A Hypothesis for the Future of Healthcare Design Training
What will training facilities for emergency staffers look like in the future? That’s the question the Herman Miller is seeking to discover via a collaborative design experiment with Yuri Millo, M.D., at the Washington Hospital Center MedSTAR's (Medical Shock Trauma Acute Resuscitation) new Simulation in Training Environment Lab (SiTEL) Clinical Simulation Center in Washington, D.C.
The Sitel facility (soft opening June 2011) was converted from a former bank space in the span of only four months, with the help of locally-based Burt Hill Architects. While the 6,500-square-foot space is minimalist in design and aesthetic style at best (we’re talking the barest of bones here—the concrete floor is exposed and all “room” dividers and furnishings are either on wheels or transitory in nature), its success in function and educational forethought pushes the innovation beyond what any flashy visuals might do.
Herman Miller worked with Doctor Millo to rethink how ER training and simulation spaces could be improved to enhance learning and better prepare professionals for the high-paced, oftentimes chaotic atmosphere associated with working in the ambulatory department. Traditionally, this training is held at the parent hospital in small-sized, individual classrooms. While this allows staff to easily take training onsite, it greatly limits their on-hands knowledge and practical application of the course materials, as well as poses noise issues. According to the doctor, this sort of training doesn’t need to be onsite as a sterilized environment is not required for simulations. “It’s about learning,” he says.
As such, the flexible learning space features a layout that can be reconfigured at a moment’s notice to align with the variety of daily simulation training courses being offered, and reflection areas for additional instruction and break time. The interiors are rearranged about every four hours (one per each daily course), which can be accomplished by just two employees.
The open floor plan view is only broken by four, floor-to-ceiling glass-walled classrooms positioned in a circle at the facility’s core. The glass is slightly etched and shaded at eye-level to maintain transparency but provide the necessary privacy for learning focus, as well as provide an intrinsic divider between the six simulation zones (shown below)—three partiion-separated sections on each side are equipped with functioning hospital equipment and high-tech simulation dummies—that line the left and right walls.
Here, trainees can practice real-life roleplaying that mimics care in an ER, with multiple beds, treatment areas, and “patients.” Observation stations on each side are equipped with LCD screens to monitor and record the sessions and 360-degree cameras in the ceiling spaces capture every moment. Once simulations are complete, students can reflect in the “learning lounges,” (shown below) a cluster of Herman Miller-customized workstations that offer privacy and technology for simulation games on computers.
“It’s a living lab experiment, and a testament to the functionality of design. It’s a really smart space in that we don’t restrict ourselves to one set-up—like in a theater where you have one stage that can house different scenes and plays,” says Doctor Millo.
With initial success, the team is expanding the concept in the coming months—a twin facility will open in October in Baltimore, and another is expected this winter in Boca Raton, Florida, while plans to create a model in a Canadian medical educational facility is also on the books.
“This is the hospital of the future,” Doctor Millo adds. “Students today don’t want to accept the old tradition of learning through reading a book—they want to be hands-on. This facility offers that and has already be shown to increase attendance among younger generations.”
--Stacy Straczynski

