Traditional Poster Round
Context: : In recent years simulation-based education (SBE) has been embraced by Allied Healthcare professionals (AHPs) in parts of the U.K and Australia, as an effective means of enhancing the clinical skills of physiotherapists (1), (2). In London, simulation networks have identified an ongoing need to provide greater SBE opportunities for AHPs. Furthermore, there are currently no simulation courses catering for paediatric physiotherapists within our region. Using International peer-review with the Lady Cilento Hospital Brisbane and in collaboration with the Royal Brompton Hospital, a cardiorespiratory physiotherapy course was developed. This was aimed at paediatric physiotherapists working within the acute setting.
Description: : The one-day course mapped the successful Australian model of Simulated Learning in Paediatric Allied Healthcare (SLiPAH) to UK working practices. The course aimed to provide an overview of current issues in acute paediatric physiotherapy care, utlising simulatied patient scenarios to enhance the clinical skills required to manage patients with acute cardiorespiratory compromise. Technical aspects of acute care were layered with cases requiring clinical reasoning. Pause discuss and immersive scenarios were blended with focused lectures and innovative manikin verbal responses were utilised. The course ran twice at Great Ormond Street Hospital, reaching 23 physiotherapy candidates from Healthcare trusts across London.
Observation/Evaluation: : Qualitative data was collected via formal candidate evaluation, demonstrating the following:
• 100% of candidates agreed that the course increased their confidence in managing the paediatric patient with acute cardiorespiratory compromise
• 100% of candidates found the day useful in providing an overview of current issues in paediatric cardiorespiratory physiotherapy care
The following themes emerged from the feedback:
• Confidence in clinical reasoning
• Enhancing technical skills
• Familiarisation with current practices
• Updating knowledge
Discussion: : A simulated learning course model proved an effective vehicle for enhancing the confidence in practice of Paediatric Physiotherapists. This collaborative approach to course facilitation promoted a culture of shared expertise and experience amongst candidates and facilitators, encouraging fruitful discussion around best practices in acute paediatric physiotherapy.
Mapping the local need, two separate courses have subsequently been developed: ICU/High dependency and DGH/Community; accommodating candidates from both acute and community settings. Widening the scope of the course to reach an interprofessional delegate group is planned, aiming to enrich the communication elements of the curriculum. The collaborative model of facilitation is proposed for other regional Allied Health courses, supporting shared expertise across London clinical education networks.