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SAS IMT Bootcamp 1st - 3rd November 2021

Overview

In November 2021 an inaugural boot camp was held which gave SAS doctors wishing to gain IMT competencies an opportunity to attain some of those that may be difficult to achieve in clinical practice.  These were competencies which may have been required as evidence for CESR, for evidence to re-enter a training scheme or simply to upskill for an existing or new clinical role. 

SAS doctors and faculty from all regions of Scotland and England came together for three days of intensive education hosted at the Scottish Centre for Clinical Simulation and Human Factors (SCSChf) based at Forth Valley Royal Hospital (FVRH) in Larbert. 

To read the evaluation report for this bootcamp, please click here

 

Timetable

The full timetable for the boot camp held on 1st to 3rd November 2021 is available here

 

Pre-course preparation

The boot camp consisted of three main strands: immersive simulation covering emergency presentations; workshops on a variety of challenging communication scenarios; and mastery learning of procedural skills.  The list of competencies covered at boot camp, relative to the Alternative Certificate to Enter Group 1 Higher Physician Specialty Training 2022, is available here.

The following 7-minute video on non-technical skills was produced by two of the faculty to allow attendees to get the best possible learning from the immersive simulation scenarios at boot camp, and was designed to be watched beforehand:

https://vimeo.com/571792572 (with thanks to Emma Phillips and Ailsa Hamilton)

The procedural skills aspects of the course gave attendees the opportunity to be signed off as ‘ready for directly supervised workplace practice’ in lumbar puncture, ascitic procedures, nasogastric tube insertion, pleural procedures and central venous access. 

The standard required for sign-off of these procedural competencies was only reached if significant pre-course study was undertaken. This work was required even by attendees who already felt confident in these procedures, to ensure that a common standard was attained.  If faculty felt that an attendee had not engaged with the pre-course learning, or did not meet the required standard during boot camp, they were not signed off as competent to proceed with supervised practice on patients and would require an alternative method of training to attain that particular IMT competency.

The required pre-course work was all hosted on the NHS Lothian Mastery Skills website found at https://www.med.scot.nhs.uk/simulation/the-mastery-programme - thanks to James Tiernan and the Lothian team for facilitating open access to these high quality resources.

Essential pre-course preparation included:

  • View the ‘Scrubbing and Gowning Up’ video (3.5 minutes) as many times as required to feel completely competent to perform this key step;
  • Read the lumbar puncture (LP) reading pack (approx. 1 hour);
  • View the LP exemplar video (20 minutes);
  • View the LP learner mastery session video (50 minutes);
  • Read the intercostal chest drain (ICD - guidewire) reading pack (approx. 1 hour);
  • View the ICD (guidewire) exemplar video (25 minutes);
  • View the ICD (guidewire) learner mastery session video (55 minutes);
  • Read the diagnostic ascitic aspiration reading pack (approx. 30 minutes);
  • View the diagnostic ascitic aspiration exemplar video (7 mins);
  • Read the abdominal paracentesis reading pack (approx. 30 minutes);
  • View the paracentesis exemplar video (12 mins);
  • View NG insertion video (3 mins) available at https://www.youtube.com/watch?v=WZvIw0SnYrE;
  • Read about confirmation of NG tube placement and potential complications at https://litfl.com/nasogastric-and-orogastric-tubes/;
  • Read the central venous catheter (CVC) insertion reading pack (approx. 1 hour);
  • View the CVC insertion exemplar video (20 minutes).

The total time required for this work was significant; for each of the four main procedural groups (lumbar puncture, pleural procedures, ascitic procedures and central venous access) there was approximately 2.5 hours of preparatory work. 

 

Future Bootcamps

We plan to run more bootcamps in the future and will keep this page updated with information as soon as this becomes available.  If you are interested in finding out about any future bootcamps, please email us

This page was last updated on: 19.11.2021 at 08.25


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