Page 174 - HA Convention 2016 [Full Version]

HOSPITAL AUTHORITY CONVENTION 2016 Special Topics

T14.1 Simulation Training 13:15 Theatre 2

The Role of Simulation in Postgraduate Clinical Training
Chen PP
Anaesthesia and Operating Services, Alice Ho Miu Ling Nethersole Hospital, Hong Kong

Simulation methods refer to techniques that imitate clinical situations, events or systems for training or assessment purpose.
It is a methodology of simulation-based learning and not the technology that is vital to effective outcome of this method. The
use of simulation in postgraduate clinical training has become very popular over the past 10 years. The aim of simulation is
to promote experiential and reflective learning without any risk to the patient in similar real-life experience. Simulation is now
an important and essential component of postgraduate training, both in skills acquisition and learning behavioural aspects of
patient care and team interaction. It has also been used increasingly in high stake assessment.

Clinical studies have indicated that training in a simulated environment may improve doctor’s competency and enhance
patient safety. Multidisciplinary team training in a simulated clinical event is now very common. The soft skills learned in
such setting are never taught in medical school, but are essential in daily patient care where there are inevitable interactions
among different healthcare professionals and disciplines. Simulation is also being used for credentialing and even medical
licensure. The US Food and Drug Administration for example, will now only certify the competency of a clinician to perform
carotid stenting if competency is demonstrated in a simulating setting first.

Despite its popularity, simulation has not been fully adopted in clinical training curriculum of all postgraduate education.
Apart from concerns on validity and reliability of such methods, there are also other obstacles that hinder the development of
relevant simulation-related training curriculum. In this presentation, the issues and possible solutions to facilitate the use of
simulation in postgraduate clinical training will be explored.

T14.2 Simulation Training 13:15 Theatre 2

Wednesday, 4 May Development of Transport Medicine Training in Hospital Authority
Chung TS
Accident and Emergency Department, Ruttonjee and Tang Shiu Kin Hospitals, Hong Kong

Inter-hospital transfer of critically ill patients is a frequent and essential daily practice among hospitals in Hong Kong. Patients
in medium-sized hospitals need to be transferred to tertiary hospitals for specialist management such as neurosurgical
treatment, management in Burn Unit and extracorporeal membrane oxygenation (ECMO) in dedicated Intensive Care Units.

The transfer of these critically ill patients is highly risky. Training in this aspect is not much covered in curricula of medical and
nursing schools yet transfer of critically ill patients is often performed by junior doctors and nurses.

In view of this, Accident and Emergency Training Centre (AETC) of Hospital Authority develops the Simulated Transportation
and Retrieval of Ill Patient (Sim-TRIP) training course. The Sim-TRIP course introduces a systemic approach of “READY
GO” to ensure safe and efficient transfer of critically ill patients. The course content includes systematic preparation before
transfer; communications between involved parties; packaging of the patients and appropriate equipment; monitoring and
management of deterioration en-route. Furthermore, Sim-TRIP employs medical simulation training principles with the unique
simulated environments of Ambulance, Computed Tomography Room and Ward settings at AETC. Debriefing is then used to
enhance understanding and retention of knowledge and skill.

Since the inauguration of Sim-TRIP in June 2015, more than 200 doctors and nurses took the course with a lot of positive
feedback.

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