England Regional Representatives Meeting Simulator Training – in practice Implementation of a Surgical Skills Strategy within the Yorkshire and the Humber Deanery David Wilkinson MD FRCS Consultant Vascular Surgeon & Deputy Medical Director, Bradford Teaching Hospitals Foundation NHS Trust Deputy Postgraduate Dean, Yorkshire and the Humber Deanery
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The Royal College of Surgeons of England Regional Representatives Meeting Simulator Training – in practice Implementation of a Surgical Skills Strategy.
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The Royal College of Surgeons of EnglandRegional Representatives Meeting
Simulator Training – in practice
Implementation of a Surgical Skills Strategy within the Yorkshire and the Humber Deanery
David Wilkinson MD FRCS
Consultant Vascular Surgeon & Deputy Medical Director, Bradford Teaching Hospitals Foundation NHS Trust
Deputy Postgraduate Dean, Yorkshire and the Humber Deanery
Drivers for Change
•Public expectation•Evidence of efficacy•Changes in clinical practice•Changes in working practice•Technological developments and opportunities•Reduction in training time
2008
“A surgeon trained on a simulator is twice as fast and twice as accurate as one who has not been. It reduces errors, making surgery much safer.
Simulation works and the NHS must be able to provide it to make a difference to patients.”
Sir Liam Donaldson, Chief Medical Officer
One training simulator for every 300 pilots.One training simulator for every 7,300 doctors.
British Airways vs NHS in England
The Surgical Skills Strategy
• SHA / Yorkshire and the Humber Postgraduate Deanery / Trusts
2. Non-technical skills• Leadership• Communication skills • Team working
3. Cognitive ability• Decision making• Data acquisition and risk assessment• Managing uncertainty• Professional judgement in challenging situations
Technical and Operative Skills: The Training Sequence
Knowledge
• Surgical literature
• e-learning platforms aimed at trainee surgeons – background information– animations and operative videos– assessment results to trainee and trainer
Basic Skills
• Every Trust engaged in the training of surgeons and specialists will possess a basic surgical skills laboratory that is appropriately equipped, staffed and is accessible both in working hours and out of hours.
• Schools will work with Trusts and Medical Education Centres to run the laboratories.
Common component of the early years syllabusModule 3 Basic surgical skills
• To prepare oneself for surgery
• To safely administer appropriate local anaesthetic agents
• To handle surgical instruments safely
• To handle tissues safely
• To incise and close superficial tissues accurately
• To tie secure knots
• To safely use surgical diathermy
• To achieve haemostasis of superficial vessels.
• To use a suitable surgical drain appropriately.
• To assist helpfully, even when the operation is not familiar.
• To understand the principles of anastomosis
• To understand the principles of endoscopy including laparoscopy
Complex Skills: Hi-fidelity Simulators
• Simbionix– Lap Mentor II– Angio Mentor Express– GI Bronch Mentor– URO & PERC Mentor– HystSim