IMPROVING SURGICAL TRAINING, SCOTTISH PILOT
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IMPROVING SURGICAL TRAINING, SCOTTISH PILOT
WHAT’S INCLUDED IN THE SIMULATION BUDGET?
TRAINING YEAR 2021-22
v4.2, updated 21st July 2021
https://www.scotlanddeanery.nhs.scot/trainee-information/improving-surgical-training-
programme-ist/
This document gives details of the simulation strategy provided for Scottish IST pilot trainees, ie all
posts on the East and West of Scotland Core Surgical Training programmes, during 2021-22. A lot of
dates are still to be fixed, so updates of the appendix will be emailed to you regularly.
The strategy is slightly altered from last year, following a review with stakeholders including trainees
and now includes a year 2 “Booster Camp”.
Funding for the elements of this strategy is provided by Scottish Government through NES, as a pilot,
and is in addition to the pre-existing study leave budget.
CT1 Induction days in August will be organised by the TPDs and you should already have details:
West of Scotland 11th August (F2F), East 12th August 2-4pm (Teams).
The diagram below shows an outline of the programme thereafter.
1. MONTHLY TRAINING DAYS (YEARS 1 AND 2)
Themed monthly teaching days each year, run by East and West programmes (S Yalamarthi in East
and S Gibson in West).
You are expected to attend at least 7 sessions each year (morning and afternoon count as separate
sessions). Best to spread your topics across the 2 years. You can cross East to West and vice versa,
just don’t attend a specific simulation event more than once.
There will be various blends of
• pre-course materials posted on our Teams channel
• Teams virtual classrooms, and
• F2F/simulation components
A Teams channel is being created for this purpose. There is no need to
book the Teams sessions, and attendance will be recorded electronically.
For F2F sessions however, places will be numbered and you need to book
on Turas at Improving Surgical Training (IST) Pilot | Turas | Learn
(nhs.scot). Booking opens when all details are available to the office and closes 3 days before the
event. No charge to the trainee – it comes off the simulation budget directly. And no need to
request study leave separately on Turas.
The current table of planned monthly training days planned is in the appendix at the end of this
document, which will be updated and e-mailed out regularly.
Anatomy teaching was paused for COVID due to shortage of cadavers, but may resume. If so it will
be for year 1 trainees and any year 2 trainees without MRCS part A.
2. COURSES FOR YEAR 1
a. Scottish Surgical Boot Camp (YEAR 1) – 100% attendance expected
A 4-day simulation-rich course at the Highland Clinical Skills Centre Inverness, covering a range of
technical and non-technical skills and an induction to the community of practice.
Skills covered include bowel and vascular anastomosis,
skin flaps, laparoscopy; prioritising and making effective
phone calls; situation awareness, decision making,
communication and teamwork; common error traps in
surgery; leading a ward round in simulation. Writing op
notes. Communications skills challenges. How to get the
most from your trainer; and starting out in research.
Dates: Sat 21st – Tues 24th August 2021
Sat 11th - Tues 14th September 2021
Sat 23rd – Tues 26th October 2021
Book at www.surgicalbootcamps.com or
https://www.rcsed.ac.uk/events-courses/course-details-
scottish-surgical-boot-camps
IST trainees should not pay any course fee; the £750 will
instead be charged directly to our Sim budget. There is
however a returnable deposit.
Travel expenses can be claimed from the simulation budget, but
accommodation is not covered. Travelodge has proved safe and economical
in the past. If arranging AirBnB house-share, it must comply with COVID level
at the time of the course.
b. Critical Care: CCRISP (RCSEng or RCPSG) or RAPID (RCSEd)
CCrISP is a 2-day simulation-rich course validated by the RCSEng and delivered in all the Surgical
Royal Colleges. The RCSEd RAPID course is also accepted and fundable as a substitute. For the latter
we are in the process of negotiating protected places and will let you know.
Find a place and book with www.rcsed.ac.uk, www.rcpsg.ac.uk or www.rcseng.ac.uk
For CCrISP, IST trainees should pay for the course and claim prospectively through your study leave
budget (https://turasdashboard.nes.nhs.scot/ ). The TPD will then charge it to the sim budget,
leaving your regular study leave allowance unaffected.
Places have been in short supply this last year or two. If you cannot secure a place, don’t worry, we
will provide critical care teaching within monthly training days. (No specific courses are required at
ST3 selection – you’ll just get points for the number of relevant courses.)
c. Basic laparoscopy skills – RCPSG (optional)
https://rcpsg.ac.uk/events/basiclapskills
Dates:- 27th Oct 2021
29th Nov 2021
Book by e-mailing melanie.sinclair@rcpsg.ac.uk and let her know you are an IST year 1 trainee.
Places will be reserved for IST trainees until 10 weeks before, then opened to all comers. You should
not pay a fee – it will be charged directly to the IST budget.
COURSES FOR YEAR 2
a. IST2 Booster Camp – new for January 2022!
Due to popular demand, we are now working on this new feature. Dates coming soon!
• Will comprise 2 one-day courses on consecutive days – Managing Surgical Crisis and CoSMoS.
• Choose from Dundee, Edinburgh or Glasgow – each bookable through Turas at Improving
Surgical Training (IST) Pilot | Turas | Learn (nhs.scot).
Managing Surgical Crisis includes classroom non-technical skills
training in recognising and responding safely to unexpected or crisis
events in the OR, followed by 8 simulation stations with debrief, in
which we always see trainees grow in confidence and safety. Directed
by Alistair Geraghty, Cons Colorectal Surgeon Forth Valley, and team.
CoSMoS – Consultation Skills that Matter for Surgeons – is a new
collaboration between IST and the RCSEd ICONS course faculty.
Through video and classroom material, we aim to give you some
theory and tools to help with Consultation and Shared Decision
Making with patients.
After the event and practise in the workplace, we will send out a
webcam and consent form so you can record a real consultation and
upload it to us for a debrief session with faculty over Teams, which will be done in groups of 3
trainees.
A further short Teams session later in the year will consolidate the learning. This is the pilot first
module of a potential 4-module series for ST2-5.
Book Booster Camp on Turas once it’s confirmed at Improving Surgical Training (IST) Pilot | Turas |
Learn (nhs.scot). No charge to trainees.
b. Basic Surgery Cadaver Skills (BaSiCS)
A 2 day cadaver-based course provided by the RCPSG in the
Clinical Anatomy and Skills Centre Glasgow. It puts together
component skills into whole operations:
o Laparotomy, laparoscopy
o Laparoscopic / open appendicectomy
o Inguinal hernia repair
o Small bowel resection / anastomosis
o Approach to the femoral artery
Particularly suitable for general, paediatric, urology, and vascular-destined trainees.
Dates:-
1. 25th-26th November 2021
2. 2nd course TBA, subject to cadaver availability
Book BaSiCS by emailing melanie.sinclair@rcpsg.ac.uk and let her know you are an IST S/CT2 trainee.
You should not pay a fee – it will be charged directly to the IST budget.
c. Arthroscopy skills course in the Dundee Institute of Healthcare Simulation.
A 2-day, simulation-rich course in knee and shoulder arthroscopy, run by Mr Arpit Jariwala and
team. Dates TBA. We already have names of orthopaedic-destined trainees as arranged by e-mail a
few months ago. If unsure, or anybody we have missed, please e-mail me at
kenneth.walker@nhs.scot .
d. Alternatives to BaSiCS or Arthroscopy.
Non general, paediatric, urology, vascular or orthopaedic-destined year 2 trainees may suggest an
alternative simulation-based course if it maps to the Core curriculum. Funding of such would be
considered on a case-by-case basis according to budget status. Upper limit £500.
kenneth.walker@nhs.scot
INCENTIVISED LAPAROSCOPY PRACTICE (YEAR 1) Automation of these motor skills can be acquired outwith the OR, freeing up your attention in theatre for higher functions. At boot camp, you will be instructed and issued with an eoSim. Online modules to follow and target metric scores to achieve. Practise alone, in skills clubs or in meetings with Educational Supervisor. Video uploads for each of 6 modules, to be scored by OSATS. Final return of kit in May/June. Core level certificate of satisfactory completion expected at ARCP. No-one receives a non- standard ARCP outcome on the basis of this alone, but it may be taken into account alongside other evidence of progression. Option to include advanced modules, competing for gold, silver and bronze awards. VA SIMULATION (YEAR 2) This year we are offering a second take-home practice programme for year 2 using kits posted out to you, which include instruments and 3D-printed hydrogel blood vessel models, again with a series of online tasks. This will appeal to CT2s or ST2s intending careers in any subspecialty. This will be launched in December. Meanwhile see the existing pilot programme at www.vasimulation.co.uk. LOCAL SKILLS CLUBS (YEARS 1 AND 2) It’s been great to see skills clubs flourishing in about half of our training hospitals now. We now have a group to support this movement, chaired by Vivienne Blackhall. A typical model is regular one-hour skills practice sessions, using eoSims, dry open surgical models and other kit from the 20 skills club boxes we sent out last year. Often trainee-led but consultant- supported. These can perhaps be alternated with journal clubs and CBD clubs. The group will be working on a syllabus of suggested tasks. A range of consumables including suture supplies can be ordered from us at no charge, by e-mailing istsimulation@nes.scot.nhs.uk.
Here is a list of current clubs that we know of, and contacts:- Ayrshire – Mo Khine Wishaw – Alistair Murray / Henrietta Stockdale Hairmyres – Brian Stewart Monklands – Michael Dick Aberdeen – Ahmed Nassar / Stas Makaranka QEUH –Chia Kong GRI – Alistair Geraghty / chief resident Royal Infirmary of Edinb – Fiona Griffin Western General Edinb - ? St John’s Livingston - ? Inverness – Ken Walker Shetland - ? Paisley – Viv Blackhall Fife - ? Boxes also previously sent to Borders DGH and RHC Glasgow. Simulation Lead: Prof Kenneth Walker kenneth.walker@nhs.scot Training Programme Director, East: Mr Satheesh Yalamarthi satheesh.yalamarthi@nhs.scot Training Programme Director, West: Mr Mark Vella mark.vella@ggc.scot.nhs.uk Deputy TPD for monthly training days, West: Mr Simon Gibson Simon.Gibson@ggc.scot.nhs.uk Administration (Lynn Hardie, Karen Willey) istsimulation@nes.scot.nhs.uk Scottish IST pilot webpages https://www.scotlanddeanery.nhs.scot/trainee-information/improving- surgical-training-programme-ist/ Appendix /...
Appendix
As dates become available these tables will be updated and e-mailed out.
MONTHLY TRAINING DAYS
*Book F2F sessions on Turas at Improving Surgical Training (IST) Pilot | Turas | Learn (nhs.scot).
Booking opens when all details are available to the office and closes 3 days before the event.
No charge to the trainee. And no need to request study leave separately on Turas.
Title Date Pre-course Morning session? Afternoon session?
materials?
WoS Induction 11/08/2021 F2F TLC QEUH 9-1230 -
EoS Induction 12/08/2021 - Teams 2-4pm
WoS Urology 17/09/2021 video Teams 10-12 F2F* TLC QEUH
WoS Vascular 22/10/2021 video Teams 10-12 F2F* TLC QEUH
WoS Paediatric Surgery ?11/11/2021 Teams 10-12
WoS Cardiothoracics 10/12/2021 Teams 10-12 F2F* GJNH
WoS Research and Audit 10/02/2022 Teams 10-12 F2F* RAH
WoS ENT 16/02/2022 Teams 10-12 F2F* RCPSG
WoS Plastics ?11/03/2022 Teams 10-12 F2F* GRI
WoS Neurosurgery ?22/04/2022 Teams 10-12 F2F* TLC QEUH
WoS ERAS 16/05/2022 Teams 10-12 F2F* Hairmyres
WoS Critical Care 17/06/2022 Teams 10-12
Stoma training tbc video F2F* Kirklands all day
Stoma training tbc video F2F* Kirklands all day
EoS Vascular Surgery tbc Teams 10-12 F2F* RCSEd
EoS Trauma & ortho tbc Teams 10-12 F2F* RCSEd
EoS Plastic Surgery tbc Teams 10-12 F2F* Ninewells
EoS ENT tbc Teams 10-12 F2F* Ninewells
EoS Paediatric Surgery tbc Teams 10-12 F2F* Aberdeen
EoS Urology tbc Teams 10-12 F2F* Aberdeen
EoS Academics Session 1 tbc video Teams 10-12 -
EoS Academics Session 2 tbc Teams 10-12 -
EoS Academics Session 2 tbc Teams 10-12 -
EoS Critical care - cardio- tbc Teams 10-12 -
respiratoy
EoS Critical care - Fluid tbc Teams 10-12 -
Mx & sick patients
EoS Emergency UGI & tbc Teams 10-12 -
HPB
EoS Colorectal Surgery tbc Teams 10-12 -
EoS Emergency Surgery tbc Teams 10-12 -
GI bleeding
EoS Major Trauma tbc Teams 10-12 -
EoS Nutrition tbc Teams 10-12 -
EoS Post-operative pain tbc Teams 10-12 -
EoS ILPs return and tbc - F2F* Aberdeen
Audit presentations 1
EoS ILPs return and tbc - F2F* RCSEd
Audit presentations 2
COURSES YEAR 1
Pay on
Title Date Venue Book at booking?
Scot Surg Boot Camp 21-24 Aug 21 Inverness Clinical Skills Centre
https://www.rcse No
d.ac.uk/events-
courses/course-
Scot Surg Boot Camp 11-14 Sept 21 Inverness Clinical Skills Centre details-scottish-
No
surgical-boot-
Scot Surg Boot Camp 25-28 Oct 21 Inverness Clinical Skills Centre camps
No
rcpsg.ac.uk, Yes
rcsed.ac.uk,
CCRiSP various various rcseng.ac.uk
RAPID tbc RCSEd rcsed.ac.uk Yes
melanie.sinclair No
Core Laparoscopy Skills 27th Oct 2021 RCPSG @rcpsg.ac.uk
melanie.sinclair No
Core Laparoscopy Skills 29th Nov 2021 RCPSG @rcpsg.ac.uk
COURSES YEAR 2
Pay on
Title Date Venue Book at booking?
Booster Camp tbc Dundee DIHS Improving No
Surgical
Booster Camp tbc Edinburgh RCSEd Training (IST) No
Pilot | Turas |
Booster Camp tbc Glasgow CASC & RCPSG Learn (nhs.scot) No
BaSiCS 25-26 Nov 21 Glasgow CASC melanie.sincla No
ir@rcpsg.ac.u
BaSiCS tbc Glasgow CASC k No
kenneth.walker No
Arthroscopy Dundee DIHS @nhs.scot
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