Yorkshire and the Humber has extensive experience in using simulation.
All procedures required for IMT can be taught in our simulation laboritories throughout the region and further information can be found from the "Advanced Procedural Skills" link below.
In addition to procedures, we have our highly regarded ASCME course which is fully funded for IMTs and covers the most important core medical emergencies.
As part of Integrated Medical Training there are some procedural competencies which are essential for you as part of your training. The JRCPTB indicates that, ‘It is good medical practice to obtain training in procedural skills in a clinical skills lab before performing these procedures clinically.‘
The procedural competencies for the IMT framework are divided into sections:
Essential IMT procedures (part A, clinical independence essential)
IMT StRs must be able to undertake the following procedures before completion of IMT:
• advanced cardiopulmonary resuscitation (including external pacing)
• ascitic tap
• lumbar puncture
• nasogastric tube placement and checking
• Pleural aspiration or insertion intercostal drain for pneumothorax
Essential IMT procedures (part B, clinical independence desirable)*
IMT StRs must have some experience* of these procedures before completion of IMT
• central venous cannulation (by neck or femoral) with U/S guidance where appropriate
• DC cardioversion
• intercostal drain insertion using Seldinger technique with U/S guidance (excepting pneumothorax)
It is assumed you will continue to use your Foundation skills.
To fulfil these requirements four of the core competencies can be learnt in a simulated environment. To support you training courses you will be able to attend courses to learn and practice theses clinical skills.
The courses will be run across HEYH. Integrated Medical Trainees year 1 should endeavour to attend the Lumbar Puncture and Paracentesis course, and Core Medical Trainees year 2 should endeavour to attend the Chest Drain Insertion and Central Venous Catheterisation Course. If you are unable to attend any of the courses in your region due to on call commitments, you could attend the course in another area. It is your responsibility to book study leave for the course.
The provision of the courses requires advanced knowledge of the number of attendees for each session and you should book onto the session at least six weeks in advance. If you book a session and are unable to attend at the last minute because of service work in your trust please inform the centre as soon as possible that you are unable to attend.
Health Education England - Yorkshire and the Humber will fund these courses. However, if you fail to attend the course without giving advanced notice you will be asked to pay towards the cost of the course.
The ASCME course is aimed to give you experience in management of acute medical emergencies and human factors. The courses will be run across the deanery. Core Medical Trainees year 1 should endeavour to attend the ASCME course. If you are unable to attend any of the courses in your region due to on call commitments, you could attend the course in another region. It is your responsibility to book study leave for the course. On the day you attend the ASCME course, please prepare as you would for a normal day at work, and bring your stethoscope and a pen.
The provision of the courses requires advanced knowledge of the number of attendees for each session. The ASCME course is limited to six people, and places will be tight, so please book early. Please click on the session you wish to attend and follow the instructions to book your place. As the course is mandatory it will be funded by Health Education England - Yorkshire and the Humber, but you should submit a study leave form. (You should book onto the session at least six weeks in advance).
The course costs £200, and this should be indicated on the form. Health Education England - Yorkshire and the Humber will fund this course. However, if you fail to attend the course without giving advanced notice you will be asked to pay £100 towards the cost of the course that you subsequently attend.
Useful Links for Trainees
The following resources may be of use to you:
- ALS Resuscitation Guideline
- ALS Bradycardia Guideline
- ALS Tachycardia Guideline
- ALS Anaphylaxis Initial Guideline
- ALS Anaphylaxis Guideline
- BTS Asthma Guideline
- NICE COPD Guideline
- NICE Upper GIB Guideline
- British Infection Society Guidelines
- British Infection Society Guideline - Meningitis
- NICE Epilepsy Guideline