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Updated: May 15, 2026

Simulator Training for Endovascular Neurosurgery
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Simulation to develop tomorrow's medical registrar.

Anand Shah1, Thomas Carter, Thungo Kuwani

  • 1Postgraduate Medical Education Centre, North-West London Hospitals NHS Trust, London, UK. anandshah10@doctors.org.uk

The Clinical Teacher
|January 9, 2013
PubMed
Summary

High-fidelity simulation training effectively enhances non-technical skills for medical registrars, improving crisis resource management and patient safety. This novel approach complements traditional training methods for future medical leaders.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Simulation

Background:

  • Adverse events in healthcare are often linked to deficiencies in non-technical skills like decision-making and teamwork.
  • Simulation technology is increasingly used for specialist training but underutilized in core medical training for crisis management.
  • Reduced work-based learning opportunities necessitate innovative training strategies for medical registrars.

Purpose of the Study:

  • To evaluate the effectiveness of a high-fidelity, in situ, multidisciplinary simulation training course for core medical trainees.
  • To assess the impact of simulation on developing crisis resource management skills and medical registrar competency.
  • To explore simulation as a complementary training strategy for medical registrars.

Main Methods:

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  • A pilot in situ high-fidelity, multidisciplinary simulation training course was conducted.
  • Core medical trainees practiced the role of a medical registrar in challenging crisis scenarios.
  • Trainee performance and self-assessed skills were evaluated during and after the simulation.

Main Results:

  • All 21 trainees reported improved clinical skills, knowledge, and focus on essential non-technical skills.
  • Trainees indicated the course would positively change clinical practice and enhance patient safety.
  • Trainee performance strongly correlated with assessed non-technical skills, with significant improvement noted after feedback and repeat sessions.

Conclusions:

  • High-fidelity, in situ, multidisciplinary simulation is beneficial for core medical trainees in developing critical crisis resource management skills.
  • This simulation program offers a novel, complementary training strategy for medical registrars.
  • The approach addresses the variability and decline of traditional apprenticeship models in medical training.