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Simulation Programme

The College launched the CAST (College of Anaesthesiologists Simulation Training) Programme in 2010, when a handful of optional simulation courses was delivered to a group of anaesthesiologists with an interest in the proposed method of experiential learning. Since then the programme has expanded, both in terms of the range and number of courses offered. Every year more than 30 simulation courses are offered to trainees on the Specialist Anaesthesiology Training (SAT) programme.  A range of courses are also delivered annually to consultant anaesthesiologists. These courses present doctors with an opportunity to refresh their knowledge and practise their technical and non-technical skills in a completely safe learning environment. A network of consultant anaesthesiologists, fellows, nurses and college administrators contribute to the success of the programme. Our courses are delivered by expert clinicians with both general and sub-specialty interests who have all completed The Train the Trainer Simulation Facilitator course. In 2018, the new Critical Care Simulation Suite was launched, offering learners enhanced training facilities with two simulation bays. This new facility provides many opportunities for anaesthesiology simulation training as well as the prospect of future collaborative projects with other specialties and disciplines.

Check out our list of UPCOMING EVENTS (link).

Welcome from the President

As College President I am very pleased to welcome you to the new CAST webpage

Medicine has become a fast changing highly complex technologically driven speciality. Healthcare is now delivered to individual patients by multiple specialities working together as a team. Never has the value of technical skills, communication, teamwork, decision making and task allocation been more important than in this highly complex, dynamic arena.

History

The College of Anaesthesiologists (CAI) were early adopters of simulation-based training and were the first Irish Postgraduate Medical Training Body to incorporate mandatory simulation into their training programme. The simulation centre was opened in 2010 and further expanded in 2018. The role of simulation is now firmly embedded in the SAT training programme. Each trainee undertakes up to two mandatory training courses per year. These include single-speciality courses for anaesthesiologists only dealing with common and rare adult emergencies, paediatric anaesthesiology emergencies, obstetric anaesthesiology crisis and critical care, as well as multi-speciality courses for anaesthesiology, surgical and emergency medicine trainees. The simulation centre supports many external events and in addition provides a range of courses for consultants, CPD SS doctors and international fellows including an annual train the trainers’ day.

Trainees benefits

The importance of the teamwork is central to the modern healthcare. The simulation laboratory provides an immersive learning environment that not only allows trainees to learn technical skills but in addition, the ability to acquire critical non-technical skills. Simulation provides a safe learning environment in which trainees can manage rare and complex emergencies. The post simulation debrief provides for constructive feedback of team performance. The introduction of CAI Simulation Fellowships has allowed Fellows not only to play a key role in the delivery and evaluation of CAST but also develop specific skills in relation to simulation and feedback. The success of this programme is manifest in the number of presentation and publications that have emerged from the simulation fellow programme during the lifetime of CAST.

Recent developments

Additional CAI investment in the simulation facility occurred in October 2018 with the opening of the Critical Care Simulation Suite. This facility not only allows for complex high fidelity critical care simulation but in addition has a SimMom which allows for the simulation of obstetric emergencies. The same facility can also can be used for both Emergency department and Paediatric simulated scenarios.

Future

Simulation continues to play a central role in the SAT training programme. The CAI will continue to support CAST and invest in simulation training for the benefit of our trainees and consultants. My ambition is that through CAST, the CAI will continue to play a national leadership role and will remain at the forefront of simulation training both in Ireland and overseas.

Welcome from Professor Crina Burlacu

 

 ‘When I started my career as an anaesthesiologist close to 30 years ago, I never quite anticipated today’s astonishing technological progress in healthcare. The extraordinary access to medical knowledge and bewildering instant connectivity continues to amaze me every day.  Training young healthcare professionals has tremendously changed from a traditional apprenticeship model to technology-enhanced training and simulation-based education. The overload of healthcare information and consumer choices has led to increased patient demands and less tolerance to errors which, despite technological advancements, still occur. Simulation allows doctors to improve their skills and knowledge, compensate for decreased doctor-patient contact time, understand better the role of human factors and create safer clinical systems. I am thrilled to have contributed to the development of simulation-based medical education in the speciality of anaesthesiology in Ireland’.

Biography

Associate Professor Crina Burlacu, MD (UCD), MSc  (NUI), FCARCSI, EDAIC, Dipl in Manag is a Consultant Anaesthesiologist with the National Cancer Screening Service, St. Columcille’s and St. Vincent’s University Hospitals Dublin and Associate Clinical Professor with the Division of Surgery and Surgical Specialties, University College Dublin. Her central academic interest is simulation-based medical education and its role in training healthcare professionals and improving patient safety. After completing her anaesthesiology training and working in three different healthcare systems in her native Romania as well as in Ireland and United Kingdom, Dr. Burlacu further pursued her longstanding interest in medical education by undergoing a specialised Simulation Fellowship in London in 2007. Dr Burlacu returned to Ireland in 2008 and took up the role of Director of Simulation Training at the College of Anaesthesiologists of Ireland (CAI). In this role she has introduced and advanced what will become an award-winning College of Anaesthesiologists Simulation Training (CAST) programme. CAST now encompasses several mandatory general and sub-speciality simulation courses for specialist anaesthesia trainees as well as multi-disciplinary multi-speciality collaborative courses with other academic and healthcare institutions. As well as teaching regularly in the simulation laboratory both in the CAI and St. Vincent’s University Hospital, Dr. Burlacu is also directing a successful annual Train the Trainer Course as well as supervising a number of popular Simulation Fellowships. She has gained national and international recognition as an expert in the field and is Founder and first Chairperson of the Irish Association for Simulation.

Professor Crina Burlacu

Director of Simulation

Karl Perocillo

Simulation and Clinical Skills Manager

Deirdre Flynn

Simulation Nurse Assistant

Rachael Kilcoyne

Administrator Training Department

Dr Michael Ma 

Advanced Airway and Simulation Fellow

Dr Osmond Morris

Advanced Airway and Simulation Fellow

Dr Ruth Boylan 

SAT 6/ Modular Year in Simulation

2019 Finalist Irish Healthcare Awards for Rapid Sequence Induction – An Anaesthesiology Bootcamp, the Initial Irish Experience

2017 Finalist Irish Education Award for ‘The College of Anaesthetists Simulation Training Programme – Activity and Quality Report 2010 – 2016’

2016 Commendation Best Education Project Category at the Irish HealthCare Awards 2016 for ‘The College of Anaesthetists Simulation Training Programme – A Quality Report 2010-2016’

Pictured at the Irish Healthcare Awards 2016 held in the Shelbourne Hotel, Dublin on November 10th, were, (l-r) representing the College of Anaesthetists of Ireland, commended for Best Patient Project, Dr Kevin Carson; Louise Kelly; Emmet Gilhooley, Enterprise Account Manager, Clanwilliam and Dr Crina Burlacu. Picture: Brendan Lyon/ImageBureau

2016  Winner Irish Medical and Surgical Trade Association (IMSTA) – Best Education and Training User Programme Award for The College of Anaesthetists Simulation Training Programme

IMSTA Awards at Croke Park 6th Oct: Crima Burlacu and Louise Kelly from the College of Anaesthetists accept the award for Educational/ Training User Programme Award from Justin Carty CEO IMSTA and Mary Jacob Dean of Faculty of Nursing and Midwifery

2012, SESAM, Stavanger, Norway. Simulated cardio-respiratory monitoring station at a postgraduate anaesthesia examination Winner of the Scientific Poster Competition. Jane Bruton, Ruth Flaherty, Deirdre McCoy, Crina Burlacu.

Winning poster Stavanger 2012 Jane Bruton

Our Simulation Centre has two simulation suites, one is located in the basement and the other one is located in the third floor of the Mews Building. Both suites are equipped with control rooms, viewing/debrief rooms and also have advanced multimedia capabilities.

The Operating Theatre Simulation Suite, equipped with wireless or cabled SimMan, is designed to reproduce features and functions similar to a real operating theatre.

The Critical Care Simulation Suite offers doctors an enhanced training experience with two simulation bays.  There is an Intensive Care Bay, which is equipped with a modern wireless SimMan linked to a lung simulator, an ICU ventilator as well as monitors and infusion pumps. Next to this is an Obstetric Ward Bay equipped with SimMom – a human size birth simulator, which is capable of demonstrating both a normal or complicated baby delivery.  The Obstetric bay can also be used as an Emergency Department and a Paediatric Ward where we have both SimBaby and SimJunior available.

These facilities allow for the development of both individual and team skills through a wide range of scenarios.

The simulation facilities also have various part task trainers such as Spinal/Epidural simulator, Airway Management Heads and Front of Neck Access task trainers.

Operating Theatre Simulation Suite, as pictured at the opening in 2010.


Critical Care Simulation Suite, as pictured at the opening in 2018.


Critical Care Simulation Suite – view from the Control Room

Since launching in 2010, the Simulation Centre has expanded its programme in terms of both the range and numbers of courses offered.  We host simulation courses for doctors on the Specialist Anaesthesiology Training (SAT) programme and International Fellows. Any available places on these courses are also offered to NCHD’s registered for the CPD support scheme.

AE (Anaesthesiology Emergencies)

Course Lead for SAT Trainees: Dr Miriam Langdon, FCARCSI, MB, BSc, Consultant Anaesthesiologist, National Orthopaedic Hospital Cappagh Ireland

Biography:

Miriam started simulation teaching and training in Beaumont Hospital in 2004 and was delighted to see the discipline expand substantially in the CAI Simulation Centre.  Miriam says that acting as lead faculty for the AE course keeps her clinically up to date and gives her the opportunity to learn from the participants every time. She feels simulation has been a great contributor to the development of her anaesthesiology career.

Course Lead for CPDSS: Dr Ruth Vaughan, MB BCh BAO, MCAI, FCAI, PGDip Medical Education

Biography:

Ruth Vaughan graduated from National University of Ireland, Galway in 2011. In 2015 Ruth completed a Post Graduate Diploma in Medical Education through NUIG. She went on to complete a fellowship in Simulation training in the College of Anaesthesiology in 2018. Having had first hand experience as a participant in simulations throughout her anaesthesiology training, Ruth is a firm believer in the benefit of simulation.

Course Content:
This course is often the first experience of simulation-based training that the candidates have. It focuses on intraoperative emergencies. It offers trainees the opportunity to practice managing potentially life-threatening scenarios in a safe setting, and introduces trainees to the concepts of crisis resource management.

ARREST (Anaesthesiology Related Rare Emergencies Simulation Training)

Course Lead for SAT Trainees: Dr Birgitt Straub, Consultant Anaesthesiologist
Course Lead for CPD-SS: Dr Aine Cafferkey,  MB BCh, BAO, MSc Healthcare Ethics and Law, Diploma Healthcare Simulation and Patient Safety, Certificate in Healthcare Management Practice, Consultant Anaesthesiologist, St. James’s Hospital

Course Content:
This course focuses on rare, but clinically significant anaesthesiology-related emergencies. It offers trainees the opportunity to practice managing potentially life-threatening scenarios in a safe setting. It allows trainees to refresh their knowledge on clinical guidelines for anaesthesiology emergencies, and to explore the importance of non-technical skills in emergency situations.

PAE (Paediatric Anaesthesiology Emergencies)

Course Lead: Dr Sinead Harte, Consultant Anaesthesiologist

Course Content:
This course focuses on management of complications in paediatric anaesthesiology. It covers both common critical incidents in the paediatric population, and some more rare, but life-threatening events. Many of the scenarios covered are all based on real-life cases encountered by consultants during their careers. Trainees may not yet have rotated through a paediatric hospital, so this course allows them to practice managing emergencies in this uniquely challenging patient population, in a low-risk environment.

SICC (Simulation in Intensive and Critical Care)

Course Lead: Dr Donal Ryan, Consultant Anaesthesiologist

Course Content:
This course focuses on care of the critically unwell adult patient. It simulates common emergency medical scenarios that anaesthesiology trainees will be expected to manage in the course of their critical care rotations.

COAST (Crisis in Obstetric  Anaesthesiology Simulation Training)

Course Lead: Dr. Niamh Hayes, MB BAO BCH BMedSci, FCARCSI, DIBICMMSc Anaes, MSc Human Factors

Course Content:
This course simulates obstetric emergencies, both those caused by anesthesiology and those caused by pregnancy, but often involving the anaesthetic team in their management. It highlights the potential pitfalls of managing an obstetric patient, as well as providing an opportunity for trainees to practice high-stake cases in a low-risk environment.

MASCOT ONE (Multidisciplinary Anaesthesiology and Surgery Crisis Operation Training ONE)

Course Lead: Dr Jennifer Porter MB, FCARCSI, MD 

Biography:

Jenny Porter is a Consultant Anaesthetist in St James’s Hospital and a Senior Clinical Lecturer at Trinity College Dublin with interests in ultrasound – guided anaesthesiology, simulation, the development of anaesthesiology as part of undergraduate education and professional mentoring. A graduate of UCD, following completion of specialist training in Ireland, she was awarded an MD (NUI) for research into the investigation of non-neural effects of novel local anaesthetic agents. She completed fellowships in regional anaesthesiology, ambulatory care and obstetric anaesthesiology at the University of Toronto. She is a member of simulation faculty with the College of Anaesthesiologists for a number of courses (national consultants’ course, anaesthesiology emergencies, ARREST) and is currently Anaesthesiology lead for MASCOT One. She is also a regular contributor to local and national airway workshops including the national Airway Leads training course. She is a faculty member for provider ATLS (advanced trauma life support) and TEAM (undergraduate trauma management) courses and on faculty for the national ATLS Instructors’ course.  She is currently undertaking an MSc in human factors and patient safety in RCSI, Dublin.

Course Content:
These multidisciplinary courses are for surgical and anaesthesiology trainees. They allow trainees from both disciplines to gain insight into the decision-making process of the other. The scenarios involve cases that require the equal input of both surgical and anaesthesiology teams. The courses have a strong emphasis on non-technical skills/Human Factors and Crises resource management.

MASCOT TWO (Multidisciplinary Anaesthesiology and Surgery Crisis Operation Training TWO)

Course Lead: Dr Caitriona Murphy, Consultant Anaesthesiologist

Biography:

Caitriona, a graduate of University College Dublin, is a Consultant Anaesthesiologist at the Rotunda Hospital and Connolly Hospital Blanchardstown. Following completion of Specialist Training in Anaesthesia (College of Anaesthesiologists in Ireland) and Diploma of the Irish Board of Intensive Care Medicine, Caitriona undertook fellowships in Simulation Training & Advanced Airway Management (CAI and St James’s Hospital Dublin), Obstetric Anaesthesia (Sunnybrook Health Sciences Centre, Toronto) and Difficult Airways (Toronto General Hospital). She is actively involved in education and training through her role as lead for MASCOT 2, lead for Pharmacology SOEs (CAI Membership Examinations) and has participated as faculty on numerous airway workshops nationally and internationally. Most recently she completed an MSc in Quality & Safety in Healthcare through the Institute of Leadership, RCSI Dublin.

Course Content:
These multidisciplinary courses are for surgical and anaesthesiology trainees. They allow trainees from both disciplines to gain insight into the decision-making process of the other. The scenarios involve cases that require the equal input of both surgical and anaesthesiology teams. The courses have a strong emphasis on non-technical skills/Human Factors and Crises resource management.

A-CRISIS 

Course Lead: Dr Deirdre McCoy, Consultant Anaesthesiologist

Biography:
Current appointment: Consultant Anaesthetist,  Royal Victoria Eye and Ear Hospital and St James’s Hospital, Dublin.
Previous appointment: Consultant Anaesthetist St James’ Hospital, Leeds UK
University College Cork graduate 1983.
Anaesthesia Training: Eastern Regional Training Scheme, Lecturer RCSI. Fellow Cardiovascular Anaesthesia University of Minnesota.
Clinical: Anaesthesia for Vascular and ENT surgery.
Non-clinical: Simulation Training, MCAI, Medication Safety, Human Factors.

Course Content:
This course is for the more clinically experienced trainee. It focuses on difficult airway events, which challenge the senior trainee’s ability to utilise both their clinical knowledge and Human Factor skills to manage the emergencies as they unfold.

CDMP (Clinical Decision Making in Paediatrics)

Course Lead: Dr Tom Howlett, Consultant Anaesthesiologist

Biography:

Tom is a Consultant in Paediatric Anaesthesiology and Intensive Care in Temple Street Children’s Hospital. He developed the CDMP course to explain to participants the influence of cognitive bias and medical heuristics on decision making by doctors. 

Course Content:
This course is for senior trainees. The clinical scenarios are designed to challenge the participant’s decision-making process, and clinical preconceptions, as well explore biases we all may have. While it covers important clinical presentations, the focus of this course is on metacognition.

Check out information on UPCOMING EVENTS (link).
Train the Trainer – Developing your Simulation Debriefing Skills

Course Director: A/Prof. Crina Burlacu, CAI Director of Simulation & Consultant Anaesthesiologist
Course Faculty:  Dr. Eva Doherty, RCSI Director of Human Factors in Patient Safety;
Dr. Eilis Condon, CAI Deputy Director of Training & Consultant Anaesthesiologist; Dr. Aine Cafferkey, CAI Past Simulation Fellow & Consultant Anaesthesiologist

Course Content:
The College of Anaesthesiologists of Ireland has been running a Train the Trainer Simulation Instructors course since 2009. Initially developed with the view of training an adequate pool of instructors for College simulation courses, it has quickly become a popular educational event well attended by a wide and diverse group of participants from the medical, nursing and other healthcare professions who have a strong interest in simulation-based education. More than 200 participants have participated to date. The course focuses on delivering debrief after simulation and is delivered through a blend of lectures, interactive discussions, hands-on practice and video review followed by expert feedback. It usually takes place in June and is advertised via the College website as well as electronic communication with other academic and healthcare institutions.

A-Crisis 

Course Lead: A/Prof Crina Burlacu, CAI Director of Simulation & Consultant Anaesthesiologist

A-CRISIS for Consultants represents, as the title suggests, an opportunity for specialists in anaesthesiology to refresh their knowledge as well as practice their technical and non-technical skills in a safe simulated clinical environment. The letter A in the title stands for Anaesthesiology, Assessment and Airway management but also for well described principles of crisis management such as Attention, Awareness and Anticipation. Delegates have the opportunity to share expertise as well as reflect on their own practice during post-simulation peer-facilitated debrief. This course is suitable for Anaesthesiologists registered for PCS with CAI.

Transport of the Critically Ill Patient

The Adult Critical Care Transport Course was developed by the National Ambulance Service Critical Care and Retrieval Services (NAS CCRS) to meet the training needs of the multi disciplinary team of doctors, nurses and paramedics who may be required to move a critically ill adult patient by ambulance. The course addresses the equipment, preparation, emergencies in transport, CRM and logistics all delivered in a blended format including simulation.

The College of Anaesthesiologists of Ireland (CAI) has entered a partnership with NAS CCRS in order to deliver this course to Specialist Anaesthesia Trainees in their first 3 years of training. Faculty include Dr David Menzies, National Clincial Lead for Adult Retrieval/Mobile Intensive Care Ambulance Service (MICAS), Dr Karl Knapmann, Consultant in Anaesthesiology and Retrieval, Ms Anna Marie Murphy, MICAS Coordinator and Mr Shane Mooney, Education and Competency Assurance Officer, National Ambulance Service.

MEPA (Management of Emergencies in Paediatric Anaesthesiology)

Course Lead: Dr David Greaney, FCAI, MSc, FJFICMI, Consultant Paediatric Anaesthesiologist, Our Lady’s Children’s Hospital, Crumlin

Biography:

Dr. David Greaney is a Consultant in paediatric anaesthesia in Our Lady’s Children’s Hospital, Crumlin.  He has completed fellowships in Toronto’s Hospital for Sick Children in both pediatric general anaesthesia and paediatric cardiac anaesthesia. Prior to this, he completed a simulation fellowship through the College of Anaesthesiologists in Ireland.  He has delivered the MEPA course to anesthesiologists at all levels of experience and has also led training courses for simulation educators.  His simulation research interests include assessment of optimal debriefing strategies in simulated anaesthetic crises, and has both published and presented his research internationally.

Course Content:
The College of Anaesthesiologists of Ireland (CAI) is delighted to introduce The Management of Emergencies in Paediatric Anaesthesiology (MEPA) simulation course for experienced practitioners. The highly regarded MEPA course uses an internationally validated curriculum and has already been rolled out in 60 centres across Australia, Canada, UK, Continental Europe and Asia.  Using evidence-based and peer-reviewed scenarios within high-fidelity simulation, the course provides a platform to hone clinicians’ skills according to current best practice in paediatric anaesthesiology emergencies. The MEPA course is suitable for anaesthesiologists registered for PCS with CAI who are involved in the management of paediatric patients on both an occasional and regular basis.

Stats of Simulation Courses for SAT and CPD-SS Delivered per Year

The Anaesthesiology Bootcamp is a blended learning programme that was initially developed by Prof. Crina Burlacu – Consultant Anaesthesiologist & Director of Simulation – and Drs. Caoimhe Duffy and Zeenat Nawoor-Quinn – Specialist Anaesthesiology Trainees and Simulation Fellows – in the Department of Anaesthesiology, Intensive Care and Pain Medicine at St. Vincent’s University Hospital (SVUH). It encompasses reading material, pre-course and post-course assessment, lectures, clinical skill stations and simulated clinical scenarios. It was first delivered in SVUH in July 2018 to a group of novice anaesthesiology trainees and nurses. The College of Anaesthesiologists of Ireland (CAI) Training and Quality and Safety Committees subsequently recommended that the Bootcamp is rolled out nationally and invited other Departments of Anaesthesiology to roll out the programme. In 2019, a number of other Departments at St. James’s University, Tallaght University Hospitals, University Hospital Galway, Sligo University and Letterkenny University Hospitals, have delivered the programme.  The Anaesthesiology Bootcamp was Finalist at the Irish Healthcare Awards 2019 and was reported widely at national and international meetings as well as in the Irish Journal of Medical Science https://doi.org/10.1007/s11845-019-02146-w

The goal of the Bootcamp is to guide novice trainees during their first year of exposure to the specialty of anaesthesiology by creating a framework to expand cognitive, technical and non-technical skills as well as an opportunity to swiftly adjust to their new working environment.  In doing so, this provides the novice trainee with a “jump start” to their career in anaesthesiology allowing them to take advantage of early training opportunities within their actual clinical environment.

We now invite Departments of Anaesthesiology to deliver the programme to anaesthesiology trainee starting on the CAI SAT scheme in July 2020. For course material and more information, please email cburlacu@coa.ie

Please download detailed information on the Programme for the Anaesthesiology Bootcamp (.pdf).

Photos from SVUH Anaesthesiology Bootcamp in July 2018

Dr. Zeenat Nawoor – Quinn delivering a lecture

Dr. Caoimhe Duffy supervising a clinical skills station

Demonstration of anaesthesia machine check

Simulated scenario

List of Scientific Abstracts and Presentations at Meetings

2020

SESAM Annual Meeting 2020, Milan, Italy

  1. A report from the Simulation Workshop at 2019 World Airway Management Meeting (WAMM), Amsterdam, The Netherlands. Oral presentation. Crina L. Burlacu, Shawn Beaman, Elizabeth Behringer, Robert Greif, Ellen O’Sullivan, Joseph J Quinlan.
  2. ‘Simulation-based training in Rapid Sequence Induction for novice anaesthesiology trainees’. Osmond Morris, Ruth Boylan, Crina Burlacu, Jennifer Porter.
  3. The use of simulation debrief to further drug safety education in anaesthesia’. Michael Ma, Robert Owens, Crina Burlacu, Osmond Morris, Deirdre McCoy

2019

ASPiH, 4 – 6 November 2019, Belfast, United Kingdom

The Role of a Simulation Nurse ‘A Personal Reflection’ . Poster Presentation. Ms Deirdre Flynn, Prof Crina Burlacu

SESAM, 12 – 14 June 2019, Glasgow, Scotland

  1. Foundation Programme for Anaesthesia/Recovery Room Care for Nurses/Midwives – Is simulation workshop beneficial to their learning experience? An evaluation.  E-Poster Presentation.  Mr Karl Perocillo, Ms Louise Kelly, Ms Aileen O’Brien, Dr Jeremy Smith, Dr Barry Lyons, Prof Crina Burlacu
  2. Rapid Sequence Induction – Anaesthesiology Bootcamp. E-Poster Presentation.  Dr Caoimhe Duffy, Dr Zeenat Nawoor-Quinn, Prof Crina Burlacu

2018

National Patient Safety in Anaesthesia Conference, 16 November 2018

  1. Simulation for Non-technical Skills Training. Speaker: Prof Crina Burlacu
  2. An Anaesthesiology Boot Camp The Initial Irish Experience. Presentation: Dr Caoimhe Duffy, Dr Zeenat Nawoor-Quinn, Prof Crina Burlacu

ASPiH Annual Congress, 13-15 November 2018, Southport

Consultant’s A-Crisis Simulation Course: A 5 Year Review. Poster Presentation. Lavelle A, Ghazy M, Langdon M, Porter J, Burlacu C

SESAM, 27 – 29 June 2018, Bilbao, Spain

Why doctors choose to do a simulation fellowship?  A comparison of two systems. Oral Presentation. Ruth Vaughan, Lorraine Bouzan, Deirdre McCoy, Michael Morrow, Crina Burlacu

Irish Congress of Anaesthesia, 24th & 25th of May 2018, Ireland

Why doctors chose to do a simulation fellowship?  A comparison of two systems. Oral Presentation. Ruth Vaughan, Lorraine Bouzan, Deirdre McCoy, Michael Morrow, Crina Burlacu

2017

IAS Symposium 2017, 28th April, Cork, Ireland

Simulation Faculty Recruitment, Development & Retention. Workshop. Crina Burlacu, Mike Morrow

SESAM 14th – 16th June 2017, Paris, France

  1. Sim is stressful! What is the incidence of stress experienced in medical simulation training, and does the perceived stress of participants during simulation negatively affect their learning experience: an evaluation of the literature. Poster Presentation. Dr Elizabeth Coyle, Dr Aine Cafferkey, Dr David Greaney, Dr Crina Burlacu.
  2. Simulation as a necessary and suitable vehicle for maintaining confidence in paediatric anaesthesia following paediatric anaesthetic training. Oral Presentation. Greaney D, Cafferkey A, Coyle L, Burlacu C, Bourke M, Harte S
  3. The Evaluation of a Pilot Simulation-Based Critical Incident Station in a National Postgraduate Anaesthesia Examination. Poster Presentation. Aine Cafferkey, Elizabeth Coyle, David Greaney, Ruth Flaherty, Deirdre McCoy, Anne Hennessy, Crina Burlacu

ESPNIC, June 6th -9th, Lisbon, Spain

Confidence following pediatric ICU simulation training in Ireland from 2010-2016, a semi-quantitative retrospective analysis. Poster Presentation. Greaney D, Burlacu C, Harte S. 

2016

SESAM 15-17th June 2016, Lisbon, Portugal

  1. Four years of Multidisciplinary Anaesthesia Surgical Crisis Operation Training (MASCOT): A quality assurance exercise. Oral Presentation. Rita Chaudhri, Dr. Adil Butt, Mrs. Louise Kelly, Dr. Gozie Offiah, Dr. Leonie Heskin, Dr. Eva Doherty, Dr. Martin Rochford, Dr. Eilis Condon, Dr. Crina Burlacu
  2. Cross-border simulation-based training: A report from the simulation workshop at the World Airway Management Meeting, Dublin, November 2015. Poster Presentation. Dr. Adil Butt, Dr. Rita Chaudhri, Mrs. Louise Kelly, Prof. Ellen O’Sullivan, Prof. Elizabeth Cordes-Behringer, Prof. Joseph Quinlan, Dr. Johannes Huitink, Dr. Cristina Diaz-Navarro, Dr. Crina Burlacu

Simulation Faculty Evening, 10th June 2016, CAI, Dublin

  1. Paul O’Connor – Lecturer Primary Care, NUI Galway. Invited Speaker: Effective Debriefing – what works?
  2. Donal Ryan – Consultant Anaesthetist & Intensivist, CAST Intensive Care Simulation Lead. Invited Speaker : The role of experiential learning in intensive care teaching

Irish Association for Simulation Symposium 5th March 2016, CAI, Dublin

  1. Crina Burlacu. Speaker: Single specialty or interprofessional simulation training – does each have a role in anaesthesia training?

2015

Irish Congress of Anaesthesia 2015, Dublin, Ireland

  1. Learning from major harm and/or death in the simulator. Poster Presentation. Martinus Meela, Piret Hamer, Louise Kelly, Crina Burlacu
  2. CAT Simulation Training parallel session. Invited speaker. Simulation –effects on training outcomes. Dr. Crina Burlacu

SESAM 24-26 June 2015, Belfast, Norther Ireland, UK

  1. Learning from major harm and/or death in the simulator. Oral Presentation. Dr. Martinus Meela, Dr. Piret Hamer, Mrs. Louise Kelly, Dr. Crina Burlacu
  2. How do barriers to medical and healthcare simulation changes as a programme/centre matures? Dr. Paul O’Connor (IE), Dr. Dara Byrne (IE) Dr. Crina Burlacu (IE), Dr. Bryn Baxendale (UK), Dr. Demian Szyld (US)

Simulation Faculty Evening, 2015, CAI, Dublin

  1. Guest lecture: Professionalism, Human Factors and Patient Safety: A simulation-based curriculum for 21st century clinical practice. Oscar Traynor Professor of Surgery RCSI
  2. Simulation – the effect on training outcomes. Crina Burlacu – Director of Simulation Training CAI

2014

SESAM, Poznan, Poland

  1. The development and retention of simulation faculty in the College of Anaesthetists of Ireland. Oral Presentation. David Gilhooly, Alka Grover, Louise Kelly, Niamh Hayes, Martin Rochford, Eva Doherty, Crina Burlacu
  2. Simulation Training in Intensive Care Medicine: Does the course meet trainees’ expectations and learning needs? Poster Presentation. Grover A, Gilhooly D, Kelly L, Ryan D, Burlacu C 

2013  

SESAM, Paris, France

  1. How to develop a two-specialty simulation course: Challenges and Solutions. Crina Burlacu, Eva Doherty, Louise Kelly, Ian Surgeon.
  2. Anaesthesia-related Rare Emergencies Simulation Training [ARREST]: Does ARREST meet participants’ learning needs? Poster Presentation. Maya Contreras, Ian Surgeon, Crina Burlacu
  3. Multidisciplinary anaesthesia surgical crisis operations simulation training in Ireland: initial experience and future directions. Poster Presentation. Maya Contreras, Gozie Leonie, Leonie Heskin, Thomas Martin, Louise Kelly, Eva Doherty, Crina Burlacu

IMSH, Orlando, USA 

How to design a simulation curriculum for a medical speciality. Expert Panel. Dr. Crina Burlacu, Dr. Ian Surgeon, Dr. Pieter Borg

INMED, Ireland

  1. Anaesthesia-related Rare Emergencies Simulation Training [ARREST]: Does ARREST meet participants’ learning needs? Poster Presentation. Maya Contreras, Ian Surgeon, Crina Burlacu
  2. Multidisciplinary anaesthesia surgical crisis operations simulation training in Ireland: initial experience and future directions. Poster Presentation. Maya Contreras, Gozie Leonie, Leonie Heskin, Thomas Martin, Louise Kelly, Eva Doherty, Crina Burlacu

2012

SESAM, Stavanger, Norway

Simulated cardio-respiratory monitoring station at a postgraduate anaesthesia examination. WINNER OF THE SCIENTIFIC POSTER PRESENTATION. Jane Bruton, Ruth Flaherty, Deirdre McCoy, Dr. Crina Burlacu.

ISOA, Dublin, Ireland

The introduction of Multidisciplinary Anaesthesia and Obstetrics/Gynecology Simulation -based training in Ireland. Poster Presentation. Maya Contreras, Crina Burlacu, Bridgette Byrne, , Niamh Hayes

Simulation in Irish Medical Education, Galway, Ireland 

  1. The development of a National Simulation Training Programme. Invited speaker. Crina Burlacu
  2. The use of simulation in obstetrics. Invited Speaker. Niamh Hayes

Athlone, Ireland

Simulation – a new successful addition to Paediatric Anaesthesia Training in Ireland. Poster Presentation. Dr. Birgitt Straub, Dr. Jane Bruton, Dr. Denise Rohan, Dr. Cormac Breatnach, Dr. Crina Burlacu, Dr. Sinead Harte

2011

Irish Congress of Anaesthesia

The launching of the College of Anaesthetists of Ireland Simulation Training Programme – A great success. Poster Presentation, Dr. Birgitt Straub, Dr. Crina Burlacu

SESAM, Granda, Spain

  1. The launching of the College of Anaesthetists of Ireland Simulation Training Programme – A great success. Poster Presentation, Dr. Caitriona Murphy, Dr. Birgitt Straub, Dr. Deirdre McCoy, Dr. Miriam Langdon, Dr. Crina Burlacu
  2. A ‘simulating’ way to prepare for post anaesthesia care unit (PACU) emergencies. Poster Presentation. Birgitt Straub, Dr. Caitriona Murphy, Dr. Deirdre McCoy, Dr. Ian Surgeon, Dr. Crina Burlacu

IPSSW Toulouse, France

Simulation – a new successful addition to Paediatric Anaesthesia Training in Ireland. Roundtable oral presentation. Birgitt Straub, Dr. Caitriona Murphy, Dr. Denise Rohan, Dr. Cormac Breatnach, Dr. Sinead Harte

2nd International Meeting on Simulation in Woman Health, London, UK

Obstetric Anaesthesia amd Emergencies Simulation – a successful newcomer to anaesthesia Training in Ireland. Oral Presentation. Jane Brutton, Dr. Birgitt Straub, Dr. Ingrid Browne, Dr. Joey Costello, Dr. Larry Crowley, Dr. Rebecca Fanning, Dr. Miriam Harnett, Dr. Crina Burlacu, Dr. Niamh Hayes.

ISOA, Dublin, Ireland

Simulation Training in Obstetrics. Invited Lecture. Crina Burlacu

Resusc 2011, Limerick, Ireland

Medical Simulation training. Invited lecture. Crina Burlacu

2010

SESAM, Groningen, The Netherlands

  1. How to design a simulation curriculum within a training programme for a medical speciality. Pieter Borg (NL), Christian Grass (NL) , Crina Burlacu (IE), Ian Surgeon (IE).
  2. Development of integrated simulation anaesthesia training in Ireland. Oral presentation. Crina Burlacu, Dr. Ian Surgeon

IARNA meeting, Dublin, Ireland 

A “Simulating” way to prepare for PACU emergencies. Authors: Marie T. Kiernan1 CMN1, Anastasia Harney1 RGN, Dr. Deirdre McCoy1,  Consultant Anaesthetist; Dr. Crina L. Burlacu2, Consultant Anaesthetist; 1 Royal Victoria Eye and Ear Hospital Dublin, 2 College of Anaesthetists in Ireland 

2009

ICA, Dublin, Ireland  

College of Anaesthetists Simulation Training (CAST) Project. Oral Presentation. Dr. Crina Burlacu

Duffy CC, Nawoor-Quinn Z, Burlacu CL. Rapid Sequence Induction – An Anaesthesiology Bootcamp. Irish Journal of Medical Science (1971 -) https://doi.org/10.1007/s11845-019-02146-w Published online 11th December 2019.

Cafferkey A, Coyle E, Greaney D, Harte S, Hayes N, Langdon M, Straub B, Burlacu C. The College of Anaesthetists of Ireland Simulation Training Programme: A descriptive report and analysis of course participants’ feedback. Irish Journal of Medical Science (1971-). 2018. 187 (4), 1051-1056 DOI 10.1007/s11845-018-1778-1

Greaney D, Bourke M, Burlacu C, Harte S.  Simulation as a necessary and suitable vehicle for maintaining confidence in pediatric anaesthesia following pediatric specialist training . Advances in Simulation. 2017, 2 (Suppl 1): 26. DOI 10.1186/s41077-017-0058-x

Burlacu CL, Chin C. Effect of paediatric simulation training on candidate’s confidence. Paediatric Anaesth. 2008;18(6):566-7.

Dr. Jennifer Porter demonstrating airway management techniques to Airway Leads Training in Ireland participants. February 2019.

Consultants participating in a simulated session during Airway Leads Training in Ireland. February 2019. 

Pictured at Inaugural Airway Leads Training in Ireland February 2019: Mr. Martin McCormack, Prof. Crina Burlacu, Prof. Ellen O’Sullivan, Dr. Brian Kiniron, Dr. Mark Stacey, Dr. Alistair McNarry.

Faculty on Airway Management Workshop September 2019.

Learning new techniques during Airway Management Workshop. September 2019. 

Dr. Eamon McCoy demonstrating airway management techniques during Airway Management. September 2019. 

Pictured at the opening of Critical Care Simulation Suite 2018: Mr. Jamie Heaslip, Prof. Kevin Carson, Prof. Crina Burlacu, Dr. Deirdre McCoy, Mr. Martin McCormack, Ms. Margaret Jenkinson.

Pictured at the opening of Critical Care Simulation Suite were Prof. Kevin Carson and Mr. Jamie Heaslip.

Delegates and Faculty taking part in Anaesthesia Emergencies Course, St. James’s Hospital, Dublin, March 2010

Delegates and Faculty taking part in the first Train the Trainer Simulation Facilitators course, Beaumont Hospital, Dublin, October 2009

Faculty in the Control Room, Paediatric  Anaesthesia and Emergencies course, CAI, Dublin, 2011

Debrief after simulation, First Simulation Course for Consultants, CAI, Dublin, 2011

Team exercise, Train-the-Trainer, CAI, Dublin, 2011

First simulation workshop at VASGBI meeting; Actons Hotel; Kinsale, 2009

Debrief after simulation at VASGBI meeting; Actons Hotel, Kinsale, 2009

When do I get my allocations?
Trainees will be allocated a course and date in June and December respectively by the CAI.
The email will contain the following:

  • Course name, Course date and Venue
  • A statement advising that the course is mandatory and failure to attend may result in failure to progress
  • A requirement to the trainee to inform the head of department, Tutor, medical manpower and rota organiser that they are to attend on given day
  • A requirement to confirm attendance with CAI at least two weeks prior to the date of the course

What should I do if I cannot attend
A new course date (not necessarily in the same six months) will be arranged for trainees if they cannot attend due to the following reasons

  • Adequate notification has been given
  • Personal or family illness – a GP certificate will be required
  • Pre-planned annual leave – requires confirmation from the department or details of flight etc.
  • Maternity leave
  • Sitting an exam two weeks prior to the allocated course date – requires confirmation of the examination

If the hospital refuses the trainee leave due to constraints with the department, a letter to the simulation administrator should be sent from the head of department or tutor.
Apart from the reasons listed above a new course date will not be arranged for a trainee for that six month period.
Failure to attend on the day or failure to reply two weeks in advance will result in a charge of €100 directly to the trainee
Failure to attend on the day or failure to reply two weeks in advance may mean failure to progress on the training programme.
If, for reasons outside our control, the CAI needs to cancel a course, a place on the same course will be offered to the trainee on a different date with as much notice as possible.
CAI will inform head of departments and tutors of the schedule for the six months.

How can I register for simulation courses?
Due to the high demand for the college simulation courses there is currently a waiting list for all simulation courses. If you contact the simulation department by email simulation@coa.ie you will be added to the waiting list.
Once spaces become available on any simulation course everyone on the waiting list is contacted and the places are offered on a fist come first served basis.

How can I get funding to attend simulation courses?
The Continuous Professional Development Support Scheme (CPD-SS) is an educational programme specifically designed for NCHDs who are not enrolled on a recognised post-graduate training programme. Doctors enrolled on the CDP-SS are entitled to attend training events and activities organised and approved by the College at no cost to themselves. The aim of the programme is to support NCHDs to meet their requirements under the Professional Competence Scheme. Once enrolled, you will be able to access training and educational activities worth up to 20 external CPD credits or totalling three days per year, whichever is greatest.

Eligibility Criteria

  • You must be enrolled with the College for PCS
  • You must hold the NCHD Contract 2010
  • You must work within the public health service
  • You must not be enrolled on either an Intern training scheme or a Specialist training scheme
  • You must be registered on either the Supervised or General Division of the Register as held by the Irish Medical Council

What courses are available to me on the CPD-SS?
We offer a wide variety of courses throughout the year, details of which are available on our website. Examples include:

  • Irish Congress of Anaesthesia
  • Advanced Airways Management
  • Basic Assessment and Support in Intensive Care
  • Advanced Vascular Access
  • College of Anaesthesiologists Of Ireland Simulation courses

How do I register?
Registration for CPD-SS open in July every year, simply email rwilliams@coa.ie with the subject ‘Registration for CPD-SS’. Your email must include the following information:

  • Your full name and date of birth
  • Your CAI College ID
  • Your Medical Council Registration Number
  • Your current work location and job title

Please don’t hesitate to contact the Clinical Skills and Simulation Centre team for more information on telephone 01 2650600 or email simulation@coa.ie.