Presentation on theme: "Simulation in Anaesthesia at the Royal Adelaide Hospital"— Presentation transcript:
1 Simulation in Anaesthesia at the Royal Adelaide Hospital Dr Graham Lowry FANZCA
2 The Royal Adelaide Hospital Adult Tertiary Teaching HospitalAffiliated with the University of Adelaide680 beds23 operating theatres24 ICU / 10 HDU/ICU bedsMajor trauma referral centre for Sth AustraliaReceives 800 retrievals/year
3 Department of Anaesthesia Branch of Critical CareAnaesthesia/Pain/Hyperbaric medicine52 FTE Consultants32 Registrars
4 Simulation Unit Operational since 2003 Teaching/education role Interns Registrars/traineesConsultant anaesthetistsTechnical and non-technical skillsRelatively low budget
5 Specialty of Anaesthesia Five years of postgraduate trainingMajor focus of training on developing technical skillsConflict of decreased working hours versus need for clinical experienceAging populationMore complex surgeryIncreased emphasis from ANZCA for training in non- technical skills.
6 Why Consultant Anaesthetists? Historically, a lack of training in this areaOften seen as leaders during a crisis in theatre BUT:No leadership trainingOften poor followersCrisis Resource Management training is not mandatory
7 The Scenarios Clearly defined goals important Simple clinical scenariosDiagnostic uncertainty useful for teaching human factorsTeam dynamics create complexityLevel of fidelity always a challengeSelf reflection and evaluation important learning component
8 Challenges……1 Changing the culture Stressful for for participants facilitatorsLabour intensivemaintaining service commitment versus patient safety and quality of care.
9 Challenges……2 Availability of relevant, validated outcome measures. Adequate funding and resource allocationManaging participants’ expectations and comfort levels
10 Advantages ……1Allows training/experience in rare (but catastrophic) eventsBreaks 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 facilitiesMoving beyond the operating theatre…