TECH room – short communications最新文献

{"title":"TR7 Practical skills workshop","authors":"Seyi Hong","doi":"10.1136/BMJSTEL-2018-ASPIHCONF.72","DOIUrl":"https://doi.org/10.1136/BMJSTEL-2018-ASPIHCONF.72","url":null,"abstract":"Background At a busy trauma centre in South London, Acute Care Core Stem (ACCS) trainees (ST1–2) had been finding it difficult to have certain practical skills directly observed and assessed due to various reasons. Once this issue was identified, an ST2 Emergency Medicine trainee organised and led a Practical Skills Workshop where ACCS ST2 trainees could have the opportunity to be observed and assessed by senior colleagues (registrars and consultants) in a controlled simulated enviroment. Summary of events The session was free and lasted less than 4 hours. The trainees presented to each other on the relevant practical skills in an initial teaching session before they were assessed by senior colleagues (one to one) in four simulation stations: DC Cardioversion, Temporary Pacing, Ascitic drain insertion and Seldinger/surgical chest drain insertion. The Anaesthetic Department loaned out (free of charge) a simulation dummy compatible with a defibrillator but part task trainers were difficult and expensive to obtain. Due to the session having been organised without funding or sponsorship, the aforementioned ST2 trainee designed and built ascitic and chest drain task trainers using affordable materials and based on their own experience in inserting these drains in patients. Results The workshop was a success and received overall positive feedback from the trainees, who all felt that they would recommend it to other trainees of similar grade. Conclusion While simulation is not reality, it is a very important and useful training tool for doctors, especially those involved in acute or emergency care. This session was an opportunity for trainees to be directly observed and assessed outside of a busy department but should not replace actual experience gained from working as ACCS doctors. Future The plan is to consider running this workshop annually for ST1–2 level trainees, as it is a replicable and affordable programme, to provide one to one teaching opportunities and to further develop trainee practical skills.","PeriodicalId":330662,"journal":{"name":"TECH room – short communications","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115790896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TR12 Nu2Sim simulation training increases knowledge and confidence with new to simulation users","authors":"J. Stratford, N. Jenkins","doi":"10.1136/BMJSTEL-2018-ASPIHCONF.77","DOIUrl":"https://doi.org/10.1136/BMJSTEL-2018-ASPIHCONF.77","url":null,"abstract":"Introduction At Northumbria, we run a Simulation Faculty development course which is aimed at those who are already involved in simulation teaching. We identified that there was a lack of training for those new to simulation who would like to be part of a faculty but have little or no knowledge about simulation and the technology used. NU2Sim offers familiarisation to the manikins; the set up and equipment; exploration of the software; scenario set up and how to achieve basic programming. Nu2Sim was offered to Inter-professional learners and was intended to enable them to feel more confident and get the best out of simulation based training and education. Methods Three courses were run over a period of three months to a variety of allied health professionals (AHP’s) new to simulation. The aims were to introduce attendees to simulation and explore the technology in easy steps and to enable them to utilise the manikins and understand the software that would allow them to get the most out of their scenarios. The participants completed evaluation forms to compare confidence and knowledge before and after the course. Results A Likert scale of 1–5 was used for four questions and free text comments were encouraged. Pre-course, most participants rated their knowledge of simulation manikins; software; programming themes and confidence using simulation based teaching from 1–3 (‘very poor’, ‘poor’ or ‘neutral’) and post-course from 4–5 (‘good or ‘very good’). Free text comments were generally very positive and supportive for the need of this course. Very few changes were suggested. Discussion and Conclusions More concise results would be gained from more participants attending, short notice cancellations due to clinical needs reduced numbers. There is a need for Nu2Sim as it has shown that it increases knowledge and confidence in simulation based education and helps reduce fears, doubts or misconceptions regarding simulation, therefore enhancing the learning/teaching experience. How do we retain previous participants as members of future faculty? Recommendations Nu2Sim will be planned well in advance with reminders in the hope of reducing late cancellations. We need to encourage Nu2Sim participants to develop further skills, join simulation faculty and utilise training.","PeriodicalId":330662,"journal":{"name":"TECH room – short communications","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116076349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TR8 Developing a biological gastrojejunostomy model for laparoscopic surgical practice","authors":"A. Roche, Anne Hanley, D. O'Keeffe, Miroslav Voborsky, Rebecca Kirrane","doi":"10.1136/BMJSTEL-2018-ASPIHCONF.73","DOIUrl":"https://doi.org/10.1136/BMJSTEL-2018-ASPIHCONF.73","url":null,"abstract":"A biological gastrojejunostomy model was designed and created for practicing hand-sewn anastomosis techniques laparoscopically for general surgery SpR trainees in Ireland. This method included placing harvested sheep tripe and porcine small intestine into the laparoscopic box trainer, which enabled the trainee to practice the technique using laparoscopic instruments and dyed 3–0 vicryl suture, under the supervision of Ms. Hanley. However, a number of steps were taken to ensure that the model was ergonomically sound in order for the trainee to obtain the best possible learning outcome: The tissue was rinsed through and dried in the wet laboratory preparation room before being placed in a u–shape adjacent to each other on a dark brown felt sheet. The tissue was then fixed to the sheet of felt on either side using a surgical skin stapler. In order to avoid tissue contamination during practice, the model was subsequently placed into a plastic lipped container, which in turn was fixed into the laparoscopic box trainer with the use of Velcro strips. To ensure that the model would not advance from the container, we used Velcro sticky dots to fix the felt sheet to the plastic container. Once the model was ready for use, we then draped the laparoscopic box trainer similar to draping a surgical patient, in order to increase the simulation fidelity of the procedure. The drape being present on the box trainer also ensured that the trainee could not look through the box trainer while performing the task, which increases hand eye co-ordination application","PeriodicalId":330662,"journal":{"name":"TECH room – short communications","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131339661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}