Establishing An Instrumented Training Environment For Simulation‑Based Training Of Health Care Providers: An Initial Proof Of Concept

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Scott M. Pappada, Thomas John Papadimos, Jonathan A. Lipps, John J. Feeney, Kevin T. Durkee, Scott M. Galster, Scott R. Winfield, Sheryl A. Pfeil, Sujatha P. Bhandary, Karina Castellon‑Larios, Nicoleta Stoicea, Susan D. Moffatt‑Bruce

International Journal of Academic Medicine, Volume 2, Issue 1, May 2016, Pages 32–40


Several decades of armed conflict at a time of incredible advances in medicine have led to an acknowledgment of the importance of cognitive workload and environmental stress in both war and the health care sector. Recent advances in portable neurophysiological monitoring technologies allow for the continuous real-time measurement and acquisition of key neurophysiological signals that can be leveraged to provide high-resolution temporal data indicative of rapid changes in functional state, (i.e., cognitive workload, stress, and fatigue). Here, we present recent coordinated proof of concept pilot project between private industry, the health sciences, and the USA government where a paper-based self-reporting of workload National Aeronautics and Space Administration Task Load Index Scale (NASA TLX) was successfully converted to a real-time objective measure through an automated cognitive load assessment for medical staff training and evaluation (ACLAMATE).