Human Factors

Aimed at: Clinical and Non-clinical staff

Course description: This course provides attendees with understanding of how internal and external conditions affect our ability to provide high quality care by increasing awareness of the role human factors play in maintaining a safer practice.

Places available: 8-25 (depending on class size)

Course duration: 8hrs

Dynamic Debrief

Aimed at: Clinical and Non-clinical staff

Course description: Look at why we use simulation in healthcare, the effect of human factors in healthcare and how to use different debriefing styles.

Places available: 8-25 (depending on class size)

Course duration: 8hrs

Foundation Simulation

Aimed at: Foundation Doctors

Course description: Foundation doctors take part in simulation based training focused on methods of Recognising and Managing the Deterioration of Patients using tools such as SBAR, A-E Assessment, NEWS Scoring and Human Factors.

Each case scenario lasts about 15–20 minutes and participants are asked to manage the patient’s presenting complaint as they would during any acute real-life situation. After each scenario, the tutors provided both the participants and observers with a debriefing session that would include giving feedback to the two trainees being assessed.

Educational Objectives:

• Take a good targeted history, examination, and take appropriate investigations.
• To Interpret clinical findings and results
• To correctly manage and treat and refer when appropriate
• To establish correct prioritisation with efficiency
• To demonstrate appropriate communication skills with patient and colleagues
• To demonstrate good teamwork skills

Places available: 8 (mixture of F1s and F2s)

Course duration: 8hrs

---

Medical Student Simulation

Aimed at: Medical Student Year 4 & 5

Course description: Medical Students take part in simulation based training focused on methods of Recognising and Managing the Deterioration of Patients using tools such as SBAR, A-E Assessment, NEWS Scoring and Human Factors.

Each case scenario lasts about 15–20 minutes and participants are asked to manage the patient’s presenting complaint as they would during any acute real-life situation. After each scenario, the tutors provided both the participants and observers with a debriefing session that would include giving feedback to the two trainees being assessed. A trainee can make mistakes and learn from them without the fear of harming the patient.

Simulation skills competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, procedural skills, clinical laboratory skills, diagnostic skills, therapeutic skills, resuscitation skills, critical thinking, clinical reasoning, problem solving, team-work, organisation skills and management skills.

---

TTF1 (Wwow)

Aimed at: Undergraduates

Course description: Undergraduate Ttf1 medical simulation is building on skills learnt in previous simulation session we will be expanding the learning outcomes and scenarios preparing each individual transitioning to F1.

This involves a 1 day interactive session involving a MDT Virtual Ward Round followed by simulation.

Each case scenario lasts about 20-30 minutes and participants are asked to manage the patient’s presenting complaint as they would during any acute real-life situation. After each scenario, the tutors provided both the participants and observers with a debriefing session that would include giving feedback to the two trainees being assessed. A trainee can make mistakes and learn from them without the fear of harming the patient.

Simulation skills competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, procedural skills, clinical laboratory skills, diagnostic skills, therapeutic skills, resuscitation skills, critical thinking, clinical reasoning, problem solving, team-work, organisation skills and management skills.

The MDT Virtual Ward Round allows for Ttf1 candidates to work alongside Physiotherapy, OT, Pharmacy and Nursing students to establish a full ward round with live patients. This will enable to team to manage the patient’s presenting complaint as they would during any acute real-life situation.competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, clinical laboratory skills, diagnostic skills, therapeutic skills, critical thinking, clinical reasoning, problem solving, team-work, organisation skills and management skills.

---

CMT/IMT

Aimed at: CMT/IMT Doctors

Course description: Simulation based training including skills development.

Two essential components of this programme are high fidelity simulation-based training and a workshop focusing on clinical skills. This would allow them to practice common scenarios encountered and skills in a safe environment, and provide them with resources and techniques to help them deal with anxiety and stress.

Part of the education requirements are attendance: Human Factors and Debriefing.

Structure of the course: The training programme is structured over a variety of days, tackling some of the different issues frequently encounter when working in the NHS.

The main educational principles behind the course were spiral learning/experiential learning through simulation-based education and debriefing with pre- and post-course assessment of the participants’ abilities by competence and confidence questionnaires. During a second day of simulation-based training, the candidates experience more complex clinical scenarios representative of challenges facing their role.

PROMPT

Aimed at: Multi-disciplinary Practical Obstetric Multi-Professional Training

Course description: PROMPT provides training for maternity units; helping midwives, obstetricians, anaesthetist and other maternity team members be safer and more effective.

This will enable to team to manage the patient’s presenting complaint as they would during any acute real-life obstetric situation.competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, clinical laboratory skills, diagnostic skills, procedural skills, therapeutic skills, critical thinking, clinical reasoning, problem solving, team-work, organisation skills and management skills.

Places available: 25-30

Course duration: 7.5hrs

Obstetric simulation

Aimed at: MDT Clinical MDT simulation

Course description: This simulation primarily focuses on anaesthetic emergencies in the obstetric setting.

This will enable to team to manage the patient’s presenting complaint as they would during any acute real-life obstetric situation.competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, clinical laboratory skills, diagnostic skills, procedural skills, therapeutic skills, critical thinking, clinical reasoning, problem solving, team-work, organisation skills and management skills.

Places available: 8

Course duration: 5hrs

Mother & infant mental health

Places available: 8

Course duration: 5 hrs

Psychiatry

Aimed at: Foundation Doctors

Course description: Foundation doctors take part in simulation based training focused on methods of managing and accessing a patient requiring psychiatric support.

Course duration: 5hrs

Evelina paediatric simulation

Aimed at: MDT

Course description: MDT simulation on management of deteriorating paediatric.

South Thames Retrieval Service provide training for doctors and nurses south of the river Thames who want to develop their skills in caring for critically ill children.

Evelina consultants and retrieval nurse practitioners come to Medway NHS Foundation Trust to deliver a training day tailored to the development needs of you and the team.

Conditions covered in recent study days have included:

• septic shock

• supraventricular tachycardia (SVT)

• neurosurgical emergency

Places available: 15

Duration: 5hrs

PLEAT

Aimed at: ST1-6

Course description: Paediatric Learning Education and Training Programme

Places available: 30+

Course duration: 8hrs

TTLS (Team-based trauma life support)

Aimed at: MDT

Course description: Trauma MDT simulation including skills management.

Multi-disciplinary course integrating knowledge and skills for management of trauma patients. Incorporating pre-course learning, high-fidelity simulation, understanding of human factors and team training.

• The principles of initial assessment and management of the trauma patient

• Trauma team roles specific to each institution

• The impact of non-technical human and behavioural factors on patient safety and outcomes

• How each team members' hospital relates to the trauma system and trauma network hospital

How the course is delivered: Simulation and skills

Places available: 8-12

Course duration: 8hrs

ED governance

Aimed at: MDT

Course description: MDT simulation pathways and protocols applicable to the emergency department

How the course is delivered: Simulation and Skills

Places available: 25+

Course duration: 8hrs

Anaesthetic airway management

Aimed at: MDT

Course description: Simulation based training

Difficult airway management comprises a fundamental skill set for anaesthetists and has long been recognized as one of the most challenging skills. Simulation-based training is an essential technique to establish and maintain technical and nontechnical skills for airway management.

Each case scenario lasts about 20-30 minutes and participants are asked to manage each anaesthetic scenario as they would during any acute real-life situation. After each scenario, the tutors provided both the participants and observers with a debriefing session that would include giving feedback to the two trainees being assessed.

A trainee can make mistakes and learn from them without the fear of harming the patient.

Skills covered during simulation:

Management of difficult airway

• Front of Neck Access in event of CICO

• Airway Planning

• Communication

• Teamwork

• Situation Awareness

How the course is delivered: Simulation and Skills

Places available: 5

Course duration: 5hrs

Theatres Insitu

Aimed at: Theatre staff all bands, anaesthetists and surgeons

Course description: Multi-disciplinary simulation training recognising and managing a deteriorating patient. Incorporating specific skills training within the operating theatre.

How the course is delivered: Insitu simulation and skills

Course duration: 3hrs

Organ donation

Aimed at: MDT

Course description: Breaking bad news and communication simulation MDT training

How the course is delivered: Simulation and Skills

Places available: 15-20

Course duration: 8hrs

Intensive care simulation

Aimed at: ITU nursing staff (but have limited spaces for ITU doctors)

Course description: Multi-disciplinary simulation training recognising and managing a deteriorating patient. Incorporating specific skills training within ICU.

How the course is delivered: Simulation and Skills

Course duration: 4hours

Critical care simulation

Aimed at: MDT

Course description: MDT Simulation based training recognising and managing a deteriorating patient. Incorporating specific skills training within critical care.

How the course is delivered: Simulation and Skills

Course duration: 5hrs

Sedation simulation

Aimed at: MDT

Course description: MDT Simulation insitu

How the course is delivered: Insitu simulation and skills

Course duration: 2hrs

Physiotheraphy simulation

Aimed at: Physiotherapists

Course description: Management of emergencies within physiotherapy setting.

How the course is delivered: Simulation and skills

Course duration: 6hrs

Preceptorship

Aimed at: Newly qualified nurses

Course description: Nurse education based simulation for newly qualified nurses

Course duration: 8hrs

Care home simulation - SBAR

Aimed at: MDT Simulation training for nursing staff and care home assistants

Course description: Learn new skills such as SBAR, Soft signs and NEWS Scoring and put them into practice to build confidence in escalating a deteriorating resident.

Assessment: None

Places available: 8

Course duration: 5hrs

SPORTT - Supported Programme Of Return To Training

**HIGHLY COMMENEDED COURSE – BMJ**

Aimed at: MDT (a number of speciality led courses available i.e. Anaesthetics, ED or Medicine)

Course description: This course covers all topics that may be relevant to a doctor returning to training. Resilience workshop, clinical skills, simulation and enhanced simulation/skills.

Two essential components of this programme are high fidelity simulation - based training and a workshop focusing on clinical skills. This would allow you to practice common scenarios encountered and skills in a safe environment, and provide you with resources and techniques to help you deal with anxiety and stress.

The training programme is structured over a variety of days, tackling some of the different issues frequently encounter when working in the NHS.

The main educational principles behind the course were spiral learning/experiential learning through simulation-based education and debriefing with pre- and post-course assessment of the

participants’ abilities by competence and confidence questionnaires. During a second day of simulation-based training, the candidates experience more complex clinical scenarios representative of challenges facing their role.

Places available: 8

---

GP Simulation

Aimed at: Community GP Principals

Course description: Community stakeholder simulation

Course duration: 3hrs