- Surgical Simulation and Training
- Simulation-Based Education in Healthcare
- Innovations in Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Anatomy and Medical Technology
- Empathy and Medical Education
- Patient Safety and Medication Errors
- Clinical Reasoning and Diagnostic Skills
- Interprofessional Education and Collaboration
- Hospital Admissions and Outcomes
- Radiology practices and education
- Healthcare Systems and Technology
- Diversity and Career in Medicine
- History of Medical Practice
- Medical History and Innovations
- Interpreting and Communication in Healthcare
- Primary Care and Health Outcomes
- History of Medicine Studies
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Healthcare Operations and Scheduling Optimization
- Medical Malpractice and Liability Issues
- Health Sciences Research and Education
- Biomedical and Engineering Education
- Dental Education, Practice, Research
Imperial College London
2014-2024
Royal College of Music
2017-2023
Chelsea and Westminster Hospital
2015-2021
Tulane University
2019
Wellcome Trust
2016
St Mary's Hospital
2008-2015
St. Mary's Hospital
2011-2015
Deleted Institution
2015
University of Edinburgh
2015
St James's University Hospital
2015
Surgical skills are required by a wide range of health care professionals. Tasks from simple wound closure to highly complex diagnostic and therapeutic procedures. Technical expertise, although essential, is only one component picture. By emphasising the importance knowledge attitudes, this article aims locate acquisition surgical within wider educational framework.Simulators can provide safe, realistic learning environments for repeated practice, underpinned feedback objective metrics...
This discussion paper argues for a creative synthesis between simulation and clinical practice, where an iterative process of continual interaction ensures that skills are learned reinforced within the context everyday professional life.Evidence is mounting long-established approaches to surgical training no longer acceptable in current ethical climate. considers alternatives traditional approach 'learning by doing' context, focusing on recent developments technology virtual reality....
To assess the effects of mental practice on surgical performance.Increasing concerns for patient safety have highlighted a need alternative training strategies outside operating room. Mental (MP), "the cognitive rehearsal task before performance," has been successful in sport and music to enhance skill. This study investigates whether MP enhances performance laparoscopic surgery.After baseline skills testing, 20 novice surgeons underwent an evidence-based virtual reality curriculum. After...
Performing a clinical procedure requires the integration of technical skills with effective communication skills. However, these are often taught separately.To explore feasibility and benefits new conceptual model for integrated teaching. : Design A qualitative observation interview-based study undergraduate medical students.Medical students performed in realistic scenarios (urinary catherization wound closure), using latex models connected to simulated patients (SPs). Procedures were...
This study investigates the effects of surgeons' stress levels and coping strategies on surgical performance during simulated operations.Thirty surgeons carried out each a non-crisis crisis scenario operation. Surgeons' were assessed by several measures: self-assessments observer ratings stress, heart rate, rate variability, salivary cortisol. Coping explored qualitatively quantified to score. Experience in surgery was included as an additional predictor. Outcome measures consisted technical...
Background. Fidelity - an intrinsic property of simulation is crucial to design and educational effectiveness. Yet the term fidelity inconsistently used, which makes it difficult draw inferences from current literature translate research into practice. Aim. In this article, we attempt bring some clarity in healthcare education. Method. We are opposed notion that high-fidelity requires complete faithful replication reality, instead argue for accurate representation real-world cues stimuli....
A complex chain of events underpins every clinical intervention, especially those involving invasive procedures. Safety requires high levels awareness and vigilance. In this paper we propose a structured approach to procedural training, mapping each learner's evolving experience within matrix risk complexity. We use traffic light analogy conceptualize dynamic prevailing the implications moving between zones.We argue that exposure can be consolidated by simulation where appropriate, ensuring...
In Brief Background: Stress and coping influence performance. this study, we evaluate a novel stress management intervention for surgeons. Methods: A randomized control group design was used. Sixteen surgeons were allocated to either the or group. The received training on strategies, mental rehearsal, relaxation. Performance measures obtained during simulated operations included objective-structured assessment of technical skill, observational teamwork surgery, end product rated by experts....
Distributed simulation (DS) is the concept of high-fidelity immersive on-demand, made widely available wherever and whenever it required. DS provides an easily transportable, self-contained 'set' for creating simulated environments within inflatable enclosure, at a small fraction cost dedicated, static facilities. High-fidelity currently confined to relatively number specialised centres. This largely because full-immersion perceived require static, dedicated sophisticated equipment,...
SURGEONS, LIKE MUSICIANS, CAN BE CONSIDERED PERformers. Traditionally, surgeons have learned their craft through a prolonged apprenticeship that allows trainees to gain wide repertoire of skills by assisting at and performing numerous operations. Supervision was tailored each surgeon’s level experience the demands procedure. Surgeons how cope with range problems complications repeated practice located within performance actual Dexterity central process learning broad procedures. However,...
Abstract Aims To observe the extent and detail with which playing music can impact on communication in operating theatre. Background According to cited sources, is played 53‐72% of surgical operations performed. Noise levels theatre already exceed World Health Organisation recommendations. There currently a divide opinions theatres, few studies conducted no policies or guidance provided. Design An ethnographic observational study teamwork theatres through video recordings. Quantitative...
To explore face, content and construct validity of Distributed Simulation (DS), an innovative approach to low-cost, high-fidelity surgical simulation compare technical performance in the DS with that on a standard box trainer.Immersive is widely accepted as important modality for education. However, access cost limit uptake full-scale training. portable, simulated clinical environment aiming at widening immersive simulation.Ten novice 10 expert surgeons performed laparoscopic cholecystectomy...