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Building a clinical skills and simulation centre in stages

By Vvon Engineering Team | Published | Updated

Plan a simulation centre from learning objectives and operating costs, with a defined digital-anatomy role and clear boundaries between equipment categories.

Medical equipment RFQ checklist (TXT)

A simulation centre needs a teaching programme as well as equipment. Without a timetable, trained facilitators, preparation space and a recurrent budget, a well-equipped room can remain underused.

Plan capital and operating resources together. VVON’s current medical-education catalogue covers Anatomage digital-anatomy systems. The task trainers and patient simulators discussed below are comparisons for a complete institutional teaching plan, not a claim that VVON supplies those ranges.

Buy the programme, not the room

List the curriculum competencies, choose appropriate teaching and assessment methods, design the sessions and calculate learner throughput before determining equipment quantities.

Compare learner throughput, practice opportunities and assessment objectives before choosing fidelity. Several task trainers may serve a repeated single-skill session better than one advanced simulator, while team scenarios may require capabilities a basic trainer cannot provide.

What each tier of equipment is actually for

Task trainers

Single skill models: venepuncture and cannulation arms, injection pads, suturing and knot tying pads, urinary catheterisation models for both sexes, lumbar puncture torsos, chest drain and intercostal models, airway heads, obstetric pelvis models for normal delivery and for shoulder dystocia, and neonatal resuscitation trainers. Durability, repairability and consumable cost vary by model; choose quantities from the curriculum and planned session throughput. Buy in multiples so a class of twenty is not queuing at one model, because the alternative is a session where each student practises once and watches for the rest of the hour.

Manikins and patient simulators

Patient simulators range from basic models to systems with controllable physiological responses and scenario functions. Their capabilities, operator requirements and recurrent costs vary. An institution considering these separate product categories should obtain a specialist demonstration and support proposal matched to its curriculum.

Skills stations and assessment infrastructure

Assessment stations may use partitions, examination furniture, storage, timing and signage according to the assessment design. Listed furniture examples include the X36 Examination Table, SKH004 Instrument Trolley and SKH049 Screen. Confirm dimensions, cleaning and quantities from the actual station layout.

Screen based and virtual resources

Digital anatomy and physiology content can support selected learning objectives alongside hands-on sessions. If the institution already uses an Anatomage Table Classic or another platform, review its available content and timetable before purchasing overlapping capability.

Simulated patients

Simulated patients are trained participants who support communication, history-taking and other agreed learning objectives. Budget for recruitment, preparation, consent, psychological safety and coordination; they complement physical and digital simulation.

StageWhat you buyWhat it lets you teachWhat it costs in staff time
1. Skills laboratoryTask trainers in multiples, consumables, basic furniture, storageCore procedural skills for large undergraduate cohorts, timetabled weeklyStaffing and technical support matched to the teaching timetable
2. Assessment capacityStation bays, partitions, timing system, cameras, simulated patient programmeStructured clinical examinations, formative and summative, and communication skillsA coordinator and an examiner roster. Substantial at examination time
3. Team based simulationOne instrumented manikin, control position, debriefing roomDeteriorating patient management, resuscitation, team working and handoverTrained facilitators and operator support appropriate to the scenarios
4. In situ and interprofessionalPortable simulator, recording kit, scenario librarySimulation in the actual ward with the actual team, including systems testingCoordination with clinical departments, which is harder than it sounds

Rooms, services and storage

The storage figure is the one that gets cut from the drawing and then wrecks the operation. Task trainers, spare skins, consumables, cases, tripods, linen and furniture that has to move between session layouts all need somewhere to live, close to the room and lockable. A skills laboratory with insufficient storage becomes a store, and then it cannot be used for teaching, and the cycle completes itself.

The recurrent costs nobody budgets for

Budget consumables, maintenance and software obligations from the actual equipment and session plan so recurrent costs remain visible after the initial purchase.

Faculty first, equipment second

Equipment fidelity and facilitation should match the learning objective. Faculty development, prebriefing, feedback and debriefing are part of the educational programme, not features delivered by the manikin alone.

Use recognised simulation standards to plan facilitation and learner assessment. Select faculty development appropriate to the intended sessions and agree a local competency process; a short supplier familiarisation session is not a clinical teaching qualification.

Protected time is the other half of this. If simulation teaching is unpaid additional work stacked on top of a full clinical load, it survives for exactly as long as the enthusiasm of the individuals doing it. Write the sessions into the timetable and into workload allocations, with named owners, before the equipment is ordered.

A staged plan that works

  1. Audit first. List what the college already owns, including items sitting unused in departments, and map the curriculum competencies against them. Check its condition, availability and continuing relevance before counting it as usable capacity.
  2. Stage one, skills laboratory. Task trainers in quantity, storage, a technician, and a published weekly timetable with a named owner for every session. Do not proceed until the timetable is actually running.
  3. Stage two, assessment. Station infrastructure and a simulated patient programme. Assessment drives student effort and creates institutional demand for the centre, which is what secures the recurrent budget.
  4. Stage three, one instrumented manikin. Choose one clinical area to start, ideally one where the outcome case is unarguable, such as obstetric emergencies or neonatal resuscitation. Build a small scenario library and run it repeatedly before widening the scope.
  5. Stage four, in situ simulation. Take a portable setup into the real ward with the real team. This finds latent problems in the environment as well as training people, with clinical approval, clear separation from patient care and a plan for acting on identified system issues.
  6. Stage five, courses and evaluation. Assess any external course against staffing capacity, approvals and realistic demand. Evaluating your own results, and publishing them, is what turns a room into a department.

How to tell whether it is working

Counting equipment is not a measure. These are:

Primary references and equipment checks

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