The Boise/UW Residency program provides a simulation curriculum that encompasses procedural training, including didactic and hands-on practical training for procedures such as central line placement (subclavian and internal jugular), lumbar puncture (normal anatomy, obese patient, elderly patient with osteophytes), thoracentesis, pneumothorax tube placement, tube thoracostomy, arterial line placement, and intravenous catheter placement. Additionally, airway management classes are held at regular intervals for training in endotracheal intubation (conventional and video-assisted), placement of laryngeal tubes and placement of laryngeal mask airways. Airway classes are held in conjunction with ISIS at the University of Washington and portions of the didactic training are provided via teleconferencing from Seattle.
The simulation curriculum also includes code practice, focusing on team organization, the “first four minutes," proper CPR technique, communication for code leaders, and Advanced Cardiac Life Support. For scenario-based training, a combination of standardized patients and simulators are used for various clinical scenarios. These are often based on real patients that have been admitted and where additional practice is required. A multi-disciplinary approach is used for these case scenarios. Scenarios include medical, surgical, and psychiatric conditions.