Clinical Simulation at UCLH STeLi 30 million across London since - - PowerPoint PPT Presentation

Clinical Simulation at UCLH

STeLi

• £30 million across London since 2008
• CMO’s

Report 2008 ‘Safe medical practice, machines and manequins’

– Theatre – Ward – GP surgery – MAS

Why use Simulation?

• Experiential learning time reduced
• EWTD
• MMC
• H@N

Why use Simulation?

• See one, do one, teach one
• See one, simulate one, do several, be

assessed on several

• SAFETY
• Attain competance

early and excellence more quickly with supervised practice

• Less exposure to critical events –

and where poorly managed → ↑ morbidity and mortality

• Often signs present that WILL lead to

demise if not acted upon appropriately

• Learn how to ANTICIPATE potential

events and PREVENT them occurring

Simulators

Types of Simulator

• Part task

– Surgical procedures – Anaesthesia – Medicine

• Full immersion, in situ simulation

– Critical incidents – Team working

Human Factors in the Simulator

• Introduction to Crisis Resource Management
• Technical skills
• Teamwork, Leadership, Communication
• Discussion of acute management of cases
• Discussion of guidelines and SI’s

• “Suspends disbelief”

as far as possible

• Specific learning objectives will be gained

with each scenario

• Enables training on less common “acute”

events

• Promotes communication & team building
• Allows mistakes to be made & learned

from in a safe, non-threatening environment

Courses at UCH

• Undergraduates
• Foundation Year doctors
• Anaesthesia
• Paediatrics
• Surgical
• Medicine, HASU

Challenges

• Faculty heavy courses
• Small numbers per course
• Skilled faculty