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Paediatric Simulation and Paediatric Trauma

A1.1 Simulation Training for Paediatrics

Dr Bill HB Chan
Deputizing Centre in Charge,
ChildSim, Hong Kong Children’s Hospital

Dr Bill HB Chan works currently as the part time Consultant Paediatrician in Hong Kong Children’s Hospital (HKCH) after his retirement in 2018. He is the Chairman of the Simulation Training Committee and Deputizing Centre in Charge of the Simulation Training Centre (“ChildSim” for short).

He brought Neonatal Resuscitation Program (NRP) to Hong Kong in 2012, which is the only place to date outside the US where the NRP Provider and Instructor Card could be issued. NRP is a mandatory training program for the trainees of the Hong Kong College of Paediatricians (HKCPaed) and the PRCC (NICU) of the Hospital Authority. He also brought the other four mandatory simulation training programs of the HKCPaed under one roof in the ChildSim of the Hong Kong Children’s Hospital, namely PALS, Safe Sedation for Children, Child Protection and Paediatric Palliative Care.

Dr Chan pioneered Live Webcasting in 2009 in United Christian Hospital with “YouSee Channel” streaming within HA Intranet. The same technology was introduced in HKCH as Live ChildSim Talks since April 2019. Broadcasting through Zoom also, ChildSim Talks is now becoming a very popular online learning platform among Paediatricians for CME and paediatric nurses, with an audience between 300 and 400 for each talk. On demand ChildSim Talks are also on ChildSim HKCH YouTube Channel with more than 360 subscribers.

With COVID-19, Dr Chan is working to turn most of the Simulation Training Courses into blended learning, mixing online learning with face to face scenario simulation and debriefing. He is a strong advocate of in-situ simulation training, just in time learning and real event debriefing as workplace continuing learning tools for healthcare professionals.

Since May this year, Dr Chan also started to work as the Part Time IT Consultant in the Hong Kong Baptist Hospital.

As an Accredited Mediator (General), Dr Chan enjoys sharing the skills in conflict resolution, active listening and option creation during the simulation training.

Simulation Training in Paediatrics began in 2012 when the Neonatal Resuscitation Program (NRP) was introduced in Hong Kong with the blessings from the American Academy of Pediatrics and with the assistance of AETC of Tang Shiu Kin Hospital.

Almost all of the simulation training programs are now run in ChildSim, the Simulation Training Centre of Hong Kong Children’s Hospital since its opening in August 2018.

There were five mandatory simulation training programs which the trainees of paediatrics must complete before they could join the higher training or exit to become a paediatric specialist. They are (1) NRP (Neonatal Resuscitation Program), (2) PALS (Pediatric Advanced Life Support), (3) Safe Sedation for Children, (4) Child Protection and (5) Paediatric Palliative Care. NRP and PALS are pre-requisites for HA PRCC courses in NICU and PICU.

Paediatrics-related simulation training courses are also run in ChildSim, such as the PAInT (Paediatric Airway Intervention and Tracheostomy) and Basic Paediatric Surgery Simulation Training.

The social disturbances in 2019 and later the COVID-19 pandemic made the organization of simulation training challenging. Some scheduled courses were cancelled. Instructor courses with overseas faculties needed to be postponed. Ad hoc training in handling of suspected or confirmed COVID-19 patients were held. More multimedia training formats were introduced, such as live-webcasting, on-line video lectures, on-demand lectures on YouTube, and “just-in-time” learning accessed by QR Code short videos at the point of action. The ChildSim Talks live webcasted through HA Intranet and Zoomed for Paediatric healthcare workers all over Hong Kong were especially popular, as CME could be obtained.

We anticipate more on-line elements in our simulation training with the “New Normal” brought about by COVID-19 with more pre-Course video lectures, short videos illustrations, e-Sims scenarios and “Just-in-time” knowledge at the point of action. These will be blended with interactive face to face discussions, reality checks, simulated scenarios and in-depth debriefing. Video-assisted “debriefing the debriefers” would enhance the quality of simulation training.

In-situ simulation would become more and more in need and real event debriefing would become routines when learners of simulation training share their learning experience in their workplace.

I believe medical students could benefit from the simulation training facilities and expertise in ChildSim, now that their clinical exposure in the wards are diminished.

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