1. Overview Spectrum of Medical Simulation National Simulation Centre ANTS Opportunities & the Future

2. Spectrum of Simulation Part Task Trainers Mid Fidelity Simulators High Fidelity Simulators

3. Psychomotor Fidelity Challenge Complexity

4. Part Task Trainers

5. Psychomotor Communication Fidelity Challenge Complexity

6. Simulation: Part Task trainers

7. Psychomotor Decision Making Fidelity Challenge Complexity

8. Mid-Fidelity

9. Psychomotor Decision Making Communication Fidelity Challenge Complexity

11. High Fidelity Simulation

14. Simulation: Facilitated debrief & feedback

15. Take home message Come and see us or ask Lucy!

16. Learning through Simulation Observe behaviour Measure against validated metric Assess Needs +/- Competence Provide Feedback Change/Enhance Performance

17. ANTS, NOTSS, Nurses’ NOTECHS

18. Anaesthetists’ non-technical skills “Behavioural aspects of performance in the operating theatre which underpin medical expertise, use of equipment and drugs. They are cognitive and social skills which support clinical and technical skills” Portable Team Skills

19. ANTS Taxonomy

20. Anaesthesia, ICM & Emerg……. Skills & Drills Paediatric Anaesthetic Challenges MEPA OATS CARMa PICT PAA SAVE Safe Sedation Paed EM

21. Non-Technical Skills Social Communication with team members Thinking aloud Declaring an emergency Leadership & Followership Task management, prioritisation and maintenance of standards Use of protocols Task delegation Referral & Calling for help Cognitive Situational awareness & Information gathering Observing monitors Decision making Coping with distraction Planning a course of action and anticipation of future events Having an overview of “the bigger picture” Awareness of own limitations (Comfort zone) Avoiding fixation bias SCSC: Ed Med Course Report – July 07 to May 08.

22. Does it work Transfer Narrative Team-working Human factors Deliberate Practice