International Programs

NETS – Hong Kong Transport Program

In September 2016, CAPE’s Director, Lou Halamek, MD, and Associate Director, Nicole Yamada, MD, traveled to Hong Kong to serve as the lead instructors for the Neonatal Emergency Transport Simulation (NETS) Program for the Accident & Emergency Training Centre (AETC) at Ruttonjee and Tang Shiu Kin Hospitals of the Hong Kong East Cluster.

Joined by neonatal critical care transport specialist, Brad Smith, RN, RNTS, and neonatal nurse practitioner, Amanda Moy, NNP, Drs. Halamek and Yamada led the AETC simulation staff in implementing the first simulation-based training program for neonatal critical care transport, as the Hong Kong East Cluster of hospitals prepared for the opening of a new children’s hospital in Hong Kong in 2018.  In two day-long programs, neonatologists and neonatal nurses from neonatal intensive care units throughout Hong Kong participated as both trainees and instructors.  Training scenarios simulated the transport by ambulance and helicopter of neonatal patients with clinical diagnoses such as cyanotic congenital heart disease, congenital diaphragmatic hernia, septic shock, giant omphalocele, and necrotizing enterocolitis.  Trainees managed the challenges of assuming care from a referring medical team, resuscitating infants in respiratory and cardiac arrest within the space constraints of transport vehicles, and time-pressured clinical decision-making.  Debriefings were run by the trainees, followed by feedback from the CAPE team that included not only discussions of clinical care and decision-making, but also review of teamwork, communication, leadership, delegation of tasks, and maintaining transport team member safety.  The trainees in this program will move on to serve as the lead instructors for simulation-based critical care transport training programs for the staff at their own hospitals.  Through international programs such as these, CAPE continues to lead efforts to improve the safety, efficiency, and effectiveness of the care of women and children around the world.











CAPE offers multi-day Simulation Instructor Programs with simultaneous interpretation and translation of all program materials for international healthcare professionals. These programs offer a unique learning experience for professionals from other countries where simulation may be in its infancy or not used at all to improve patient care. 

After conducting a teleconference with prospective learners, CAPE instructors tailor the program agenda to meet the specific needs of up to twelve visiting professionals at one time.  International program participants often request a more thorough review of specific clinical skills, adding a day to CAPE's typical Simulation Instructor Program agenda. Instructors and participants acknowledge cultural differences at the start of and throughout the program. A Professional Services Agreement outlines the agenda, fees and services, payment terms and cancellation policy.


Pirogov Russian National Medical University Professionals First to Train

A group of physicians, educators and leaders from Pirogov Russian National Medical University were the first international group to attend CAPE's Simulation Instructor Program at its center on the Stanford University campus.  

Chinese Physicians and Nurses Learn Skills & Training Methodology

As part of an ongoing effort by China's Maternal and Child Health Association, trainees from across China come together at CAPE to practice their neonatal resuscitation skills and learn the methodogy of simulation-based training.  Upon their return home, they plan to implement simulation-based training for neonatal resuscitation.

We were astonished and inspired by very real clinical scenarios, depicting most pressing problems, happening in the birthing hall, with manikins and simulators, performance of the actors - the trainers of the center themselves! - helping recreate the stressful conditions when rescusitating mother and newborn child. - Russian Physician, Pirogov Russian National Research Medical University








This was a cutting-edge learning experience which we've not seen before.  We will try to incorporate teamwork and better communication in our work in China, a country where these skills are lacking. - Chinese Physician, Peking University Third Hospital