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The Anaesthesia Simulator

All trainees in the North Central Thames School are expected to attend the Simulator once a year, and to attend the appropriate course for their year.

For a fuller overview of the role of the simulator and practicalities of attending training sessions there please look at the barts sim centre website on
http://www.bartsandthelondon.nhs.uk/simulationcentre/

Here you will find the answers to the vast majority of your questions, including those on booking a course, course dates and directions.

What the Simulator can offer


The key advantages of the simulator for anaesthesia / medical training are as follows:

Patient safety
Learner centred
Relevant to clinical practice
Promotion of behavioural & non-technical skills
Immediate feedback & structured de-briefing
Mistakes can be made & learned from safely
Small group teaching in a supportive learning environment
The management of routine techniques can be practiced
Less common but life-threatening events can be experienced
Errors can be allowed to occur (and progress) without the need for immediate intervention
Participants can learn to use clinical devices on the simulator with no risk to patients

Different training is offered for different grades, as follows:

Novice Anaesthetic Foundation

Designed for anaesthetic CT1s & centred on the Royal College of Anaesthetists competency-based assessment at three months of practice. The CT1s gain knowledge and skills using simulated scenarios to illustrate induction, intra-operative and recovery problems.

Obstetric Anaesthetic Training in the Simulator (OATS)

Designed to allow anaesthetic ST1-3s to manage both common and unusual obstetric scenarios, without risk to mother or baby, followed by discussion & debrief with an experienced consultant obstetric anaesthetist.

Anaesthesia Crisis Resource Management 1 (ACRM1)

Designed for anaesthetic ST3-4s, to practice emergency scenarios based on the concepts of Crisis Resource Management. The influence of behavioural factors, such as leadership, communication skills, anticipation, planning and distribution of workload on development and resolution of problems is discussed during debrief.

Difficult Airway Management- Information and Techniques (DAMIT)

Designed to familiarise anaesthetic ST4-5s with difficult airway equipment and its use in the management of the expected and unexpected difficult airway. Small workshops during the morning provide an introduction to all of the difficult airway equipment, followed by simulated difficult airway scenarios in the afternoon, which provide the opportunity to practice the technical skills learned.

Anaesthesia Crisis Resource Management 2 (ACRM2) - Medical Error

Designed to challenge anaesthetic ST5-7s with peri-operative crisis situations, reiterating the key points of ACRM. The focus of the course is on medical error, its evolution and prevention.

Paediatric Emergencies Anaesthetic Training in the Simulator (PEATS)

A training day for ST5-7s & Consultants covering paediatric emergencies.

Booking the Simulator


To book on any courses please email

The Simulator address is:-

Medical Simulation Centre
Lower Ground Floor
9 Prescot Street
Aldgate
London
E1 8PR



Multimap link
http://www.multimap.com/maps/?zoom=16&countryCode=GB&qs=E18AZ


Be warned past experience has shown that people get easily lost trying to find the Simulation Centre (it is not well sign posted from outside). It is in the same building as the Co-operative Bank, on the lower ground floor. It is in the building on the left (when looking at it) of the Princess of Prussia pub.


To book on any courses please email
Website: http://www.bartsandthelondon.nhs.uk/simulationcentre/


Tel: 020 7480 4855
Fax: 020 7480 4834

Opportunities for Facilitating/Teaching

We are a well established Centre offering an extensive range of courses for medical, nursing, allied health staff & school students. A large part of our programme is teaching medical students and foundation doctors acute care skills through scenario-based training.  If you would like to help us out with the teaching on these courses we can offer you an anaesthetic course for free if you observe a course and then join the faculty on 3 other courses. We will also provide you with a certificate for your portfolio.

For many, the experience of performing in a simulator, whilst being observed by peers, filmed & given feedback can be threatening, & the role of faculty is to support candidates as much as possible to ensure that simulation training is a positive experience. The simulated scenarios need to be as credible as possible, so that candidates are able to suspend disbelief, & immerse themselves in the situation. Attention to detail in both clinical set-up & role play by faculty is a vital component towards achieving this. If you have never participated in the delivery of this kind of training before, we warmly welcome you to observe a course being run by experienced faculty. During the day, you will have the opportunity to:

Meet simulation & associated staff
Get involved with role play/patient voice/telephone conversations
Familiarise with the administrative roles: allocation/paperwork/time keeping etc
Have a basic introduction to AV/console operation
Attend/assist in debriefing sessions with experienced faculty

On the observation day, you will not be expected to de-brief, as we believe it is better to observe the techniques used first & it is sometimes difficult to de-brief on a course which you have not previously seen.

Debriefing is the art of reconstructing the scenario from the view of the participant, observer & facilitator, highlighting both positive aspects of performance & areas in which improvement can be made. While some instruction may be appropriate, the session is not intended to provide a lecture on the subject. We encourage an atmosphere of constructive criticism between faculty as well as course participants & you will receive feedback on your debriefing skills by experienced faculty.

No prior reading or training is required, other than enthusiastic acting skills, basic computer literacy & a learner centred approach to teaching.  However, we can provide you with both if you are interested in further developing yourself as an educator. Simulation training & facilitation are very enjoyable ways to get involved in teaching & most guest faculty find that they have developed both their clinical & non-clinical expertise as a result.

We hope you find this information useful & we look forward to working with you in the coming future.  Training dates are available on request- email Vance Richards on the address given above for further information.



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