“I’m Incredibly Lucky”

TouroCOM Middletown’s Dr. Joyce Brown on Medicine, Teaching, and Simulation

October 23, 2018
JOYCE BROWN, DO, CHSE: I remember being a small child, even being at the pediatrician, knowing that that was what I was going to do. I just always knew I wanted to be a doctor, always. I'm a science nerd. Everything science fascinated me. I love physiology. I love science, so that married the two. My mom was a teacher, so I also fell in love with teaching. I always wanted to teach.

It's very apparent in the students' faces when they get something and when they understand something. They appreciate, and are tremendously impacted by the opportunity to go and practice what they've read, and what they've heard about, and what they've studied on a simulator. Simulation is using manufactured situations to train and assess students. So we have an actor program where we hire and train a large amount of actors and they portray patients.

Another part of simulation is the robotic mannequins, where these are basically computer-controlled robots and they can simulate people. So it's a great way to provide students the opportunity to learn in a hands-on way, but in a safe environment. They're not so stressed out about hurting someone, so they're more free to learn.

There's a huge difference learning in a book and actually doing it. And it's one of the first times that the students feel like they're actually becoming doctors. When they get to do the simulation, it kind of reminds them why they want to go into medicine. Training even one student has an exponential impact on all the patients that they're going to treat. I want them to enjoy what they're doing. I want to instill in them the love of medicine that I have.

I feel so lucky. I love my job. I feel very lucky that I get to do so many of the different things that I love. I'm Dr. Joyce Brown. I am Director of Simulation and Vice-Chair of the Department of Primary Care at Touro COM Middletown.

Dr. Joyce Brown, Director of Simulation and the Vice Chair of TouroCOM Middletown’s Department of Primary Care, always knew what she wanted to become a doctor. Her job at TouroCOM was the combination of all her interests.

“I remember being a small child at the pediatrician’s office, knowing that this was what I wanted to do,” said Brown. “I was a science nerd and everything about physiology and the sciences fascinated me. But my mother was a teacher and I always wanted to teach. I had these dueling passions that just came together.”

Brown, an emergency medicine physician, began teaching at TouroCOM Harlem in 2008 and eventually became a full-time faculty member. After completing a certification course in Simulation Education, she helped expand TouroCOM Harlem’s Simulation Center. When TouroCOM Middletown opened in 2014, she joined the school and then launched the Middletown campus’s full-fledged simulation lab. State-of-the-art robotic manikins in the lab simulate a wide variety of disorders and sicknesses—including asthma and blood pressure problems. The manikins are also programmed to respond to drugs. However, Dr. Brown doesn’t rely solely only technology: she also employs up to 30 trained actors to help teach students how to work with patients and correctly diagnose illnesses.

“Medical students are always nervous,” she explained. “The Sim Lab is the place for them to think, to learn, and become the best physicians they can be, in a safe environment without having to worry about hurting anyone.”

“There is a big difference between learning something in a book and performing something,” said Dr. Brown. “Students are reminded of why they’re becoming doctors. Every time I train a student, there’s an exponential impact. That student will go on to treat hundreds of patients and I get to instill in them the love of medicine that I have. I’m incredibly lucky.”