HSE Change Process Initiation Planning Implementation Mainstreaming Lights, Camera, Surgery: Implementation of just in time Online video streaming training on trainees’ surgical skills Faisal Shaikh, MSc in Leadership in Health Professions Education 2010-2012 Institute of Leadership, Royal Collage of Surgeons in Ireland Introduction Nationality Irish 29 (59 %) Non Irish 19 (41 %) Sex Male 34 (71.43%) Female 14 (28.57%) Type of Mobile phone Smart phone 44 (91 %) Other 3 (6 %) None 1 Use of mobile Medical information 38 (82 %) Internet 42 (90%) Awareness about RCSI videos Yes 21 (43 %) No 27 (56 %) Used videos for skills training Yes 27 (56.25%) No 21(43.75%) Usefulness of videos Yes 26 (83.87%) No 5 (16.13%) With recent advancement in information technology, streaming digital video across the internet has become popular and more effective1. Streaming videos are helping learners to understand complex concepts and procedures1. Over recent years, cellular phones and internet have become an essential communication and educational tool2. Utilising the internet and smart phone technology, it is now possible to deliver medical education without any time and place constraints2. Table 1 showing demographics of surgical trainees and results of the evaluation numbers and (%) Organisational Impact Positive: Development / Implementation of the first video streaming programme figure 2. Better workforce planning. Better onsite training to the trainees. Better services to the patients. Costs effective Negative: Time off in lieu. Compliance Aims and Objectives 1, To create an awareness among the junior surgical trainees of the availibity of online surgical videos. 2. To examine the perceptions of selected surgical trainees regarding current training methods and their experience of online surgical training. 3, To evaluate stakeholders experience and satisfaction regarding the content, the quality and impact of just on time, just in place, online video streaming content, on the surgical training Figure 1 showing online minor operative video HSE Change Process HSE Change Model3 was used to guide the process. 1 Initiation - Prepare to lead the change - Identify need / purpose of change - Identify key stakeholders/resources - Use PESTLE / Force field analysis Presentation of proposed change Methods Planning Figure 2 showing RCSI new online portal Scissors icon link to surgical procedures 2 Survey was performed to achieve the aims and was send to basic surgical trainees through survey monkey. Following major questions was asked Q1 – What mobile phone you use? Q2 – What is preferred way of learning the surgical skills? Q3 – Are you familiar with RCSI surgical skills videos? Q4 – Do you find the videos helpful? Conclusion - Build commitment / develop a vision - Involve key stakeholders - Conduct readiness and capacity for change assessment - Devise education programme format, delivery and content Using the HSE model of change the video online surgical education program was implemented successfully with positive benefits to the organisation, and the service user, and a positive reaction to the change project by stakeholders. 3 Implementation References - Run education programme - Support staff Maintain communication emails etc. Implementation 1. McMahon, G. T., Ingelfinger, J. R., & Campion, E. W. (2006). Videos in clinical medicine—A new journal feature. New England Journal of Medicine, 354(15), 1635-1635. 2, Dala-Ali, B. M., Lloyd, M. A., & Al-Abed, Y. (2011). The uses of the iPhone for surgeons. The surgeon, 9(1), 44-48 3, Health Service Executive (2008). Improving our services: A Users’ Guide to Managing Change in the Health Service Executive. Dublin: Stationary Office. Evaluation Based on survey of 48 surgical trainees results shown in table 1 A1 – 91 % smart phones A2 – 80 % either reads or discuss with seniors A3-43 % were familiar A4 – 84% trainees find videos useful Mainstreaming 4 Making it the way we do our business - Delivery of education programme Evaluation – format questionnaires Assessment.