1. Technical Skills Simulation Proposal Paediatric Surgery
M. Yiasemidou – Surgical simulation fellow
J. De Siqueira – Surgical simulation fellow
S. Marven – Consultant Paediatric surgeon

2. Contents Basic principles Programme summary Practical issues
Conclusion
Questions

3. Basic principles Half days to follow lectures JCST guidelines for CCT
Future of surgery
Cost effective
Using existing resources
Involving industry
Improvise and Modify
Google and ask

4. Improvise and modify

5. Improvise and Modify

6. Programme summary 1 Wilm’s Tumour Neuroblastoma
Lecture 1
Lecture 2
Lecture 3
Lecture 4
Lecture 5
Simulation training 1
Wilm’s Tumour
Neuroblastoma
Haematological malignancies
Lymphadenopathy etc
Venous Thrombosis and Embolism
Nephrectomy
Lap splenectomy 2
Soft Tissue Malignancy
Osteosarcoma
Benign Tumours
Chemotherapy & Radiotherapy
Bleeding Diathesis
Lap ovarian cystectomy
OGD/ Oesophageal balloon dilatation 3
Hepatoblastoma / HCC
Liver Disease: Choledochal cysts, biliary atresia etc
Hepatic Dysfunction
Transplantation
Lap Chole
Repair of exophalus (silo formation)
Application of preformed silo 4
Short Bowel Syndrome
IBD
NEC
Nutrition, Enteral and Parenteral
PEG insertion
Gastrostomy
Duodeno-duodenostomy 5
Thyroid and parathyroid Disease
Diabetes
Endocrine and metabolic conditions
Head and Neck Conditions: Congenital and Acquired
USS guided CVC insertion 6
IGTN & Abscess
Congenital groin conditions:
Acute Groin Conditions:
OA +TOF
Lap hernia repair
TOF repair

7. Programme Summary Lecture 1 Lecture 2 Lecture 3 Lecture 4 Lecture 5
Lecture 1
Lecture 2
Lecture 3
Lecture 4
Lecture 5
Simulation trianing 7
Acute Abdo Pain
Chronic Abdo Pain
GI Bleeding
Intussusception
Constipation
Intestinal resection /anastomosis (?Right hemi)
Stoma formation (sigmoid colostomy) 8
Vomiting
GOR
Pyloric Stenosis
Malrotation
Radiology: Theory and Practice
Sleeve gastrectomy
Pyloromyotomy
Lap Fundoplication 9
UTI: Investigation & management
VUR
Dysfunctional and Neuropathic Bladder
Renal Tract Embryology
Duplication of Renal Tract
Vescicostomy
Supra pubic catheter
Hypospadias repair 10
Renal Antenatal Diagnosis
Congential Urinary Upper Tract Anomalies
Posterior Urethral Valves
Renal Failure
Exstrophy & Epispadius
Pyeloplasty
Ureteric reimplantation
Cystourethroscopy 11
Intersex Conditions
Hypospadias
Urinary Calculus Disease
Haematuria
Mitrofannoffprocedure
Percutaneous nephrostomy
Insertion of JJ stent 12
Anorectal malformations
Intestinal Obstruction
Meconium Ileus (?+ DIOS)
Intestinal Atresias
Hirschprung
Oesophageal atresia
Lap appendicectomy 13
Antenatal diagnosis & management – GI
Abdo Wall Defects
General neonatal Care
Congenital Diaphragmatic Hernia
Spina Bifida
Thoracoscopic repair of congenital diaphragmatic hernia
Thoracoscopic lung biopsy 14
Thoracic Wall anomalies
Congenital and Acquired Pulmonary Cysts
Tracheal problems and inhaled FB
Thoracotomy
Percutaneous Seldinger chest drain insertion
Rigid bronchoscopy

8. Practical issues Simulation – Lectures Industry support Faculty
VR simulators – Centre selection

9. Conclusion 54 procedures 14 Half days Future: ? Non technical skills
3D printing…
Existing resources
QA – JCST tool?

10. Thank you Questions