W elcome to part two of a three part series on MITIE – the Houston Methodist Institute for Technology, Innovation and Education. To recap, MITIE is one of the largest and most comprehensive surgical education and research facilities in the world. The first blog was a photo tour of MITIE, and the next blog will feature a Q&A with Dr. Brian Dunkin, the medical director of MITIE.
If you don’t work in health care, you might be wondering why you should care about MITIE and the work we do here. Well, I’ll tell you! There are two main reasons:
- MITIE is a medical education facility. MITIE provides surgeons and surgical nurses with an opportunity to learn, practice and perfect new surgical techniques.
- MITIE isn’t just for health care providers. MITIE also partners with other organizations to provide classes with curriculum tailored to their needs. Think law enforcement, emergency medical service providers, etc.
After nursing school or residency, there are few educational facilities surgeons and nurses can go to learn new techniques. Cue MITIE. New surgical techniques are being developed all the time that make surgeries safer and more successful while decreasing the amount of time needed for recovery. You want your surgeons to know these latest and greatest techniques, but to perform them safely and successfully, the doctors need to practice them.
The alternative to practicing in MITIE is practicing on you – any volunteers? I didn’t think so. One example is laparoscopic colon surgery. Laparoscopic surgery, also known as minimally invasive surgery, uses several small incisions instead of one large incision. A laparoscope, or camera, is inserted through one incision and special laparoscopic surgical instruments are inserted through the other incisions. Laparoscopic colon surgery has been practiced in the United States since the 1990s and has been proven to be less painful with less scaring and allows patients to get back to their normal lives faster.
However, the US adoption rate of this procedure hovers around 40 percent because performing a colon surgery laparoscopically is a difficult procedure that is tedious to learn. In October 2014, MITIE hosted a laparoscopic colon surgery course for seven surgeons and their operating room staff. After spending four days training at MITIE, these surgeons returned to their hospital and were mentored by an expert surgeon during their first laparoscopic colon surgery. Several of the learning surgeons noted that the hands-on class at MITIE coupled with mentoring during their first surgeries at home helped increase their comfort level with the procedure and has benefitted their patients with safer surgeries and faster recovery times.
MITIE also partners with other organizations to provide classes with curriculum tailored to their needs. MITIE recently collaborated with the Harris County Sheriff’s Office (HCSO) Tactical Medicine Program to create the HCSO’s first tactical medicine school. Tactical medicine is the delivery of emergency medical care in a law enforcement special operations scenario.
“Most people don’t know that the Sheriff’s Office is staffed with deputies who are physicians and paramedics who respond to emergencies to provide care to their fellow officers and citizens until EMS can arrive,” explained Dr. Aashish Shah, a HCSO deputy and administrator over the HCSO’s Tactical Medicine Program.
During the first tactical medicine school, the HCSO Academy hosted the tactical trainings, such as gun safety, medical extraction, building clearing and distraction devices. At MITIE, the students covered a variety of tactical medical tactics, such as triage, airway management, hemorrhaging and burns.
After a week of lectures and practice, the students put it all together with a live High-Risk Operations Unit (HROU) exercise at MITIE. We simulated an active shooter in a hospital scenario to test the participants’ new understanding of tactical medicine. The learners were assigned to teams of SWAT officers. Each team entered the building and took the stairs to the 5th floor where MITIE is located, just like they would do in a real situation.MITIE doesn't just educate doctors. The institute also trains law enforcement in tactical medicine. Click To Tweet
When they arrived on the 5th floor, they were greeted with a variety of scenarios, including blaring music, a sound track of dogs barking, rooms that were dimly lit or completely dark and random MITIE staff who would act like innocent people caught on the floor or the suspect the team was looking for. Their mission was to locate an injured Oscar or Mayer (you remember the SimMan patient simulators from part 1, right?), provide care to help stabilize the patient then continue to look for the suspect. At the end of the exercise, the students were credentialed by the HCSO to provide tactical medicine support.
While you may never take a class at MITIE, the work done here affects you. Next week, we’ll sit down with Dr. Brian Dunkin, the medical director of MITIE, for a Q&A about his work and why he’s so passionate about the MITIE.