Dr. Jeanne Moriarty, St. James' Hospital Dublin, presented "The Story from St. James'" at Simulation in Irish Medical Education: Where Are We, and Where Are We Going? held at NUI Galway on the 2nd July 2012.

1. St James's Regional Clinical Skills Centre
Where are we in 2012?
Jeanne Moriarty FFARCSI FJFICMI
Consultant in Anaesthesia and Intensive Care
St James's Hospital
Dublin 8
Lecturer Trinity College Dublin School of Medicine

3. History
●Submission to ERHA
●Resubmitted to HSE
●Funding to develop Regional Clinical Skills Centre
●Funding for infrastructure
●No funding for personnel
●Change in funding of Post-graduate education closed off potential income streams

4. Infrastructure
Clinical skills centre fully equipped
●ED
●ICU
●Retrieval
●Flexible for OT

5. Support staff
●None
●Initial funding for Project Lead
●No recurring funding

6. Mono-specialty Activity
●Anaesthesia Emergencies 1
●Mitral valve course
●Cardiothoracic training course
●Wet lab courses
●Trans-oesophageal course for Anaesthetists

7. Multi-disciplinary courses
●ACLS
●CALS
●Chest drain insertion
●Practical skills
●TEAM -Training in Emergency Airway Management – Part of World Congress in Emergency Medicine

8. Undergraduate Courses
●TCD undergraduates

9. The Future?
●Unlimited potential
●Undergraduate skills training
●Postgraduate training
●The Intern year
●External courses
●Train the trainers
●Research and development
●Partnerships with industry

10. Post-graduate courses
●ICM
●Ventilation
●CRRT
●Advanced ventilatory support
●Advanced cardiac support
●Multi-disciplinary courses
●Retrieval and transfer

11. ...but
●No recurring funding
●No manager
●No funding for support services
●Few CSLs run a surplus
●All CSLs need a manager, Medical Director, nursing, IT and biomedical physics support as a minimum

12. Challenges
●High cost
●Still unproven in terms of patient outcome
●Balanced by enthusiasm of skilled trainers
●Needs a champion

15. Thank you
●Any questions?