R Kneebone

..This view stems from the author's recent experience of exploring the literature of learning theory and the social sciences...

..An innovative portable digital recording device (the 'Virtual Chaperone') is evaluated for use in clinical settings...

..We seek to fill this gap through documenting experiences from four programs in Australia, Canada, Switzerland and the United Kingdom. We focused on challenges in SP methodology, faculty, organisational structure and quality assurance...

..Programmes balanced factual knowledge, clinical and communication skills, professional issues and personal development and used a range of innovative techniques...

..Candidates are observed remotely by assessors whose data are fed back to the clinician within 24 hours of the assessment. This paper describes the feasibility of IPPI...

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..The role of the perioperative specialist practitioner (PSP), conceived as a response to the Working Time Directive, provides integrated preoperative and postoperative care to patients undergoing surgery in hospital...

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..Technical expertise is required for the development and delivery of PDA-based forms, but their potential for use in formative and summative assessments is considerable...

..APPLICATIONS: Although our argument has evolved from surgical practice and operating theatre teams, we believe it can be widely applied to the increasing number of health care professionals who perform clinical interventions...

..Communication skills are assessed by simulated patients, while quantitative performance data relating to the procedure is generated automatically by the VR simulator...

..Finally, the case is made for curriculum redesign to ensure that simulator-based technical skills training and assessment take place within an authentic context that reflects the wider elements of clinical practice...

..It frames the relationship between clinical and simulation-based practice as a mutually dependent, two-way process...

..Recent work on situated learning underlines the potential for simulation to feed into and enrich everyday clinical practice...

..Finally, we frame DS as a 'disruptive innovation' with potential to radically alter the landscape of simulation-based training...

..By reintroducing complexity and human unpredictability, simulation can provide a safe environment for assisting the transformational change that is essential to becoming a competent clinician...

..The paper concludes by arguing for closer collaboration and dialogue between the medical and veterinary professions, for the benefit of both...

..Despite no formal training in consenting patients, surgeons are assumed to be competent if they are able to perform an operation. We tested this assumption for carotid endarterectomy (CEA)...

..Graded exposure to increasing levels of complexity will ensure that collaborative learning takes place alongside each participant's clinical experience and complements it appropriately...

..This novel use of simulation provides a patient-centred, learner-focused approach that builds up a composite picture of technical skills, communication skills and professional behaviours across a range of challenging clinical situations...

..A high-fidelity simulation of carotid endarterectomy under local anaesthesia was tested as a tool for assessment of vascular surgical competence, as an adjunct to training...

..Performing a clinical procedure requires the integration of technical clinical skills with effective communication skills. However, these skills are often taught separately...

..Limitations of the study centre on the small numbers of participants and the novelty of the course. Repeating the evaluations on a subsequent course will provide insight into the ways in which nurses acquire and integrate new skills...

..This study presents the validation of a 6-task skills examination for junior surgical trainees (at the level of the Membership of the Royal College of Surgeons)...

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..Student use focuses on progress mapping and ready access to clinical reference material. Suggestions are made for future use in medical education...

..Amongst other functions, SCPs can provide a range of surgical procedures including a 'minor surgical' service. The aim of this study was to audit the volume and outcomes related to the SCP service at St Mary's since its inception...

..Anecdotal evidence suggests that SP roles are usually created by health care professionals and teachers. Although this approach has advantages it places the role at risk of omitting or misrepresenting real patients' experiences...