Scientific Programme
Programme-at-a-Glance
Pre- and Post-Congress Workshops
 
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I think the importance of such a meeting is really to bring the network together. Having a Congress such as this one allows the different groups and individuals who will not normally interact to come together. That level of learning, socialising together and understanding what is happening in other departments is critically
important to the future of Academic Medicine.
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~ Prof Elizabeth Armstrong
Clinical Professor in Paediatrics & Director, Harvard Macy Institute, Harvard Medical School
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Programme >
Simulation Symposium
Simulation – Focus on In situ Simulation
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Track type: Symposium |
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Duration: 90 minutes |
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Location: Academia, Level 2, L2-S3 Exp |
Topic 1:
High Performance In situ Simulation: Training for Tomorrow’s Healthcare Teams
 Speaker: Assoc Prof Fatimah Lateef
Medical
modelling and simulation have become an integral part of inter-disciplinary,
multi-disciplinary teams training as well as safety training. Considering the
complexity of medical information and knowledge, technical proficiencies, good
communications and teamwork required, healthcare has now outpaced the
traditional delivery and conventional education techniques. Simulation must be
strategically incorporated into the curriculum and customised appropriately. In situ and
mobile simulation is even more versatile as it is more cost-efficient, is
conducted in the real workplace at the point of care, with the actual
equipment, actual staffing, and actual situation encountered.
The widespread use of in situ simulation
can also help prepare teams to handle the situation of non-stable and changing
team members as well as non-constant leadership of teams.
In many of the programmes where in situ
simulation has been introduced, the outcomes have been better patient safety,
enhanced organisation safety culture, improved quality, ability to
identify latent threats and problems, as a tool for competency assessment,
better communications and confidence of team members, and significant
educational impact.
This session will share the principles and basis of in situ simulation and the essential ingredients for
formation of high performance and high reliability teams.
Topic 2:
In situ Simulation: The Stories; The Lessons
Speaker: Dr Hairil Rizal Abdullah
In situ simulation is a training technique conducted in actual patient care environment using actual equipment and involving members of the healthcare team. By blending simulated and real working environment, one can achieve a high degree of fidelity to identify latent safety threats in the working environment as well as train in healthcare non-technical skills. Singapore General Hospital started perioperative in situ simulation programme in our Major Operating Theatre complex in 2014. This presentation aims to bring the audience through our journey from the time we started, the challenges faced and a hindsight view of lessons learnt, to where we are now as well as the future aspirations.
Topic 3:
Debriefing and Reflection: The Source of Most Blessings
Speaker: Assoc Prof Agnes Ng
Learners undergoing medical simulation exercise, experience and manage a medical event, usually a crises in a “realistic”, safe and reproducible setting or environment. At the end of the simulation, they undergo a debriefing process during which they reflect on their actions, identify performance gaps, and discuss areas of improvement. The process of self-reflection or self-evaluation is a process that does not come naturally to all of us. Hence, the person handling the debrief should have the skills to effectively facilitate this discussion and give feedback. Just as important is the learners' input, critically analysing their own performance, so that the simulation experience results in learning points that can be translated into improved clinical practice and outcomes. Debriefing is a cornerstone of medical simulation and the person doing the debrief should be trained to be responsive and flexible to the different levels of learners. Hence, the debriefing process becomes a source of knowledge-sharing and not a bane to the learners and thus avoiding a negative experience.
Topic 4:
Practical Demonstration of In situ Simulation (with scenario)
Speaker: SingHealth Duke-NUS Institute of Medical Simulation (SIMS) Team
In situ simulation is distinct from the medical simulation in a simulation centre (or laboratory), in that it is physically conducted in the hospital ward, intensive care unit or emergency room and integrated into the clinical environment. In situ simulation allows organic teams to review and reinforce their problem solving skills and identify deficiencies in their clinical systems and environment. It is a relatively new tool for improving patient safety through the identification of latent hazards in high-risk patient environments, with high performance teams. The participants or trainees are usually on-duty doctors, nurses and allied health staff during their actual workday. The in-situ scenario will depict a commonly seen patient with the usual range of medical problems and conditions. The management and coordination will function exactly as in the real day to day practice. The short demonstration will show a scenario commonly encountered and managed in the hospital. Following the “performance”, a debrief session is conducted. This will be demonstrated as well, if time permits (or a shortened version and framework will be shared with the participants). As debrief is an important component of our practice, but is often not carried out due to unfamiliarity or time constraint, we would like to share this valuable tool and provide a simple, practical framework for participants to use in their hectic day to day practice.
*Information is correct at time of update
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