A little while ago on News Medical, Catherine Stoddart MBA, MSc, Chief Nurse Oxford University Hospitals NHS Trust provided an interview regarding the use of role play simulation in her healthcare education program. Here are some excerpts from the article by James White, MPsych:
Do you think it would be worth like having refresher training for senior staff so they don’t become biased?
Yes, I do. I think one of the really hard things that happens particularly around patient experience is that people may have really good clinical care and the last thing they remember about their visit, is the fact that their discharge drugs arrived on time or a staff member was rude about arranging transport etc.
It’s a bit like going to Italy and then your plane’s late on the way home, and the last thing you remember is that you arrived three hours late and got an extra parking ticket, which spoilt the whole experience.
I think there’s something around how you show that to people, in a way that is good for senior staff, because we get used to some unfortunate facts, like we may say, “Oh sorry. You are ready to go home but it will take four hours for you to get discharge forms.” We get used to these difficulties and normalize them. But in actual fact it’s not acceptable because that’s what they’ll remember.
What type of training would you like to see taught to the next generation of healthcare within NHS? What would you like see implemented within the NHS?
We’re going to need simulation for technical skills for all disciplines along with covering the spectrum of high fidelity and then scenarios that are integrated education early on in their careers.
If I use an example again from Australia, the first year of undergraduate education in every discipline at one of the universities is taught together, 14 disciplines. You build inter-disciplinary trust and understanding for the basic education and skills of others.
The 14 professions will include medicine from this year. They have their professional subject matter, but subjects like communication, philosophy, quality and all those types of values are taught together.
We currently have a weird phenomenon where kids that are integrated in secondary schools are subdivided by discipline or profession at university and then brought back together in a working environment, and expected to form a cohesive group.
I would like to see us exploring that idea and you use simulation and team based learning. That brings a fundamental trust straight off because you understand other disciplines’ educational perspective. I’d love to see that within the NHS.