Friday, February 27, 2015

Simulation history and pocket phantoms, oh my!

Recently, we hosted a visit from a medical illustrator and graphic designer who is collaborating with us on a planned display on simulation in medical education history (which is to say, using anatomical models, manikins, virtual tools, and other stand-ins to educate students before turning them loose to practice on patients). One of the materials we pulled for visual inspiration and sources was an English edition of a 19th century obstetrics text, Dr. K Shibata's Geburtschülfliche Taschen-Phantom, (Obstetrical Pocket-Phantom), 1895. 

The pocket phantom text was first published in German before English and Japanese translations appeared. In the reprinted preface to the first (German) edition, the publisher notes that Shibata's phantoms sought to provide a portable, economical alternative to previous manikins or models for students learning obstetrics practices. 

The pocket phantom consists of two movable paper baby manikins and one paper two-layer manikin of a female pelvis through which the babies can pass. The mechanisms of labor, right at the fingertips of any in-the-know medical student!


As a "Call the Midwife" fan, I couldn't help try my hand at a breech birth...

Good thing I'm not a nurse-midwifery student!
As a funny coincidence, while conducting research for our upcoming summer exhibit on rare ophthalmology texts, Head of Historical Collections Maija Anderson came across this advertisement for the German first edition of the Geburtschülfliche Taschen-Phantom in this 1895 German ophthalmology handbook, Atlas Der Ophthalmoskopie, by Otto Haab. Clearly it's a must-have for the 1895 medical student set!

Did this post turn you into a fanatic for phantoms? (of the medical simulation kind...) You can make an appointment to see the Shibata text by sending me a message at or calling 503-494-5587. 

Further reading on simulation history: 

Owen, Harry, and Marco A. Pelosi. "A historical examination of the Budin-Pinard phantom: what can contemporary obstetrics education learn from simulators of the past?." Academic Medicine 88, no. 5 (2013): 652-656.

Owen, Harry. "Early use of simulation in medical education." Simulation in Healthcare 7, no. 2 (2012): 102-116.

Monday, February 23, 2015

OHSU Oral History Program update: Dr. Ira Pauly interviewed in Phoenix

Last week I made a whirlwind trip to Phoenix with Morgen Young, the consultant who manages our oral history program. We enjoyed the 80-degree sunshine and then interviewed Ira Pauly, M.D. in his home outside the city. The interview was captured by videographer Suree Towfighnia.

I talked with Dr. Pauly for over two hours about his education and upbringing; his early experience with transgender patients, which led to a meeting with Harry Benjamin, who became a mentor; the evolution of his approach to transgender patients; and his time at OHSU. We had an in-depth discussion of his important 1965 article, which was the first aggregation of case studies of male-to-female transgender patients: Dr. Pauly spoke about his initial interest in the subject matter, his difficulty getting the piece published, and the eventual publication and groundswell of support from colleagues. While Dr. Pauly retired from practice in the 1990s, he is still well ahead of his time in understanding LGBT health care issues.

The interview will result in a transcript and video available from OHSU Library - More updates soon!