Dr Jaina Parmar – Senior Anaesthesia Fellowship in Patient Safety Improvement and Leadership

Dr Jaina Parmar completed a senior anaesthetic fellowship in Patient Safety Improvement and Leadership at Nottingham University Hospitals.  She explains what this fellowship offered her and her experiences of this year.

This fellowship is based at the Trent Simulation and Clinical Skills Centre (TSCSC) located at the Queens Medical Centre (QMC) Campus of Nottingham University Hospitals NHS Trust.

It is supervised by Prof. Bryn Baxendale (Consultant Anaesthetist at QMC) and Director of the TSCSC).

It’s mainly a non-clinical fellowship, however plenty of clinical exposure is obtained by being on the 2nd on-call (Fellows rota) at QMC. Never did I feel out of touch with my clinical skills as a result of the case mix that you deal with on a typical night shift at QMC!

The role provides a great deal of flexibility and enables you to focus and gain exposure/experience in areas that you are interested in.

Here are some of the projects I was involved in:

  • Designed and developed a Crisis Resource Management Course for Consultant Anaesthetists and ODPs/PAA.
  • Simulation course focusing on CRM and Non-Technical Skills associated with critical incidents/emergency situations.
  • Using a Human Factors (HF) Centered Approach for testing a new Hyperkalaemia Guideline within NUH.
  • Using HF tools and methodologies to test out the guideline on clinical staff using simulation. This led to the implementation of an improved guideline that had already been tested by the users.
  • Opportunity to undertake a Masters in Quality and Patient Safety Improvement (QPSI) at the University of Nottingham, which is supported by the TSCSC. I found this to be an eye-opener into the world of QI and now have an understanding of how to do QI projects effectively. I was able to complete all the modules within my fellowship year to achieve credits for a Post Graduate Diploma. I am currently completing my dissertation to obtain an MSc.

The fellowship enabled me to gain experience within:

  • Teaching
  • High and low fidelity simulation teaching to multi-professional groups
  • Debriefing teaching sessions using debriefing models
  • Becoming a member of the Academy of Medical Educators
  • Academic and Improvement Science
  • Through multiple projects
  • Undertaking an MSc in QPSI
  • Leadership & Management
  • Through developing and initiating my own projects
  • Directing simulation teaching days
  • Opportunities to attend strategic meetings locally and nationally.

The above is just a snapshot of some of the projects I was involved in. The fellowship provides plenty of opportunities and it is what you make it. It is well supported by staff at the TSCSC and allows you to work with different professional groups.

Overall I thoroughly enjoyed doing this fellowship, it provided me the experiences and knowledge I may not have gained through doing a clinical fellowship.