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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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