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Simulation in Maxillofacial Trauma – Should this be the new way forward?
e130
Free poster abstracts numbered P1 - P255 / British Journal of Oral and Maxillofacial Surgery 54 (2016) e66–e153
Objective: To demonstrate the benefit of a short inhouse didactic and practical teaching session to maxillofacial juniors. To obtain sufficient improvement in that images taken are diagnostically valuable. Method: 10 junior members of the team were asked to take a series of photographs of the same model before and after training session. The images were randomized and then scored by 3 maxillofacial consultants on a 3 point grading scale whereby a score of one was technically excellent and 3 was unacceptable. Results: The feedback from the course was excellent with participants reporting increased confidence and understanding of the principles of photography. This correlated with our findings that the number of clinically excellent images taken by the group rose by 72% and unacceptable images decreased by 73%. Conclusion: We have demonstrated that a short focused teaching session offered significant improvements in the quality of images taken and reduced the number of images with no clinical value significantly. Where medical photography departments are becoming stretched it is therefore beneficial to offer training to clinicians. http://dx.doi.org/10.1016/j.bjoms.2016.11.181 P189 Simulation in Maxillofacial Trauma – Should this be the new way forward? Frances O’Leary ∗ , Nabeela Ahmed Queens Medical Centre, Nottingham Background: Simulation training is increasingly being used to augment clinical training in all disciplines following the implementation of the Junior Doctors New Deal and European Working Time Directive. Other surgical specialties have embraced this mode of training for their trainees and incorporated this into the annual assessment process to ensure trainees are competent to manage common surgical emergency scenarios which are cited as surgical drills. Method: We present the results of a web survey undertaken of current maxillofacial trainees from ST3-ST8. This was undertaken using a web based questionnaire and disseminated using the Fellows in Training (FiT) mailing lists. It had a response rate of 44% (n = 60). Results: The results of this show 97% of trainees feel that their training would benefit from simulation based training and have suggestions for how trauma management in maxillofacial surgery might benefit from this additional mode of learning. At the moment 78% report no access to simulation based training in our speciality. Conclusion: Simulation training is currently underused in maxillofacial surgery and this review should encourage a debate on the topic and suggest news way to embrace this potential learning resource, which trainees feel will supplement their clinical training in the management of max-
illofacial trauma. Given that all other surgical disciplines have actively embraced this as a mode of learning with the reduced surgical times available to trainees, we need to actively review why we are lagging behind. http://dx.doi.org/10.1016/j.bjoms.2016.11.182 P190 Serious Incidents & Never events - Project Cascade, A technique to improve dissemination of information and learning points Siddharth Gowrishankar ∗ , Philip Ameerally, Sarah Meadows, Michael Cusack Northampton General Hospital Background: NHS Trusts keep record of never events and serious incidents (SI). Numerous techniques have been tried to disseminate learning points from them including emails, news bulletins, safety forums, intranet messages all with limited success Aim: To determine if learning points from serious incidents and never events have been disseminated adequately in the Head and Neck Directorate and if not trial a new technique to improve it Methods: Custom designed questionnaire circulated among all members of staff in OMFS to ascertain their knowledge about the latest SI involving the head and neck directorate and its learning points. Project Cascade intervention used on half the members on the teamand then the same questionnaire recirculated among everyone to gauge knowledge. Results: Knowledge about the latest SI involving the Head and Neck Directorate on initial survey was as follows - Consultants (50%), Registrars (25%), Core Trainees (0%), Nursing staff (10%). Post intervention knowledge improved to 100% of the Consultants & Registrars and 90% of Core trainees. Nursing staff were the control arm and their knowledge level remained at 10%. Overall improvement of knowledge post intervention rose from 17.5% to 95% (p < 0.05) Discussion and Conclusion: Adequate dissemination of information from SI’s and Never events is vital so the mistakes are not repeated. Project cascade offers a simple technique which can improve this dissemination. It also allows validation of learning and scope for suggestions from all members of staff. This will be a valuable technique to improve patient safety. http://dx.doi.org/10.1016/j.bjoms.2016.11.183
Free poster abstracts numbered P1 - P255 / British Journal of Oral and Maxillofacial Surgery 54 (2016) e66–e153
Objective: To demonstrate the benefit of a short inhouse didactic and practical teaching session to maxillofacial juniors. To obtain sufficient improvement in that images taken are diagnostically valuable. Method: 10 junior members of the team were asked to take a series of photographs of the same model before and after training session. The images were randomized and then scored by 3 maxillofacial consultants on a 3 point grading scale whereby a score of one was technically excellent and 3 was unacceptable. Results: The feedback from the course was excellent with participants reporting increased confidence and understanding of the principles of photography. This correlated with our findings that the number of clinically excellent images taken by the group rose by 72% and unacceptable images decreased by 73%. Conclusion: We have demonstrated that a short focused teaching session offered significant improvements in the quality of images taken and reduced the number of images with no clinical value significantly. Where medical photography departments are becoming stretched it is therefore beneficial to offer training to clinicians. http://dx.doi.org/10.1016/j.bjoms.2016.11.181 P189 Simulation in Maxillofacial Trauma – Should this be the new way forward? Frances O’Leary ∗ , Nabeela Ahmed Queens Medical Centre, Nottingham Background: Simulation training is increasingly being used to augment clinical training in all disciplines following the implementation of the Junior Doctors New Deal and European Working Time Directive. Other surgical specialties have embraced this mode of training for their trainees and incorporated this into the annual assessment process to ensure trainees are competent to manage common surgical emergency scenarios which are cited as surgical drills. Method: We present the results of a web survey undertaken of current maxillofacial trainees from ST3-ST8. This was undertaken using a web based questionnaire and disseminated using the Fellows in Training (FiT) mailing lists. It had a response rate of 44% (n = 60). Results: The results of this show 97% of trainees feel that their training would benefit from simulation based training and have suggestions for how trauma management in maxillofacial surgery might benefit from this additional mode of learning. At the moment 78% report no access to simulation based training in our speciality. Conclusion: Simulation training is currently underused in maxillofacial surgery and this review should encourage a debate on the topic and suggest news way to embrace this potential learning resource, which trainees feel will supplement their clinical training in the management of max-
illofacial trauma. Given that all other surgical disciplines have actively embraced this as a mode of learning with the reduced surgical times available to trainees, we need to actively review why we are lagging behind. http://dx.doi.org/10.1016/j.bjoms.2016.11.182 P190 Serious Incidents & Never events - Project Cascade, A technique to improve dissemination of information and learning points Siddharth Gowrishankar ∗ , Philip Ameerally, Sarah Meadows, Michael Cusack Northampton General Hospital Background: NHS Trusts keep record of never events and serious incidents (SI). Numerous techniques have been tried to disseminate learning points from them including emails, news bulletins, safety forums, intranet messages all with limited success Aim: To determine if learning points from serious incidents and never events have been disseminated adequately in the Head and Neck Directorate and if not trial a new technique to improve it Methods: Custom designed questionnaire circulated among all members of staff in OMFS to ascertain their knowledge about the latest SI involving the head and neck directorate and its learning points. Project Cascade intervention used on half the members on the teamand then the same questionnaire recirculated among everyone to gauge knowledge. Results: Knowledge about the latest SI involving the Head and Neck Directorate on initial survey was as follows - Consultants (50%), Registrars (25%), Core Trainees (0%), Nursing staff (10%). Post intervention knowledge improved to 100% of the Consultants & Registrars and 90% of Core trainees. Nursing staff were the control arm and their knowledge level remained at 10%. Overall improvement of knowledge post intervention rose from 17.5% to 95% (p < 0.05) Discussion and Conclusion: Adequate dissemination of information from SI’s and Never events is vital so the mistakes are not repeated. Project cascade offers a simple technique which can improve this dissemination. It also allows validation of learning and scope for suggestions from all members of staff. This will be a valuable technique to improve patient safety. http://dx.doi.org/10.1016/j.bjoms.2016.11.183