Training in Obstetrics - Our experience Multiprofessional Simulation Training in Obstetrics - Our experience Sue Rutter Consultant Obstetrician and Gynaecologist NACT Winter Conference 2016

What I am not

Who am I ? Lecturer / Trainee North Trent Rotation- during this – first interest ALSO course 2000 ALSO instructor 2003-2007 MOSES instructor at Mexborough Started my cons job in 2002 , TPD 2015 RCOG Examiner and faculty on USS course / ROBUST RCOG examiner

GMC / RCOG TEF Feedback Effective local teaching held = 87.5 (Y+H Av 68.5) Local teaching facilitated by senior colleagues and consultants = 90.6 (74.4)

Overview How ? Obstacles/ problems Benefits Future

Preparation Timetable frequency , place, admin, pre course info Faculty Equipment Admin Timetable frequency , place, admin, pre course info Faculty Selection, responsibilities, interchangeable,training Equipment What, storage

Staff Prep/ environment On the Day Staff Prep/ environment Faculty Prep Timing Prompts Players Debrief

Faculty Preparation Timing Players Prompts Debrief

What have we learnt ? Teamworking – general / anaes /input if struggling Positive challenge Faculty ! Teaching skills – tears , personal Systems +++ Feedback / integration into RM –audits SBAR - perimortem CS (aka resuscitative hysterotomy) Cribs / Hot topic/ CMW synt and catheter / Med ST at induction AUDITS – mention

The future ? Admin New topics Non attenders / attendees – anaesthetics/ ODPs K2 changes Case discussions Other places we would like to take it to ! HCAs Time !!! – I don’t have the answer ! NEW TOPICS VTE Refusal of blood products /EBLs Anaesthetic issues – toxicity / high spinal

What it must be Interprofessional Simple Locally run / adapted / implemented – its for you ! Teamworking Debriefed – clinical and HF Evaluated Changed !

Fun !

Visible leaders Dr Liz Spencer, NACT 2014

“Teams that work together should train together “ Safe Births – Kings Fund