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Simulation in Anaesthesia at the Royal Adelaide Hospital Dr Graham Lowry FANZCA.

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Presentation on theme: "Simulation in Anaesthesia at the Royal Adelaide Hospital Dr Graham Lowry FANZCA."— Presentation transcript:

1 Simulation in Anaesthesia at the Royal Adelaide Hospital Dr Graham Lowry FANZCA

2 The Royal Adelaide Hospital  Adult Tertiary Teaching Hospital ∞Affiliated with the University of Adelaide ∞680 beds ∞23 operating theatres ∞24 ICU / 10 HDU/ICU beds  Major trauma referral centre for Sth Australia ∞Receives 800 retrievals/year

3 Department of Anaesthesia  Branch of Critical Care  Anaesthesia/Pain/Hyperbaric medicine  52 FTE Consultants  32 Registrars

4 Simulation Unit  Operational since 2003  Teaching/education role ∞Interns ∞Registrars/trainees ∞Consultant anaesthetists ∞Technical and non-technical skills  Relatively low budget

5 Specialty of Anaesthesia  Five years of postgraduate training ∞Major focus of training on developing technical skills  Conflict of decreased working hours versus need for clinical experience ∞Aging population ∞More complex surgery  Increased emphasis from ANZCA for training in non- technical skills.

6 Why Consultant Anaesthetists?  Historically, a lack of training in this area  Often seen as leaders during a crisis in theatre BUT: ∞No leadership training ∞Often poor followers  Crisis Resource Management training is not mandatory

7 The Scenarios  Clearly defined goals important  Simple clinical scenarios ∞Diagnostic uncertainty useful for teaching human factors ∞Team dynamics create complexity ∞Level of fidelity always a challenge  Self reflection and evaluation important learning component

8 Challenges……1  Changing the culture  Stressful for ∞for participants ∞facilitators  Labour intensive ∞maintaining service commitment versus patient safety and quality of care.

9 Challenges……2  Availability of relevant, validated outcome measures.  Adequate funding and resource allocation  Managing participants’ expectations and comfort levels

10 Advantages ……1  Allows training/experience in rare (but catastrophic) events  Breaks down the “silos”  Work as a team, train as a team even if the “team” is constantly changing

11 Advantages ……2  Training/practicing in context  Issues of access to facilities  Moving beyond the operating theatre…


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