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SimTecT Health 2010: Education and Innovation in Healthcare - Presenters
Keynote Speakers
Professor Jeffrey Cooper
Jeffrey Cooper (PhD) - Founder and Executive Director of the Center For Medical Simulation in Cambridge, Massachusetts
Professor of Anesthesia at Harvard Medical School
Professor Cooper is an Engineer, receiving his PhD in Chemical Engineering in 1972. He started with the Bioengineering Unit in the Department of Anesthesia at Massachusetts General Hospital in 1972, where he led a team that conducted seminal studies of critical incidents and human error in anesthesia. These studies catalysed changes in anesthesia practice, including the creation of safety-related standards for anesthesia. He is a co-founder, and now Executive Vice-President, of the Anesthesia Patient Safety Foundation and on the Board of Governors of the National Patient Safety Foundation.
Dr. Cooper is one of the pioneers in diffusion and innovation in healthcare simulation. He has led the Center for Medical Simulation (CMS) to become one of the premier simulation programs in the world.
Dr. Cooper has been awarded several honors for his work in patient safety, including the 2003 John M. Eisenberg Award for Lifetime Achievement in Patient Safety from the National Quality Forum and the Joint Commission on Accreditation of Healthcare Organizations and the 2004 Lifetime Achievement Award from the American Academy of Clinical Engineering. The Department of Anesthesia, Critical Care and Pain Medicine of the MGH recently established the Jeffrey B. Cooper Patient Safety award in his honour.
Professor René Amalberti
Professor René Amalberti (PhD) - Senior Adviser Patient Safety at the Haute Autorité de Santé
Clinical Excellence Commission Visiting Professor for 2010
René Amalberti, born in 1952, is a doctor in Medicine, with a PhD Cognitive Psychology, and Professor of Medicine, Physiology and Ergonomics. After a Residency in Psychiatry, he entered the Airforce in 1977, graduated in aerospace medicine, was trained as a flight surgeon, and got a permanent Military Research position in 1982. He retired with the rank of General in February 2008. He is now working half time as Senior Adviser Patient Safety at the Haute Autorité de Santé (the French medical accreditation agency) and half time as risk manager in a medical insurance organisation (MACSF).
From 1982 to 1992, he was involved in several major European research programs on human errors. In the mid 80’s, during three years, he was a member of a European Research Project (MOHAWC) with Jens Rasmussen and Jim Reason. He pioneered in the mid 80’s the concept of pilot’s assistant (electronic crew) for fighter aircraft, and, in the early 90’s, the Crew Resource Management. In late 1992, he was detached half-time from the military to the French ministry of transportation, took the lead of human factors for Civil Aviation in France, and soon after, in 1993 (until 1999), became the first Chief Human factors and Flight safety for the European Aviation Authorities (JAA). During this period of time, he engaged into rule making in human factors for aviation, and pioneered a new approach of safety in complex systems termed ecological safety, putting emphasis of the role on compromises in risk controls and human factors.
His global contribution to safety in Aviation was acknowledged at national and international levels. He received the French aeronautical medal in 1993, the French Gold flight safety medal in 1995, the Roger Green‘s medal from the Royal Aeronautical Society in 2005, the special award of the Human Factors Flight Safety Foundation in 2007, and the Special Award of the International Association of Ergonomics in 2009.
From 1999 to 2008, although continuing working as a high level resource person for the military (UAVs, accidents investigation) and civil aviation authorities (certification Airbus A380), he progressively diversified the terrains studying risk management in the nuclear, the oil industry, professional fishing, and ground public transportations. He is still the present Chairman of the French National Programme of Research, Quality and Safety in Land Transport (2002-11).
In 2000, he researched in the emerging domain of human error in medicine, patient safety and resilience. In 2000, he was a member of the faculty at the first international Salzburg seminar following the publication of the well known US report To Err is Human. In 2001, he started cooperation with the French agency of accreditation, co-authoring the accreditation guide on risk management.
His present work at the HAS is a mix of research and strategic assistance for change in France on that important topic.
He has published over 100 international papers, chapters, and authored or co-authored 10 books, most of them on intelligent assistances, human error, system approach, deviances, safety and system resilience.
Professor Maggie Nicol
Professor Maggie Nicol - Senior Lecturer Clinical Skills
Member of Education Development Unit and Adult Nursing Department
Director of the Centre for Excellence in Teaching and Learning
City University, London
Institute for Learning and Teaching Teaching Fellow
Maggie Nicol is Professor of Clinical Skills and CETL Director at the School of Community & Health Sciences, City University London.
After a career in intensive care nursing Maggie moved in to education and in 1991 became the first Lecturer in Clinical Skills in the UK. She worked with colleagues in medicine to develop the Interprofessional Clinical Skills Centre at St Bartholomew¹s Hospital, which was also the first in the UK. The achievements of the Inter-professional Clinical Skills Centre led to a successful bid for funding (£3.4 million over 5 years) from the Higher Education Funding Council for England to develop a Centre for Excellence in Learning and Teaching (CETL). CETL aims to improve patient safety by enhancing the clinical and communication skills of students from 6 healthcare professions. The CETL Skills Bus was developed to take the Skills Centre to students and staff in the hospitals and care homes that are located some distance away. It has proved to be very popular with all who use it and has inspired the development of other mobile skills facilities in the UK.
Maggie has published and spoken on the subject of clinical skills since the early 1990s and is Vice President of the Association for Simulated Practice in Healthcare (ASPiH www.aspih.org.uk). Her most recent project is the development of an online library of clinical skills, Clinical Skills Online.
Associate Professor Daniel B. Raemer
- Hunter New England Visiting Professor
Associate Professor Daniel B. Raemer, PhD
Director of Research and Development, Center for Medical Simulation
Associate Professor, Harvard Medical School
Dr Raemer's research is focused on patient safety and clinician performance in crisis situations. As the operational director of the interdepartmental simulation program, he has been able to study behaviors, decision-making, and resource utilization during programmed situations. Our research has focused on information sharing in teams, challenging actions of colleagues, ethical decision making in acute situations, and effectiveness of technology in promoting a common situational awareness.
Dan has developed a special expertise in teamwork and crisis management over the past 15 years at the Center for Medical Simulation. In 2003, he received a unique award from the Harvard Department of Anaesthesia for "excellence in teaching." he has worked globally to establish the International Meeting on Medical Simulation, and is the founding trustee and a past president of the Society for Simulation in Healthcare (SSH). In 2008, he received a "Lifetime Achievement Award" from SSH for his contributions to the field. He is also a Past-President of the Society for Technology in Anesthesia.
Dan's graduate degrees are in Bioengineering and he worked as a researcher for many years at Brigham and Women's Hospital and Massachusetts General Hospital in the Anesthesia and Critical Care Departments. In addition to his publications related to simulation practice and research, he has written extensively on monitoring devices and have a number of patents for clinically useful devices and technologies.
Invited Speakers
Dr Paul Heinrich
Dr Paul Heinrich
Creative Director of the Pam McLean Centre
Paul Heinrich is the Creative Director of the Pam McLean Centre, based at RNSH. Paul has a doctorate in theatre and drama from Northwestern University in Illinois. Prior to his work in medical education, he worked as a director and acting teacher, teaching performance, theatre history, acting and voice to theatre professionals.
For the past twelve years, Paul has with Professor Stewart Dunn researched, analyzed and re-created common medical encounters between doctors and patients. He then designs workshops built around those scenarios and recruits and trains actors to portray patients with high fidelity and clinical accuracy so that health professionals may practice and develop their communication skills.
Paul has produced over 170 workshops on different communication topics in medicine, stage presentations, dramatized hypotheticals for medical conferences, comic scripts on medical themes, 30 training videos, journal articles and conference presentations. He is currently committing the lessons learned over these years into book form.
Professor Stewart Dunn
Professor Stewart Dunn
Professor of Psychological Medicine in the University of Sydney Medical School, and
Associate Dean for Admissions
Stewart Dunn is Professor of Psychological Medicine in the University of Sydney Medical School and Associate Dean for Admissions. He is based at Royal North Shore Hospital. He has extensive teaching commitments in the Sydney Medical Program and his clinical specialty is psychological care of cancer patients and their families. Stewart completed Fellowship studies in the USA and UK, and conducted research at Royal Prince Alfred Hospital before his appointment at RNSH in 1995. He has published widely in psychological aspects of medical illness and doctor-patient communication and he has received nine research travel awards and six teaching awards including the USyd Faculty of Medicine Outstanding Teaching Award in 2005 and PaLMS Excellence in Clinical Teaching Award in 2009. He has been Chair of the NSCCH Human Research Ethics Committee since 2001. His current interests include multidisciplinary teams, medical error and open disclosure, and professional burnout. As Director of the Pam McLean Centre, Stewart works with trained actors to conduct workshops with health professionals across these areas throughout Australia, New Zealand and Europe.
Stewart suffers chronic withdrawal (not to mention chondromalacia patellae) from three years of trekking in the Nepal Himalayas as a student in the late 1970s.
Dr Simon Cooper
Dr Simon Cooper
Director of Research at the School of Nursing and Midwifery
Monash University
Simon Cooper is a registered nurse with a PhD in resuscitation leadership. He started his career working in critical care departments across the South of England, before becoming a Hospital Resuscitation Officer and Head of Education for an ambulance service. He has managed a healthcare practitioner program at the University of Plymouth (UK) and is currently Director of Research at the School of Nursing and Midwifery at Monash. His research interests focus on the first hour of acute care, including survival prediction models, leadership, teamwork, emerging practice roles, inter-professional education, simulation and management of patient deterioration. He has had significant grant success and has published in excess of 40 peer review papers, reports and books/chapters, including a recent book on Clinical Skills.
Associate Professor Michael Seropian
Associate Professor Michael Seropian, M.D., FRCPC
Oregon Health & Science University Schools of Medicine and Nursing
Michael A. Seropian is a practicing pediatric anesthesiologist and faculty member for the OHSU Schools of Medicine and Nursing. He also holds an Adjunct Professor appoint at Edith Cowan University. Dr. Seropian has more than 15 years of experience in simulation education development and training. His initial contact with simulation was during his years at Harvard University. He has since developed and designed multiple simulation facilities and has been instrumental in developing multiple simulation collaboratives and ventures. As founder and the past Co-director of the first OHSU Simulation and Clinical Learning Center, he had oversight over the implementation and delivery of simulation education to both nursing and medical specialties. He is currently the institutional Medical Director of Simulation for OHSU and the Department of Anesthesiology. He has published extensively and trained hundreds of individuals in the use of simulation-based methods. Dr. Seropian is a founding member and a past Chair of the Oregon Simulation Alliance.
Dr. Seropian has received national and international training and consultation requests in the area of simulation education, facility design, program development, assessment and implementation. He is the President-Elect of the Society for Simulation in Healthcare. He also sits on the American Society of Anesthesiology committee on simulation education. He is eager to see simulation education programs develop successfully, irrespective of discipline or specialty.
Associate Professor Mary Patterson
Associate Professor Mary D. Patterson, MD, MEd
Associate Professor of Clinical Pediatrics and Emergency Medicine
Cincinnati Children’s Hospital, the University of Cincinnati
Mary D. Patterson, MD, MEd is an Associate Professor of Clinical Pediatrics and Emergency Medicine at Cincinnati Children’s Hospital, the University of Cincinnati.
She has served as the Medical Director of the Cincinnati Children’s Center for Simulation and Research since 2002.
Dr. Patterson completed pediatric residency training at Columbus Children’s Hospital and then served as a primary care physician in the United States Air Force. During her service in the Air Force, she developed an interest in trauma and pediatric resuscitation. Subsequently, she entered fellowship training in pediatric emergency medicine at Children's National Medical Center in Washington, D.C.
Dr. Patterson has completed a Master’s in Education at the University of Cincinnati and a Patient Safety Fellowship at Virginia Commonwealth University. She is the president of the Society for Simulation in Healthcare.
Dr. Patterson's primary research interests are related to the use of medical simulation to improve patient safety and human factors work related to patient safety. She is a federally funded investigator in these areas.
Mr Russell Blakelock
Mr Russell Blakelock
Paediatric Surgeon, and Senior Lecturer in Surgery with the University of Otago
Russell is a Paediatric Surgeon and Senior Lecturer in Surgery with the University of Otago. He is involved in undergraduate student education at the Christchurch School of Medicine & Health Sciences and the Dunedin School of Medicine, and postgraduate teaching and surgical education. He also has ongoing involvement in clinical work, teaching and training in the Pacific Islands.
As a result of his own experiences, he is developing a keen interest in the influence of personality, Mindfulness, self-awareness, emotion and communication behaviour on learning in medical training and healthcare team performance. He cobbles together spare time from thin air, to pursue postgraduate studies in education focussing on these interests. He confesses that this does have an impact on his work-life balance, but he still finds (less!) time to play bass with friends or his children, reads a lot, tramp (much less frequently!) with friends and family and walk the dog.
Ms Ella Scott
Ms Ella Scott
Co-Lead in Simulation / Manager: The Kim Oates Australasian Paediatric Simulation Centre
Children’s Hospital at Westmead, NSW
Ella’s nursing career has spanned over many years in all clinical specialist areas of paediatrics. This includes cardiac surgery, trauma, intensive care, medical, surgical, neonatal, retrieval (NETS NSW) and emergency.
Previously she has held senior management and teaching positions in the clinical arena, education and GESCHN (Greater Eastern and Southern Child Network) NSW. In 2001 she worked alongside the staff of the Sydney Medical Simulation Centre at Royal North Shore Hospital implementing educational programmes to address adverse events involving children.
Ella has worked with the ICRC (International committee of the Red Cross) for assignments in Sudan, Afghanistan and the ERU (Emergency response Unit) in Kenya. She has recently returned from working in the ERU of the German Red Cross Field Hospital in Haiti. Simulation based teaching programmes have been of special interest in the developing countries.
The Kim Oates Australasian Paediatric Simulation Centre officially opened in May 2009 and Ella commenced her current position in August 2008. A range of Paediatric and Neonatal Simulation based courses and workshops are conducted at the Centre including: Resuscitation and stabilisation of the sick neonate, Tiny Tots Trauma, APICS (Advanced Paediatric Intensive Care Simulation), ‘breaking bad news’ and Emergency training. The Centre also has a faculty simulation training programme for those interested in developing their skills in the area.
Ella is Co-chairing the third International Paediatric Simulation Symposium and workshops (IPSSW) in Madrid this year and is a founding member of the International Paediatric Simulation Group.
Professor Guy Maddern
Professor Guy Maddern MBBS PhD MS MD FRACS
RP Jepson Professor of Surgery
Head of Discipline, University of Adelaide
Professor Maddern's Research interests include:
- Development of techniques for liver tumour destruction (particularly minimally invasive techniques capable of destroying both primary and secondary liver tumours by the insertion of electrodes)
- Evidence based surgical appraisal
- Evaluation of hepatic surgical outcomes
- Minimally invasive surgery
He has published many papers, including "A systematic review of skills transfer after surgical simulation training", and spoken at numerous conferences, including SimTecT Health.
Ms Meryl Altree
Ms Meryl Altree
Senior Project Manager, Simulated Surgical Skills Program (SSSP)
Research, Audit & Academic Surgery Division
Royal Australasian College of Surgeons
Meryl Altree is a Senior Project Manager with the Royal Australasian College of Surgeons. Meryl runs the Simulated Surgical Skills Program, a national multi-centre research project funded by the Commonwealth Department of Health and Ageing examining the role of surgical simulators in skilling the surgeons of the future.
Mr Mark Cormack
Mr Mark Cormack
Chief Executive Officer
Health Workforce Australia
HWA is Commonwealth statutory authority, enacted in 2009 following the COAG decision to establish a new national authority to plan, fund, research and deliver programs for the enhancement and development of Australia’s health workforce.
Prior to this Mark was Chief Executive of ACT Health since July 2006 where he was responsible for the provision of public health, hospital and healthcare services to the ACT and region.
Mark has previously filled a number of national roles in the public health care system as a member of the Australian Health Ministers Advisory Council (AHMAC), Chairman of the Health Policy Priorities Principal Committee (HPPPC) of AHMAC, and Board member of the National E Health Transition Authority (NEHTA).
Mark has worked in various capacities in the public health care sector for over 25 years.
Professor Cliff Hughes
Prof. Cliff Hughes AO
Chief Executive Officer
Clinical Excellence Commission, New South Wales
Professor Clifford Hughes is the CEO of the Clinical Excellence Commission in New South Wales.
For 25 years, until January 2005, he was a Senior Partner in an extremely busy cardiothoracic surgical practice at Sydney's Royal Prince Alfred Hospital. He has led five medical teams to China and performed numerous cardiac (open heart) procedures in six provinces in China. He has also operated in Hong Kong, Singapore, Malaysia, India and Bangladesh.
He was a Member of the Australian Council on Safety and Quality in Health Care and chaired taskforces on Safe Hours, Fatigue and Device Tracking. He holds fellowships in the Royal Australasian College of Surgeons, the American College of Surgeons, the American College of Cardiology and the American College of Chest physicians as well as the Cardiac Society of Australia and New Zealand.
Professor Hughes was awarded the Order of Australia in 1998 for "service to cardiac surgery, international relations and the community".
Dr Victoria Brazil
Dr Victoria Brazil
Emergency Physician, the Royal Brisbane and Women's Hospital
Director of Queensland Medical Education and Training
Dr Victoria Brazil, Emergency Physician at the Royal Brisbane and Women's Hospital, and Director of Queensland Medical Education and Training (QMET), is also an Associate Professor within the Discipline of Anaesthesiology and Critical Care at the University of Queensland.
Other Speakers
Dr Richard Morris
Dr
Richard Morris
Anaesthetist and Medical Perfusionist
St. George Hospital, Sydney, Australia
Richard Morris is an anaesthetist and medical perfusionist at St. George Hospital in Sydney, Australia. He has a long standing interest in simulation and helping clinicians learn practical skills for use in emergency situations.
Professor Harry Owen
Professor Harry Owen
Professor, Anaesthesia and Pain Medicine
Director, Clinical Skills and Simulation
School of Medicine, Flinders University, South Australia
Harry Owen is Professor of Anaesthesia and Pain Medicine at Flinders University and Director of the School of Medicine Clinical Skills and Simulation Unit (CSSU) based in Adelaide and the Rural Clinical School Simulation Unit based in Renmark.
Harry has published research in medical education and clinical discipline journals and presented at several national and international meeting. Harry's current R&D activity covers development of new simulation technology, improving transfer of training from simulation to clinical practice and systems for tracking training needs and performance assessment.
Dr Brian Robinson
Dr Brian Robinson
Director, National Patient Simulation Training Centre
Wellington Hospital in New Zealand
Brian Robinson is Director of the National Patient Simulation Training Centre, at the Wellington Hospital in New Zealand
The National Patient Simulation Training Centre was established in 1997. The key feature of the new centre was the Medical Education Technologies Human Patient Simulator, nicknamed ‘Stan’. Featuring a range of physiological and pharmacological responses, Stan was the first ‘high fidelity’ simulator in New Zealand.
More recently, the NPSTC acquired a ‘mid-fidelity’ simulator – the Laerdal SimMan. This latest simulator has the advantage of being portable and has been taken around the country for use in training exercises and teaching sessions.
The NPSTC runs a number of courses that cater for Health Professionals at all levels of practice, from recently graduated Nurses and Trainee Interns through to experienced specialists in a variety of fields from Anaesthesia to IV Cannulation. Many of courses are approved by the Professional Colleges for further education and professional development programmes such as MOPS.
Dr Shelly Jeffcott
Dr Shelly Jeffcott
Senior Research Fellow
Transfusion Research Unit, Critical Care Research Group School of Public Health
and Preventive Medicine Monash University
Dr Shelly Jeffcott has a background in psychology and human computer interaction. Her work focuses on understanding how to optimise patient safety in healthcare, most recently in the area of blood transfusion.
Professor Cobie Rudd
Professor Cobie J. Rudd
Pro-Vice-Chancellor (Health Advancement)
Edith Cowan University
Professor Cobie Rudd is Pro-Vice-Chancellor (Health Advancement) at ECU, responsible for developing the health course profile and managing the overall development of clinical placements, inter-professional learning and simulated learning environments and programs.
In 2007, she established the ECU Health Simulation Centre and is currently leading the Health Workforce Australia national project: The Use of Simulated Learning Environments in Nursing Curricula. She is presently lead for an Australian Learning and Teaching Council project: Creating Cultural Empathy and Challenging Attitudes through Indigenous Narratives which includes delivery of IPL challenges via simulation and Lead for the project establishing an Inter-professional Learning Ambulatory Care Unit on the ECU campus, funded by the Commonwealth Government under the Increased Clinical Training Capacity Program.
Professor Patrick Crookes
Professor Patrick Crookes, PhD (Hull); BSc (Nursing) (Leeds); RN (NSW and
UK); RNT. Cert Ed (College of Ripon and York St John)
Dean, Faculty of Health & Behavioural Sciences and
Head, School of Nursing, Midwifery & Indigenous Health, University of
Wollongong
Chair, Council of Deans of Nursing and Midwifery (Australia
& New Zealand)
Professor Crookes is the Dean of the Faculty of Health and Behavioural Sciences and Head of the School of Nursing, Midwifery and Indigenous Health.
Professor Crookes is a registered nurse in both the UK and Australia. He gained a BSc (Nursing) from Leeds Polytechnic (now Leeds Metropolitan University) in 1981 and a PhD investigating 'Personal Bereavement in Registered General Nurses from the University of Hull, in 1996.
Professor Crookes is a highly experienced educator. His 1998 text 'Research Into Practice: essential skills for reading and applying research in nursing and health care' co-edited with Sue Davies has gone into a second edition (2004); both of which were re-printed. This text is held by over 80 libraries internationally and has sold over 14,000 copies. The text stems from Professor Crookes' teaching in this are for many years. This was formally recognised via the conferral of a Carrick Institute (now The Australian Teaching and Learning Council) 'citation for significant contribution to teaching and learning' in 2007.
He is passionate about research utilisation. His research interests also include Aged and Dementia Care, Grief and Bereavement, Clinical Leadership and Evidence Based Practice focussing on the best mechanisms for translating research findings into practice.
He is currently undertaking a project funded by the ALTC, to devise a clinical assessment tool for use in pre-registration nursing programmes across Australia.
Professor Crookes has been a member of the Executive of the Australian and New Zealand Council of Deans of Nursing for the past 6 years, and is currently Chair. He is a member of the Royal College of Nursing Australia. He has held a visiting research fellowship with the University of Sheffield and was one of the founding Associate Editors of the international peer-reviewed journal "Nurse Education in Practice".
Dr Nigel Lyons
Dr Nigel Lyons
Chief Executive of Hunter New England Health
Nigel Lyons is responsible for all services across more than 120 sites, from small rural community health centres to major tertiary referral hospitals. With over 14,000 staff and an expenditure budget of $1.3 billion per annum, Hunter New England Health provides services to a community of more than 840,000 people across an area of 130,000 square kilometres.
Dr Lyons has more than 20 years experience as a health service manager across metropolitan and rural service settings. He has a strong commitment to postgraduate medical education and training and has recently been appointed to the Health Workforce Australia Board.
Professor Peter Brooks
Professor Peter Brooks
Executive Dean, Faculty of Health Sciences
University of Queensland
Professor Brooks graduated from Monash University in 1967, returned to Tasmania for post-medical training then went to Scotland in 1972 as a researcher at the University of Glasgow. He returned to Hobart in 1976 to lecture in medicine before moving to Flinders University in 1978 as senior lecturer in medicine. In 1982 he became Foundation Professor of Rheumatology, Sydney University, based at Royal North Shore Hospital. In 1991 he moved to St Vincent's Hospital as Professor of Medicine and Head of the Medical Professorial Unit, a post he held until he joined the University of Queensland in 1998. He is currently Executive Dean of the Faculty of Health Sciences at the University of Queensland.
Professor Brooks has a long-standing interest in the future health workforce and while at the University of Queensland has overseen the development of interprofessional learning as a faculty-wide initiative, a new School of Nursing with nurse practitioner and midwifery streams and the development of physician assistant programs. Professor Brooks has been a strong advocate for exploring in an evidence-based fashion new models of health care and developing an approach to health care funding which provides better incentives for health promotion and disease prevention and an emphasis upon reducing long-term 'load' on the acute health system.
Professor Brian Jolly
Professor Brian Jolly
Director of the Centre for Medical and Health Sciences Education
Monash University
Brian Jolly is the Director of the Centre for Medical and Health Sciences Education. He has interests in assessment, clinical teaching, clinical skills development as well as research design and statistics. Brian's current responsibilities include the development of research initiatives in health professions education, academic guidance to the Graduate Certificate in Health Professionals Education, assisting in the development of undergraduate assessment protocols and fitness to practise initiatives.
Previously, he was Professor of Medical Education at the University of Sheffield, UK, and studied psychology at Birmingham University before graduate studies in educational film and television production in Manchester. In 1979, he joined St Bartholomew's Hospital Medical College, first as Assistant Director of Education and Medical Illustration Services, and subsequently as head of the Academic Unit of Medical & Dental Education.
In 1988, Brian was a visiting professor in medical education at the University of Toronto. His PhD, from Maastricht University, involved work on clinical teaching. He has had a significant involvement in the GMC Performance Review project, and on the GMC's Revalidation Technical Group. He was the foundation Chairman of the Education Committee of the General Osteopathic Council from 1995 - 2001, Director of the Medical Education Unit in the University of Leeds Medical School and Senior Warden for Devonshire Hall, Leeds, from 1996-1999.
