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Simulation and VR in clinical education and practice 06 May 2021

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Both days of the BIR's two day event, 'Simulation and VR in clinical education and practice – multidisciplinary perspectives'.

Given the rise in recent years of the interest and the use of simulation and virtual reality in healthcare, the BIR hosted this meeting on the use of simulation and VR for clinical education and training. The event focused on experiences in both radiology and radiotherapy, but looked to involve multidisciplinary perspectives from outside these two main professions, from which to learn and also to share expertise. The event looked to share expertise and best practice for using simulation and VR in medical education and practice; focusing on radiology and radiotherapy, but bringing in perspectives from other healthcare disciplines and beyond for a true cross-fertilisation of ideas.

Educational aims:
  • To disseminate and exchange knowledge and experience with simulation and VR for radiotherapy and radiology
  • To share experience and exchange viewpoints of simulation and VR from different disciplines and thereby cross-fertilize ideas and knowledge exchange
  • To learn from other disciplines for possible implementation within radiology and underlying sciences 
Who should watch?:
  • Radiology: Consultant/Registrar Radiologists/Diagnostic Radiographers
  • Radiotherapy: Consultant/Registrar Clinical Oncologists/Therapeutic Radiographers/Medical Physicists/Dosimetrists/Engineers
  • Other clinical specialties – practitioners in surgery and nursing (e.g. consultant orthopaedic surgeons, nurses, orthoptists etc.)
Speakers:
Ms Sarah-Jane Ketterer
Sarah-Jane Ketterer is a Radiotherapy Lecturer and Simulation Lead for the School of Health Sciences at the University of Liverpool.  She has worked in academia for almost four years, and prior to that had a clinical career within the NHS and private sector.  She has a special interest in the use of simulation for clinical skills training, and is enthusiastic about adding to the evidence base for its wider adoption within the health sciences. In her leisure time, Sarah-Jane enjoys spending time with her family outdoors, learning Italian, anything to do with history and partaking in afternoon tea!

Dr Mike Kirby
Mike has worked in radiotherapy physics since 1988, starting at the Christie Hospital and then Rosemere Cancer Centre, Preston as Principal/Consultant Physicist and Deputy Head of the Radiotherapy Physics Group.  He moved back to the Christie in 2007 as scientific lead and Head of Radiotherapy Physics (Satellite Centres) for developing the Christie Satellites in Oldham and Salford.  He’s served on IPEM, BIR and multidisciplinary committees and co-authored/edited IPEM Reports 92, 93, 94 and ‘On Target’ (2008/2019).  He presently chairs the BIR’s Oncology and Radiotherapy SIG; is a task group member for the APPG-RT; an expert lecturer for the IAEA, supervises on the HSST programme and is a member of IPEM, AAPM, ASTRO, ESTRO and the BIR.  Most recently, he’s co-authored a textbook for RT students and trainees on On-Treatment Verification Imaging/IGRT for CRC Press.  Mike is also a Residentiary Canon (Canon Scientist) at Liverpool Cathedral in the Church of England.

Ms Emma Hyde
Emma is qualified Diagnostic Radiographer who is passionate about patient centred care and student radiographers tranisition to clinical placement. These interests have led her to embrace simulation as a pedagogic approach that supports students transition to placement, and assists them to develop patient centred approaches. 

Ms Naomi Shiner
Naomi qualified in 2000 specialising in Reporting Radiography in 2003 and continues to support the NHS in this role to this present day. Starting her academic career in Robert Gordon University in Aberdeen, Naomi now worksat the University of Derby. Naomi is responsible for several modules and id the simulation lead for the discipline area. In this role Naomi supports staff to use this pedagogical approach, developing a variety of simulation activities for integration into the curriculum. As a doctoral student Naomi is applying this knowledge to develop simulations supporting students to transition from academia to clinical practice.  Naomi has a number of publications focused on simulation-based education in Radiography and is open to collaborative work.

Dr Lisa Taylor
Dr Lisa Taylor is an Associate Professor in the School of Health Sciences at the University of East Anglia, Norwich. Lisa is also Associate Dean for Employability for the Faculty of Medicine and Health, and is passionate about employability. Lisa has developed innovative and widely adopted employability initiatives in her employability role. Lisa has published her employability work, presented at several employability conferences and has edited a book - “How to Develop your Healthcare Career – a guide to employability and professional development”. Lisa led the development of the Peer Enhanced e-Placement (PEEP).

Dr Maulik Gandhi
Mr Maulik J Gandhi (Mal) is a consultant orthopaedic surgeon at Bradford Teaching Hospitals NHS Foundation Trust. He also is the Technical Skills Lab lead at the Trust. He completed his MBChB (Hons) and BSc (Hons) from the University of Manchester. Alongside clinical practice, he has completed a Masters (MPhil) degree from the University of Salford using a novel low fidelity simulator he designed for key hole surgery. He is one of the first NHS Clinical Entrepreneurs (NHS England) and is one of the directors at MAVRIC (Medical and Augmented Virtual Reality Innovative Coaching). Mal’s passion is to merge clinical practice, innovation and simulation training. He enjoys spreading his ideas on the stages of technical skills training and has been invited to present at national and international forums on this. He challenges people to think about what is possible, and would love to see a low fidelity simulator in everyone’s home. Mal has a keen research interest and has published in the fields of simulation and orthopaedics and been a reviewer for well-known orthopaedic journals including the “Journal of Bone and Joint Surgery” and “Shoulder & Elbow” amongst others. He is very approachable and loves discussing projects which may benefit patients, trainees and trainers alike.

Dr David Newsham
David first worked as a clinician following qualification in 1991, first as a Senior II Orthoptist, then later as Senior I at St Helens and Knowsley Hospitals NHS Trust. Following this he took up the position of Lecturer in Orthoptics at the University of Liverpool in 1995 before being promoted to Senior Lecturer in 2012 and is currently Head of Orthoptics, since 2014. His clinical research interests are amblyopia, intractable diplopia, suppression, adherence to treatment and quantitative oculomotor control and educational research interests are in the development of VR to aid clinical competence. David has presented and published on these topics in a variety of international journals and conferences. He served as Editor of the British and Irish Orthoptic Journal between 2012 and 2016, acts as a peer reviewer for a number of international ophthalmic journals/reviewer for external grant funding bodies and currently sits on the Editorial Board of the Center for Ophthalmic Educators of the International Council of Ophthalmology. Also, outside the university he is a Partner of the HCPC in the roles of both HCPC Visitor and Panel Member for Fitness to Practice and is the lead for Education and Research for the International Orthoptic Association where he represents the UK and Ireland.

Professor Mo Hamady
Professor of practice in Interventional Radiology and Image Guided Surgery at Imperial College-London. Research interests include aortic stent grafting and advanced embolisation techniques, robotic endovascular intervention and navigation, and virtual reality simulation training of endovascular skills. He has over 170 papers in peer-reviewed journals and 12 book chapters. He has given over 70 talks and keynote lectures in national and international scientific meetings in the last 5 years. Prof. Hamady has done the world-first robotic endovascular aortic intervention in 2008 and the world-first robotic fibroid embolisation in 2012 and UK first robotic prostate artery embolisation in 2017. He served several prominent roles in scientific and education committees of national and international learned societies, including British Society of Interventional Radiology, Cardiovascular and Interventional Radiological Society of Europe and Pan Arab Interventional Radiological Society.

Mr Brian McNeill
Brian McNeill is a Senior Lecturer in Policing at Edge Hill University and was previously the Head of the Continuous Professional Development (CPD) Department within the Liverpool Centre for Advanced Policing Studies at Liverpool John Moores University. He retired from Merseyside Police in 2011 after 30 years service. His last position with that force was Detective Chief Superintendent - Head of Crime, prior to which he was Director of Intelligence, Head of Special Branch and Scientific Support. As an accredited Senior Investigating Officer he had responsibility for leading reactive and proactive investigations into all levels of homicide including Category A+ Murders, Counter Terrorism, corruption and covert operations into serious and organised crime. Since retirement, he has performed the role as Staff Officer to the National Policing Crime Business Area, which involved the oversight, coordination and support of 12 Portfolios and 119 National Working Groups with responsibility for national and strategic level issues around policy, guidance and training. More recently, he has been a member of the NPCC National Coordination Team for all police forces in relation to the Public Inquiry into Undercover Policing. Brian has been commended on 22 occasions and was awarded the Queens Police Medal in the New Year Honours List in 2011 for 30 years distinguished police service.

Mr Samuel Pullan
My name is Sam Pullan and I am the module leader for the Public Health module in our Bachelor of Nursing Degree. I also work with Vicky to coordinate and organise our simulation experiences at the University of Liverpool. As well as working as a lecturer, I also continue to practice as a staff nurse in a local Accident and Emergency Department. I love both of my jobs, and I feel lucky as each job helps my practice in the other. Working as a staff nurse in A&E gives me real credibility with my students. I am the member of the team doing the job they are aspiring to do, and I will often be able to talk through a concept of nursing, using real world examples of how it has helped me care for my patients. My research interest is primarily in simulation, public health and health policy, and major incidents. Due to my clinical relevance I will often be found teaching simulation, clinical skills sessions, and preparatory tutorials for our third-year nurses on ‘real nursing life’. Working in both A&E and University of Liverpool has taught me the great impact and ease that can be found from working interprofessionally. I look forward to hearing what other professions have been using simulation techniques for and their effectiveness in health education.

Ms Vicky Garner
I am a registered nurse with more than 35 years’ experience in nursing. I am currently a lecturer in undergraduate nursing at the University of Liverpool focusing on clinical skills training. I also teach on the post graduate MSc Nursing programme. My additional roles include student support in both the University and whilst the students are on practice placement and the facilitation of clinical skills development through simulation throughout the undergraduate curriculum. My background is in Accident and Emergency nursing which I am still passionate about. I held various posts in A&E departments including senior sister, team leader and clinical educator. I have for the last 12 years focused on education in the University settings.

Dr Pete Bridge
Pete is currently a senior lecturer in Radiotherapy at the University of Liverpool where he teaches radiotherapy planning, physics and research skills. Prior to this, he worked as a senior lecturer and undergraduate course coordinator at Queensland University of Technology in Brisbane, Australia. Pete’s research interests lie in innovative radiotherapy education and particularly the use of simulation. He conducted the first evaluation of a virtual linear accelerator educational resource prior to its commercialisation as VERT (Virtual Environment for Radiotherapy Training) and has led several funded projects related to use of simulation as partial replacement for clinical placements. He has published on a wide range of educational innovations ranging from VR applications to engaging patients to provide student feedback. He co-authored the “CT Anatomy for Radiotherapy” textbook and currently delivers training on MR Anatomy for Radiotherapy. Pete’s PhD concerned the use of 3D immersive visualisation for radiotherapy structure outlining and he has just completed supervision of another project investigating use of 3D VR for IGRT image fusion. Despite this he maintains that he is not a geek. In his spare time he enjoys mountains, mud and good beer.

6 CPD credits
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Duration:316 mins