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IMT2 skills day information for trainees

 

Welcome to IMT2 and I look forward to seeing you again at the IMT skills day. Following the success of boot camp last year, the IMT skills day is designed to focus on a series of complex treatments and procedures listed in the Curriculum for Internal Medicine Stage 1 Training.  It is also designed to provide revision sessions for the procedures covered at boot camp, in case you have not managed to have as much clinical exposure to them as you had hoped.

 

The information here is important, please read it carefully.

 

Allocations

All trainees should already be allocated to a skills day by their TPD.  If you do not know which skills day 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 skills day.  Please also check that your local rota co-ordinator is aware of your allocated skills day date and again, please contact your TPD as soon as possible if you are encountering problems.

 

Arrangements

IMT2 skills day will be held in two separate locations: Glasgow for West and South East trainees and Aberdeen for North and East trainees.  This arrangement means it is unlikely trainees will need to stay overnight at either venue, but if you feel this is required, please contact me directly to discuss the situation.  Travel 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 rates.  Please ensure that you clearly state the words ‘IMT2 skills day’ when making your study leave requests and expenses claims.

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

 

Venues

The IMT2 skills day for West and South East trainees will be hosted by the Royal College of Physicians and Surgeons of Glasgow.  Directions to RCPSG can be found here.

The IMT2 skills day for North and East trainees will be hosted by the Suttie Centre at the University of Aberdeen.  Directions to the Suttie Centre can be found here. Please note that this is a different venue to last year.

Both venues will be following the same timetable, available here.  The day will start at 9am and finish at 5pm. All trainees are required to be present for the full day and late attendees will be excluded. You will not be seeing (real) patients during the skills day, so please feel free to dress casually.

Each venue has their own guidelines in relation to social distancing and other COVID-19 related precautions.  Please expect to be wearing a mask for most of the day.  Further guidance will follow directly from RCPSG and Aberdeen Royal Infirmary.

 

Pre-course preparation

Central line: The skills day gives trainees the opportunity to be signed off as ‘ready for directly supervised workplace practice’ in central line insertion.  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 this procedure, 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 the skills day, 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.

Chest drain: At skills day, all trainees will be able to re-visit the skill of chest drain insertion in a formal, assessed fashion.  Both central line and chest drain insertion will be performed with the expectation of full asepsis, as covered at boot camp. Please take the time to refresh scrubbing and gowning up, along with the chest drain mastery resources, using the link to the Lothian mastery website below. 

Other procedures: There will also be the opportunity to refresh technique for ascitic procedures and lumbar punctures, for trainees who did not quite meet the required standard at boot camp or who would like to repeat the process due to a lack of workplace opportunities to consolidate the skills.  There is unlikely to be time for each trainee to re-visit all of the three 'revision' skills (ascitic procedures, lumbar puncture and NG insertion), so trainees are advised to (i) select the procedure that they feel least confident performing, (ii) take time to engage with the online learning materials relating to that procedure and (iii) request to perform that particular procedure during the 'procedural skills revision' session.

Most of the required pre-course work is 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:

  • Read the central venous catheter (CVC) insertion reading pack (approx. 1 hour);
  • View the CVC insertion exemplar video (20 minutes);
  • View the ICD (guidewire) exemplar video (25 minutes);
  • View the ICD (guidewire) learner session (55 minutes);
  • Read the intercostal chest drain (ICD - guidewire) reading pack (updated since boot camp last year; approx. 1 hour);
  • Watch the VanPOCUS ultrasound guided venous access videos for peripheral IV access (16 mins) and central venous access (9 mins) available at https://litfl.com/ultrasound-library/ultrasound-procedures/;
  • Introductory presentation on Basic Ultrasound and Vascular Access (15 mins) available at https://youtu.be/1-08G9zeabw (with thanks to Peter Davies).

 

Other optional pre-course preparation includes:

  • View NG insertion video (3 mins) available at https://www.youtube.com/watch?v=WZvIw0SnYrE;
  • Read about confirmation of NG tube placement and potential complications at https://litfl.com/nasogastric-and-orogastric-tubes/;
  • Read the lumbar puncture (LP) reading pack (approx. 1 hour);
  • View the LP exemplar video (20 minutes);
  • View the LP learner session video (50 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).

For assessment of central line and chest drain insertion, 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 this curriculum requirement at the skills day.

I hope this information is useful.  I am excited about the opportunities that IMT2 skills day presents, and I am very much looking forward to seeing you all again.  If you have questions about any aspect of the day, 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 10.14


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