Background How HILS have been integrating eye tracking technology into simulation based training. This introduced many technological opportunities and challenges. A look at how the need for further training in human factors led to the purchase of the eye tracking technology. Research has been carried out from a training perspective and a technical perspective. The complexity of the technology meant much training and testing has been implemented and has led to some tech hybrid simulation based training in cardiology and anaesthetics. Innovations The development of the streamlining of the technology to make it more accessible for users – replacing large laptop with tablet device and an easier way of wearing the technology to increase mobility. Pairing the eye tracking technology in simulation training along with Laerdal SimMan 3G and the Simbionix Angiomentor for hybrid technology enhanced training. Outcomes Ability to export video and data to analyse candidates behaviour and focus in clinical situations. Enhancement of skills for tech team and other operators with this extremely advanced technology. The integration of eye tracking technology in the training of clinicians and research at Hull and East Yorkshire Hospitals NHS Trust and the Yorkshire and Humber region. Take-home messages The potential use of this and other advanced technology such as eye tracking in the future of clinical training and research? How we have merged this technology with our existing systems. How we learnt to use this technology to suit our centre’s needs. Reference Makani Purva

Background The Hull Institute of Learning and Simulation had previously used an innovative method so that SimMan 2G could be operated in a separate room simultaneously with other wireless manikins. Due to a growing demand in simulation training, including obstetric training, HILS have procured a SimMom manikin, which uses the same control system as SimMan 2G. As we continue to review, adapt and improve our service, we experimented whether the operating of these manikins could be further improved. Innovation SimMan 2G is currently operated using a free ‘screen sharing’ software to control the SimMan computer over the trust network and a parallel wireless microphone and speaker system for voice. This method can be used to operate SimMom from a separate room from the manikin. Recently HILS have also received the Laerdal SimPad which after some experimentation, we were able to use as a control for the SimMom, giving us an alternative control and audio method to the one previously described. Outcomes Adapting SimMom greatly increased realism, by freeing up space, redistributing the operator, improving communication with scenario leads and improving ‘patient’ communication. We are still in the trial phase in our use of Simpads but below is a table that shows so far how these two methods compare. Screen share and wireless microphone Simpads · Clearer Patient Voice · Integrated and more diverse voice system · Mirrors standard practice · Easier/Quicker to operate · No extra costs · Easier and quicker set up · Difficult to integrate in to Trust network · Additional training required · Long set up time · Additional costs incurred · Regular software updates required · Separate USB required for updates · Take home messages · Innovative means can improve the functionality of simulators · Relatively small technical changes can have huge impacts on service · Review, adapt and experiment with different technologies to improve simulation, which will yield richer educational rewards. Reference Dr Makani Purva - Hull Institute of Learning and Simulation

Background/contextGoogle Glass made headlines when released in April 2013. The ‘connected’ headset with embedded ‘heads up display’ quickly found applications in the healthcare world and became a worldwide technological status symbol due to costing over £1000 and only being available from the United States.The HILS Technical Team pursued obtaining Google Glass long and hard, with several setbacks, but though hard work, convincing pitches and determination eventually acquired one.Description of innovation or topicThe HILS Technical team saw opportunities that other clinical staff may not have, and wanted to pursue improvements in training that were born from inside the team, rather than simply assisting with other people’s projects. Our innovation would be to procure, implement and evaluate a new technology of our own choosing.Improvements/outcomes (anticipated or recorded)We expect our improvements to be in two areas-To have introduced a new technology into training, making an improvement to the level of engagement in simulation activity.To have initiated a full cycle of investigation, procurement, implementation and evaluation from within the team, building the knowledge and confidence to direct our expertise to other such projects in the future.Take home messagesThat technical members of staff can contribute in more ways than typically thought ofThat with determination and persistence one can reach their goalsDomestic technology can have healthcare implications

Background/contextMoulage was an area that needed development at HILS, our knowledge was very limited and we had little time to practice.With the appointment of an apprentice simulation technician we were able to branch into areas that we couldn’t previously – in-house moulage being one of these.Our apprentice technician was tasked with this development and pioneered our journey from having no moulage activity to having our own in-house moulage skills course.Description of innovation or topicOur apprentice expressed an interest in moulage skills and through a mixture of formal training (Inspire, Trauma FX) and research our apprentice was able to grow an in depth knowledge of moulage and special effects within healthcare.Being high in confidence and proud to have ownership of a section of the teams services our apprentice began to have ambitious plans such as developing a HILS in-house moulage skills course.Improvements/outcomesTechnical team member highly skilled is in medical moulage skills.Every course that now runs in HILS is offered the option to have moulage in their scenarios.An extensive stock of specialist makeup/moulage materials.The development of an in-house course. The ‘Introduction to Moulage’ course has had a successful pilot and is now due to run bi-annually in HILS.Enhanced fidelity for our scenarios and courses which in turn helps to improve participant engagement.Take home messagesAddressing opportunities in your team’s skillset and finding solutions can advance your centre by using individuals strengths and enthusiasm to build new skills.Moulage can be a key element in simulation and can improve candidate engagement in scenarios.There are fantastic training opportunities to help your staff become proficient in moulage skills on humans or manikins.Empowering staff and giving them responsibility to improve areas of the team can lead to extremely positive outcomes.

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