About

Ian Michael Julie, M.D., MAS, is a professor in the Department of Emergency Medicine at UC Davis Health. He is an Emergency Medicine physician working at the UC Davis Emergency and Pediatric Emergency Departments and the Mather VA Emergency Department. Dr. Julie is the Medical Director of the Center for Simulation and Education Effectiveness at UC Davis and serves as the Co-Director of the Medical Education and Simulation Fellowship. His professional interests include medical education, experiential learning, cognitive errors, procedure training, ultrasound, resuscitation, airway management, and telehealth. He has a focus on sharing his passion for patient care through medical education and simulation, aiming to improve clinical skills and patient safety. Dr. Julie has received multiple awards for excellence in education and teaching, and his research contributions include exploring simulation-based training, patient safety, and cost-effectiveness of resuscitation training programs.

Research topics

• Medicine
• Computer Security
• Artificial Intelligence
• Computer Science
• Medical emergency
• Computer vision
• Nursing
• Mathematics
• Statistics
• Psychology

Selected publications

• Video-Assisted Clinical Care for Remote Management of COVID-19

  Journal of Physics Conference Series · 2022

  Senior authorCorresponding
  • Computer Science
  • Artificial Intelligence
  • Computer Science

  Abstract Due to the COVID-19 pandemic, the need for biomedical monitoring devices has increased for collecting vital signs from patients virtually. This paper will discuss developing an iOS mobile application that will ingest video frames in real-time to provide oxygen saturation and heart rate values. We provide two techniques for capturing data using 1) face monitoring under natural light and 2) fingertip monitoring using the iPhone’s flashlight. We observed an average Root Mean Squared Error (RMSE) of 3.6 for heart rate estimation using fingertip recordings and 13.25 using face recordings. For oxygen saturation, we obtained the RMSE for each class between SpO2 values 94 - 99%. The lowest RMSE provided from our application was 0.26 for fingertip recording and 0.22 for face recording at SpO2 level 96%. The highest RMSE was 6.34 for fingertip recording and 6.56 for face recording at SpO2 level 99%. These preliminary models will be further enhanced through a clinical study with UC Davis Health as we collect data from participants with respiratory diseases.

  PublisherOA PDFDOI

• “Good Catch, Kiddo”—Enhancing Patient Safety in the Pediatric Emergency Department Through Simulation

  Pediatric Emergency Care · 2020 · 6 citations

  Senior authorCorresponding
  • Computer Security
  • Medicine
  • Medical emergency

  OBJECTIVES: Adverse events that affect patient safety are a significant concern in pediatrics. Increasing situational awareness, identifying errors and near misses, and reporting them using organizational incident reporting systems enables mitigation of harm. METHODS: We designed and tested a brief, interactive, and easily replicable simulation activity for medical students, and emergency medicine interns and pediatric interns to strengthen their skills and enhance their self-efficacy in identifying and reporting patient safety hazards. Hazards fell into the categories of situational safety, patient identification and privacy, infection prevention, treatment errors, and issues with electronic health records (EHRs). RESULTS: The simulation training significantly increased the self-efficacy of medical students and interns in identifying and reporting patient safety hazards. Learners were very satisfied with the simulation training, successfully recognized key patient safety hazards, provided feedback to improve the training, and improved their ability to report hazards through organizational incident reporting systems. Patient safety hazards associated with patient misidentification were recognized most frequently, whereas safety hazards associated with EHRs were missed with the greatest frequency. CONCLUSIONS: The simulation training enabled learners to identify hazards and near misses and enhanced their ability to report hazards through organizational incident reporting systems. Learners at all levels of training identified safety hazards at comparable rates, which demonstrates the role that trainees play in critically observing clinical settings with fresh eyes and identifying and reporting patient safety hazards. Interventions to promote patient safety need to prioritize building situational awareness of potential hazards associated with EHR use.

  PublisherOA PDFDOI

• Longitudinal exploration of in situ mock code events and the performance of cardiac arrest skills

  BMJ Simulation & Technology Enhanced Learning · 2018-03-02 · 12 citations

  article

  INTRODUCTION: In hospital cardiac arrest (IHCA) affects 200,000 adults in the United States each year, and resuscitative efforts are often suboptimal. The objective of this study was to determine whether a program of "mock codes" improves group-level performance of IHCA skills. Our primary outcome of interest was change in CPR fraction, and the secondary outcomes of interest were time to first dose of epinephrine and time to first defibrillation. We hypothesized that a sustained program of mock codes would translate to greater than 10% improvement in each of these core metrics over the first three years of the program. METHODS: We conducted mock codes in an urban teaching hospital between August, 2012 and October, 2015. Mock codes occurred on telemetry and medical/surgical units on day and night shifts. Codes were managed by unit staff and members of the hospital's "Code Blue" team, and data were recorded by trained observers. Data were summarized using descriptive statistics, and repeated measures outcomes were calculated using a mixed effects model. RESULTS: Fifty-seven mock codes were included in the analysis: 42 on Medical/Surgical units and 15 on Telemetry units. CPR fraction increased by 2.9% per six-month time interval on Telemetry units, and 1.3% per time interval on Medical/Surgical units. Neither time to first epinephrine dosing nor time to defibrillation changed significantly. CONCLUSIONS: While we observed a significant improvement in CPR fraction over the course of this program of mock codes, similar improvements were not observed for other key measures of cardiac arrest performance.

  PublisherDOI

• 322 A Longitudinal Exploration of In Situ Mock Code Events and the Performance of Cardiac Arrest Skills

  Annals of Emergency Medicine · 2016-10-01

  articleOpen access
  PublisherOA PDFDOI

• 295 Provider BMI Significantly Impacts CPR Depth

  Annals of Emergency Medicine · 2016-10-01

  article1st authorCorresponding
  PublisherDOI

Frequent coauthors

• Muna Aljahany

  Princess Nourah bint Abdulrahman University

  3 shared

• Samuel Clarke

  3 shared

• Aaron E. Bair

  University of California, Davis

  3 shared

• JoAnne E. Natale

  University of California, Davis

  2 shared

• Ulfat Shaikh

  University of California, Davis

  2 shared

• Matthew V. Kiefer

  St. Joseph Medical Center

  2 shared

• Heejung Bang

  University of California, Davis

  2 shared

• Joseph Barton

  Concord University

  2 shared

Labs

• Center for Simulation and Education Effectiveness at UC DavisPI

Awards & honors

• UC Davis Deans' Team Award for Excellence in Education & Tea…
• UC Davis Department of Emergency Medicine Resident's Academi…
• UC Davis School of Medicine Alumni Association’s Clinical Fe…