Harvey is available for use in the room LL222 of the Hammer Building.
Background
Harvey was first conceived in 1967 and named after medical educator and master auscultator W. Proctor Harvey, MD, of Georgetown University Medical Center in Washington, DC. Developed by a multicenter consortium of cardiologists and educators, Harvey is produced by the Center for Research in Medical Education at the University of Miami to offer realistic simulation of the physical signs of cardiac disease: blood pressure, venous pulses, arterial pulses, precordial movements, auscultation, pulmonary auscultation and respiration (abdominal breathing movement).
Harvey has evolved a great deal over the last 40 years. The latest generation of Harvey is a portable (less than 100 lbs) version whose mechanics have been replaced with digitally-driven impulses. Thirty cardiac conditions are programmed into Harvey, comprising over 200 different bedside findings.
CUMC's model was purchased by the Office of Education and Scholarly Resources in February 2006. This model's improvement's include:
- Additional cardiac disease states (total 30)
- Additional cardiac ausculatory areas
- Pulmonary ausculatory findings are now simulated
- Harvey can "talk" via a built-in speaker
- Additional disease states in the UMedic computer curriculum (total 20)
Harvey Curriculum and Manuals
Harvey realistically simulates 30 cardiac disease states, ranging from common, less complex conditions to more rare and complex ones. These include:
| Introductory Program | Mitral Stenosis with mild tricuspid regurgitation |
| Normal | Mitral Stenosis & Regurgitation |
| Innocent Murmur | Aortic Regurgitation, chronic |
| Aortic Valve Sclerosis | Aortic Regurgitation, acute |
| Hypertension | Aortic Stenosis |
| Angina Pectoris | Hypertrophic Obstructive Cardiomyopathy |
| Acute Inferior Myocardial Infarction | Cardiomyopathy |
| Acute Anterior Myocardial Infarction | Acute Pericarditis |
| Ventricular Aneurysm | Primary Pulmonary Hypertension |
| Mitral Valve Prolapse | Atrial Septal Defect |
| Mitral Valve Prolapse, Isolated click & murmer | Ventricular Septal Defect |
| Mitral Regurgitation, chronic | Patent Ductus Arteriosus |
| Mitral Regurgitation, mild | Pulmonary Stenosis |
| Mitral Regurgitation, acute | Coarctation of the Aorta |
| Mitral Stenosis with severe tricuspid regurgitation | Tetralogy of Fallot |
PowerPoint Slides
A self-assessment PowerPoint program has been developed for each of the 30 disease states that Harvey simulates. These slide presentations guide the learner through each case and provide: the history, physical findings, electrocardiograms, X rays, echocardiograms, and hemodynamic, therapeutic, pathologic and epidemiologic information. The curricular slides can be viewed from the computer available in the Harvey room or downloaded here (login with UNI required).
UMedic Computer Instruction Programs
The library also has 20 UMedic multimedia computer instruction programs available. The programs are designed to be used in conjunction with Harvey or alone and present “interactive real-time patient evaluations based on Harvey”. They can be accessed from the computer available in the Harvey room or may be checked out (along with headphones) from the Circulation Desk.
Harvey Manual
The Harvey Learner Manual (login with UNI required) includes the entire curriculum with a summary (includes descriptive material and graphic representation) of all of the bedside findings for each of the 30 cardiac conditions programmed in Harvey. A print copy of the manual is available for consultation in the Harvey room.
Teaching with Harvey
The simulator is housed in room LL222 on Lower Level 2 in the Hammer Building. This small learning room can be used by individuals or by groups with a recommended maximum of 10 people at a time.
For tips on how best to use Harvey for teaching and assessing bedside cardiac skills, please review the Harvey Instructor Guide, prepared by the Miami International Alliance for Medical-Education Innovation Group. The Instructor Guide outlines the optimal use of Harvey for those responsible for teaching with the simulator and integrating Harvey into the curriculum. A print copy of the manual is available in the Harvey room.
Please contact Konstantina Matsoukas at km2056@columbia.edu for more information.
Using Harvey
During the spring of 2013 the library is running a trial of new software to allow Harvey to be reserved online. Please continue to contact the Reference Department directly to request an orientation before your first use of Harvey.
Each two hour time slot can accommodate up to 6 individuals and we ask that each person register separately.
Keys
The keys to room LL222 (Lower Level 2 of the Hammer building) may be borrowed from the Circulation Desk, located on the Lobby Level of the library. Please bring a print out of the email registration confirmation message or be able to show it on a smartphone or tablet device.