[Programs]

Undergraduate Interprofessional Education
The Undergraduate Interprofessional Education Program is one of the first of its’ kind in the entire world.  This program allows undergraduate learners from three different health professions in their 3rd year of training to work together to manage common pediatric illnesses and injury. These sessions include nursing students from the University of Calgary, respiratory therapy students from SAIT and medical students from the University of Calgary during their clerkship rotation in Pediatric Emergency Medicine.  These sessions focus primarily on teamwork skills such as communication, roles and leadership while also learning to manage common pediatric acute care presentations (such as shock, respiratory distress, seizures and anaphylaxis). This program runs on a weekly basis year round.

Emergency Medicine Interprofessional Team Training
The Emergency Medicine interprofessional team training program links senior residents (typically PGY3 and above from Pediatrics and Emergency Medicine) who are performing their rotation in Pediatric Emergency Medicine, as well as Pediatric Emergency Medicine Fellows (as part of their academic half-day schedule) with experienced emergency department nurses from the Alberta Children’s Hospital.  This program runs twice monthly and incorporates cases related to complex emergency department patients.  The program focuses on allowing senior residents and pediatric emergency medicine fellows the opportunity to lead resuscitation teams from the pediatric emergency department.  Team training is a compulsory part of the education curriculum for emergency room nurses and they must attend one session per year.  The curriculum focuses on teamwork skills and management of complex pediatric acute care patients.

Emergency Medicine Resident Simulation Education
This program runs twice monthly and is aimed at junior residents (PGY1 and 2) during their Pediatric Emergency Medicine rotation.  These residents come from various postgraduate programs and is intended to teach them various aspects of the care of common pediatric acute care scenarios (including respiratory distress, shock, seizures, anaphylaxis, trauma care).

Managing Pediatric Emergencies for Adult Emergency Department Nurses
This program provides valuable experience and teaches basic management of pediatric emergencies to adult emergency department nurses during their orientation period.  The learners are new nurses from all Calgary Emergency Departments and Urgent Care Centres.  Objectives of this program are based on management of common pediatric emergency presentations.

Extracorporeal life support (ECLS) Team Training
This is a new program involving training interprofessional and interdisclipinary teams to manage critically ill pediatric patients requiring initiation of ECLS. Objectives focus around initiating ECLS to pediatric patients who have received maximal medical management including CPR who require heart and/or lung support similar to bypass.  Teamwork skills including a multiple if disciplines Nurses/respiratory therapy, surgeons, intensitives and perfusionists are highlighted.  This team trains on a monthly basis

STEP Team Training
The STEP team is a pediatric critical care response team who provide early assessment, education and management of evolving unstable pediatric patients admitted to inpatient units, as well as transition care for patients being transferred out of the PICU to the inpatient units.  The STEP team are involved in a number of interprofessional simulation sessions and use the venue to provide education to healthcare teams on the role of the STEP team, as well as patient management of acutely ill children.  The STEP team also use simulation to orientate new team members and practice management of the deteriorating pediatric patient.

ICU Interprofessional Team Training
This new program is focused on critical care medicine and team training in the Intensive Care Unit.  The participants are ICU nurses, respiratory therapists and attending ICU physicians.  The objectives focus primarily on teamwork skills and medical management of the most critically ill and complex children cared for in the ICU.  These sessions occur on a monthly basis

Mock code Program
This long-standing program provides code blue (resuscitation) teams and the corresponding ‘host’ staff where the mock code blue occurs to practice resuscitation skills on a monthly basis. Various areas around the hospital are selected to ‘host’ mock code training. Scenarios are built specifically for the ‘host’ area and involve a deterioration of a patient that would typically be seen in that clinical area.  The scenarios are geared to the interprofessional on-call resuscitation team.  However, staff from the ‘host’ unit are also included in the training. 

‘Breaking Bad News’ Course
For several years, this course containing a mix of mannequin simulation and standardized patients (trained actors) has been training pediatric residents in the skill of breaking bad news to families.  Objectives include the delivery of news around a difficult diagnosis, the severity of an injury and the disclosure of error.  These sessions have been very well received by the residents.  This course is run on an annual basis.

Transport Program
The focus of this program is the Alberta Children’s Hospital interprofessional pediatric transport team.  Many of the pediatric transports performed use a two person (nurse and respiratory therapist) transport team.  The learners are transport team members from ED nursing, ICU nursing and respiratory therapy.  The objectives include creating scenarios outside the ACH where the team manages the patient independent of a physician on site.  Medical support is simulated over the phone.  These sessions focus on communication skills, engaging rural staff to help prepare for transport and medical management of critically ill children.  These sessions run every 2 months

Pediatric Trauma Services Simulation Program
This program provides simulation opportunities to any healthcare providers that work with major trauma patients.  Learners come from a variety of clinical backgrounds that includes: the pre-hospital environment for Emergency Medical Services, the Emergency Department, Diagnostic Imaging, the Intensive Care Unit, the Operating Room, and the inpatient Trauma Unit (Unit 4).  The Pediatric Trauma Program also collaborates closely with the KidSIM Outreach Program. This is a very busy program providing weekly sessions, where the objectives are tailored specifically for the various learner groups, and where the focus is on teamwork skills and medical management of the pediatric trauma patient.

In-patient Pediatrics Interprofessional Education
The Section of Hospital Pediatrics has been running an interprofessional training sessions with in-patient unit nurses and respiratory therapists since 2007.  This is a truly novel program that includes the attending staff hospital pediatricians.  These monthly sessions incorporate specific cases related to the in-patient unit where the participating nurses normally work, so that the patients have conditions that they would be expected to manage.  The sessions are designed to highlight both medical objectives and teamwork skills.  The Section of Hospital Pediatrics has made this a mandatory education session for all pediatric hospitalists working at the Alberta Children's Hospital.  A great deal of work goes into the creation of each scenario, especially the 'fake' in-patient charts for each of the simulated patients, which really helps bring the scenarios to life.

Just-in-Time Training
Another very novel program is the In-patient Just-in-Time Program, which focuses on in-patient teams that includes nurses, pediatric residents and respiratory therapists.  Simulation scenarios are designed around ‘real’ admitted patients identified by the in-patient medical teaching teams as being ‘high risk’ for potential deterioration.  The scenario objectives are designed specifically around the most likely type of deterioration of that patient.  Each scenario incorporates at least 1 core teamwork principle and 1 core medical objective.  The learners for these sessions are the actual healthcare team that is currently caring for or potentially providing care for that patient.  As such, it is hoped that deteriorations in the actual patient will be better cared for as a result of this deliberate practice.  Specific care concerns identified during these sessions might actually be incorporated into the patient’s plan of care.  These sessions occur twice monthly.

Pediatric Residents’ Academic Half-Day Interprofessional Simulation Team Training with In-patient Nurses
On a yearly basis, each post-graduate year (PGY) level of resident is offered two complete afternoons dedicated to simulation team training with in-patients nurses (total 8 times per year).  During these sessions, the pediatric residents are paired up with nurses from the various in-patient units and work through pediatrics scenarios.  The cases are run with respect to the unit from which the nurses come, so that these are the types of patients they would be likely to see on their unit.  For example, the PGY2 residents might run a scenario of shock, which would be modified to fit an oncology patient if the nurses are form Unit 1.  The residents are given the opportunity to act both as team leaders and team members during each of the scenarios.  These sessions focus on teamwork skills, as well as medical management.

Post-Anesthetic Care Unit (PACU)
Simulation education is built right into existing education time for PACU staff which is currently 1 hour on Friday mornings.  Historically this program runs session 3-4 times / year for nursing staff.  Over the last 6 months the team is beginning to include Anesthesia into the sessions.  Most of the sessions to date have focused on airway management. 

Day Surgery
This program runs monthly simulation sessions that also capitalize on previous set education time.  These sessions are currently only uni-professional focusing on nursing staff.  The objectives focus on managing a variety of routine post-surgical complications.

Operating Room: Managing emergencies in pediatric anesthesia (MEPA study)
The MEPA study is a multi-national, multi-site validation study looking at training in simulation around pediatric anesthesia crises.  The Department of Anesthesia is collaborating with a number of other Canadian programs attempting to bring the MEPA training program to Canada.  Prior to implementing the program locally, the Department of Anesthesia and OR staff are first attempting to validate the 7 intra-operative crisis scenarios that are part of the MEPA program by comparing performance between resident and staff anesthetists.  The program is being looked at for both resident teaching, as well as potentially for part of maintenance of competency assessment for practicing anesthetists.  This program plans on continuing to run the MEPA course in perpetuity for anesthesia residents on a monthly basis once the study is complete.

Nursing Education programs
Clinical Nursing Educators (CNEs) form across the hospital regularly build simulation into a variety of   their educational programs.  This includes everything from orientation of new staff to mandatory annual education to targeted education days.  New policies and procedures are introduced using simulation as a teaching tool.  Scenarios are built to be unit specific and focus on teamwork and patient management.

Pediatric Advanced Life Support course (PALS)
PALS courses run out of the Alberta Children’s Hospital routinely incorporate simulation technology into their teaching sessions.  PALS allows learners to practice resuscitation skills in “real time” on a critically ill child.  The objectives are both medical management of the patients as well as teamwork-based.

Outpatient Simulation Program
KidSIM routinely offers training to specific outpatient clinical areas that desire this type of training and feedback.  The learners practice skills as a ‘first-responder’ and come from a variety of backgrounds such as infectious diseases, cardiology (including ECG technicians), dentistry and diagnostic imaging, among others.  Scenarios and objectives are specific to the clinical area and are based on rare and uncommon patient adverse events.  These session often include the STEP team or Mock Code program.