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.

Dr Mehar Ahson – CRQs in anaesthesia textbook

Dr Mehar Ahson, EMSA ST7 in Anaesthesia is co-author on the latest Constructed Response Questions in Anaesthesia textbook, with colleagues Thanthullu Vasu, Mahesh Kodivalasa, Pradeep Ingle, and Lohita Rilesh Nanda.

As of September 2019, Constructed Response Questions (CRQs) will replace Short Answer Questions (SAQs) in the Final FRCA examination. The first paper will be a hybrid with 6 CRQs and 6 SAQs and from March 2020, the entire paper will only have CRQs. CRQs have been introduced in order to allow an assessment of not only the knowledge and understanding of the candidates but also of application of that knowledge together with evaluation and judgement. CRQs in Anaesthesia is one of the pioneering books for the new exam pattern Final FRCA.

My dream project came true when I was approached by Dr Vasu and Dr Kodivalasa to be a member of the team of authors. All the authors divided the topics for ease of coverage as per their area of expertise and worked collectively towards the completion of the first draft. After several edits and proof reads, the book attained its final form. It is available to order on Amazon and is due to be released on 1st of August 2019.

As a senior trainee, I feel immense pride in having contributed to this book, and I am looking forward to seeing our hard work in print. I would be delighted when the candidates use this book as an exam preparation guide and feel supported during their FRCA examination. This book highlights the more important topics which are frequently covered in the Final FRCA and the questions have been set out in the CRQ pattern alongwith the answers and references. I hope that the FRCA candidates would find this book helpful.

We are also organizing the first ever CRQ practice day for Final FRCA at Leicester on the 26th of August 2019 and already, the interest is overwhelming. I thoroughly enjoyed the experience of writing this book and am grateful for my very supportive and helpful colleagues at East Midlands School of Anaesthesia.

I am sure that the newly recruited anaesthetic trainees at EMSA will find plenty of similar opportunities for teaching, training, book writing and organization of courses.

Spotlight: Dr Pei Kee Poh – Reducing the plastic tide

Dr Pei Kee Poh won an award at the EMSA Summer meeting 2019, for his project to reduce the plastic waste from single use plastic drinking cups in hospitals.  This innovative project secured funding and sponsorship from a range of organisations in order to provide reusable mugs for all anaesthetists in training and for departments within the East Midlands School of Anaesthesia.

As part of this, Pei Kee led the project to

  • Design the mugs
  • Secure funding and sponsorship
  • Designed and sought approval for an EMSA logo

The intended outcomes of the project are

  • Improve wellbeing
  • Reduce plastic waste
  • Reduce cost
  • Sustain the project through a wellbeing fund