Immersive Course Recap

Transcript

SPEAKER_02 0:07

Hi, it's Brennan McGrath from the NTSP. We wanted to put together a little bit of information about our immersive percutaneous tracheostomy courses that we've started to run in the northwest of England. So this brings together all the expertise that we've gathered over the years in performing percutaneous tracheostomy in the ICU. We've spoken to lots of different clinicians, we've spoken to lots of staff involved in the procedure, we've spoken to our surgical colleagues, and we've been fortunate enough to work with people all around the world. And we've scooped all that information together into a course about how we think the best way to insert percutaneous tracheostomies on the ICU is. We've looked at the latest literature, we've looked at the evidence, and our evidence-based course we think will help people do this safely. It's probably most applicable to senior trainees or new consultants or anyone involved in percutaneous tracheostomy care. You can find out lots of details about it on our website, which is tracheostomy.org.uk. We're going to have a little chat with David, who runs the immersive space where we run the course, and Professor Cliff Shelton, who is one of the architects of education in this immersive space. So over to them. So welcome to the Data Immersion Suite at Lancaster University. We're here today running our immersive percutaneous tracheostomy course, and I've got Cliff and David here. So David, why not tell a little bit about this space and what it's used for?

SPEAKER_01 1:40

So the Data Immersion Suite is an amazing sort of new facility at Lancaster University that has 99.9 million pixels of resolution that you can then use for teaching, for research, for sort of events that sort of do hybrid that allows for the education through storytelling and looking at a complex problem in unique ways.

SPEAKER_02 2:08

Cool. And Cliff, you work in the medical school there. You've done quite a few interesting things here. Do you mind just sharing a few of the secrets to what you've run in this room?

SPEAKER_03 2:17

Yeah, absolutely. So we were lucky to be approached when they were first designing this space. So it was all kind of being unpacked out of boxes, and we could see the room, and we got an idea that it would have this amazing, as you can see behind me, lots of big screens fully integrated with lighting and sound. And it really feels like it's wrapping you in. So we we came up with the idea that we could film a real-world induction of general anesthesia, so somebody going from being awake prior to having an operation, and at the end they're asleep, intubated, ready to have their surgery. And we use that as a means to educate our medical students about what a reneestes is doing as they're getting somebody off to sleep. How do they work within the team, so supported by operating department practitioners, and we also have the opportunity to talk to them through how teams work together to keep people safe. And the way that we do that is we show them the whole scenario from beginning to end, which is kind of overwhelming. We ask them what they've seen and what they want to talk about, and then we can dive into particular bits of the scenario and, for example, show them the relationship between the drugs that we give and what happens to somebody's blood pressure during anesthetic. Talk through where that happens. And that's been a massive success. So it's really nice to see this, which is more complex and more in-depth, but based on the same sorts of principles.

SPEAKER_02 3:37

And one of the things I noticed from your teaching was because we've got so many screens here, we were able to show multiple angles of the same thing, so you can see these the same complex procedures really from multiple angles, multiple perspectives from all the different stuff in the Yeah, yeah.

SPEAKER_01 3:52

Um it's it it is it allows for, so in the teaching that uh uh Cliff does, um, you have five 4K videos happening simultaneously, so you get multiple perspectives, and you're able to then shift perspective or shift the focus of what you actually want to teach, what you want to sort of focus in on. And it's it allows for that high resolution. And then uh the beautiful bit about the work that you brought in, Brendan, is you've brought in a 360 so we get a full perspective of a single view, but that wraps around the whole space that allows people to be not fully immersed but semi-immersed into it to give a feeling of the tone of the overwhelmed nature of it, but then the ability to find those like beautiful details that then allows you to sort of pull out that training, that um education that uh sort of is vital to sort of the type of work that both both these amazing people do.

SPEAKER_02 4:46

And Cliff, I know you'll do some research into how learners find the space.

SPEAKER_03 4:50

You able to tell us just a little bit about that. Well, I mean, we we can't tell you what we found yet because we haven't found it, but um, the things that we're interested in is we uh we know already that learners find this kind of learning engaging, they love it. I think I mean just look at the place, it's an easy sell, isn't it, to come from your classroom into this? Um and we've got some early indications from our student feedback that learners feel empowered by having done some teaching in this space. And I think the research uh might help us to tease apart to what extent is that to do with the tech, to what extent is that to do with um the way that we can see the scenario and deliver it? You know, are we adding any value as educators or are we just you know people who bring people into the space and come up with ideas? The other thing we're interested in, as David mentioned, is around um the extent to which this is like simulation. So, my job at Lancaster is I'm the director of simulation and clinical skills, and most of the simulation we do involves a rubber mannequin that simulates a patient, and you're approaching that from the outside. I think this qualifies as simulation personally because it feels like you're inside a scenario and you're kind of seeing the world through all those different angles. This is what the ODP sees, and this is what the analysis sees, and this is how they all interact. Um, but because that's very technology dependent, we're in an early stage of understanding whether my interpretation of that may be true or if something else might be going on. But there's loads of scope for working uh to for improving the way we can deliver this kind of education, but to do that I think we need to understand it.

SPEAKER_02 6:28

Okay. And David, just before we wrap up, I know you've been very excited about lots of the other things that you run in here. We're obviously running medical stuff today. Are you able to just share a few details about the other sorts of other types of stuff?

SPEAKER_01 6:42

So we also in the space we run sort of it's a cross-functional, cross-faculty sort of space. So what that means is uh I help sort of do uh management school, I help do uh uh Lancaster Environment Center, sort of comes in, uh uh does does work as workshop, um, also School of Global Affairs, language teaching. So all of those come in different sort of scenarios, different types of workshops. Um, and uh I could talk for days about all the all the projects as as uh unfortunately people know. Um but what it does is uh those those projects are you have uh a Coral Reef Crisis Center, which basically leans into sort of the idea of sort of going into a simulation sort of space and sort of working towards that type of simulation, having people make choices and decisions, but also having the world sort of shift around them slightly. Um but you also have the possibility of research that happens here. So you have cameras that allow for the recording of the space to sort of see how people actually interact with the screens, and you also have voice recording that you actually have the ability on those voice recordings to get transcription level audio so you can have uh a limited amount, um, not a full room just uh because technical uh practicalities, but you can get a limited amount of people to do full transcription level work that you can then sort of research. And there's been research on um uh politeness uh within sort of linguistics worlds, um, but also uh sort of how people understand um uh sort of uh choices within AI among other things. So uh there's there's so much there's so much um that I could go on about.

SPEAKER_02 8:23

Yeah, infinite possibilities. Yes. Well, thank you both for letting us use the space here at Lancaster. We look forward to hopefully being invited back and doing more of this sort of stuff. So thank you both very much. Thank you. Thank you very much. Thanks to Cliff and David for their help in setting up the course, and I hope you were inspired by uh some of the scenes that you saw there. Now, courses like that require some help, and we're very fortunate we've got a long relationship with uh the medical device industry colleagues, and we were supported on the day by a couple of representatives from the medical device industry. I had a quick chat with Sarah from Veerathon afterwards about what she thought of the course and the sort of things that she does to help people like me lay on educational events. So we're here in Lancaster University. Uh, we've been running a course about tracheostomy care at the data immersion suite, and we can't do courses like this without the support of our industry colleagues. So delighted to be here with Sarah from Verathon. Thank you. So, Sarah, what have you made about what you've seen today?

SPEAKER_00 9:34

No, it's been a wonderful day. We've had a great day, we've had lots of exposure to clinicians, we've got to meet people that we consider friends, we've got to show our kit, and it's been great to see our kit on the screen, used on real patients, used on proper scenarios, and it's been really invigorative to be honest. And we've had a lot of exposure. We've been able to um talk through different scenarios that we don't get to see every day, like PDT specifically, um, because we mainly focus on difficult airways, but it's nice to see the other side of it as well. So, no, it's been great.

SPEAKER_02 10:02

Yeah, well, I mean, you know, we're delighted you could come and help us out. We've obviously seen in there we've we've got some videos of of the suite in action and all the different screens, and the fact we can rig your equipment up to the monitors and we can show people exactly what we're trying to do. We'll be linking it in with some videos that we've shot at hospital with your equipment so we can we can use that to showcase all the complexities uh around track yesterday. Um I know Virafon do a lot of these sort of things, so tell us a little about a few of the sorts of things that the Virafond supports.

SPEAKER_00 10:34

Oh, we support lots of airway shops. We support things like the Northumbria Airway workshops up in the northeast, and where we get to use the scopes of patients all day. We support Salford Royal with their away contubation courses, and we do Gamsu and King's Air, we do it in London. We're very present and we love to support industry as much as we can. We like to support clinicians because this is the best opportunity for you to get to see our equipment not just in a clinical setting but out in a comfortable setting where people can practice and we're here to support as well, which is the best.

SPEAKER_02 11:03

Cool. Well, thank you so much for hoping to have.

SPEAKER_00 11:05

Thank you so much. Lovely to see you again.

SPEAKER_02 11:14

So thanks to Sarah and Vera Fon for their support of new initiatives like the Immersive Pert Tracky course. Like nearly everything we do in this space, this is an unrestricted grant that we receive from them, so they have no influence over the content or the way we teach or the even the equipment that we use. But their support is invaluable in keeping the cost down as low as possible and in many cases making access to our resources free. So I hope you found that interesting. This is our new immersive percutaneous tracheostomy course, and details are on the website which is tracheostomy.org.uk. Hope to see one of the courses one day.