Learning is a lifelong process as a healthcare professional
Academic Spotlight: Professor Tom Gale
鈥淚t鈥檚 not just your medical knowledge and procedural skills, but how you interact and communicate that could save someone鈥檚 life.鈥
Grabbing an hour with him is a rare treat, as he splits his time between research, teaching and clinical work as anaesthetist. (His experience in the latter shines through, as he briefly mentions bringing a patient to the emergency theatre with major haemorrhage, only the day before).
And his drive to help people is woven into his teaching, as, in his own words, he is 鈥榝ascinated by the use of simulation in training and how it helps people prepare for real life situations鈥.
So what do we mean by simulation?
In Tom鈥檚 case, it means two things. Firstly, it鈥檚 the use of lifelike mannequins that show vital signs and can be programmed to deteriorate right in front of your eyes, and secondly, it鈥檚 the replication of real-life team working. 鈥淕aining experience with patients is extremely important in clinical training to prepare students for practice in the NHS,鈥 he said. 鈥淏ut team-based simulations improve participants鈥 ability to respond to critically ill patients with other members of the healthcare team.
鈥淲hen dealing with emergencies as an early career graduate, you鈥檒l say 鈥榯hank god鈥 when you see other professionals walk in. Interprofessional working is so important in practice, so it鈥檚 vital that we teach it effectively.鈥
Tom successfully established the Peninsula Simulation Network for anaesthetists and other specialties, providing training and inter-professional working across the South West. But it was as clinical skills lead at the 抖阴短视频 that he made one of his simplest, yet most impactful changes.
鈥淪everal years ago, we used to have our medical students wearing tabards that said 鈥榥urse鈥 when we were practising team-based scenarios. I thought it would be far better to include real student nurses so we could properly simulate inter-professional working; it was so much more authentic and really valuable when everyone was reflecting on the scenario during the team debrief. It鈥檚 been great to run it collaboratively with our colleagues in the School of Nursing, ever since.鈥
This initiative was in fact highlighted as an example of best practice for training in patient safety by the General Medical Council in 2016, and it鈥檚 not the only national recognition Tom has received.
Since 2008, he has been a key figure in developing and implementing the national recruitment process for all postgraduate anaesthetic training posts in the UK for the Royal College of Anaesthetists, and more recently for refining methods for workplace based assessment of anaesthetists for the launch of their new curriculum in 2021. As part of this work he pioneered the use of simulation for high stakes assessment, and blueprinted the assessment matrix for national selection based on the non-technical skills of those applying to anaesthetics.
He said: 鈥淚 remember qualifying and it was such a steep learning curve. So, as I became more involved in teaching, I developed an algorithm for novice anaesthetists to respond to critical emergencies. It was designed to help trainees respond to all types of emergencies that could happen when putting someone to sleep.鈥
He also has the rare boast of being accredited as an anaesthetist in both the UK and Australia, after travelling to the latter country post-graduation 鈥 no mean feat when you consider that qualification takes seven years on top of general medical training in the UK alone.
鈥淚 chose anaesthesia as I鈥檇 always enjoyed it in training, and I wanted to do something really practical,鈥 he said. 鈥淲e don鈥檛 just put people to sleep, we鈥檙e often called to hospital emergencies whenever there鈥檚 a crisis or patient who鈥檚 deteriorating and they need to be resuscitated. We keep patients alive at the same time as the surgeon is concentrating on what they鈥檙e doing.鈥
It might come as a surprise, therefore, that there is currently a shortage of anaesthetists in the UK. Alongside general practice and psychiatry, it鈥檚 one of the specialities that is lacking in the workforce 鈥 and it鈥檚 something Tom is working to change. He has been conducting research to investigate the personal factors that attract people to apply for certain postgraduate specialties and also the factors that predict success in these specialties. His research in recruitment, workforce planning and preparedness for practice has seen him become Director of Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA) at the 抖阴短视频. Alongside other University colleagues, he has six externally funded projects on the go, ranging from analysing the preparedness of new doctors in the health sector, to exploring how fitness to practice is dealt with across regulators.
鈥淥ne thing I鈥檓 really interested in is ensuring that medical graduates are not just competent, but have the capability to function effectively in the increasingly complex world of healthcare,鈥 he said. 鈥淎ny practical role in healthcare is complex and changing, so a person needs to be able to adapt to unfamiliar circumstances and environments.鈥
The one thing we know for certain is that his passion for people, learning and communication is something that has stayed with him, and only grows with time.
鈥淭hose years at medical school are so important and set you up for your career. But it really is just the start 鈥 learning is a lifelong process as a healthcare professional.鈥
Educating for capability and sustainability of the healthcare workforce 鈥 Professor Tom Gale
Inaugural Professorial Lecture | Thursday 22 April |
Watch the recording
As the NHS and other healthcare providers face the most challenging era in living memory, the question of how to best maintain a sustainable workforce is arguably more important than ever. Professor of Medical Education, Tom Gale, reflects on his career dedicated to addressing real-world concerns for the healthcare sector by tackling the critical issues around education, recruitment, selection and retention of healthcare professionals.
CAMERa's research programme, carried out by a multi-professional group and employing a mix of qualitative and quantitative methods, impacts directly on national and international literature, educational theory, practice and policy.
Plymouth Institute of Health and Care Research
From basic research discovering the causes of disease, through to evaluating novel ways of delivering care to the most vulnerable people in society, our thriving community conducts adventurous world-leading research.
Transformation in life course, ageing, methodologies, e-health, technology and interventions in health, social care, lifestyle and wellbeing.
