Affiliation: Imperial College
- Total internal reflection: an essay on paradigmsRoger Kneebone
Department of Medical Sciences, University of Bath, UK
Med Educ 36:514-8. 2002..This view stems from the author's recent experience of exploring the literature of learning theory and the social sciences...
- Blurring the boundaries: scenario-based simulation in a clinical settingR L Kneebone
Imperial College London, UK
Med Educ 39:580-7. 2005..An innovative portable digital recording device (the 'Virtual Chaperone') is evaluated for use in clinical settings...
- Key challenges in simulated patient programs: an international comparative case studyDebra Nestel
Gippsland Medical School, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Northways Road, Churchill, Victoria, 3842, Australia
BMC Med Educ 11:69. 2011..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...
- Innovative training for new surgical roles--the place of evaluationR L Kneebone
Department of Biosurgery and Technology, Imperial College London, St Mary s Campus, London W2 1NY, UK
Med Educ 40:987-94. 2006..Programmes balanced factual knowledge, clinical and communication skills, professional issues and personal development and used a range of innovative techniques...
- Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI)R Kneebone
Division of Surgery, Oncology, Reproduction and Anesthetics, Department of Biosurgery and Technology, Faculty of Medicine, Imperial College London, UK
Med Educ 40:1105-14. 2006..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...
- Evaluating clinical simulations for learning procedural skills: a theory-based approachRoger Kneebone
Department of Surgical Oncology and Technology, Faculty of Medicine, Imperial College London, UK
Acad Med 80:549-53. 2005....
- The perioperative specialist practitioner: developing and evaluating a new surgical roleR Kneebone
Department of Biosurgery and Surgical Technology, Faculty of Medicine, Imperial College London, Chancellor s Teaching Centre, St Mary s Hospital, Praed Street, London, UK
Qual Saf Health Care 15:354-8. 2006..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...
- Simulation and clinical practice: strengthening the relationshipR L Kneebone
Department of Surgical Oncology and Technology, Imperial College London, London W2 1NY, UK
Med Educ 38:1095-102. 2004....
- The use of handheld computers in scenario-based procedural assessmentsR Kneebone
Department of Surgical Oncology and Technology, Imperial College London, St Mary s Hospital, UK
Med Teach 25:632-42. 2003..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...
- Complexity, risk and simulation in learning procedural skillsR L Kneebone
Department of Biosurgery and Technology, Division of Surgery, Oncology, Reproduction and Anaesthetics, Faculty of Medicine, Imperial College London, London, UK
Med Educ 41:808-14. 2007..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...
- Learning the skills of flexible sigmoidoscopy - the wider perspectiveR L Kneebone
Imperial College London, UK
Med Educ 37:50-8. 2003..Communication skills are assessed by simulated patients, while quantitative performance data relating to the procedure is generated automatically by the VR simulator...
- The human face of simulation: patient-focused simulation trainingRoger Kneebone
Surgical Education, Department of Biosurgery and Surgical Technology, Imperial College London
Acad Med 81:919-24. 2006..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...
- Simulation, safety and surgeryRoger Kneebone
Department of Surgery and Cancer, Imperial College London, 2nd Floor, Paterson Centre, St Mary s Hospital, Praed Street, London W2 1NY, UK
Qual Saf Health Care 19:i47-52. 2010..It frames the relationship between clinical and simulation-based practice as a mutually dependent, two-way process...
- Simulation in surgical training: educational issues and practical implicationsRoger Kneebone
Surgical Education, Department of Surgical Oncology and Technology, Imperial College London
Med Educ 37:267-77. 2003..Recent work on situated learning underlines the potential for simulation to feed into and enrich everyday clinical practice...
- Distributed simulation--accessible immersive trainingRoger Kneebone
Imperial College London, UK
Med Teach 32:65-70. 2010..Finally, we frame DS as a 'disruptive innovation' with potential to radically alter the landscape of simulation-based training...
- Perspective: Simulation and transformational change: the paradox of expertiseRoger Kneebone
Department of Biosurgery and Surgical Technology, Imperial College London, London, United Kingdom
Acad Med 84:954-7. 2009..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...
- Contextualized simulation and procedural skills: a view from medical educationRoger Kneebone
Department of Biosurgery and Surgical Technology, Faculty of Medicine, Imperial College London, Chancellor s Teaching Centre, St Mary s Hospital, London, UK
J Vet Med Educ 35:595-8. 2008..The paper concludes by arguing for closer collaboration and dialogue between the medical and veterinary professions, for the benefit of both...
- Gaining consent for carotid surgery: a simulation-based study of vascular surgeonsS A Black
Regional Vascular Unit, St Mary s Hospital, Imperial College Healthcare NHS Trust, Praed Street, London, UK
Eur J Vasc Endovasc Surg 37:134-9. 2009..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)...
- Development and evaluation of a virtual intensive therapy unit - VITUA Theodoropoulos
Department of Biosurgery and Surgical Technology, Imperial College London
Stud Health Technol Inform 125:467-9. 2007..Graded exposure to increasing levels of complexity will ensure that collaborative learning takes place alongside each participant's clinical experience and complements it appropriately...
- Training and assessment of procedural skills in context using an Integrated Procedural Performance Instrument (IPPI)R Kneebone
Department of Biosurgery and Surgical Technology, Imperial College London, UK
Stud Health Technol Inform 125:229-31. 2007..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...
- Assessment of surgical competence at carotid endarterectomy under local anaesthesia in a simulated operating theatreS A Black
St Mary s Hospital London Regional Vascular Unit, London, UK
Br J Surg 97:511-6. 2010..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...
- Taking the skills lab onto the wardsR L Kneebone
Department of Surgical Oncology and Technology, Imperial College School of Medicine, London, UK
Med Educ 36:1093-4. 2002
- Simulated patients and the development of procedural and operative skillsDebra Nestel
Med Teach 28:390-1. 2006
- An innovative model for teaching and learning clinical proceduresRoger Kneebone
Departments of Oncology and Surgical Technology, St Mary s Hospital, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, UK
Med Educ 36:628-34. 2002..Performing a clinical procedure requires the integration of technical clinical skills with effective communication skills. However, these skills are often taught separately...
- Teaching and learning about skills in minor surgeryDebra Nestel
Communication Skills, Faculty of Medicine, Imperial College, London, UK
J Clin Nurs 12:291-6. 2003..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...
- Communicating during procedures: development of a rating scaleDebra Nestel
Centre for Medical and Health Sciences Education, Monash University, Clayton, Australia
Med Educ 37:480-1. 2003
- Please don't touch me there: the ethics of intimate examinations: integrated approach to teaching and learning clinical skillsDebra Nestel
BMJ 326:1327; discussion 1327. 2003
- Multiple Objective Measures of Skill (MOMS): a new approach to the assessment of technical ability in surgical traineesSean Mackay
Imperial College of Science, Technology and Medicine, St Mary s Hospital, Paddington, London, United Kingdom
Ann Surg 238:291-300. 2003..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)...
- Assessment of communication in surgical traineesJoel Ratnasothy
Academic Surgical Unit, St Mary's Hospital, Paddington, London, UK
Med Educ 38:555-6. 2004
- Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: observational studyPete Pockney
University Surgery, University of Southampton, F Level, Centre Block, Southampton General Hospital, Southampton SO16 6YD, UK
J Public Health (Oxf) 26:264-7. 2004....
- New professional roles in surgeryRoger Kneebone
BMJ 330:803-4. 2005
- Handheld computers in veterinary medical education: a view from human medical educationDebra Nestel
Division of Neuroscience and Psychological Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, 20 South Wharf Road, Room 407, London, W2 1PD, UK
J Vet Med Educ 32:121-6. 2005..Student use focuses on progress mapping and ready access to clinical reference material. Suggestions are made for future use in medical education...
- Teaching communication skills for handover: perioperative specialist practitionersDebra Nestel
Department of Biosurgery and Technology, Imperail College London, UK
Med Educ 39:1157. 2005
- The surgical care practitioner: a feasible alternative. Results of a prospective 4-year audit at St Mary's Hospital Trust, LondonShirley Martin
Department of Biosurgical and Surgical Technology, Imperial College London, St Mary s Hospital, London, UK
Ann R Coll Surg Engl 89:30-5. 2007..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...
- Can 'performing' a procedure help students explain it to their patients?Roger Kneebone
Department of Oncology and Surgical Technology, Imperial College London, 10th Floor QEQM Wing, St Mary s Hospital, Praed Street, London W2 1NY, UK
Med Educ 37:481-2. 2003
- GPs, operations, and the communityRoger Kneebone
BMJ 334:5-6. 2007
- Real patient involvement in role development: evaluating patient focused resources for clinical procedural skillsDebra Nestel
Gippsland Medical School, Monash University, Australia
Med Teach 30:534-6. 2008..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...