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This presentation was given at the London Trauma Conference in 2014 when I was the Director of Training at Sydney HEMS I was asked to answer three questions: 1. What was the traditional approach? 2. Can it be improved? 3. How can monitor progress? Chapters: 00:00 Intro 01:11 What was the traditional approach? 01:55 Training for performance 02:52 Challenges of mission readiness training in a big 24 service 04:40 Virtual Learning Environment pre-induction 05:18 Governance & education are linked 07:22 Human factors: Self, Team, Environment 08:48 Self mastery 11:06 Mindware 17:19 Managing others 19:37 Controlling environment 20:38 Training techniques: Simulation, Stress Exposure, Perturbation, Cross Training 24:34 Simulation fidelity: physical, psychological, functional 34:57 Stress exposure training 37:37 Trauma procedures training 38:38 Team exam 41:23 Graduation 41:31 How we monitor progress 50:55 Close