1 Review of CCrISP 3 rd Edition Danny Bryden John Jameson Deborah Fowler

2 Review of CCrISP 3 rd Edition Aims: To gain a better understanding of the ways the course has been perceived by participants and why this may be. To formulate a plan of action to address specific areas of the course.

33 CCrISP 3 rd Edition Overview Launched September courses 34 centres 1728 participants 1554 certificates issued 87% pass rate (including resits)

4 Participant grades

Feedback: using SCOPE Data from 50 courses (2011) Average 88% (Admin/T&L/Materials/Learning Outcomes/ Knowledge/ Skills/ Course Usefulness/ Duration/ Overall) 803 participants 8 centres of the 50 with an “adverse” report Now 34 courses with detailed course content outcomes 5

Areas of lower scores Nutrition and nutritional interventions Pain management WoundsTraceostomy Invasive Cardiovascular Monitoring Nutrition Dysrhythmia management Surgical Ward Round 79%82%84%81%83%78%80%83% 6 34 courses with detailed analysis

Nutrition could be covered better during the course - more practical approach, and more relevant theory in assessing nutritional needs“ 1. Too many parts are on topics about which CT1/CT2 level doctors should be competent - e.g. CXR interpretation, ECG interpretation. Going over these again meant using up valuable time and could be quite frustrating. 2. Aspects of the course about which trainees are likely to have inadequate knowledge (nutrition, wounds, stoma care) were not covered well enough - I feel that I did not really gain anything. I think covering these in a lecture-setting is not the best way - worked examples/scenarios would be better Needs further detail - this course is suitable for FY1s, not CT1s." "The nutrition lecture is probably better delivered by a dietician." "Nutrition lecture and workshop very poor.“ I struggled to grasp the chapter on nutrition both in the reading material and following the lecture maybe this could be revised to make it easier to understand/more appropriate.“ The nutrition lecture was given in a slightly preachy and accusatory fashion. This was a shame as this was important and useful information delivered in a way that made me less inclined to listen.“ "The practical stations of assessing stomas and tracheostomies are very superficial and are of no benefit to the candidate who will spend a few minutes over a manikin and remember very little."" ""All candidates who reach this level are ALS competent and most are ATLS providers. Hence another airway workstation at an inferior level to the aforementioned courses is of no benefit."" ""The ward round experience was completely unnecessary as there was no learning point to be taken from it. 7 Free text comments

Bloom’s Taxonomy 8 Knowledge Comprehension Application Analysis Synthesis Evaluation

Communication, organisation and leadership in surgical critical care Practical Assessment of the Critically Ill Patient AirwayCommunication and Organisational skills Renal scenarios Sepsis scenarios Chest Radiology and respiratory care 86%93%87%88%89%92%88% 9 Areas of greatest success

10 Positive comments Good faculty:participant ratio -Excellent course manual, although perhaps a little too detailed in areas and lacking details in others e.g. inotropes -Would be useful to know a little more ICU support available e.g. types of ventilation and differences in use/application -Very useful to do moulages at the end to put learnt theory into practice -Very helpful and friendly faculty -Excellent catering&admin Very practical course. Nice friendly environment 'Very comprehensive and well taught course. Focus was on continuity of evaluation and management of critical ill patient (beyond initial resuscitation) really valuable as this tends to be the part which I find most difficult.‘ Very good pre course and course administration by York team. Communication was appropriate and effective. EXCELLENT faculty, adult, reasonable, approachable, realistic and keen to develop all in the course. sepsis coverage was great friendly and calm environment to learn Communication station with actors was a very good exercise. Group session on cardiovascular manipulation in shock was exceptional. For the first time I understood why 15L/minute of oxygen is not adequate by using a Hudson's mask and why a non- rebreathe mask serves that purpose of achieving around 0.85 FiO2. Great explanation. Good facilities and enthusiastic and friendly faculty. Overall its very good course for the surgical trainee, learned a lot. It is well structured and very relevant course for general/ vascular surgeons than for other surgical speciality. It would be better if instructor put less pressure during final moulage assessment. I thought the actors they used for the communications skills practice were brilliant - very realistic (I actually nearly cried watching one of my colleagues doing a 'breaking bad news' scenarios!!)

11 Complaints Local mechanisms? Increasing centrally 11

12 View from the Regions What are your perceptions of your own courses? What are the problems?