Overview Spectrum of Medical Simulation National Simulation Centre ANTS Opportunities & the Future.

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Presentation transcript:

Overview Spectrum of Medical Simulation National Simulation Centre ANTS Opportunities & the Future

Spectrum of Simulation Part Task Trainers Mid Fidelity Simulators High Fidelity Simulators

Psychomotor Fidelity Challenge Complexity

Part Task Trainers

Psychomotor Communication Fidelity Challenge Complexity

Simulation: Part Task trainers

Psychomotor Decision Making Fidelity Challenge Complexity

Mid-Fidelity

Psychomotor Decision Making Communication Fidelity Challenge Complexity

High Fidelity Simulation

Simulation: Facilitated debrief & feedback

Take home message Come and see us or ask Lucy!

Learning through Simulation Observe behaviour Measure against validated metric Assess Needs +/- Competence Provide Feedback Change/Enhance Performance

ANTS, NOTSS, Nurses’ NOTECHS

Anaesthetists’ non-technical skills “Behavioural aspects of performance in the operating theatre which underpin medical expertise, use of equipment and drugs. They are cognitive and social skills which support clinical and technical skills” Portable Team Skills

ANTS Taxonomy

Anaesthesia, ICM & Emerg……. Skills & Drills Paediatric Anaesthetic Challenges MEPA OATS CARMa PICT PAA SAVE Safe Sedation Paed EM

Non-Technical Skills Social Communication with team members Thinking aloud Declaring an emergency Leadership & Followership Task management, prioritisation and maintenance of standards Use of protocols Task delegation Referral & Calling for help Cognitive Situational awareness & Information gathering Observing monitors Decision making Coping with distraction Planning a course of action and anticipation of future events Having an overview of “the bigger picture” Awareness of own limitations (Comfort zone) Avoiding fixation bias SCSC: Ed Med Course Report – July 07 to May 08.

Does it work Transfer Narrative Team-working Human factors Deliberate Practice