1. HSE Change Process Initiation Planning Implementation Mainstreaming
Lights, Camera, Surgery: Implementation of just in time
Online video streaming training on trainees’ surgical skills
Faisal Shaikh,
MSc in Leadership in Health Professions Education 
Institute of Leadership, Royal Collage of Surgeons in Ireland
Introduction
Nationality
Irish 29 (59 %)
Non Irish 19 (41 %)
Sex
Male 34 (71.43%)
Female 14 (28.57%)
Type of Mobile phone
Smart phone 44 (91 %)
Other 3 (6 %) None 1
Use of mobile
Medical information
38 (82 %)
Internet
42 (90%)
Awareness about RCSI videos
Yes 21 (43 %)
No 27 (56 %)
Used videos for skills training
Yes 27 (56.25%)
No 21(43.75%)
Usefulness of videos
Yes 26 (83.87%)
No 5 (16.13%)
With recent advancement in information technology, streaming digital video across the internet has become popular and more effective1. Streaming videos are helping learners to understand complex concepts and procedures1. Over recent years, cellular phones and internet have become an essential communication and educational tool2. Utilising the internet and smart phone technology, it is now possible to deliver medical education without any time and place constraints2.
Table 1 showing demographics of surgical trainees and results of the evaluation numbers and (%)
Organisational Impact
Positive:
Development / Implementation of the first video streaming programme figure 2.
Better workforce planning.
Better onsite training to the trainees.
Better services to the patients.
Costs effective
Negative:
Time off in lieu.
Compliance
Aims and Objectives
1, To create an awareness among the junior surgical trainees of the availibity of online surgical videos.
2. To examine the perceptions of selected surgical trainees regarding current training methods and their experience of online surgical training.
3, To evaluate stakeholders experience and satisfaction regarding the content, the quality and impact of just on time, just in place, online video streaming content, on the surgical training
Figure 1 showing online minor operative video
HSE Change Process
HSE Change Model3 was used to guide the process. 1
Initiation
- Prepare to lead the change
- Identify need / purpose of change
- Identify key stakeholders/resources
- Use PESTLE / Force field analysis
Presentation of proposed change
Methods
Planning
Figure 2 showing RCSI new online portal
Scissors icon link to surgical procedures 2
Survey was performed to achieve the aims and was send to basic surgical trainees through survey monkey. Following major questions was asked
Q1 – What mobile phone you use?
Q2 – What is preferred way of learning the surgical skills?
Q3 – Are you familiar with RCSI surgical skills videos?
Q4 – Do you find the videos helpful?
Conclusion
- Build commitment / develop a vision - Involve key stakeholders
- Conduct readiness and capacity for change assessment
- Devise education programme
format, delivery and content
Using the HSE model of change the video online surgical education program was implemented successfully with positive benefits to the organisation, and the service user, and a positive reaction to the change project by stakeholders. 3
Implementation
References
- Run education programme
- Support staff
Maintain communication s etc.
Implementation
1. McMahon, G. T., Ingelfinger, J. R., & Campion, E. W. (2006). Videos in clinical medicine—A new journal feature. New England Journal of Medicine, 354(15),
2, Dala-Ali, B. M., Lloyd, M. A., & Al-Abed, Y. (2011). The uses of the iPhone for surgeons. The surgeon, 9(1), 44-48
3, Health Service Executive (2008). Improving our services: A Users’ Guide to Managing Change in the Health Service Executive. Dublin: Stationary Office.
Evaluation
Based on survey of 48 surgical trainees results shown in table 1
A1 – 91 % smart phones
A2 – 80 % either reads or discuss with seniors
A3-43 % were familiar
A4 – 84% trainees find videos useful
Mainstreaming 4
Making it the way we do our business
- Delivery of education programme
Evaluation – format questionnaires
Assessment.