The
microsurgery laboratory and programme is developed as a cost effective, self-sufficient
microsurgical simulation training system to enable trainees to develop skills
in a safe environment with minimal burden. The stepwise training programme
allows objective assessment using validated laboratory-based tasks for comparison
with peers and assessment by trainers and works in conjunction to clinical
practice. Outlined are the cost, organization and proposed maintenance of the
system. These are subject to changes and modification after discussion.For
the system to be effective it needs to be integrated into the training
system as which has happened and St
Thomas’ Hospital, Imperial NHS Trust and the Royal Free Hospital.
Location
This is the most
essential aspect of the system. The Microlab is to be accessible at all free
periods and in the vicinity of regular offices. This ensures trainees use the laboratory
and get maximum benefit whenever they have spare hour or 30 mins in between
case or AM and PM commitments. The system is flexible catering for the shift
system of doctors and is not and should not be a limited pre booked programme
available to a few over a given time. It is designed to work in conjunction
with normal clinical practice.
Suggestion
– Registrar/ Junior doctors office
Set up cost estimate
Equipment
|
Cost
|
Number/ sets required per unit
|
Cost per unit
|
Microscope x1
(St Andrews Ideally needs 2 microscopes but there is already 1 microscope functioning)
|
£1,600 (Brunnel Microscope comes with a camera)
|
1 minimum
|
£1600
|
Camera and Tripod x 1
|
£150 (not required if Brunel microscope)
|
1
|
£150
|
Fridge
|
£150
|
1
|
£150
|
Equipment Shelves
|
£30
|
1
|
£30
|
Desks and Chairs
|
Provided without charge
| ||
Hard drive
|
£60
|
1
|
£60
|
Instruction posters
|
£50
|
1
|
£50
|
All training models
|
£40
|
1
|
£40
|
Total
|
£2,080
|
Maintenance cost
Cost per candidate to complete the
programme with consumables:
Equipment
|
Cost per item
|
Estimated
requirement per candidate to complete course
|
|
Sutures
|
£4 suture
|
24
|
£96
|
Gloves
|
£5 per box
|
1
|
£5
|
Instruments (1 set = needle holder,
jewelers forceps, dilators, curved and straight scissors)
|
£40
|
1
|
£40
|
TOTAL PER
CANDIDATE COMPLETING THE COURSE
|
£141
|
After significant research we have sourced
the most cost effective instrument and sutures. From experience we have found
asking for a small cost for the instruments, which trainees can keep, and
paying for sutures ensures they are efficient and are able to maintain there
own instruments but you can decide cost internally.
For sutures and instrument purchase please contact Ali Bahsoun email infor@steth2scalpel.com
For Brunel Microscopes please contact mail@brunelmicroscopes.co.uk
This cost
can also be claimed back as study leave as it is the cost for completing a
course.
Faculty and Rota requirement
CONSULTANT
LEAD- required to ensure the system is maintained and for video assessment at
the beginning and the end of course.
TRAINEE
LEAD- Trainee ensures the system us running and co-ordinates the practical
sessions on the rota. Also ensures the models are maintained and remade if
required. The trainee lead can also practice themselves and asssess videos. The
trainee lead / consultant gives an induction talk to explain the program and
basics of micro at the departmental induction or another appropriate time.
Suggestion – Microfellow/ clinical fellow/
senior trainee
ROTA-
Each trainee is rotad into the laboratory half an afternoon a week so there
needs to be co-ordination with the rotad coordinator apart from the first
session. The first few weeks are self-directed. When trainees reach week 4-5 a
senior fellow or consultant is coordinated into the rotad afternoon.