Skip to main content
  • A Four Year Experience of Challenges Faced During Implementation of Simulation-based Team Training into a Neuro-critical Care Course for Neurosurgeons

    Final Number:

    Ankur Saxena MBBS, FRCS; Stefan Jankowski; Saurabh Sinha

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2016 Annual Meeting

    Introduction: Simulation in critical care training for general surgeons is well established in the UK. Neurosurgery residents are often involved at the point-of-care for critically ill patients in their own specialised environment. They may be the first ‘port-of-call’ for emergencies, yet many receive little training in exposure to joint neuro-critical care or non technical skills. Our challenge was to deliver a two-day national training course for neurosurgical residents with simulation workshops for acute care of the critically ill. It was held at a UK conference centre with no in-situ simulation facilities. The first such course was organized in 2012 and has been successfully run annually since.

    Methods: Using our previous experience of developing a simulation-based induction programme into neuroanaesthesia for anaesthetic trainees we devised workshops to include scenarios commonly encountered on the neuro-critical care unit. Faculty included consultant neurosurgeons, neuroanaesthetists, resuscitation officers and senior neuro-critical care nurses. We aimed to overcome environmental limitations by using a mobile high-fidelity simulator provided by an event sponsor (Sim-Man, Laerdal, Orpington, UK) and ‘mock-ups’ for ventilators and other aspects of the neuro-critical care environment.

    Results: Feedback was obtained from all 100 delegates (25 per year). Of these, 100% rated the simulation-based workshops as either ‘Excellent’ or ‘Good’ on a four-point scale. The need for regular ward-based simulation for both local and international residents in their respective training programs was highlighted. Free-text comments provided further positive feedback.

    Conclusions: It is possible to use mobile simulation-based training in non-clinical locations to realistically highlight the clinical and non-technical skills necessary to the management of critical incidents in the neuro-critical care working environment.

    Patient Care: Create a better training environment and experience for residents.

    Learning Objectives: By the conclusion of this session, participants should be able to: 1) Describe the importance of simulation in neuro critical care 2) Identify local training needs and possible solutions.


We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site. Privacy Policy