Showcase for Medical Education

A regional showcase for medical education, the 5,000-square-foot Applebaum Simulation Learning Institute is located on the third floor of the south tower of Beaumont Hospital in Royal Oak.

Surgical Skills and Tissue Lab

The Center features a surgical skills and tissue lab where up to 40 surgeons-in-training can practice individual and group surgical skills. Physicians can build psychomotor capabilities using minimally invasive surgical techniques such as laparoscopy and endoscopy. They can rehearse technical skills ranging from simple suturing to complex neurosurgery. Flat-panel TV screens and a two-way communication system enable participants to view and interact with doctors worldwide.

Full-Scale Mock Operating Rooms

Two fully operational mock operating rooms are the centerpiece of the facility. One room is equipped with electronic, programmable patient simulators that allow hands-on training in medical emergencies and techniques without risk to an actual patient.

The second room provides training using a $1 million da Vinci robot for procedures that are less invasive and allow faster recovery than conventional surgery. 

The 450-square-foot, state-of-the-art ORs replicate an actual environment with:

  • State-of-the-art monitoring
  • OR tables, lighting and gas lines
  • Anesthesia machines
  • Supply and pharmacy Pyxis machines
  • Fire alarms and electrical circuit shutoffs to simulate disasters
  • Digital recorders and camera systems

Each room also accommodates minimally invasive endoscopic equipment and surgical simulators.

A moveable glass wall joins the OR to the surgical skills lab to permit observation of clinical scenarios in action or allow interaction between the two facilities.

Control Rooms

A control room situated between the two ORs allows instructors to manage the learning environment. From the control room, instructors can:

  • View teaching sessions through one-way glass
  • Communicate with individual team members or the entire OR
  • Program and monitor patient simulators
  • Simulate disasters, such as fires or power outages, complete with alarms and flashing lights

Using microphones, cameras and AV feeds, all teaching sessions are recorded and stored for later debriefing.

Human Physiologic Simulators

In the SLC, medical professionals in a variety of fields learn clinical procedures using adult, pediatric and infant patient simulators. These lifelike models can be configured to represent healthy or unhealthy patients of any age or gender.

The simulators display vital parameters such as:

  • Temperature
  • Brain electrical pulses 
  • Heart rate
  • Arterial blood pressure
  • Central venous and pulmonary artery pressure

They can be programmed in real time with an unlimited combination of clinical symptoms and physiologic responses:

  • Breathing
  • Heart sounds
  • Pulse readings
  • Drug reactions
  • How they accept and react to mask or mechanical ventilation, intubation, drug injections and IV infusions

Learners can attach medical devices to simulators to learn proper techniques for using equipment.


A 50-seat classroom is equipped with the latest multimedia and video conferencing equipment that can transmit and receive teleconferences from locations around the globe. To enhance the learning experience, the classroom is also linked directly to Beaumont's operating rooms for both audio and visual two-way communication.

Other Equipment

The Institute also has available equipment that includes:

  • AED training products and remote-controlled trainer: to teach safe operation of automatic defibrillation equipment
  • Arterial and venous training arms: to teach how to draw blood and insert arterial lines for blood pressure monitoring
  • Autoscoring mirror tracer: to measure clinician color identification, shape and size discrimination, hand-eye coordination, understanding of spatial relationships and ability to follow verbal instructions
  • Breast assessment model: to teach how to recognize normal variations, fibrocystic disease and other abnormal findings
  • Central venous access tissue module: to practice placement of central venous catheters
  • Central venous cannulation simulator, and bone and muscle replacement kit: to practice placement of central lines
  • Femoral access model: to practice insertion of femoral central IV lines
  • Germ City: an outreach kit that teaches the value of hand washing in preventing the spread of infectious disease
  • IV access arm model: a mannequin used to practice IV insertion
  • Laerdal Sim modules for ACLS and nursing: training software that replicates a wide variety of life-threatening medical conditions on the Sim mannequin so that staff can practice advanced life support techniques
  • Pediatric AED defibrillation pads: to teach correct use of smaller pads for automatic defibrillation on children
  • Suturing equipment and models: used for resident practice with suturing techniques on a variety of tissue types