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Table 3 Qualitative user feedback for educational relevance of the training programme

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

Theme Exemplar extracts
Overall utility across training levels “Scenarios can be made more complex, challenging and difficult for different experience levels…” (P5, junior)
“All trainees would want to take part in simulation based training of this nature…it’s cath-lab emergency training” (P4, intermediate)
“With this design, scenarios can be tailored for trainees with different levels of ability and expertise” (P1, intermediate)
“There’s a good range of scenarios for different training levels…scenarios can be made complex for more senior trainees…” (P2, senior)
Relevance to junior trainees “This is really useful for staff starting out in the cath-lab to have training on crisis scenarios, and gaining familiarity on how to handle this” (P5, junior)
“ST3’s should go through this as it’s good experience in instructing and managing teams and good experience in how to handle clinical scenarios and emergencies, when things go wrong…It’s important for encountering situations in the cath-lab if trainees have not done many procedures” (P1, intermediate)
“The scenarios might be diagnostically challenging for juniors but very helpful for when first starting out. It’s not too advanced for ST3’s…in reality trainees are thrown into the deep end from the start...I would have liked to have gone through this before starting as an ST3…” (P4, intermediate)
“This would be really important for juniors who are always with a consultant, who make decisions for them, so they may not necessarily absorb what happens” (P3, senior)
Relevance to intermediate and senior trainees “Theoretically, intermediate and advanced trainees should have these skills already, but I think even for someone more advanced this would be good” (P5, junior)
“This training would be good for ST5’s when they decide what they want to specialise in… for intermediate trainees the scenarios are very good as they allow them to improve their skills and do these scenarios as first operator that they wouldn’t do in real life” (P4, intermediate)
“For senior trainees who are exposed to these situations in real life…. they should know how to handle them, but it’s good to practice acute scenarios and rare cases ie “things that could go wrong”. It doesn’t matter how senior an operator is…for rare complications that don’t happen often, this simulation is very useful too. Like perforations don’t happen very often, so this is good practice” (P2, senior)
Overall educational relevance “I would 100% endorse these simulations for a training programme from the outset of training…it should be compulsory. Communication skills, team skills, keeping calm…. making the right decisions, it’s all there” (P5, junior)
“Overall it was helpful, interesting and challenging, in terms of not necessary knowing what the right course of action is when things go wrong…out of the comfort zone” (P1, Intermediate)
“Good scenarios and training kit for communicating with the team, managing difficult scenarios & situations in the cath-lab and practicing complications that don’t happen very often” (P2, senior)
“I was in the old training system and never went through anything like this before. It’s a really good way to teach” (P3, senior)