See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources

1. Quality Education for a Healthier Scotland
Simulation in Clinical Skills training
Philip Cachia, Postgraduate Dean
On behalf of the NES Clinical Skills Group

2. Quality Education for a Healthier Scotland
Drivers for Simulation based Education
• Public expectation
• Evidence of effectiveness
Patient safety
Educational evidence
• Changes in clinical practice
Non-surgical interventions
Changes in hospital patient population
• Changes in Working Practice
Service redesign, ‘Hospital at Night’
• Skills acquisition, maintenance and
assessment
• Technical developments and opportunities
• Reduced training time

3. Quality Education for a Healthier Scotland
Range of ‘clinical skills’
Technical/procedural
• Consultation/clinical assessment
• Invasive procedures
• Surgical intervention
Non-technical
• Leadership
• Communication
• Team working
Cognitive
• Clinical reasoning
• Decision making
• Situational awareness
• Reflection/Meta-cognition

4. Quality Education for a Healthier Scotland
Simulation in clinical skills training
The use of:
• Simulated patients (actors or volunteer members of the public)
• Manikins which can be programmed to a varying degrees of complexity
• Computer generated ‘virtual reality’ simulation
• ‘Wet labs’ for biological specimens
to develop new skills as well as assess the retention of existing skills.

5. Knowledge
and Theory
Simulated
Practice
Supervised Independent Expert
Computer
Generated
Simulation
Education Clinical Practice
skills maintenance
(role for simulation)
skills assessment
(role for simulation)
Continuum

6. Quality Education for a Healthier Scotland
NES Clinical Skills Group
 Multiprofessional and multi-agency
 Strategic priorities
 Common standards of practice
 Catalyst for collaboration

7. Quality Education for a Healthier Scotland
NES Clinical Skills Group
 Multiprofessional and multi-agency
 Strategic priorities
 Common standards of practice
 Catalyst for collaboration
Clinical Skills Managed Educational Network
 Mobile Skills Unit
 Quality Assurance
 Educational Resources
 Research and Development