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Table 1 Overview of the four phases

From: Distributed Simulation as a modelling tool for the development of a simulation-based training programme for cardiovascular specialties

Phase

Stage

Activities

Phase 1

Concept and structure

Mapping the structural criteria and parameters using curriculum for basic, intermediate and advanced training levels

Scenario development (n = 6)

Skills assessment tools (procedural and team-based [32])

Phase 2

Modelling via distributed simulation

Training facility and simulated catherization laboratory design

➔ ‘Test bed’ for user feedback

Behavioural team-based framework

âž” Clinical-behavioural-simulation trajectory

Phase 3

Testing, user feedback and collaborative design

Test cases at Hammersmith Hospital: basic to advanced level scenarios tested with cardiology trainees (n = 8) for feedback

âž” Refinement of training facility

âž” Refinement of structural criteria to include crisis management

➔ Development of additional scenarios (total n = 16)

âž” Finalisation of skills assessment tools (procedural, team-based and crisis management [37])

Phase 4

Implementation of training programme

Transition to ORcamp Training Facility, St Mary’s Hospital

Finalisation of training day format

Launch of the training programme

Training sessions (n = 70)