How to Keep up to Date Dr Simon Crighton Dr Simon Crighton

Warwick Hospital Warwick Hospital

Why keep up to date? • • • • • •

Safety and best practice New developments Professionalism and personal satisfaction Credibility of self and institution Peer review Appraisal and Revalidation

How? • • • • • • • •

Reading e-Learning In-house training and educational events In-house attachments and regular practice Regional/national update meetings Specific courses Attachments to specialist centres Teaching!

In your own hospital... • Paediatric themed meeting - audits - update topics - equipment refresher - multi-disciplinary - external speaker (eg KIDS)

In your own hospital... • Share out elective paediatric workload - concentrate lists - encourage rotation/swapping of sessions - double up - attach self in SPA time • Set up simulations - end of a list - protected time

Regional/National meetings... • • • • •

This one! Other regional updates (eg Manchester) APA annual scientific meeting (& Linkman meetings) Core Topics Paediatric study days AAGBI/RCoA

APLS • • • • •

Advanced Paediatric Life Support

Resuscitation Care of critically ill or injured child Not paediatric anaesthesia!! VLE – 23 modules + 2 day course Lectures, demonstrations, discussion, skills, simulations and assessment • Valid 4 years. 1-day re-certification • ?EPLS

Other ALSG courses: PaNSTaR – Paediatric and Neonatal Safe Transfer and Retrieval 2 day course Need APLS or NLS first Structured approach to preparing, planning and executing a transfer No dates on ALSG website

NAPSTaR – Neonatal, Adult and Paediatric Safe Transfer and Retrieval VLE + 2 day course 2 pilot courses in Manchester, Autumn 2015

also

PHPLS

MEPA

Managing Emergencies in Paediatric Anaesthesia •Global •19 UK centres inc. Birmingham, Bristol, Oxford, Manchester •Simulation based training – emergencies in theatre •Scenarios, debrief, discussion, presentation •Small groups •Relaxed, supportive, non-threatening •MEPA-T

MEPA-FC

MEPA-FC Consultants and SAS doctors

Specifically designed to meet revalidation goals More focussed on non-technical and Human Factors More complex scenarios, leading teams in theatre and A&E

£150-175 Centres: (not in W.Midlands yet) GOSH Manchester Oxford Sheffield

Southampton Portsmouth Brighton Scotland

Birmingham MEPA MEPA-T

3-4 courses per year Looking for new home and to expand faculty Keen to hear from...

- potential faculty (come as observer) - anyone interested in running simulators - other simulation centres

Contact Amy Walker at BCH

[email protected]

POEMS for children Positive Outcomes and Experience Management Strategies

• 2 Consultants + SODP from GOSH with hypnotherapy qualifications • 2 Courses in London + 2 regional • 1 day course £75 - £165 • Techniques to reduce anxiety peri-operatively, decreasing: •acute pain perception •difficulties in management •postoperative dysfunctional behaviour

BCH Attachment 1 week attachment (2010) Range of lists, relevant to my own practice + session and retrieval with KIDS + acute pain rounds Subsequently 2 weeks each for 4 of our SAS grades

BCH – key learning points • • • • •

Reassurance and consolidation Empathy with trainees ! Equipment - cuffed tubes, warming Analgesia and anti-emesis Uncooperative child techniques

BCH – how to set up an attachment • • • • • • •

Negotiate leave Contact Janet Stansfield – college tutor 3 year Honorary Contract Brief CV, Letter from MD Occupational Health DBS – Enhanced disclosure Allow 3 months

Attachments to Other Specialist Hospitals See APA website: GOSH Oxford Cardiff Alder Hey Leeds Sheffield

E-learning AAGBI “Learn@AAGBI “ 16 videos of lectures on paeds topics APAGBI Hot Topics, Educational Apps, Best of the Web, Virtual Cases, APA Best Bits etc

RCOA Links to e-LfH Anaesthesia (e-LA) and Safeguarding (Level 2 & 3)

Safeguarding • • • • •

Requirement in Level 1 of CPD Matrix Level 2 Child Protection for all At least one in dept should have Level 3 Both levels available through e-LfH APA has a level 3 course specifically for anaesthetists ?future dates

In Summary • • • • •

Lots you can do in your own hospital Choose courses carefully Get involved in teaching Attachments at specialist centres E-learning will grow

Contacts and Websites Any questions about this Presentation – Dr Simon Crighton [email protected] MEPA (Birmingham) – Dr Amy Walker [email protected] MEPA website www.mepa.org.uk ALSG website (for APLS/NAPSTaR courses etc) www.alsg.org.uk Attachments at BCH – Dr Janet Stansfied, College Tutor [email protected] Attachments at other centres – www.apagbi.org.uk → “professionals”→ “education + training”→”Links with training hospitals” POEMS course www.poemsforchildren.co.uk Association of Paediatric Anaesthetists (Hot Topics, Educational Apps, Best of the Web, Virtual Cases, APA Best Bits etc) www.apagbi.org.uk → “professionals”→ “education + training” e-Learning for Healthcare (Anaesthesia & Child Protection modules) www.e-LfH.org.uk AAGBI “Learn@AAGBI” www.learnataagbi.org or via www.aagbi.org