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Trainee information

IMT1 boot camp information for trainees

 

Welcome to IMT and I look forward to meeting you at the IMT boot camp.

 

The boot camp was an exciting new addition to physician training in Scotland in 2019.  Once again, we will be bringing together trainees and faculty from all regions for three days of intensive education hosted by the Scottish Centre for Simulation based at Forth Valley Royal Hospital (FVRH) in Larbert.

 

The information here is important, please read it carefully.

 

Allocations

All trainees should already be allocated to a boot camp by their TPD.  If you do not know which boot camp you have been allocated to, please get in touch with your TPD as soon as possible.  These allocations have been done with care to avoid disproportionate impact on any service or hospital so please do not swap amongst yourselves.  Swaps will only be considered in exceptional circumstances; please get in touch with your TPD as soon as possible if you are no longer able to attend your allocated boot camp.  Please also check that your local rota co-ordinator is aware of your allocated boot camp dates and again please contact your TPD as soon as possible if you are encountering problems.

Approximately four weeks before your allocated boot camp you will receive an email containing a link to the essential pre-course questionnaire.  Completion of the questionnaire confirms your place on the allocated boot camp, so please complete it as early as possible.  It should take less than ten minutes and you will not be able to attend boot camp unless it has been completed and submitted two weeks beforehand.  If you do not receive the email within a fortnight of your allocated boot camp, please check your spam messages and then contact me directly.

 

Arrangements

To take full advantage of the social opportunities and reduce travel fatigue, we would like to encourage all trainees to be residential in Larbert for the duration of the boot camp. However, it is not mandatory to stay overnight.  Travel and accommodation needs to be booked individually by trainees in accordance with Scottish Government guidelines relating to the COVID-19 pandemic and will be reimbursed (please keep all receipts) as per the NES study leave travel, accommodation and subsistence rates.  Please ensure that you clearly state the words ‘IMT1 boot camp’ when making your study leave requests and expenses claims.

Please see this link for hotels near to Forth Valley Royal Hospital.  

Please note that the funding for all aspects of the boot camp (including travel, accommodation and subsistence) is in addition to your usual study leave budget and will not impact on other claims over the course of IMT. 

 

Timetable

All trainees are required to be at the Scottish Centre for Simulation at FVRH by 8.30 am on the first day of the boot camp.  

Directions to the Scottish Centre for Simulation Centre

Monday will run from 8.30 am until 6.00 pm and Tuesday and Wednesday will run from 8.30 am to 4.00 pm.  All trainees are required to be present for the full course and late attendees will be excluded; trainees living more than a short drive from Larbert may therefore wish to consider staying locally on Sunday night.  

Further timetable information.  

You will not be seeing (real) patients during the boot camp so please feel free to dress casually.

 

Pre-course preparation

The boot camp will consist of three main strands: immersive simulation covering emergency presentations; workshops on a variety of challenging communication scenarios; and mastery learning of procedural skills.  The following 7-minute video on non-technical skills has been produced by two of the faculty to allow you to get the best possible learning from the immersive simulation scenarios that you will experience at boot camp, so please take the time to watch it beforehand:

https://vimeo.com/571792572 (with thanks to Emma Phillips and Ailsa Hamilton)
The procedural skills aspects of the course give trainees the opportunity to be signed off as ‘ready for directly supervised workplace practice’ in lumbar puncture, ascitic procedures and pleural procedures.  This will fulfil the requirements for IM year 1 in relation to many of the procedures listed in the Curriculum for Internal Medicine Stage 1 Training.
However, this standard will only be reached if significant pre-course study is undertaken. This work is required even by trainees who already feel confident in these procedures, to ensure that a common standard is attained in IMT.  If faculty feel that a trainee has not engaged with the pre-course learning, or does not meet the required standard during boot camp, they will not be signed off as competent to proceed with supervised practice on patients and will have to find an alternative method of training in that skill.

The required pre-course work is all hosted on the NHS Lothian Mastery Skills website found at   https://www.med.scot.nhs.uk/simulation/the-mastery-programme and my thanks goes to James Tiernan and the Lothian team for facilitating open access to these high quality resources.

Essential pre-course preparation includes:

  • View the ‘Scrubbing and Gowning Up’ video (3.5 minutes) as many times as required to feel completely competent to perform this key step;
  • Read the lumbar puncture (LP) reading pack (approx. 1 hour);
  • View the LP exemplar video (20 minutes);
  • View the LP learner mastery session video (50 minutes);
  • Read the intercostal chest drain (ICD - guidewire) reading pack (approx. 1 hour);
  • View the ICD (guidewire) exemplar video (25 minutes);
  • View the ICD (guidewire) learner mastery session video (55 minutes);
  • Read the diagnostic ascitic aspiration reading pack (approx. 30 minutes);
  • View the diagnostic ascitic aspiration exemplar video (7 mins);
  • Read the abdominal paracentesis reading pack (approx. 30 minutes);
  • View the paracentesis exemplar video (12 mins).

As you can see, the total time required for this work is significant; for each procedure there is approximately 2.5 hours of preparatory work.  Please note that for LP and ICD, there are two types of video:

1)  Exemplar performance

2)  Learner session - trainee performs/receives feedback/performs again

You must watch the 'exemplar videos' for ALL skills.  You must also watch a 'learner session' for at least once of these skills, as it will help prepare you for the learning process you will experience during IMT boot camp mastery skills sessions.  

Faculty will only have 40 minutes per trainee, during which the required standard must be demonstrated.  It is very obvious, very quickly, if trainees have not engaged with the pre-course learning and in that situation a trainee will unfortunately forfeit the opportunity to meet these curriculum requirements at the boot camp.  

I hope this information is useful.  Further tips from one of the trainees who attended boot camp last year is included here.  I am excited about the opportunities that boot camp presents and I am very much looking forward to meeting you all.  If you have questions about any aspect of the boot camp, please do not hesitate to get in touch.

 

Vicky Tallentire

Vicky.Tallentire@ed.ac.uk

APGD for IMT simulation

 

This page was last updated on: 04.08.2021 at 10.17


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