulate a critically ill patient's responses to different severity conditions, combining physiological models, drug responses and the ability to show different clinical reactions.

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BASIC SKILLS SIMULATORS

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Task trainers, or basic skills simulators, are devices designed to train a specific skill. They may represent a part of the human body and incorporate an electronic mechanism to teach the skill and provide feedback on skill .

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Teaching

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Degree in Medicine

The School of Medicine medical simulation to teaching some of the most practical skills and competencies of Degree . This approach prepares students before their first contact a real patient.

During their first few years, students practice basic skills using simulators and standardized patients. Starting in their fourth year, they engage in more complex skills training and simulated scenarios where, among other competencies, they develop communication work , analytical and decision-making abilities, and the application of theoretical knowledge in critical or routine internship settings.

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Practice of Medicine I (POM I)

• Standardized Patient History I
• Standardized Patient History II
• Medical Identity Workshops: Reflection, Empathy, Professionalism.
• Physical Examination - Palpation - Percussion - Auscultation
• Physical Examination - Vital Signs
• First Aid: CPR for Adults and Children
• Procedures - Injection Techniques / Hand Washing
• Spirometry
• Anthropometry

Practice of Medicine II (POM II)

• Medical history by specialty
• Standardized patient medical history I, II, and complex standardized patient
• Physical exam: general (includes otoscopy) / abdomen / cardiovascular / respiratory
• Neurological physical exam / ECG
• Medical history with standardized patient + physical exam
• Medical history and physical exam in gynecology
• Medical history and physical examination in psychiatry
• Medical history and physical examination in pediatrics
• Medical identity workshops: communication, professionalism
• Anesthesia (monitoring, ventilation)
• Surgery (irrigation, sutures)
• Nursing: ward patient care
• Diagnostic imaging: radiology, ECG

Mind and Brain

• Neurological examination and funduscopy
• Lumbar puncture
• Clinical presentation

Surgical Physician I (cardiology, nephrology)

• Cardiology examination using the
simulator • Clinical scenarios 

Surgical Physician II (respiratory, hematology, infectious diseases)

• Insulation workshops
• Oxygen therapy skills
• Clinical scenarios

Surgical Physician III (gastroenterology, surgery, endocrinology)

• Clinical scenarios
• Endoscopy skills

Surgical Physician IV (gynecology and obstetrics, urology)

• Skills workshops: bladder catheterization, testicular examination, digital rectal exam (prostate)
• Normal delivery simulation

Surgical Resident V (neurology, psychiatry)

- Clinical scenarios

Surgical Physician VI (Rheumatology, COT)

• Skills workshops: knee examination using simulators and on real patients, shoulder dislocation using simulators, shoulder injection with real-time ultrasound internship simulators, helmet removal, casting...

Surgical Physician VII (ENT, Allergy, Dermatology, Ophthalmology)

• Skills workshops: otoscopy, fiberoptic endoscopy, photophores. Clinical scenario
• Skills workshop: inhalers. Clinical scenario

Paediatrics

• Skills workshops: neonatal resuscitation, pediatric CPR. Clinical scenarios

Emergencies and emergencies

• Skills workshops: basic trauma care, mechanical ventilation, immediate life support, emergency ultrasound

Breast Pathology

Dentistry for Physicians 

Simulation techniques

Plastic surgery

Surgical emergencies

Advanced life support

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training

The Simulation Center collaborates with the School of Medicine train faculty members who subsequently participate in the teaching internship Simulation Center itself or in area Simulated area .

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postgraduate program

The Faculty makes the Simulation Center’s facilities available for various update courses update for residents and specialists. These include advanced life support, emergency scenarios based on clinical cases, and other specialized courses requested by the participants themselves.

INTENDED FOR SPECIALISTS

The Simulation Center works in partnership the training Committee and Human Resources to develop training activities. If you are a CUN specialist and would like to propose an activity, please visit the form.

FOR RESIDENTS

The Simulation Center works in partnership the teaching committee teaching is responsible for proposing activities it considers essential. If you are a resident and would like to receive training in simulation, contact (csm@unav.es).

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TFG, BOOKS AND PUBLICATIONS

Research

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  • Martín-Calvo N, Gómez B, Díez N, Llorente M, Fernández S, Ferreiro Abal A, Javier Pueyo F. Development and validation of a low-cost laparoscopic simulation box. Cir Esp (Engl Ed). 2023;101:482-9

  • Llorente-Ortega M, Polo R, Chiva S, Martín-Calvo N, Sáenz-Santa-María E, Diez-Caballero F, Fernandez S. The development and validation of a new simulator for endourology. conference proceedings Urol Esp (Engl Ed). 2023;47:236-43.

  • Díez N, Pacheco S, Llorente M, Fernández S. Validation of a Sensor-Fitted Simulator for Upper Airway Examination. Otolaryngol Head Neck Surg. 2021 Feb;164(2):339-345. doi: 10.1177/0194599820941017

  • Besné GM, Alegre M, Podhorski A, Díez N. Validity evidence of SIMUL-Eye: eye movement and pupillary reflex simulator. certificate Ophthalmol. 2020 May;98(3):e397-e399. doi: 10.1111/aos.14209.

  • Rodríguez-Díez MC, Tejedor J, Alegre M, Campo A, Pons-Villanueva J, Díez-Goñi N. Clinical simulation scenarios designed by medical students: The description of a two-year experience. Aten Primaria. 2016 Aug-Sep;48(7):501-2.

  • Díez-Goñi N, Guillén S, Rodríguez-Díez MC, Pineda L, Alcázar JL. Use of the Learning Curve-Cumulative Summation Test for Leopold Maneuvers Assessment in a Simulator: A Pilot Study. Simul Healthc. 2015 Oct;10(5):277-82.

  • Rodríguez-Díez MC, Mañeru-Zunzarren G, Artáiz-Urdaci M, Ferrer-Puga M, Baraibar-Argota I, Lage-Fernández FJ, Díez N. Student satisfaction with a cardiology examination session given by trained peers. Fundación Education médica. 2015;18(1):35-38.

  • Rodríguez-Díez MC, Díez N, Merino I, Velis JM, A Tienza, Robles-García JE. Simulators help improve student confidence to acquire skills in urology. conference proceedings Urol Esp. 2014 Jul-Aug;38(6):367-72.

  • Rodríguez-Díez MC, Díez-Goñi N, Beunza-Nuin JJ, Aubá-Guedea M, Olartecoechea-Linaje B, Ruiz-Zambrana A, Alcázar-Zambrano JL - "Confidence of medical students in learning obstetric examination with simulators. An Sist Sanit Navarra 2013;36 (2): 275-80.

  • Díez N, Rodríguez-Díez MC, Nagore D, Fernández S, Ferrer M, Beunza JJ - "A randomized trial of cardiopulonary resuscitation training for medical students: voice advisory mannequin compared to guidance provided by an trainer" - Simul Healthc 2013;8(4); 234-41

  • Maneru G. The acquisition of skills and competencies in the Medical Simulation Center. From theory to internship. International Journal of Humanities, Issue 1, issue 2, 2012.

  • Maneru G. "Error as a Problem or as a Teaching Strategy." *Procedia—Social and Behavioral Sciences*, Vol. 46, 2012.

  • Rodríguez-Díez M.C, Beunza J.J, López-Del Burgo C, Hyder O, Civeira-Murillo M.P, Díez N. Learning the medical history with simulated patients at Degree de Medicina. Educ Med 2012; 15 (1): 47-52. 

  • Maneru, G., & Rodríguez, A. · "Creating Scenarios and Guiding Learning in a Medical Simulation Center." *Creative Education* magazine, 2011.

  • Marcos Llorente Ortega. Sensorisation of the turbinates of the AirSim Bronchi airway simulator.

  • Guillermo M. Besné villanueva. "Validation of simul-eye: simulator of eye movements and pupillary reflexes". 

Completed

  • development and validation of a neonatal jejunal atresia simualdor. student Researcher: Oscar Emilio Bueso. Director: Dr. Nerea Martín-Calvo. Course: 2023-2024.

  • development and validation of an esophageal atresia simulator. Student: Blanca Pérez. Director: Dr. Nerea Martín-Calvo. Course: 2023-2024.

  • Comparison of real patients and standardized patients at Degree medicine. A randomized controlled intervention study. Student: Beatriz Fránchez. Director: Dr. Nerea Martín-Calvo. Course: 2021-2022.

  • development and validation of a new simulator for Endourology. Student: Rocío Polo Gay. Director Dr. Fernando Diez-Caballero. partner laboratory of Medical Engineering, School of Medicine of the University of Navarra. Course: 2020-2021.

  • Validation of simulation models for teaching in laparoscopy. Student: Beatriz Gómez Amoedo. Director Dr. Francisco Javier Pueyo. Course: 2020-2021.

  • Carlota Voltas Moreno. Validation of abdominal examination simulator (Abdominal Examination Trainer; Limbs&Things). Director: Dr. Cristina Rodríguez-Díez. Course 2018-2019.

  • Sofía Pacheco López. "Validation of the airway simulation model : sensorized simulator for videoendoscopic exploration of the nasal cavities and upper airway (ENSF)". Director: Dr. Nieves Díez. Course 2017-2018.

  • Paula Montes Rodríguez Learning technical skills in the initial assessment of trauma patients through simulation. The role of played in-situ feedback for undergraduates. February 2016.

  • Javier Tejedor Tejada: "Preparation of a clinical scenario with SimMan 3G by students of subject of Advanced Simulation Techniques". February 2015.

  • Sergio Guillén Martínez: "Evolution of learning Leopold manoeuvres using cumulative curves in pregnancy simulators and real patients". February 2014.

  • Imanol Martínez Salas: "Simulated clinical scenarios in the Respiratory System subject ". February 2014.

  • Javier Tejedor Tejada: "Preparation of a clinical scenario with SimMan 3G by students of subject of Advanced Simulation Techniques". Director; Dr. Nieves Díez. Course 2014-2015.

  • Sergio Guillén Martínez: "Evolution of learning Leopold maneuvers by cumulative curves in pregnancy simulators and real patients". Course 2013-2014.

  • Imanol Martínez Salas: "Simulated clinical scenarios in the Respiratory System subject ". Director: Cristina Rodríguez-Díez. Course 2013-2014.

Ongoing

  • Sofía Pacheco López. Validation of model airway simulation: sensorised simulator for videoendoscopic exploration of the nasal cavities and upper airway (ENSF).

  • Sandra Rubio Bernabé. Validation of two new simulation models for lumbar spinal puncture and thoracic epidural puncture.

research thesis innovation in education The book "Fundamentos Pedagógicos de la Simulación Educativa en el area Sanitaria. Fundamentos Pedagógicos de la Simulación Educativa en el Sanitaria. Teaching Competences" has been published by publishing house Eunate.

It aims to provide an innovative approach to help the professor to better appreciate and understand their role, and aims to be a tool that promotes the speech and reflexion of teachers who are involved, or will be involved, in this exciting world of practical learning with simulators, both in the field of training in medicine and in nursing.

  • "Educational Simulation in Medicine: A Study of Teaching Competencies": Defended on June 23, 2014, by Gregorio Mañeru Zunzarren at the School of Education Psychology, University of Navarra.

  • International Pediatric Simulation Society (IPSSW 2023). Development of a neonatal jejunoileal atresia simulator for the training of pediatric surgeons. Nicolás López de Aguileta Castaño, Javier Arredondo Montero, María Rico Jiménez, Nerea Martín-Calvo. Lisbon. May 17-19, 2023.

  • Society for Simulation in Europe (SESAM 2022). Learning experiences with real patients and standardized patients in the 2nd cycle of the degree of medicine. Nerea Martín-Calvo, Nieves Díez, Marta Vidaurreta, Cristina Rodríguez, Francisco Javier Pueyo, Maite Betés, Secundino Fernández, Patricia Palacio. Seville. June 5-17, 2022.

  • Society for Simulation in Healthcare (IMSH 2021). Moving the OSCE online - our experience at the University of Navarra. Cristina Honorato, Nerea Martín-Calvo, Francisco Javier Pueyo. Comparison of results and student impressions with conventional OSCEs. Virtual. 19 January-31 March 2021.

  • IX congress of the Spanish Society of Clinical Simulation and Patient Safety (SESSEP). development and validation of a laparoscopic simulation box. Nerea Martín-Calvo, Beatriz Gómez, Nieves Díez, Marcos Llorente, Secundino Fernández, Francisco Javier Pueyo. Granada. November 25-27, 2021.

Workshops

  • "Practical workshop. Oxygen therapy and airway management". Dr. Francisco Javier Pueyo Villoslada. V congress National SESSEP. Murcia, March 2017.

  • "Pedagogy and Andragogy of Educational Simulation". Gregorio Mañeru Zunzarren. congress SESSEP National Conference. Barcelona, November 2014.

  • "evaluation initial trauma". Juan Pons de Villanueva, Manolo Alegre, Nieves Díez, Cristina Rodríguez-Díez. congress SESSEP National Conference. Barcelona, November 2014.

  •  "Use of Clinical scenarios in the Degree of medicine". Workshop of the II Scientific conference of the Spanish Society of Clinical Simulation and Patient Safety. Granada, November 2013.

Communications

  • "SIMUL-EYE: Simulator of eye movements and pupillary reflexes". Guillermo Miguel Besné Villanueva. V congress National SESSEP. Murcia, March 2017.

  • "New technologies in university medical training : Childbirth Simulation". Macarena López Vázquez. V National congress of the SESSEP. Murcia, March 2017.

  • "Perfect tandem: Doctors and engineers". Marcos Llorente Ortega. V congress National SESSEP. Murcia, March 2017.

  • "Medical Simulator: It is really useful in urology?". Narro I. Merino, F.J. Ancizu, M. Hevia, J.M. Vellis, A. Tienza, R. Algarra, F. Díez-Caballero, D. Rosell, J.I. Pascual, C. Rodríguez-Díez, N. Díez, J.J. Zudaire, J.E. Robles. 30 th Annual Congress of the European Association of Urology. Madrid, March 2015.

  • "Preparation of a clinical scenario with SimMan 3G by students of subject of Advanced Simulation Techniques". Nieves Díez, Javier Tejedor, María Cristina Rodríguez-Díez, Manolo Alegre, Juan Pons, Arantza Campo. Barcelona, November 2014.

  • Incorporation of workshops in medical simulation center for the teaching of the palliative medicine subject in the degree of medicine. M.Martínez, J.Urdiroz, A.Larumbe, J.Vaquero, G.Mañeru, C.Centeno. 8th World Research Congress of the European Association for Palliative Care. Lleida, June 2014.  

  • "Mini-Cex simulated in the Degree of Medicine". Rodríguez- Díez MC, Díez N, Arbea L, Alegre M, Sánchez de Miguel P, Ferrer M. XXI congress de la Sociedad Española de Education Médica. Madrid, October 2013.  

  • "Learning of Leopold's manoeuvres using cumulative curves in pregnancy simulators and real patients". Díez N, Guillén S, Alcázar JL, Pineda L, Rodríguez-Díez MC, Ferrer M. XXI congress de la Sociedad Española de Education Médica. Madrid, October 2013.

  • "Preparation of a clinical scenario with SimMan 3G by students of subject in advanced simulation techniques". Díez N, Tejedor J, Rodríguez-Díez MC, Alegre M, Pons J, Campo A.. III congress of the Spanish Society of Simulation and Patient Safety. Barcelona, November 2014.

  • "Iniciación a la Clínica: Un project professor innovador". María Cristina Rodríguez Díez; Juan José Beunza Nuin, María José Sánchez de Miguel; Marta Ferrer Puga; Nieves Díez Goñi. XX congress of the Spanish Society of Medical Education . Valladolid, 5-7 October 2011. Education Médica 2011;14(2):B1-03.

  • "Teaching clinical history to first year students through patient simulation acted by senior undergraduate students". María Cristina Rodríguez Díez, Juan José Beunza Nuin, Marta Ferrer Puga, Nieves Díez Goñi.17th Annual Meeting of the Society in Europe for Simulation Applied Medicine. SESAM 2011. Simulation: a limits training methodology. June 2-4, 2011. Granada, Spain.

  • "A ramdomized controlled trial of undergraduate cardiopulmonary resuscitation training with a voice advisory manikin compared to traditional training with an trainer". Nieves Díez, Maria Cristina Rodríguez-Díez, David Nagore, Secundino Fernández, Marta Ferrer, Juan José Beunza.17th Annual Meeting of the Society in Europe for Simulation Applied Medicine. SESAM 2011. Simulation: a limits training methodology. June 2-4, 2011. Granada, Spain.

  • "Learning by simulation - an educational experience in the simulation center of the school of medicine of the University of Navarra". Maneru G, Rodríguez-Sedano A, Altarejos M. "World Conference on Educational Technology Researches -Cyprus 2011.

  1. Comparison of real patients with standardized patients in the teaching of Degree in Medicine. Coordinator: Dr. Nerea Martín-Calvo. Collaborators: Dr. Cristina Rodríguez Díez, Dr. Nieves Díez, Dr. Marta Vidaurreta, Dr. Javier Pueyo, Dr. Secundino Fernández, Dr. María Teresa Betés, Dr. Patricia Palacio.

  2. "Do you remember how?" Coordinator: Dr. Nieves Díez. 2014-15

  3. "Techniques in Advanced Simulation". 2013-2014. Coordinator: Dr. Nieves Díez. 2014-15

  4. "Techniques in basic simulation". Coordinator: Dr. Cristina Rodríguez-Díez. Course 2012-2013

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Simulation specialists

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Rubén Orio

Rubén Orio Goñi

Audiovisual specialist and area coordinator . He plays a core topic role core topic creating innovative and realistic learning environments.
rorio@unav.es

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Lina Ramirez

Lina Ramírez Palomino

Engineer specializing in design , with experience in molding and the use of silicone to create realistic and detailed simulation environments.
lmramirezp@unav.es

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Iker Marquez

Iker Márquez Martínez

Simulator manager , providing technical support to area simulated area to ensure the optimal operation of equipment for a high-quality training experience.
imarquez@unav.es

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We partner with...

The simulation center team assists in teaching practical workshops that do not take place at the simulation center itself, such as the following:

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Medical Education and Clinical training Unit

Planning and coordination are essential for aninternship training internship , ensuring that future physicians acquire the skills necessary for rigorous, ethical, and patient-centered clinical care. 

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conference Surgery conference for Students (JOICE)

JOICE is an initiative led by students, physicians, and residents from the School of Medicine the Clínica Universidad de Navarra, with the goal expanding their surgical knowledge in an interactive way.

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congress International Student Oncology (COE)

Every year, hundreds of students from universities around the world gather in Pamplona with the goal of learning everything there is to know about cancer research, prevention, diagnosis, treatment, and care from scientific, human, and social perspectives.

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Balmis & Zendal

A congress by the first financial aid expedition. The Balmis&Zendal Conference sparks curiosity and promotes research development cooperation. It also opens doors to volunteer activities .

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CONTACT

C/ Irunlarrea, s/n. 31008 Pamplona, Spain
Tel. (+34) 948 425 600 Ext. 806282

csm@unav.es
jpuevi@unav.es