Training Course
About Us
LISEI
Legacy Institute for Surgical Education & Innovation
Instrument Training

    About MIS

    History
    MIS program
    Established in 1993, the Minimally Invasive Surgery Program at
    Legacy offers comprehensive surgical service with minimally
    invasive technologies. Led by Dr. Lee Swanström, a nationally
    recognized pioneer in MIS, surgeons at MIS program of Legacy
    have introduced many surgical advances to the Pacific Northwest.
    Great educational efforts have been made to improve the
    competence of surgeons in mastering the latest technologies
    related to MIS procedures. Over the past few years, the MIS program
    has received sufficient funding through grants for enhancement of
    research and education in laparoscopic competence and
    assessing training outcomes. Training curricula are designed for
    improving skills at both team and individual levels.

    The MIS program hosts 1 Continuing Medical
    Education (CME) and 3 General Medical
    Education (GME) courses annually to train
    general surgeons, gynecologists, and
    urologists at different levels. A total of 40
    residents, 10 fellows, and 30 staff surgeons
    participated in the 5th Annual CME Course in
    Advanced Laparoscopy, Surgical Endoscopy
    and NOTES in 2007. In September of 2006,
    34 surgeons from various locations in the
    United States attended the 4th CME course
    entitled the Mastery of Advanced
    Laparoscopic Surgery. Surgeons participated
    in a 3-day intensive training to update their
    laparoscopic knowledge and boost their
    skills level. Feedback for all these training
    courses have been very positive.


    Resources
    On the clinical side, ten new and technologically advanced MIS
    suites have been built at three of Legacy’s five adjunct hospitals,
    which hatch internationally recognized surgical programs on
    gastroesophogeal, liver, pancreas, colorectal, hernia and bariatric
    surgery. Each year, 4 fellows and 10 residents take the clinical
    training programs with Legacy MIS programs.

    The MIS program of Legacy is
    tightly bound with Legacy
    Clinical Research and
    Technology Center, carrying
    out clinical and basic science
    research.  In the Legacy
    Clinical Research and
    Technology Center, there is an
    8000 square-foot space with
    advanced teaching facilities
    reserved for surgical training.
    The facilities include an
    animal laboratory at Legacy
    that can hold a maximal of 24
    trainees at one time for both
    sterilized and unsterilized
    animal procedures.

    The animal labs are equipped with up-to-date devices such as
    harmonic scalpels and intracorporeal ultrasound which give
    trainees the opportunity to practice a wide range of surgical skills
    from site exploration and knot tying to anastomosis and liver
    resection.

    The inanimate training lab
    possesses 8 sets of
    minimally invasive surgery
    simulation devices that
    allow trainees to practice
    fundamental laparoscopic
    technique skills on a daily
    basis. The lab uses valid
    physical and
    computer-generated
    simulation, such as FLS
    (Fundamental of
    Laparoscopic Surgery)
    and LapMentorm, which are
    used for assessing the
    trainnees competence for
    laparoscopic surgery.

    In addition to three faculty surgeons, the Legacy MIS program
    employs a full time Human Factor specialist, a surgical educator,
    one program coordinator and an office assistant to develop surgical
    education programs.

    The surgical training center possesses a multiple functional
    conference room that includes advanced audio and video
    equipment which allow for running didactic course and
    broadcasting live surgery via high speed internet. All conference
    rooms are equipped with ceiling mounted projectors, built in VCR
    and DVD player, access to a local network, and PC laptops.  


    About Carl Peterson Clinical Education Center

    History
    Peterson Education Center
    In May of 2005, Legacy Health System opened the Carl Peterson
    Clinical Education Center (PEC) on the Emanuel Hospital & Health
    Center campus located in Portland, Oregon. Funded by the Good
    Samaritan Foundation, with grant support from the Oregon
    Simulation Alliance and other private foundations the PEC was built
    to offer a state-of-the-art simulation-training environment for
    healthcare professionals within the organization and the broader
    community.  

    Legacy Health System incorporates high-fidelity simulation training
    in the development of their healthcare professionals: Simulation-
    based curriculum has been developed and implemented to
    enhance high-level skill development with a focus on critical
    thinking, clinical competency and team building.  

    Simulation training has been incorporated into the General Nursing
    Orientation Program of Legacy Health System, exposing over 500
    nurses annually to the simulation-training environment.  Simulation
    training is an integral component of Legacy’s biennial RN
    Internship Program, which enrolls over 80 nurses a year in
    specialty areas such as Critical Care, Emergency, and Pediatrics.  
    Simulation training sessions are mandated for Critical Care
    Residents and Interns prior to their ICU rotations, with over 65
    attending these sessions on an annual basis. The LHS Clinical
    Simulation Program has developed simulation-based training for
    the following initiatives: development of high-functioning Rapid
    Response Teams (RRT) for the five hospitals, competency
    validation of Life Flight healthcare professionals on an annual
    basis, neonatal resuscitation recertification for medical staff, and
    annual RN Skills Days for a variety of specialty areas. The PEC is
    also host to several externally attended classes. All together, over
    800 healthcare professionals are trained annually with simulation-
    based sessions in the PEC at Legacy.

    Resources
    There are 2.0 full time simulation specialists in the PEC dedicated
    to the development of the LHS Clinical Simulation Program: These
    simulation specialists are supported in their curriculum
    development and simulation training by clinical experts, such as
    critical care clinical nurse specialists, respiratory clinical
    specialists, and Physicians.  The simulation specialists are
    involved in ongoing training to advance their simulation knowledge
    base and skill level.

    The PEC is comprised of three conference rooms, two simulation
    labs, two control rooms, five office spaces, two storage areas and a
    kitchen.  Simulation Lab A  (23’X 14’) has 4 video cameras
    strategically placed to capture all angles of the simulated clinical
    events (Figure 3).  Simulation Lab B (12’ X 14) has 3 video cameras
    strategically placed to capture all angles of the simulated clinical
    events.


    Each simulation lab has its own
    control room that contains the
    most current in videotaping and
    recording devices, allowing
    video-feed into all three
    conference rooms (Figure 4).
    The ability to record the clinical
    event analysis for the learner
    after the initial debriefing.  The
    control rooms’ two-way mirrors
    cover a large portion of the wall,
    allowing ease for viewing of the
    simulated clinical events.  The
    control rooms easily fit up to six
    people who can observe, record,
    or manipulate the mannequin’s
    responses to interventions.


    The center’s three conference rooms are utilized for debriefing,
    teleconferencing, hands-on training and didactic sessions (Figure
    5).  Conference Room A has the capacity for 18, conference room B
    for 30, conference room C for 16 or one can open A & B to create a
    combined classroom with a capacity of 50. Conference room C is
    home to 20 laptop computers, utilized for web-based training. All
    classrooms come equipped with AV equipment, including DVD,
    VCR, and ceiling mounted projectors, laptops with Internet access
    and in-house computers with network access.

    The PEC has the following
    simulation equipment
    available for training purposes;
    3 Laerdal @Adult SimMan
    high-fidelity mannequins (3.1
    version of software), 1
    Gaumard Noelle high-fidelity
    birthing mannequin with
    neonate, 1 Laerdal@ SimBaby
    infant high-fidelity mannequin,
    and other mid-fidelity adult and
    pediatric mannequins.  The
    PEC has over 12 IV training
    arms, 2 central lines Torso’s,
    and a Mobile Birthing Hips
    Simulator.  Currently, the PEC
    is purchasing 3 airway models
    from Armstrong Medical.

    MIS, ATLS®, and PEC have access to all of the patient care
    equipment used in the Legacy acute care hospital or clinical setting
    including (but not limited to): beds, stretchers, ventilators, vital sign
    monitors, IV pumps, code cart with medications, and all surgical
    patient care supplies. Each lab contains simulated air, oxygen and
    suction access devices connected to compressors: The
    compressors are located outside the lab for noise control. Each lab
    also contains a computer that has access to the electronic medical
    record training field.
Training Mannequin
Legacy MIS Clinical Research Lab
Laparoscopic Surgical Simulation
Medical Education Courses
Simulation Control Room
*Disclaimer: The Legacy Institute for Surgical Education and Innovation (LISEI) maintains
this website to provide interested physicians, nurses, and other health care professionals
with access to information about various educational courses conducted by this institution.
We reserve the right to update or change the dates and information provided on this
website. Legacy Health System does not claim any responsibility for the content provided
on this website.

Copyright © 2009 Legacy Institute For Surgical Education & Innovation. All rights reserved
Lab Equipment
About MIS
About ATLS Trauma Center
About Carl Peterson Clinical Education Center
About LISEI
Click here to visit the
Legacy MIS Research
Program website
Click here to visit the
Carl Peterson Clinical
Education Center
website
Click here to visit the
Advanced Trauma Life
Support® (ATLS®)
website
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Link to the MIS Website
Click here to visit the
MIS's Advanced
Laparoscopy website
Links
Click here to visit the
Advanced Trauma Life
Support® (ATLS®)
website
Click here to visit the
Carl Peterson Clinical
Education Center
website
Link to the MIS Website
Click here to visit the
MIS's Advanced
Laparoscopy website
Click here to visit the
Legacy MIS Research
Program website
Click here to visit The
Oregon Clinic's  
Minimally Invasive
Surgery Division's
Clinical website
The Oregon Clinic (TOC)