Allan J Hamilton
- Professor, Neurosurgery
- Clinical Professor, Radiation Oncology
- Professor, Psychology
- Professor, Electrical and Computer Engineering
- Regents Professor, Surgery
Allan Hamilton started his working life as a janitor. He would eventually go on to graduate from Harvard Medical School and complete his neurosurgical residency training at the Massachusetts General Hospital in Boston. Dr. Hamilton holds four Professorships at the University of Arizona in Neurosurgery, Radiation Oncology, Psychology, and Electrical and Computer Engineering. He has been chosen by his neurosurgical peers as “One of America’s Best Doctors” for the last eighteen consecutive years and selected as “One of the Leading Intellects of the Twenty-First Century.” Dr. Hamilton has held positions as Chief of Neurosurgery, Chairman of the Department of Surgery at the University of Arizona. Dr. Hamilton now serves as Executive Director of the Arizona Simulation Technology and Education Center, a multi-disciplinary think-tank at the Arizona Health Sciences Center devoted to developing new technologies and training procedures to reduced preventable medical adverse events. He has authored more than twenty medical textbook chapters, fifty peer-review research articles, and has served on the editorial board of several medical journals. He is also a decorated Army officer who served in Operation Desert Storm. Dr. Hamilton's first book, The Scalpel and the Soul (2008,Tarcher/Penguin USA) was awarded the 2009 Nautilus Silver Award, which was conceived to recognize world-changing books. In 2012, his second book, Zen Mind, Zen Horse—The Science and Spirituality of Training Horses (2011, Storey Publishing) won the Nautilus Gold Award. Previous Nautilus Gold Award winners include Deepak Chopra, Eckhart Tolle, and His Holiness the Dalai Lama. His books have been translated into several languages. He has been the subject of two award-winning documentaries. The first is Playing with Magic which chronicles his work with horses and was directed by Emmy-award winning director, Wayne Ewing. The second, Consider the Conversation, reviews his advocacy for end-of-life care for terminally-ill patients and was recently featured on PBS. His equine work has been showcased on the NBC “Today” Show, ABC News, CNN, and PBS. He is a frequent guest on NPR, and has been featured in Western Horseman, Equus, and Horse & Rider. For the last several years Dr. Hamilton has served as medical script consultant on more than one hundred and fifty episodes of the hit TV series Grey’s Anatomy and four seasons with Private Practice. His most recent book, Lead With Your Heart—Lessons from a Life With Horses is a collection of 112 on essays leadership, spirituality, and transformation was just published in the Fall of 2016.
2017 Silver Medal, 29th Annual Benjamin Franklin Awardfor Non-Fiction awarded by Independent Book Publishers Assoc. for Lead With Your Heart, N. Adams, MA: Storey Publishing, 2016; presented at Benson Hotel Ballroom, Portalnd, OR April 7, 2017
The Albert Nelson Marquis Lifetime Achievement Award, WHo's Who in American Science and Technology, February 22, 2017
Selected by the International Assoc. of Healthcare Professionals as one of the Leading Physicians of the World, New York City, NY; June 11, 2015
2015 Academy Medical Education Services Award, $5,000 Prize
2014 Best Film Documentary, Prescott, AZ & Aspen Film Festival, Playing With Magic, Ewing Productions, Carbondale CO, (Director Wayne Ewing; Producers Wayne Ewing and Allan Hamilton)
Recipient, 2012 Vernon & Virginia Furrow Award for Academy of Medical Education
Scholars Grant in Simulation
Selected as "One of America's Best Doctors" 2001-2015; 15th consecutive year
Selected as “One of America’s Top Surgeons,” 2012-present, Consumers Research Council of America
National Winner, 2011 Nautilus Gold Medal for Zen Mind, Zen Horse, a non-fiction
work “that change the world one book at a time.”
Visiting Scholar-in-Residence, Thacher School, Ojai, CA April 22-24, 2012
Finalist, 2011 Books for Life, sponsored by Multiple Sclerosis Society, New York Times
Center, New York City, NY, March 12, 2012
2012 National Prize, Congressional Institute of Fire Safety, Award for Innovation in Training and Educational Technology, presented to Northwest Fire Department in Collaboration with the Arizona Simulation Technology and Education Center; award presented in US Capitol to delegation by Senator John McCain (R, Arizona), January 25, 2012
Distinguished Fellowship, Medical Institute for Innovation, Washington DC, Oct 31,
Nautilus Silver Medal for The Scalpel and the Soul, a non-fiction work “that change
the world one book at a time,” 2009
Voted "One of Top Five Medical Speakers," Speakers Bureau, 2009-2010, 2010-2011, 2013-2014
Awarded Elite Speaker Status by Cunard’s Enlightenment Programme 2012-present
Included in Who’s Who in American Science and Technology 2008-present
Included in The Contemporary Who’s Who 2002-present
Included in Strathmore’s Who’s Who 2003-present
Honorary Associate, International Albert Schweitzer Foundation, United Nations, NY, 1990-present
Included in 2000 Outstanding Intellects of the 21st Century, International Biographical Centre, Cambridge, England
Outstanding Research Faculty Mentor of the Year 2001
Elected to Scientific Board of Advisors New York University’s Re-Wired for Life, a non-profit organization for advancing Deep Brain Stimulation
Included 10th Ed. International Directory of Distinguished Leadership 2001
Elected to Glioma Outcomes Project National Advisory Board, July 2001
Elected to Board of Directors, AANS and CNS Joint Section on Stereotactic & Functional Neurosurgery (4 year term July 1998-June 2002)
Fellow, American College of Surgeons, Oct 10, 1996-present
Robert G. Ojemann Award for Excellence in Neurosurgical Teaching (Upjohn Co.), 1994-95; 1995-96
International Lars Leksell Award for Pioneering Contribution to the field of Neurosurgery by a Young Neurosurgeon, 10th European Congress of Neurosurgery. Presented in Berlin, Germany, Awarded May 8, 1995
Bernard J. Cosman Award for Innovation, American Society for Stereotactic and Functional Neurosurgery, presented Marina del Rey, CA, March 10, 1995
Dean's Teaching Scholar, University of Arizona College of Medicine, 1993
Biography in Military Surgical Heritage, Uniformed Services University of the Health Sciences, Bethesda, MD, 1991
Finalist, National United States Army Science Conference, U.S. Military Academy at West Point, NY, 1988
National Institutes of Health Neurology & Neurosurgery Research Fellowship, 1983
Albert Schweitzer Fellow, International Albert Schweitzer Foundation, 1981
Cabot Prize, Best Senior Thesis in History of Medicine, Harvard Medical School, 1982
Olsen Memorial Fellowship, National Masonic Medical Research Foundation, 1978
- M.D. Medicine
- Harvard Medical School, Boston, Massachusetts, United States
- School of Electrical & Coputer Engineering, University of Arizona (2007 - Ongoing)
- University of Arizona Health Sciences (2005 - Ongoing)
- Dept. of Psychology, University of Arizona (2001 - Ongoing)
- University of Arizona, Tucson, Arizona (2000 - Ongoing)
- Department of Surgery, Division of Surgery (2000 - Ongoing)
- Department of Surgery (1997 - 2004)
- University of Arizona, Tucson, Arizona (1996 - 2000)
- University of Arizona, Tucson, Arizona (1993 - 2004)
- University of Arizona, Tucson (1990 - 1996)
- Uniformed Services University of the Health Sciences (1989 - Ongoing)
- Massachusetts General Hospital, Harvard Medical School (1989 - 1990)
- Elected Member of Board of Directors, Amer. Assoc. of Neurol. Surgeons and Congress of Neurol. Surg. Joint Section on Stereotactic & Functional Neurosurgery (4 year term)
- Amer. Assoc. of Neurol. Surgeons and Congress of Neurol. Surg. Joint Section on Stereotactic & Functional Neurosurgery, Summer 1998
- Elected Fellow American Colleg of Surgeons
- American College of Surgeons, Fall 1996
- Robert G. Ojemann Award for Excellence in Neurosurgical Teaching
- Upjohn Corporation, Fall 1995
- Bernard J. Cosman Award for Innovation in Neurosurgery
- American Society for Stereotactic and Functional Neurosurgery, Spring 1995
- International Lars Leksell Award for Pioneering Contribution to the field of Neurosurgery by a Young Neurosurgeon
- Karolinska Insitute and Leksell Corporation, Spring 1995
- Robert G. Ojemann Award for Excellence in Neurosurgeicl Teaching
- Upjohn Corporation, Fall 1994
- Dean's Teaching Scholar
- University of Arizona, College of Medicine, Fall 1993
- Honorary Fellow
- International Albert Schweitzer Fellowship, Lausanne Switzerland, Spring 1990
- Finalist, United States Army Science Conference, West Point, NY
- United States Research & Development Command, Ft. Derrick, MD, Fall 1988 (Award Finalist)
- Cabot Prize
- Harvard Medical School, Boston MA, Spring 1982
- Member, Grant Review Committee, NSF
- National Sciencec Foundation, Spring 2019
- Regents' Professor of Surgery
- Induction by the Board of Regents and University of Arizona, Jan 16, 2019, Spring 2019
- Voting Board Member, Rainwater Prize Program for Advances in Neurodegenerative Disease Research, Rainwater Charitable Foundation, headquartered in Dallas/Ft. Worth are of Texas, Jan. 1, 2019 (runs through 2023).
- Rainwater Charitable Foundation, headquartered in Dallas/Ft. Worth are of Texas, Spring 2019
- Nautilus Gold Award Non-Fiction 2017
- Nautilus Literary Prizes, Summer 2018
- 2017 Nautilus Gold Award for Non-Fiction
- Annual Nautilus Book Awards Competition (International); 19th Annual Awards, Fall 2017
- Finalist for Comprehensive Instructorship Course
- Center for Medical Simulation, Harvard Medical School and the Massachusetts General Hospital, Fall 2017 (Award Finalist)
- Recogniton for Lasting Contributions as Medical Consultant
- ABC TV/Touchstone Studios, Fall 2017
- Selected as "One of America's Best Doctor's"
- Best Doctors in America, Fall 2017
- 2017 Silver Medal Independent Publishers Book Award for non-fiction
- Independent Publishers Book Award, Summer 2017
- 2017 Silver Medal in Non-fiction
- Independent Book Publishers Assoc., Summer 2017
- 2017 Silver Medal, 29th Annual Benjamin Franklon Award for Non-Fiction
- Independent Book Publishing, Summer 2017
- 2017 Benjamin Franklin Medal for Non-fiction
- Independent Book Publishers Association, Spring 2017
- Albert Nelson Marquis Lifetime Achievement Award,
- Marquis Who’s Who in American Science & Technology, Spring 2017
- Lifetiem Achievement Award
- Marquis Who's Who in American Science and Technology, Spring 2017
- National INDIES Non-fiction Book of the Year
- Forward Reviews National Indies Book Festival, Spring 2017
- Selection as actor
- CBS Films, Closest to the Hole Productions, Summer 2016
- Academy Medical Education Services Award
- Acad. med. Education Services, Spring 2015
- Leading Physicians of the World
- International Assoc. of Healthcare Professionals, Spring 2015
- Best Dicumentary Film
- Aspen Film Festival; Aspen Institute, Aspen CO, Fall 2014
- 2012 National Prize, Award for Innovation in Training and Educational Technology
- Congressional Institute of Fire Safety, Spring 2012
- Recipient, 2012 Vernon & Virginia Furrow Award for Academy of Medical Education Scholars Grant in Simulation
- University of Arizona College of Medicine, Spring 2012
- Distinguished Senior Fellow
- Medical Institute for Innovation, Washington, D.C., Fall 2011
- Nautilus Gold Award in Non Fiction Literature
- Nautilus Literary Awards, Spring 2011
- Elected to Scientific Board of Advisors New York University "Re-Wired for Life Project" relating to Parkinson's Disease, Board headed up by Dr. patrick Kelly, Chairman, Dept of Neurosurgery at NYU
- New York University, Fall 2001
- Included in 10th Edition of the International Directory of Distinguished Leaders in Medicine
- Editors of the International Directory of Distinguished Leadership, Fall 2001
- Elected to Glioma Outcomes Project National Advisory Board
- National Institutes of Health, Summer 2001
- Outstanding Research Faculty Mentor
- University of Arizona, College of Medicine, Spring 2001
Licensure & Certification
- Diplomate, Amer. Assoc. of Neurological Surgeons (1995)
- License, Arizona Board of Medical Examiners, Arizona Board of Medical Examiners (1990)
Neurosurgery, clinical medical simulation, simulation assessment and systems integration, artificial tissues, glioma angiogenesis, tumor genomic alterations, stereotaxic, stereotactic neurosurgery, stereotactic radiosurgery, 3D computerized navigation, medical humanities, electrical & computerized engineering, biomedical engineering and design
gliomas, glioma radiobiology, glioma chemotherapy, glioma mutagenesis, stereotactic radiosurgery, medical simulation, computerized assessment of surgical skills, artificial tissues
INDPSY 498H (Fall 2019)
INDPSYS 392H (Spring 2019)
INDSURG 499 (Fall 2017)
INDSURG 800E (Fall 2016)
- Hamilton, A. J. (2016). Lead With Your Heart. North Adams, MA: Storey Publishing. doi:September 1, 2016More infoAward-winning author and celebrated neurosurgeon Allan J. Hamilton combines his understanding of the human brain with nearly 30 years’ experience training horses to offer wisdom on such universal themes as leadership, motivation, ambition, and humility. The results are showcased in more than 100 thoughtful essays that treat working with horses as a metaphor for personal, professional, and spiritual growth. Whether you’re searching for greater spiritual depth or simply want to better understand your four-legged partner, this wise and important collection has something for you.Review“Allan Hamilton is a real brain surgeon with true horse sense. If you want to be a better leader, teacher, parent — a more conscious human being, rather than a human doing — this is a book to keep close.”— Stephen Kiesling, editor-in-chief, Spirituality & Health“Dr. Hamilton blends horse sense with common sense and adds lessons on trust, respect, and compassion, which we can take from the round pen, to the saddle, to the office, and to our living rooms.”— Molly Sweeney, vice president of the Horses & Humans Research Foundation“Lead with Your Heart takes you deep into learning the art of horsemanship and helps you enter the sensory-based world of the horse.”— Temple Grandin, author of Humane Livestock Handling and Animals in Translation“What a gem of a book! Allan Hamilton offers jewels to enrich our relationships with horse, family, colleagues, and self. This is the sort of book to keep close to refer to as life’s inevitable chaotic waves threaten.”— Barbara K. Rector, CEIP-ED, co-founder of Equine Facilitated Mental Health Association"Recent research tells us that horses are much smarter than we once believed. Allan J. Hamilton provides an excellent foundation for how to achieve a deeper and more rewarding partnership with them.”— Wendy Williams, author of The Horse: The Epic History of Our Noble Companion“Dr. Allan Hamilton’s unfailing respect for the dignity and wisdom of horses provides an excellent blueprint for all who love our equine companions.”— Elizabeth Letts, New York Times best-selling author of The Eighty-Dollar Champion and The Perfect Horse"Hamilton transfers life lessons learned from his history with horses to be applicable to anyone wishing to live a more mindful life. Both the writing and paintings invite quiet reflection on the ways we live, act, and interact with each other, horses, and the world."— Carmela Caruso, Bookseller at Novels & Novelties Bookstore Read moreFrom the Back CoverThe Wisdom of HorsesWorking with horses can be a transformative experience. Their soft eyes, wild spirit, and shy honesty offer a glimpse of how entirely different the horse's mind is from our own. Allan J. Hamilton, a neurosurgeon and a pioneer in equine-assisted therapy, distills in 112 short essays what horses have taught him about forgiveness, true leadership, courage, and love.
- Hamilton, A. J. (2019). Younger Next Year for Women– Live Strong, Fit, Sexy, and Smart Until You’re Eighty and Beyond! 2nd Edition. New York: Workman Publishing, Inc..More infoCrowley C, Lodge H, and Hamilton AJ: Younger Next Year for Women– Live Strong, Fit, Sexy, and Smart Until You’re Eighty and Beyond! 2nd Edition, New York: Workman Publishing, Inc. (due Fall 2019)
- Hamilton, A. J. (2019). Younger Next Year – Live Strong, Fit, Sexy, and Smart Until You’re Eighty and Beyond! 2nd Edition. New York: Workman Publishing, Inc..More infoCrowley C, Lodge H, and Hamilton AJ: Younger Next Year – Live Strong, Fit, Sexy, and Smart Until You’re Eighty and Beyond! 2nd Edition, New York: Workman Publishing, Inc. (due Fall 2019)
- Hamilton, A. J. (2011). Zen Mind, Zen Horse. North Adams, MA: Storey Publisher. doi:September 1, 2011More infoEditorial ReviewsReview"These deceptively simple techniques embody a powerful set of spiritual techniques." Andrew Weil, MD, Author, Eight Weeks to Optimum Health"Zen Mind, Zen Horse is both practical and profound, offering sound advice for tapping the wisdom of horses as natural mindfulness teachers." Linda Kohanov, Author, The Tao of Equus"Hamilton has given humans a way to achieve our highest good by allowing horses to be our guides. This beautiful testament to the power and magic of equine energy captures the soul of a horse perfectly." Susan Richards, Author, Chosen By a Horse"Combining brain science, horse sense, and fine storytelling, this spiritual handbook points toward a special and completely real form of enlightenment." Stephen Kiesling, Editor-in-Chief, Spirituality and Health MagazineZen Mind, Zen Horse is far more than a book about how to care for a horse, though it stands out as one of the best on the subject. Rather, Hamilton has given humans a way to achieve our highest good by allowing horses to be our guides. This beautiful testament to the power and magic of equine energy captures the soul of a horse perfectly. Susan Richards, Author, Chosen By a HorseFrom the Back CoverHorse training presents unique opportunities to explore powerful spiritual truths. The exercises in Zen Mind, Zen Horse offer everyone who works with horses -- novice or expert -- a new understanding of how humans train and interact with horses and why these two species, one a master predator and the other the ultimate prey animal, have such a deep, natural connection. Horses have evolved to understand and respond to the flow of vital energy -- chi -- around them, using it in their body language to communicate with members of their herd, to express dominance, and to sense danger from nearby predators. Being quietly present and receptive to your horse's energy opens the potential of your emotional, intuitive right brain. These simple, safe groundwork techniques reveal a pathway to awakening your deep sensitivity, calm leadership, intuition, and mindfulness.
- Hamilton, A. J. (2008). The Scalpel and the Soul. New York: Penguin/Tarcher.More infoFrom Publishers WeeklyHamilton has led a remarkable life as a neurosurgeon. There are moments in this spiritual memoir when readers will wish he were their personal guide for the scariest of surgeries. In many ways, this is a story about real doctors as Hamilton understands them—people with exemplary bedside manners who not only make life-and-death decisions for the most vulnerable of the sick, but who have the vision (sometimes literally) to sit and listen as long as it takes, to take patients' hands, dealing with their questions and fears with the utmost gentleness and an eye toward the transcendent and supernatural. Readers will be moved by stories of former patients like Thomas, a child burn victim with such a gift of spirit that he could manage joy despite his tragic condition, and Donald, a brave man determined to live life to the fullest despite a vicious brain tumor. Hamilton's voice soars when he reflects directly on his experience as a brain surgeon, the bulk of which occurs (unfortunately) in the book's second half. In light of these high points, Hamilton's occasionally stumbling and awkward prose when straying from his patients' sides can seem jarring. (Mar. 13) Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.Review"Funny, irreverent, earthy, big-hearted, honest, real."-Family Circle online "Books of the Month" Review"Allan Hamilton is a natural storyteller. His real-life experiences remind us that patients and surgeons can share in a spiritual transformation during the course of battling disease." -Linda Klein, R.N., producer of Grey's Anatomy and Nip/Tuck"His observations and insights push the limits of current scientific knowledge as he attempts to bring some rational thought to the unexplainable."-Richard Carmona, M.D., MPH, FACS, 17th Surgeon General of the United States"A moving account of what can happen when a doctor opens his heart and his eyes to life's spiritual lessons and to the mystery that thrives amidst the terror and trauma of life-threatening illness."-Bernie Siegel, M.D., author of Help Me to Heal and Prescriptions for Living
- Hamilton, A. J. (2017). Chapter 10: Systems Design, Modeling, and Simulation in Medicine. In Advances in Design and Engineering in Medical Simulation(pp 209-234).
- Hamilton, A. J. (2019). Protecting Our Brains for Life. In Younger Next Year (15th Anniversary Edition)(pp 310-342). New York: Workman Publishing.
- Hamilton, A. J. (2019). Protecting the Female Brain for Life. In Younger Next Year for Women(pp 368-407). New York: Workman Publishing.
- Hamilton, A. J. (2020). Equine-Assisted Therapy for Veterans with PTSD: Manual Development and Preliminary Findings. Military Medicine, 1-8.More infoEquine-Assisted Therapy for Veterans with PTSD: Manual Development and Preliminary Findings.Arnon S, Fisher PW, Pickover A, Lowell A, Turner JB, Hilburn A, Jacob-McVey J, Malajian BE, Farber DG, Hamilton JF, Hamilton A, Markowitz JC, Neria Y.Mil Med. 2020 Feb 8. pii: usz444. doi: 10.1093/milmed/usz444. [Epub ahead of print]PMID: 32034416AbstractINTRODUCTION:Equine-assisted therapy (EAT) for post-traumatic stress disorder (PTSD) has attracted great interest despite lacking empirical support, a manual, and a standardized protocol. Our team of experts in EAT and PTSD developed an eight-session group EAT treatment protocol for PTSD (EAT-PTSD) and administered it to two pilot groups of military veterans to assess initial effects.MATERIALS AND METHODS:We describe the development of the treatment manual, which was used with two pilot groups of veterans. Protocol safety, feasibility, and acceptability were assessed by reported adverse events, treatment completion rates, and self-rated patient satisfaction. Preliminary data on PTSD, depressive, and anxiety symptoms and quality of life were collected pretreatment, midpoint, post-treatment, and at 3-month follow up.RESULTS:No adverse events were recorded. All patients completed treatment, reporting high satisfaction. Preliminary data showed decreases in clinician-assessed PTSD and depressive symptoms from pre to post-treatment and follow-up (medium to large effect sizes, d = .54-1.8), with similar trends across self-report measures (d = 0.72-1.6). In our pilot sample, treatment response and remission varied; all patients showed some benefit post-treatment, but gains did not persist at follow-up.CONCLUSIONS:This article presents the first standardized EAT protocol. Highly preliminary results suggest our new manualized group EAT-PTSD appears safe, well-regarded, and well-attended, yielding short-term benefits in symptomatology and quality of life if unclear length of effect. Future research should test this alternative treatment for PTSD more rigorously.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2019. This work is written by (a) US Government employee(s) and is in the public domain in the US.PMID: 32034416 DOI: 10.1093/milmed/usz444
- Hamilton, A. J. (2019). Single shot state detection in simulation-based laparoscopy training.. Proceedings 2019 Spring Simulation Conference (SpringSim), 2019.. doi:Doi: 10.23919/SpringSim.2019.8732863More infoPeng, Kuo Shiuan, Minsik Hong, Jerzy Rozenblit, and Allan J. Hamilton. "Single shot state detection in simulation-based laparoscopy training." In 2019 Spring Simulation Conference (SpringSim), 2019. Doi: 10.23919/SpringSim.2019.8732863
- Lee, S., Hua, H., Nguyen, M., & Hamilton, A. J. (2019). Comparison of six display modes for a multi-resolution foveated laparoscope. Surgical endoscopy, 33(1), 341-351.More infoTo overcome the field of view and ergonomic limitations of standard laparoscopes, we are developing a multi-resolution foveated laparoscope that can simultaneously obtain both wide- and zoomed-in-view images through a single scope. To facilitate the effective access to the dual views of images with different resolution and field coverage acquired by our laparoscope, six different display modes have been developed. Each of the six display modes has inherent advantages and disadvantages. This study compares the six display modes through a human-subject experiment, which was conducted with an emulated laparoscope using a 4K camera.
- Hamilton, A. J. (2018). Comparison of Six Display Modes for a Multi-Resolution Foveated Laparscope. J. of Society of Laparoendoscopic Surgeons, TBA(TBA), 20.
- Hamilton, A. J. (2018). Evaluation of an Innovative Bleeding Cricothyroidotomy Model. Cereus, 10(9). doi:doi:10.7759/cureus.3327
- Hughes, K. E., Biffar, D., Ahanonu, E. O., Cahir, T. M., Hamilton, A., & Sakles, J. C. (2018). Evaluation of an Innovative Bleeding Cricothyrotomy Model. Cureus, 10(9), e3327.More infoObjectives Emergency medicine (EM) residents are required to perform a cricothyrotomy during training as per the Accreditation Council for Graduate Medical Education (ACGME) guidelines. Cricothyrotomy is a rare procedure, comprising 0.45% of emergency department airway management procedures. Procedural competence in utilizing a realistic trainer is of utmost importance. We have developed a cricothyrotomy trainer using a fused deposition modeling (FDM) three-dimensional (3D) printer and innovative bleeding tissue to enhance fidelity. We aim to evaluate the trainer's realism. Methods Implementation occurred during a difficult airway educational lab for EM residents in April 2018. Participants completed anonymous written surveys after performing a cricothyrotomy on the trainer. The survey evaluated the realism of the trainer and compared it to other available models by utilizing five-point visual analog scales (VAS). The participants rated their comfort level in performing the procedure pre- and post-educational lab on a five-point VAS. Demographic data included postgraduate year, prior clinical cricothyrotomy experience as a primary operator versus as an assistant, and previous trainer experience. The survey included open-response suggestions for trainer improvement. Results Forty-three EM residents completed the survey (82.7%, 43/52). The mean realism rating of the trainer was 3.81 (95% CI = 3.54-4.1). The participants reported previous training on cadaver (62.8%, 27/43), porcine (46.5%, 20/43), and manikin (67.4%, 29/43) models prior to using this trainer. The bleeding cricothyrotomy trainer was rated higher than other models (4.45, 95% CI = 4.28-4.63). Participants noted improved comfort with performing the cricothyrotomy after the educational lab (average improvement of 1.23±0.75). Participants specifically commented on the realism of the bleeding and skin texture; however, they also recommended a reduction in the size of the cricothyroid membrane space. Conclusion The innovative bleeding cricothyrotomy trainer has greater fidelity and reported superiority when compared to other commonly used nonbleeding models. This trainer provides a more advanced platform to teach an infrequent yet critical procedural skill to emergency medicine residents.
- Hughes, K., Biffar, D., Ahanonu, E., Cahir, T., Hamilton, A. J., & Sakles, J. C. (2018). Evaluation of an Innovative Bleeding Cricothyrotomy Model. Cureus, 10(9), e3327. doi:10.7759/cureus.3327
- Grisham, L. M., Vickers, V., Biffar, D. E., Prescher, H., Battaglia, N. J., Jarred, J. E., Reid, S. A., & Hamilton, A. J. (2016). Feasibility of Air Transport Simulation Training: A Case Series. Air Medical Journal, 35(5), 308-13.More infoLimited clinical site availability and an increased need for clinical training experiences often make it difficult for prehospital health care providers to complete new and annual training requirements. Medical simulation provides an alternative learning environment that provides trainees the opportunity to acquire and perfect new clinical skills without compromising patient care. The following is a detailed description of an air medical transport simulation of a neonate with hypoxic ischemic encephalopathy requiring transport to a higher level of care. Patient parameters were altered during flight to simulate potential complications unique to air medical transport. Use of this training strategy is particularly beneficial for low-volume, high-risk patients, and these lessons can be applied across all age patient groups, making the experience broadly applicable.
- Ng, V., Prescher, H., Barbosa, A., Biffar, D., & Hamilton, A. J. (2016). Development of An Ultrasound Pericardiocentesis Model for Simulation Training. Simulation in Healthcare, 11(6), 489.More infoAbstractApproximately 7.25 hours spent on project for 2016
- Amini, R., Kartchner, J. Z., Stolz, L. A., Biffar, D., Hamilton, A. J., & Adhikari, S. (2015). A Novel and Inexpensive Ballistic Gelatin Phantom for Ultrasound Training. World Journal of Emergency Medicine, 6(3), 225-8.More infoUltrasonography use is increasing in emergency departments, and ultrasound education is now recommended in resident training. Ultrasound phantoms are used in many institutions for training purposes. The purpose of this study is to describe an inexpensive and simple method to create ultrasound-imaging models for the purpose of education and practice using clear ballistic gel.
- Hamilton, A. J. (2019). Simulation-Based Surgical Training Systems in Laparoscopic Surgery. Surgical Endoscopy.
- Hamilton, A. J., Prescher, H., Biffar, D. E., & Poston, R. S. (2015). Simulation trainer for practicing emergent open thoracotomy procedures. The Journal of Surgical Research, 197(1), 78-84.More infoAn emergent open thoracotomy (OT) is a high-risk, low-frequency procedure uniquely suited for simulation training. We developed a cost-effective Cardiothoracic (CT) Surgery trainer and assessed its potential for improving technical and interprofessional skills during an emergent simulated OT.
- Prescher, H., Grover, E., Mosier, J., Stolz, U., Biffar, D. E., Hamilton, A. J., & Sakles, J. C. (2015). Telepresent intubation supervision is as effective as in-person supervision of procedurally naive operators. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 21(3), 170-5.More infoTelepresence is emerging in clinical and educational settings as a potential modality to provide expert guidance during remote airway management. This study aimed to compare the effectiveness of telepresent versus in-person supervision of tracheal intubation.
- Prescher, H., Biffar, D. E., Galvani, C. A., Rozenblit, J. W., & Hamilton, A. J. (2014). Evaluation of a navigation grid to increase the efficacy of instrument movement during laparoscopic surgery. Journal of laparoendoscopic & advanced surgical techniques. Part A, 24(9), 656-9.More infoThe objective of this study was to determine whether or not a navigation grid (NG) with a coordinate system overlaid on a laparoscopic display might allow attending surgeons to more easily and precisely direct their assistants' instruments to specific sites in a simulated laparoscopic field.
- Thompson, J. L., Grisham, L. M., Scott, J., Mogan, C., Prescher, H., Biffar, D., Jarred, J., Meyer, R. J., & Hamilton, A. J. (2014). Construction of a reusable, high-fidelity model to enhance extracorporeal membrane oxygenation training through simulation. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 14(2), 103-9.More infoInitiation of extracorporeal membrane oxygenation (ECMO) is stressful, especially for inexperienced extracorporeal life support providers. The main objective of this study was to create a novel, reusable mannequin for high-fidelity simulation of ECMO initiation. We modified a Laerdal neonatal mannequin (SimNewB; Stavanger, Norway) so that it could be used to simulate an ECMO initiation. A simulation of a neonatal patient suffering from meconium aspiration was performed in the pediatric intensive care unit, and participants included new extracorporeal life support specialists in addition to the composition of the clinical ECMO team. A total of 17 individuals participated in the neonatal ECMO initiation simulation. Questionnaire results showed that 88% of participants felt better prepared to assist in an ECMO initiation after the simulation. All participants (100%) agreed that the modified mannequin and the environment were realistic and that this simulation helps teamwork and communication in future initiations of ECMO. Simulation can be used for the prevention, identification, and reduction of anxiety-related crisis situations that novice providers may infrequently encounter during routine clinical use of mechanical circulatory support. Use of a reusable, high-fidelity mannequin may be beneficial for effective team training of complex pediatric ECMO-related procedures.
- Feng, C., Rozenblit, J. W., & Hamilton, A. J. (2010). A computerized assessment to compare the impact of standard, stereoscopic, and high-definition laparoscopic monitor displays on surgical technique. Surgical Endoscopy, 24(11), 2743-8.More infoSurgeons performing laparoscopic surgery have strong biases regarding the quality and nature of the laparoscopic video monitor display. In a comparative study, we used a unique computerized sensing and analysis system to evaluate the various types of monitors employed in laparoscopic surgery.
- Salkini, M. W., & Hamilton, A. J. (2010). The effect of age on acquiring laparoscopic skills. Journal of Endourology, 24(3), 377-9.More infoLaparoscopic surgery is well known as having a long and variable learning curve. In fact, successive generations of surgeons were able to reduce their operative time and plateau their learning curves. This raises the question as to how early in medical education we can integrate laparoscopic skills. In this study, we are trying to demonstrate the effect of age on acquiring new laparoscopic skills.
- Krupinski, E. A., Patel, B., Berger, W., Hamilton, A. J., Knapp, A. E., Becker, G. J., & Gatenby, R. A. (2009). Assessing radiology resident preparedness to manage IV contrast media reactions using simulation technology. Studies in health technology and informatics, 142, 139-41.More infoInvestigate whether radiology residents make correct diagnosis of contrast media reactions and evaluate their treatment of reaction using simulation technology. Residents were presented with a test scenario of patient given IV contrast having anaphylactic reaction. A computer-run mechanical mannequin that simulates, with mathematical, pharmacokinetic, pharmacodynamic and cardiovascular algorithms, was used. Sessions were evaluated with respect to whether residents performed key actions to treat anaphylaxis. Times were recorded. All residents recognized the contrast reaction and initiated basic actions. As the scenario progressed and patient deteriorated, all recognized need to intubate, but intubation performance varied significantly. Radiology residents generally not prepared to deal with IV contrast reactions. Simulation technology to practice key actions would improve their preparedness.
- Chiocca, E. A., Smith, K. M., McKinney, B., Palmer, C. A., Rosenfeld, S., Lillehei, K., Hamilton, A., DeMasters, B. K., Judy, K., & Kirn, D. (2008). A phase I trial of Ad.hIFN-beta gene therapy for glioma. Journal of the American Society of Gene Therapy, 16(3), 618-26.More infoInterferon-beta (IFN-beta) is a pleiotropic cytokine with antitumoral activity. In an effort to improve the therapeutic index of IFN-beta by providing local, sustained delivery of IFN-beta to gliomas, the safety and biological activity of a human IFN-beta (hIFN-beta)-expressing adenovirus vector (Ad.hIFN-beta) was evaluated in patients with malignant glioma by stereotactic injection, followed 4-8 days later by surgical removal of tumor with additional injections of Ad.hIFN-beta into the tumor bed. Eleven patients received Ad.hIFN-beta in cohorts of 2 x 10(10), 6 x 10(10), or 2 x 10(11) vector particles (vp). The most common adverse events were considered by the investigator as being unrelated to treatment. One patient, who was enrolled in the cohort with the highest dose levels, experienced dose-limiting, treatment-related Grade 4 confusion following the post-operative injection. Ad.hIFN-beta DNA was detected within the tumor, blood, and nasal swabs in a dose-dependent fashion and hIFN-beta protein was detectable within the tumor. At the highest doses tested, a reproducible increase in tumor cell apoptosis in post-treatment versus pre-treatment biopsies with associated tumor necrosis was observed. Direct Ad.hIFN-beta injection into the tumor and the surrounding normal brain areas after surgical removal was feasible and associated with apoptosis induction.
- Zabramski, J. M., Whiting, D., Darouiche, R. O., Horner, T. G., Olson, J., Robertson, C., & Hamilton, A. J. (2003). Efficacy of antimicrobial-impregnated external ventricular drain catheters: a prospective, randomized, controlled trial. Journal of Neurosurgery, 98(4), 725-30.More infoCatheter-related infection of the cerebrospinal fluid (CSF) pathways is a potentially life-threatening complication of external ventricular drainage. A major source of infection is bacterial contamination along the external ventricular drain (EVD) catheter track. The authors examined the efficacy of EVD catheters impregnated with minocycline and rifampin in preventing these catheter-related infections.
- Hamilton, A. J., Rozenblit, J. W., & Fong, M. (2017, April). A Simulation-Based Assessment System for Computer-Assisted Surgical Training. In Spring 2017 Simulation Conference on Modeling and Simulation in Medicine, pages 834-844.More infoM. Hong, J.W. Rozenblit and A. HamiltonProc. of the 2017 Spring Simulation Conference, Modeling and Simulation in Medicine (SpringSim-MSM 2017), pp. 834-844, April 23-26, Virginia Beach, VA
- Hamilton, A. J. (2019, April). EVALUATION OF LEARNING CURVE AND PERIPHERAL AWARENESS USING A NOVEL MULTIRESOLUTION FOVEATED LAPAROSCOPE. In Annual Conference on Medical Modeling and Simulation, TBA, TBA.More infoABSTRACTLaparoscopic surgery relies on effective visualization of areas of interest and surrounding tissue. The limited field of view of traditional laparoscopes increases the risk of peripheral tissue injury. To address this limitation, a multiresolution foveated laparoscope (MRFL) was designed to enhance peripheral awareness while maintaining focus on the area of interest. Peripheral awareness and learner effect were evaluated with novices (n=13) and experts (n=8). These subjects completed a modified Fundamentals of Laparoscopy Surgery task using a traditional scope, MRFL with autotracking (AT), and MRFL without autotracking (NoAT). Subjects using the traditional scope performed better than MRFL AT and MRFL NoAT in task completion time and collision number. The learner effect was steeper with use of MRFL. In multiple tested parameters, MRFL NoAT performed as well as the traditional laparoscope while providing the added benefits of enhanced field of view and multiple viewing perspectives. These findings warrant further development of MRFL.
- Hamilton, A. J. (2019, April). WHEN HOLLYWOOD INSPIRES MEDICINE: NEW CONCEPTS IN THE DESIGN AND ARCHITECTURE OF MEDICAL SIMULATION FACILITIES TO SUPPORT MULTI-DISCIPLINARY AND INTER-PROFESSIONAL HEALTHCARE EDUCATION AND TRAINING. In Annual Conference on Medical Modeling and Engineering Practices, TBA, TBA.More infoABSTACTThe changing landscape of healthcare education, delivery, and technology is placing new demands for significant inter-disciplinary and inter-professional training in medical simulation. New architectural concepts and building designs must ensure that large-scale healthcare simulation facilities offer customized training opportunities for nursing, medicine, pharmacy and public health, while allowing for maximal flexibility and adaptation across nearly fifty different user groups and stake holders. A novel concept of a larger, configurable “stage” design, more akin to a Hollywood production studio, with in-patient and out-patient suites operationalized as temporary or “standing” sets was created as the centerpiece of a new, futuristic, 220,000 square foot health science education building. The stage, called a “sim deck,” can be easily dismantled or reconfigured while providing ample square footage for mass casualty scenarios. The facility required significant technological support to provide remote simulation training via existing and future telemedical technologies as well as remaining nimble enough to incorporate technologies in augmented and virtual reality, artificial intelligence, and large-scale learner management systems. Keywords: architecture, building design, healthcare, informational technologies, interdisciplinary, interprofessional, medical simulation, tele-simulation
- Hamilton, A. J. (2019, April). “Evaluation of Learning Curve and Peripheral Awareness Using a Novel Multiresolution Foveated Laparoscope,”. Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference. Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, April 30, 2019: Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference.More info2. Invited Presentation: “Evaluation of Learning Curve and Peripheral Awareness Using a Novel Multiresolution Foveated Laparoscope,” (Ca-authors: Marissa Lovett, Jeremy Katz, Sangyoon Lee, David Biffar, Mike Nguyen and Allan Hamilton); Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference, Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, April 30, 2019
- Hamilton, A. J. (2019, April). “Intellectual Properties: The Neuroscience of Innovation,”. Howarth Annual Conference,. Parker House Palm Springs, Palm Springs, CA April 26, 2019.: Howarth Annual Conference,.More info7. Invited Guest Speaker: “Intellectual Properties: The Neuroscience of Innovation,” Howarth Annual Conference, Parker House Palm Springs, Palm Springs, CA April 26, 2019.
- Hamilton, A. J. (2019, April). “Single Shot State Detection in Simulation-based Laparoscopy Training,”. Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference,. Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, April 30, 2019: Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference,.More info1. Invited Presentation, “Single Shot State Detection in Simulation-based Laparoscopy Training,” (Co-authors: Kuo Shiuan Peng, Minsik Hong, Jerzy Rozenblit and Allan Hamilton); Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference, Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, April 30, 2019
- Hamilton, A. J. (2019, April). “The Use of the Horse in Post-Traumatic Stress Disorder (PTSD).. Grand Rounds, Sierra Tucson. Sierra Tucson, Tucson, AZ: Sierra Tucson.More info8. Invited Guest Speaker: “The Use of the Horse in Post-Traumatic Stress Disorder (PTSD).” Sierra Tucson, Oro Valley, AZ April 12, 2019.
- Hamilton, A. J. (2019, May). Challenges in Healthcare Simulation – Clinical and Research Perspectives. Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference. Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.: Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference.More info6. Invited Panelist, Challenges in Healthcare Simulation – Clinical and Research Perspectives, Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference, Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.
- Hamilton, A. J. (2019, May). “The Use of Remote and Traditional Facilitation to Evaluate Telesimulation to Support Inter-professional Education and Processing in Healthcare Simulation Training,”. Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference,. Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.: Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference,.More info“The Use of Remote and Traditional Facilitation to Evaluate Telesimulation to Support Inter-professional Education and Processing in Healthcare Simulation Training,” (Co-authors; Coy Collins, Marissa Lovett, David Biffar, Karen Holder, Mike Holcomb, Peter Yonsetto, Ronald Weinstein and Allan Hamilton); Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference, Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.
- Hamilton, A. J. (2019, May). “When Hollywood Inspires Medicine: New Concepts in the Design and Architecture of Medical Simulation Facilities to Support Inter-Professional Healthcare Education and Training,”. Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference. Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.: Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference.More info4. Invited Presentation, “When Hollywood Inspires Medicine: New Concepts in the Design and Architecture of Medical Simulation Facilities to Support Inter-Professional Healthcare Education and Training,” (Co-authors: Allan Hamilton, Marissa Lovett, Jonathan Kanda, David Biffar and Ronald Weinstein); Annual Meeting of International Modeling and Simulation in Medicine (MSM) Conference, Tucson, AZ, Sabino Ballroom, Student Union, University of Arizona Main Campus, May 1, 2019.
- Lovett, M., Phung, M., Biffar, D. E., Lee, B. R., Hamilton, A. J., & Tzou, D. T. (2019, Nov./Fall). Development of a Low-Cost, High-Fidelity Simulator for Ultrasound- Guided Percutaneous Nephrolithotomy (PCNL) Training.. 95th Annual Western Section American Urological Association Annual Conference. Monterey, CA: Western Section American Urological Association.
- Cahir, T., Ahanonu, E., Biffar, D., Hamilton, A. J., Hughes, K., & Sakles, J. C. (2018, May). Evaluation of an Innovative Bleeding Cricothyrotomy Model. American College of Emergency Medicine Research Forum. San Diego, CA: American College of Emergency Medicine.
- Ng, V., Prescher, H., Barbosa, A., Biffar, D., & Hamilton, A. J. (2017, January). Development of An Ultrasound Pericardiocentesis Model for Simulation Training. International Meeting of Simulation in Healthcare. Orlando, FL: Society for Simulation in Healthcare.More infoAbstract
- Lovett, M., Reid, S., Prescher, H., Biffar, D. B., Fiorello, A. B., & Hamilton, A. J. (2016, January). Development and Testing of a Thoracostomy Assessment Tool Through Self, Peer, and Expert Evaluation in a Simulation Environment. International Meeting for Simulation in Healthcare. San Diego, CA: Society for Simulation in Healthcare.
- Hamilton, A. J., Biffar, D., Barbosa, A., Prescher, H., & Ng, V. (2017, January). Development of An Ultrasound Pericardiocentesis Model for Simulation Training. International Meeting of Simulation in Healthcare. Orlando, FL: Society for Simulation in Healthcare.More infoAbstract
- Ng, V., Prescher, H., Reid, S., Biffar, D. E., & Hamilton, A. J. (2016, January). A Comparison Of Porcine And Synthetic Models For Lateral Canthotomy And Cantholysis. International Meeting on Simulation in Healthcare. San Diego, CA: Society for Simulation in Healthcare.More infoApproximately 16.5 hours spent on project for 2015Approximately 4 hours spent on project for 2016
- Ng, V., Ng, V., Prescher, H., Prescher, H., Reid, S., Reid, S., Biffar, D. E., Biffar, D. E., Hamilton, A. J., & Hamilton, A. J. (2016, January). A Comparison Of Porcine And Synthetic Models For Lateral Canthotomy And Cantholysis. International Meeting on Simulation in Healthcare. San Diego, CA: Society for Simulation in Healthcare.More infoApproximately 16.5 hours spent on project for 2015Approximately 4 hours spent on project for 2016
- Hamilton, A. J., & Friedman, H. (2001. Friedman H, Hamilton AJ: Management of Patients Receiving Chemotherapeutic Implants for the Treatment of Malignant Gliomas, CME Monograph, Postgraduate Inst. For Medicine, Englewood, CO, Sept 2001.(p. 45). Englewood, CO.More infoFriedman H, Hamilton AJ Management of Patients Receiving Chemotherapeutic Implants for the Treatment of Malignant Gliomas, CME Monograph, Postgraduate Inst. For Medicine, Englewood, CO, Sept 2001.
- Hamilton, A. J. (2000. Medical Simulations in the Diagnosis and Management of Intracranial Neoplasms. Darien, CT: InterMed Interactive Medical Communications. Darien, CT: InterMed Interactive Medical Communications.More infoHamilton AJ: Medical Simulations in the Diagnosis and Management of Intracranial Neoplasms, Darien, CT: InterMed Interactive Medical Communications, July 1, 2000.
- Mosier, J. M., & Sakles, J. C. (2018, August). Management of the Physiologically Difficult Airway in the Emergency Department. Anesthesiology News.
- Hamilton, A. J. (1999, October). Intracavitary Chemotherapy: A New Role for the Neurosurgeon. New York, NY: HealthCare, Inc., 1999..More infoHamilton AJ: Intracavitary Chemotherapy: A New Role for the Neurosurgeon, New York, NY: HealthCare, Inc., 1999.
- Hamilton, A. J., Rupert, J., & Wilson, A. L. (1999, October). Management of the Brain Tumor Patient. Oxford Institute, 1999..