CAMES Surgical Simulation Masterclass - how do you develop simulation-based training-programs?

​"Every time Lars and I are out to present, we are often asked, how did you do it? How did you explode from one simulation-based training-program to more than 30?" explains researcher and course leader Leizl Joy Nayahangan regarding the CAMES Surgical Simulation Masterclass, which kicked off last year due to the many inquiries. 


​Last week CAMES Rigshospitalet held "CAMES Surgical Simulation Masterclass 2019". 

​By Katrine Mortensen

"There are not many courses like this that takes you on a full stepwise cycle on how to develop simulation-based training programs or start a simulation center. There are many questions such as, Do I just buy the equipment? Do I just depend on the cases or the modules on that equipment? Or is there a framework that I can follow?" Leizl Nayahangan explains.

This inspired CAMES Rigshospitalet Section chief Anne Mette Mørcke, Head of research professor Lars Konge, and researcher and course leader Leizl Joy Nayahangan to develop the course CAMES Surgical Simulation Masterclass. In 5 intensive days, the Masterclass teaches leaders and medical educators how to develop, implement and run evidence- and simulation-based training programs following a structured approach. Based on David E. Kerns 6-step approach to developing curriculum within medical education, the course-participants becomes familiar with every step from general needs assessments, how to formulate goals and objectives, educational strategies, implementation, and evaluation and feedback.

At this year's Masterclass 13 participants from Wales, China, Switzerland, Israel, Norway and Denmark, were led through a full week of presentations and lectures from CAMES Rigshospitalets top researchers and experts, workshops, group presentations and hands-on-training. At this year's Masterclass guest speaker Professor Ara Tekian from the university of Illinois, Chicago gave a special lecture on continuing education in medical education.

This years course-participants together with Leizl Joy Nahayangan

"The participants learn not only the theoretical background for each step but also practical applications. We share our experiences, all the mistakes we have made and the lessons we have learned through the years. We show them different simulators, and the possibilities to make their own. We show them the different educational strategies and see how these can be applied within their local context. CAMES is one of the leading research units in technical simulation, therefore research is integrated and discussed in the different steps" explains Leizl, "So it's a whole week of lectures and workshops, and a little hands-on-training. They are not here to learn the procedures. They are here to learn how to develop training-programs concerning the procedures. But there is also a lot of interaction between the groups and opportunities for networking. We have also planned two social activities that allows the participants to enjoy Copenhagen in the summer. " 

From ultrasound-simulation to dreaming of the future with National Imaging Academy in Wales

Dr Philip Wardle, Director of National Imaging Academy in Wales, UK was one of the course participants of this year's Masterclass, "we are a new organization. We were inspired when we saw Leizl and Lars at ECR [European Congress of Radiology 2019, Vienna, Austria, red.], and it looked exactly what we thought would help us and has stimulated a lot of interest. It [The CAMES Surgical Simulation Masterclass, red.] has actually identified what we have more knowledge than what we thought." Dr Phillip Wardle goes on, "The course has provided us with a recipe-book to refine and improve what we're doing and has identified gaps in what we're doing and taking it forward. "

Dr Phillip Wardle with one of the simulators

The Simulation Center in Wales is already up and running with simulation within ultrasound. Dr Phillip Wardle explains that, "We had a chance to implement them because we had funding, so we had to go for it. It is not the ideal approach, but now we have them and we want to use them to the best of their ability. Mainly to deliver what we need. But much more importantly, not just what we need but what our trainees need".

Together with 3 of his colleagues, Dr Phillip Wardle participated in this year's intensive 5-days Masterclass and it has given them all something to think about concerning the future as well. "[Interventional radiology i.a., red.] is clearly something that we want to explore, but we do not have the funding. Actually, that is a good thing, because we can actually design it properly from scratch and before that - actually, do we need to? Is it the right thing in Wales? Is it the right thing in the UK? Lessons we've learned may mean that we will go into fields that we hadn't anticipated. And, a lot of what we do, you could put in a simulation environment" Phillip Wardle explains, "Simulation depends on how you define simulation. We debriefed regularly, certainly on the walk to and from the hotel on what to do. I have no idea when and how we will generate the time to do it, so it is very exciting".

Does this course sound like something you and your colleagues could benefit from? Go to and read more.



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