Transplant surgery simulation: a holistic approach to surgical training

Carvalho, C.Y.M., Olsburgh, J., Barron, J., Ross, A.J. and Jaye, P. (2013) Transplant surgery simulation: a holistic approach to surgical training. In: 19th Annual Meeting of Society in Europe for SImulation Applied to Medicine, Paris, France, 12-15 Jun 2013,

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Introduction: Current surgical training focuses on technical skills in clinical and skills lab environments whilst Non-Technical Skills are often learnt via trial and error. The majority of errors occur due to inadequate Non-Technical Skills and poor Crisis Resource Management. In order to address this issue we designed a Simulation-based learning course incorporating training in Surgical Skills, Crisis Resource Management and Non-Technical Skills. This was a collaborative approach between Surgical, Anaesthetic and Nursing Staff.We believe simulation training and Non-Technical skills should form an integral part of surgical specialty training in order to optimise clinical care and improve patient safety.<p></p> Objectives: The aim of this programme was to implement a transplant specific surgical simulation curriculum to give transplant trainees key operative and non-technical skills in a safe environment.The following themes were covered – situational awareness, in-theatre error management, patient safety, transplant organ resource allocation, technical skills appropriate to transplant surgery.<p></p> Material/Patients and Methods or Expected Audience: The first half day consisted of workshops conducted on Bench Preparation of Organs for Transplant and Venous/Arterial/Ureteric Anastamoses.The subsequent half day training sessions were conducted using high fidelity simulation manikins and patient actors. Each half day session lasted 3 hours and included an introduction to the session’s aims and tasks to complete. Simulation scenarios were conducted followed by a debrief using the Simulation and Interactive Learning Centre (SaIL) Debrief Diamond Model to elucidate and explore Human Factors issues, Non-Technical Skills and Crisis Resource Management.<p></p> Results / Requirements/Specific needs: Results from feedback gathered before, during and after the course (including debriefs, videos, feedback sheets) shows improved understanding of Crisis Resource Management and Human Factors issues and reported increased confidence in candidates' leadership and communication skills. Thematic analysis illustrates improvements in managing emergency situations including aspects such as: standing back and looking at the bigger picture; delegating; coping with stress; overcoming hierarchical barriers. Candidates felt that combining technical and non-technical skills effective in the training.<p></p> Conclusion / Description of the session: A Simulation-based learning approach to training in Technical Skills, Human Factors and Crisis Resource Management is an effective method of teaching Trainee Surgeons. Awareness in Human Factors and improvements in Non-Technical Skills amongst our Surgical Trainees can result in safer Surgeons for the future. This programme can be modified to teach Surgical Trainees in a wide variety of specialties.<p></p>

Item Type:Conference Proceedings
Glasgow Author(s) Enlighten ID:Ross, Dr Alastair
Authors: Carvalho, C.Y.M., Olsburgh, J., Barron, J., Ross, A.J., and Jaye, P.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School

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