Mohamed Gheith
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Mohamed Gheith has a total of 32 co-authors. Here are the top co-authors by number of shared publications:
- Amr Eltawil
Department of Industrial and Manufacturing Engineering, Egypt-Japan University of Science and Technology (EJUST), Alexandria 21934, Egypt
7 shared publications Amr Eltawil
Department of Industrial and Manufacturing Engineering, Egypt-Japan University of Science and Technology, Alexandria, Egypt
2 shared publicationsA. B. El-Tawil
Egypt-Japan University of Science and Technology (E-JUST)
1 shared publicationAhmed M. Abdelmagid
Egypt-Japan University of Science and Technology, Egypt
1 shared publication- Ahmed Mohssen Abdelmagid
Department of Industrial and Manufacturing Engineering, Egypt-Japan University of Science and Technology (E-JUST), Alexandria 21934, Egypt
1 shared publication Ahmed Radi
Department of Industrial and Manufacturing Engineering, Egypt-Japan University of Science and Technology, Alexandria, Egypt
1 shared publication
Latest Publications
- Open Access
- 18 July 2026
- Published by Elsevier in Results in Control and Optimization
- Vol. 24
A hybrid deep learning and meta-heuristics framework for financial portfolio optimization considering practical constraints: A case study of the Egyptian stock market
- 18 July 2026
- Published by Elsevier in Results in Control and Optimization
- Vol. 24
Open AccessA hybrid deep learning and meta-heuristics framework for financial portfolio optimization considering practical constraints: A case study of the Egyptian stock market
- Open Access
- 19 May 2026
- Published by Springer Nature in Scientific Reports
- Vol. 16  (1)
A stochastic model for dynamic reconfiguration of multi-microgrid networks under demand and supply uncertainties
Efficiently operating a single microgrid (MG) is increasingly challenging due to volatile electricity demand and intermittent renewable generation. Traditional static networks often fail to adapt to these fluctuations, compromising reliability. Incorporating these uncertainties into planning is essential for developing resilient optimization models that can withstand the stochastic nature of decentralized energy systems. This study proposes a dynamic reconfiguration strategy for interconnected microgrids that reroutes households based on real-time supply and demand. A stochastic nonlinear optimization model was developed to maximize load factors and flatten peaks while accounting for current-dependent power and distribution losses. The Sample Average Approximation (SAA) method was used to handle uncertainty, converting probabilistic variables into a robust deterministic equivalent that prioritizes electrical proximity during reconfiguration. The model was validated using a composite dataset spanning nearly two years of hourly load and renewable profiles. A total of 600 stochastic scenarios were considered and analyzed to represent an empirical distribution of real-world uncertainty while preserving key temporal correlations. Performance was tested under N-1 and N-2 contingency events, in which one or more microgrids are deactivated, to evaluate system resilience. Results indicate that while a single active MG improves the load factor, it also increases operational instability and objective function variance. Conversely, a three-MG configuration enhances system stability and predictability. Economically, the mesh architecture allows for temporary MG deactivation to reduce maintenance and fuel costs without compromising service. The proposed strategy achieves 100% resilience, ensuring uninterrupted service even under severe constraints.
- 19 May 2026
- Published by Springer Nature in Scientific Reports
- Vol. 16  (1)
Open AccessA stochastic model for dynamic reconfiguration of multi-microgrid networks under demand and supply uncertainties
Efficiently operating a single microgrid (MG) is increasingly challenging due to volatile electricity demand and intermittent renewable generation. Traditional static networks often fail to adapt to these fluctuations, compromising reliability. Incorporating these uncertainties into planning is essential for developing resilient optimization models that can withstand the stochastic nature of decentralized energy systems. This study proposes a dynamic reconfiguration strategy for interconnected microgrids that reroutes households based on real-time supply and demand. A stochastic nonlinear optimization model was developed to maximize load factors and flatten peaks while accounting for current-dependent power and distribution losses. The Sample Average Approximation (SAA) method was used to handle uncertainty, converting probabilistic variables into a robust deterministic equivalent that prioritizes electrical proximity during reconfiguration. The model was validated using a composite dataset spanning nearly two years of hourly load and renewable profiles. A total of 600 stochastic scenarios were considered and analyzed to represent an empirical distribution of real-world uncertainty while preserving key temporal correlations. Performance was tested under N-1 and N-2 contingency events, in which one or more microgrids are deactivated, to evaluate system resilience. Results indicate that while a single active MG improves the load factor, it also increases operational instability and objective function variance. Conversely, a three-MG configuration enhances system stability and predictability. Economically, the mesh architecture allows for temporary MG deactivation to reduce maintenance and fuel costs without compromising service. The proposed strategy achieves 100% resilience, ensuring uninterrupted service even under severe constraints.
- Open Access
- 27 January 2026
- Published by MDPI AG in Applied System Innovation
- Vol. 9  (2) , 30
A System-Level Decision-Support Framework for Integrated Operating Room and Bed Capacity Planning Under Emergency Uncertainty
Coordinating operating room schedules with downstream inpatient bed availability remains a critical challenge for hospitals, particularly under emergency-driven uncertainty. Emergency arrivals introduce variability that propagates congestion across surgical and inpatient systems, reducing elective surgery throughput and resource utilization. Existing approaches often treat operating rooms and inpatient beds as isolated planning problems, limiting the ability to anticipate system-wide congestion effects. This study proposes a system-level decision-support framework that integrates elective operating room scheduling, emergency arrivals, and inpatient bed capacity within a unified stochastic optimization model. Uncertainty in surgical duration and patient length of stay is represented through scenario-based stochastic modeling. Computational experiments examine system performance under varying levels of emergency demand and bed availability. The results identify critical congestion thresholds beyond which elective throughput deteriorates rapidly, highlighting the role of downstream bed constraints in governing system capacity under uncertainty. The proposed framework provides hospital managers with practical insights for coordinated surgical and inpatient capacity planning, bridging operations research optimization with operations management principles at the system level.
- 27 January 2026
- Published by MDPI AG in Applied System Innovation
- Vol. 9  (2) , 30
Open AccessA System-Level Decision-Support Framework for Integrated Operating Room and Bed Capacity Planning Under Emergency Uncertainty
Coordinating operating room schedules with downstream inpatient bed availability remains a critical challenge for hospitals, particularly under emergency-driven uncertainty. Emergency arrivals introduce variability that propagates congestion across surgical and inpatient systems, reducing elective surgery throughput and resource utilization. Existing approaches often treat operating rooms and inpatient beds as isolated planning problems, limiting the ability to anticipate system-wide congestion effects. This study proposes a system-level decision-support framework that integrates elective operating room scheduling, emergency arrivals, and inpatient bed capacity within a unified stochastic optimization model. Uncertainty in surgical duration and patient length of stay is represented through scenario-based stochastic modeling. Computational experiments examine system performance under varying levels of emergency demand and bed availability. The results identify critical congestion thresholds beyond which elective throughput deteriorates rapidly, highlighting the role of downstream bed constraints in governing system capacity under uncertainty. The proposed framework provides hospital managers with practical insights for coordinated surgical and inpatient capacity planning, bridging operations research optimization with operations management principles at the system level.
- Open Access
- 28 September 2024
- Published by Springer Nature in Scientific Reports
- Vol. 14  (1) , 1-26
An adapted Black Widow Optimization Algorithm for Financial Portfolio Optimization Problem with cardinalty and budget constraints
Financial Portfolio Optimization Problem (FPOP) is a cornerstone in quantitative investing and financial engineering, focusing on optimizing assets allocation to balance risk and expected return, a concept evolving since Harry Markowitz’s 1952 Mean-Variance model. This paper introduces a novel meta-heuristic approach based on the Black Widow Algorithm for Portfolio Optimization (BWAPO) to solve the FPOP. The new method addresses three versions of the portfolio optimization problems: the unconstrained version, the equality cardinality-constrained version, and the inequality cardinality-constrained version. New features are introduced for the BWAPO to adapt better to the problem, including (1) mating attraction and (2) differential evolution mutation strategy. The proposed BWAPO is evaluated against other metaheuristic approaches used in portfolio optimization from literature, and its performance demonstrates its effectiveness through comparative studies on benchmark datasets using multiple performance metrics, particularly in the unconstrained Mean-Variance portfolio optimization version. Additionally, when encountering cardinality constraint, the proposed approach yields competitive results, especially noticeable with smaller datasets. This leads to a focused examination of the outcomes arising from equality versus inequality cardinality constraints, intending to determine which constraint type is more effective in producing portfolios with higher returns. The paper also presents a comprehensive mathematical model that integrates real-world constraints such as transaction costs, transaction lots, and a dollar-denominated budget, in addition to cardinality and bounding constraints. The model assesses both equality/inequality cardinality constraint versions of the problem, revealing that the inequality constraint tends to offer a wider range of feasible solutions with increased return potential.
- 28 September 2024
- Published by Springer Nature in Scientific Reports
- Vol. 14  (1) , 1-26
Open AccessAn adapted Black Widow Optimization Algorithm for Financial Portfolio Optimization Problem with cardinalty and budget constraints
Financial Portfolio Optimization Problem (FPOP) is a cornerstone in quantitative investing and financial engineering, focusing on optimizing assets allocation to balance risk and expected return, a concept evolving since Harry Markowitz’s 1952 Mean-Variance model. This paper introduces a novel meta-heuristic approach based on the Black Widow Algorithm for Portfolio Optimization (BWAPO) to solve the FPOP. The new method addresses three versions of the portfolio optimization problems: the unconstrained version, the equality cardinality-constrained version, and the inequality cardinality-constrained version. New features are introduced for the BWAPO to adapt better to the problem, including (1) mating attraction and (2) differential evolution mutation strategy. The proposed BWAPO is evaluated against other metaheuristic approaches used in portfolio optimization from literature, and its performance demonstrates its effectiveness through comparative studies on benchmark datasets using multiple performance metrics, particularly in the unconstrained Mean-Variance portfolio optimization version. Additionally, when encountering cardinality constraint, the proposed approach yields competitive results, especially noticeable with smaller datasets. This leads to a focused examination of the outcomes arising from equality versus inequality cardinality constraints, intending to determine which constraint type is more effective in producing portfolios with higher returns. The paper also presents a comprehensive mathematical model that integrates real-world constraints such as transaction costs, transaction lots, and a dollar-denominated budget, in addition to cardinality and bounding constraints. The model assesses both equality/inequality cardinality constraint versions of the problem, revealing that the inequality constraint tends to offer a wider range of feasible solutions with increased return potential.
- Open Access
Simulation-Based Optimization of Truck Appointment Systems in Container Terminals: A Dual Transactions Approach with Improved Congestion Factor Representation
Background: Container terminals (CTs) have constantly administered truck appointment systems (TASs) to effectively accomplish the planning and scheduling of drayage operations. However, since the operations in the gate and yard area of a CT are stochastic, there is a need to incorporate uncertainty during the development and execution of appointment schedules. Further, the situation is complicated by disruptions in the arrival of external trucks (ETs) during transport, which results in congestion at the port due to unbalanced arrivals. In the wake of Industry 4.0, simulation can be used to test and investigate the present CT configurations for possible improvements. Methods: This paper presents a simulation optimization (SO) and simulation-based optimization (SBO) iteration framework which adopts a dual transactions approach to minimize the gate operation costs and establish the relationship between productivity and service time while considering congestion in the yard area. It integrates the use of both the developed discrete event simulation (DES) and a mixed integer programming (MIP) model from the literature to iteratively generate an improved schedule. The key performance indicators considered include the truck turnaround time (TTT) and the average time the trucks spend at each yard block (YB). The proposed approach was verified using input parameters from the literature. Results: The findings from the SO experiments indicate that, at most, two gates were required to be opened at each time window (TW), yielding an average minimum operating cost of USD 335.31. Meanwhile, results from the SBO iteration experiment indicate an inverse relationship between productivity factor (PF) values and yard crane (YC) service time. Conclusions: Overall, the findings provided an informed understanding of the need for dynamic scheduling of available resources in the yard to cut down on the gate operating costs. Further, the presented two methodologies can be incorporated with Industry 4.0 technologies to design digital twins for use in conventional CT by planners at an operational level as a decision-support tool.
Open AccessSimulation-Based Optimization of Truck Appointment Systems in Container Terminals: A Dual Transactions Approach with Improved Congestion Factor Representation
Background: Container terminals (CTs) have constantly administered truck appointment systems (TASs) to effectively accomplish the planning and scheduling of drayage operations. However, since the operations in the gate and yard area of a CT are stochastic, there is a need to incorporate uncertainty during the development and execution of appointment schedules. Further, the situation is complicated by disruptions in the arrival of external trucks (ETs) during transport, which results in congestion at the port due to unbalanced arrivals. In the wake of Industry 4.0, simulation can be used to test and investigate the present CT configurations for possible improvements. Methods: This paper presents a simulation optimization (SO) and simulation-based optimization (SBO) iteration framework which adopts a dual transactions approach to minimize the gate operation costs and establish the relationship between productivity and service time while considering congestion in the yard area. It integrates the use of both the developed discrete event simulation (DES) and a mixed integer programming (MIP) model from the literature to iteratively generate an improved schedule. The key performance indicators considered include the truck turnaround time (TTT) and the average time the trucks spend at each yard block (YB). The proposed approach was verified using input parameters from the literature. Results: The findings from the SO experiments indicate that, at most, two gates were required to be opened at each time window (TW), yielding an average minimum operating cost of USD 335.31. Meanwhile, results from the SBO iteration experiment indicate an inverse relationship between productivity factor (PF) values and yard crane (YC) service time. Conclusions: Overall, the findings provided an informed understanding of the need for dynamic scheduling of available resources in the yard to cut down on the gate operating costs. Further, the presented two methodologies can be incorporated with Industry 4.0 technologies to design digital twins for use in conventional CT by planners at an operational level as a decision-support tool.
- Open Access
A Multi-Stage Approach for External Trucks and Yard Cranes Scheduling with CO2 Emissions Considerations in Container Terminals
Background: In container terminals, optimizing the scheduling of external trucks and yard cranes is crucial as it directly impacts the truck turnaround time, which is one of the most critical performance measures. Furthermore, proper scheduling of external trucks contributes to reducing emissions. Methods: This paper proposes a new approach based on a mixed integer programming model to schedule external trucks and yard cranes with the objective of minimizing emissions and reducing truck turnaround time, the gap between trucking companies’ preferred arrival time and appointed time, and the energy consumption of yard cranes. The proposed approach combines data analysis and operations research techniques. Specifically, it employs a K-means clustering algorithm to reduce the number of necessary truck trips for container handling. Additionally, a two-stage mathematical model is applied. The first stage employs a bi-objective mathematical model to plan the arrival of external trucks at the terminal gates. The second stage involves a mathematical model that schedules yard cranes’ movements between different yard blocks. Results: The results show that implementing this methodology in a hypothetical case study may lead to a substantial daily reduction of approximately 31% in emissions. Additionally, the results provide valuable insights into the trade-off between satisfying the trucking companies’ preferred arrival time and the total turnaround time. Conclusions: The integration of data clustering with mathematical modeling demonstrates a notable reduction in emissions, underscoring the viability of this strategy in promoting sustainability in port-related activities.Open AccessA Multi-Stage Approach for External Trucks and Yard Cranes Scheduling with CO2 Emissions Considerations in Container Terminals
Background: In container terminals, optimizing the scheduling of external trucks and yard cranes is crucial as it directly impacts the truck turnaround time, which is one of the most critical performance measures. Furthermore, proper scheduling of external trucks contributes to reducing emissions. Methods: This paper proposes a new approach based on a mixed integer programming model to schedule external trucks and yard cranes with the objective of minimizing emissions and reducing truck turnaround time, the gap between trucking companies’ preferred arrival time and appointed time, and the energy consumption of yard cranes. The proposed approach combines data analysis and operations research techniques. Specifically, it employs a K-means clustering algorithm to reduce the number of necessary truck trips for container handling. Additionally, a two-stage mathematical model is applied. The first stage employs a bi-objective mathematical model to plan the arrival of external trucks at the terminal gates. The second stage involves a mathematical model that schedules yard cranes’ movements between different yard blocks. Results: The results show that implementing this methodology in a hypothetical case study may lead to a substantial daily reduction of approximately 31% in emissions. Additionally, the results provide valuable insights into the trade-off between satisfying the trucking companies’ preferred arrival time and the total turnaround time. Conclusions: The integration of data clustering with mathematical modeling demonstrates a notable reduction in emissions, underscoring the viability of this strategy in promoting sustainability in port-related activities. - Open Access
A Bi-Objective Mixed-Integer Linear Programming Model for a Sustainable Agro-Food Supply Chain with Product Perishability and Environmental Considerations
Background: Agro-food supply chains possess specific characteristics due to the diverse nature of products involved and contribute to all three pillars of sustainability, making the optimal design of a sustainable agro-food supply chain a complex problem. Therefore, efficient models incorporating the unique characteristics of such chains are essential for making optimal supply chain decisions and achieving economically and environmentally sustainable agro-food supply chains that contribute to global food security. Methods: This article presents a multi-objective mixed-integer linear programing model that integrates agricultural-related strategic decisions into the tactical design of an agro-food supply chain. The model considers transportation, inventory, processing, demand fulfilment, and waste disposal decisions. It also accounts for seasonality and perishability, ensuring a comprehensive approach to sustainability. The model aims to maximize the total generated profits across the supply chain while simultaneously minimizing CO2 emissions as a measure of environmental impact. Results: By implementing the model on a sugar beet supply chain in the Netherlands, strategic crop rotation farm schedules for the crop rotation cycle and the optimum supply network decisions are obtained. Furthermore, different objectives are analyzed and the Pareto-efficient frontier is investigated to analyze the underlying trade-offs. Additionally, the model serves as a decision support tool for managers facilitating informed investment decisions in technologies that prolong product shelf life while maintaining profitability. Conclusions: The proposed multi-objective model offers a valuable framework for designing economically and environmentally sustainable agro-food supply chains. By aligning with sustainability goals and providing decision support, this research contributes to enhancing global food security and promoting sustainable resource utilization.
Open AccessA Bi-Objective Mixed-Integer Linear Programming Model for a Sustainable Agro-Food Supply Chain with Product Perishability and Environmental Considerations
Background: Agro-food supply chains possess specific characteristics due to the diverse nature of products involved and contribute to all three pillars of sustainability, making the optimal design of a sustainable agro-food supply chain a complex problem. Therefore, efficient models incorporating the unique characteristics of such chains are essential for making optimal supply chain decisions and achieving economically and environmentally sustainable agro-food supply chains that contribute to global food security. Methods: This article presents a multi-objective mixed-integer linear programing model that integrates agricultural-related strategic decisions into the tactical design of an agro-food supply chain. The model considers transportation, inventory, processing, demand fulfilment, and waste disposal decisions. It also accounts for seasonality and perishability, ensuring a comprehensive approach to sustainability. The model aims to maximize the total generated profits across the supply chain while simultaneously minimizing CO2 emissions as a measure of environmental impact. Results: By implementing the model on a sugar beet supply chain in the Netherlands, strategic crop rotation farm schedules for the crop rotation cycle and the optimum supply network decisions are obtained. Furthermore, different objectives are analyzed and the Pareto-efficient frontier is investigated to analyze the underlying trade-offs. Additionally, the model serves as a decision support tool for managers facilitating informed investment decisions in technologies that prolong product shelf life while maintaining profitability. Conclusions: The proposed multi-objective model offers a valuable framework for designing economically and environmentally sustainable agro-food supply chains. By aligning with sustainability goals and providing decision support, this research contributes to enhancing global food security and promoting sustainable resource utilization.
- Open Access
Integrated Scheduling of Automated Yard Cranes and Automated Guided Vehicles with Limited Buffer Capacity of Dual-Trolley Quay Cranes in Automated Container Terminals
Background: The key performance index for the container terminals is the vessel berthing time which is highly affected by the scheduling of the different handling equipment. Proper integrated scheduling of the handling equipment is crucial, especially in automated container terminals, where all the handling equipment is automated and must be coordinated to avoid interference. One of the most challenging problems both scholars and terminal operators face is introducing a proper scheduling plan for different equipment, considering the buffer capacity of dual-trolley quay cranes (QCs) and the limited storage locations of import containers. Methods: A mathematical model is proposed to integrate the scheduling of automated yard cranes and automated guided vehicles (AGVs), considering the limited buffer capacity beneath dual-trolley QCs and the storage allocation of import containers. Results: different instances were solved to evaluate the proposed model’s performance and investigate the impact of using dual-trolley QCs instead of single-trolley QCs, and the impact of using different buffer capacities. Conclusions: The results show that the model provides detailed scheduling and assigning plans for the YCs and AGVs besides allocating import containers. Additionally, the dual-trolley QCs can significantly decrease the completion time and increase AGVs’ utilization compared to the single-trolley QCs.
Open AccessIntegrated Scheduling of Automated Yard Cranes and Automated Guided Vehicles with Limited Buffer Capacity of Dual-Trolley Quay Cranes in Automated Container Terminals
Background: The key performance index for the container terminals is the vessel berthing time which is highly affected by the scheduling of the different handling equipment. Proper integrated scheduling of the handling equipment is crucial, especially in automated container terminals, where all the handling equipment is automated and must be coordinated to avoid interference. One of the most challenging problems both scholars and terminal operators face is introducing a proper scheduling plan for different equipment, considering the buffer capacity of dual-trolley quay cranes (QCs) and the limited storage locations of import containers. Methods: A mathematical model is proposed to integrate the scheduling of automated yard cranes and automated guided vehicles (AGVs), considering the limited buffer capacity beneath dual-trolley QCs and the storage allocation of import containers. Results: different instances were solved to evaluate the proposed model’s performance and investigate the impact of using dual-trolley QCs instead of single-trolley QCs, and the impact of using different buffer capacities. Conclusions: The results show that the model provides detailed scheduling and assigning plans for the YCs and AGVs besides allocating import containers. Additionally, the dual-trolley QCs can significantly decrease the completion time and increase AGVs’ utilization compared to the single-trolley QCs.
- 15 November 2022
- Published by Zoom Health Ltd. in International Journal of Healthcare Simulation
- Vol. 2  (null) , A18-A19
Can a novel blended learning resource improve the simulation experience for international medical graduates working in the UK? A survey of kent surrey sussex trainees in anaesthesia
Background: With the increasing number of International Medical Graduates (IMGs) hired by the UK National Healthcare Service (NHS), a unification of training becomes essential. One of the main obstacles facing IMGs is insufficient simulation-based training [1]. In 2021, 19,977 doctors were registered to the General Medical Council (GMC). 10,009 of them studied medicine outside the United Kingdom (UK) [2]. Blended learning offers the opportunity for engagement and interaction to facilitate learning experiences [3]. Methods: We created and distributed a survey to Anaesthetic trainees in the ‘Kent Surrey Sussex (KSS)’ Deanery. We received a total of 76 responses, 49 (64.5%) UK graduates (UKGs) and 27 (35.5%) international graduates. The survey was designed to ascertain their medical training, simulation experience, and their perception of that simulation experience. We also included additional questions aimed specifically at IMGs to demonstrate the best way they could be supported to acquaint themselves with the simulation process further. Findings: IMGs were less likely to have simulation training as an undergraduate (24% IMGs vs 96% UKGs), and 37% of IMGs had no simulation exposure before coming to the UK. IMGs were also exposed to fewer simulation sessions during their career when compared with UKGs. When asked how simulation can improve human factor variables, including teamworking, leadership, and managing stressful situations, both groups responded similarly. An exception was that IMGs were much more likely to ‘strongly agree’ that simulation improved their communication skills (41% vs 29%). IMGs were less likely to find the overall simulation experience ‘excellent’ (24% vs 51% in UKGs), suggesting more can be done to improve their perception of simulation (Table 1). Most IMGs (88.9%) believed they would benefit from blended learning. These included methods such as; an introductory video describing simulation (59%), pre-course materials (59%), manikin familiarisation (59%), a virtual tour (52%), and attending as an observer before simulation sessions (56%). Table 1: Comparison of UKGs versus IMGs simulation experience. As well as asking about how simulation improved communication skills, responders were asked the impact simulation had in improving other core skills including teamwork, leadership, and managing stressful situations with both groups responding similarly. Conclusion: There is a clear discrepancy in simulation exposure and perception of simulation between IMGs and UKGs. We believe blended learning may be the solution to help bridge this gap. Our survey highlighted potential resources we can introduce, including introductory videos, additional learning materials, and attending simulation as an observer. We hope to incorporate some of these in the future within our Trust Simulation Department and, if successfully received, expand throughout the KSS deanery. References 1. Martinerie L, Rasoaherinomenjanahary F, Ronot M, Fournier P, Dousset B, Tesnière A, Mariette C, Gaujoux S, Gronnier C. Health care simulation in developing countries and low-resource situations. J Contin Educ Health Prof. 2018;38(3):205–212 2. Campbell D. NHS hiring more doctors from outside UK and EEA than inside for first time. The Guardian. 8 June 2022. https://www.theguardian.com/society/2022/jun/08/nhs-hiring-more-doctors-from-outside-uk-and-eea-than-inside-for-first-time. [Accessed on 29/09/2022] 3. Singh H. Building effective blended learning programs. Educational Technology. 2003; 43:51–54 Background: With the increasing number of International Medical Graduates (IMGs) hired by the UK National Healthcare Service (NHS), a unification of training becomes essential. One of the main obstacles facing IMGs is insufficient simulation-based training [1]. In 2021, 19,977 doctors were registered to the General Medical Council (GMC). 10,009 of them studied medicine outside the United Kingdom (UK) [2]. Blended learning offers the opportunity for engagement and interaction to facilitate learning experiences [3]. Methods: We created and distributed a survey to Anaesthetic trainees in the ‘Kent Surrey Sussex (KSS)’ Deanery. We received a total of 76 responses, 49 (64.5%) UK graduates (UKGs) and 27 (35.5%) international graduates. The survey was designed to ascertain their medical training, simulation experience, and their perception of that simulation experience. We also included additional questions aimed specifically at IMGs to demonstrate the best way they could be supported to acquaint themselves with the simulation process further. Findings: IMGs were less likely to have simulation training as an undergraduate (24% IMGs vs 96% UKGs), and 37% of IMGs had no simulation exposure before coming to the UK. IMGs were also exposed to fewer simulation sessions during their career when compared with UKGs. When asked how simulation can improve human factor variables, including teamworking, leadership, and managing stressful situations, both groups responded similarly. An exception was that IMGs were much more likely to ‘strongly agree’ that simulation improved their communication skills (41% vs 29%). IMGs were less likely to find the overall simulation experience ‘excellent’ (24% vs 51% in UKGs), suggesting more can be done to improve their perception of simulation (Table 1). Most IMGs (88.9%) believed they would benefit from blended learning. These included methods such as; an introductory video describing simulation (59%), pre-course materials (59%), manikin familiarisation (59%), a virtual tour (52%), and attending as an observer before simulation sessions (56%). Table 1: Comparison of UKGs versus IMGs simulation experience. As well as asking about how simulation improved communication skills, responders were asked the impact simulation had in improving other core skills including teamwork, leadership, and managing stressful...
- 15 November 2022
- Published by Zoom Health Ltd. in International Journal of Healthcare Simulation
- Vol. 2  (null) , A18-A19
Can a novel blended learning resource improve the simulation experience for international medical graduates working in the UK? A survey of kent surrey sussex trainees in anaesthesia
Background: With the increasing number of International Medical Graduates (IMGs) hired by the UK National Healthcare Service (NHS), a unification of training becomes essential. One of the main obstacles facing IMGs is insufficient simulation-based training [1]. In 2021, 19,977 doctors were registered to the General Medical Council (GMC). 10,009 of them studied medicine outside the United Kingdom (UK) [2]. Blended learning offers the opportunity for engagement and interaction to facilitate learning experiences [3]. Methods: We created and distributed a survey to Anaesthetic trainees in the ‘Kent Surrey Sussex (KSS)’ Deanery. We received a total of 76 responses, 49 (64.5%) UK graduates (UKGs) and 27 (35.5%) international graduates. The survey was designed to ascertain their medical training, simulation experience, and their perception of that simulation experience. We also included additional questions aimed specifically at IMGs to demonstrate the best way they could be supported to acquaint themselves with the simulation process further. Findings: IMGs were less likely to have simulation training as an undergraduate (24% IMGs vs 96% UKGs), and 37% of IMGs had no simulation exposure before coming to the UK. IMGs were also exposed to fewer simulation sessions during their career when compared with UKGs. When asked how simulation can improve human factor variables, including teamworking, leadership, and managing stressful situations, both groups responded similarly. An exception was that IMGs were much more likely to ‘strongly agree’ that simulation improved their communication skills (41% vs 29%). IMGs were less likely to find the overall simulation experience ‘excellent’ (24% vs 51% in UKGs), suggesting more can be done to improve their perception of simulation (Table 1). Most IMGs (88.9%) believed they would benefit from blended learning. These included methods such as; an introductory video describing simulation (59%), pre-course materials (59%), manikin familiarisation (59%), a virtual tour (52%), and attending as an observer before simulation sessions (56%). Table 1: Comparison of UKGs versus IMGs simulation experience. As well as asking about how simulation improved communication skills, responders were asked the impact simulation had in improving other core skills including teamwork, leadership, and managing stressful situations with both groups responding similarly. Conclusion: There is a clear discrepancy in simulation exposure and perception of simulation between IMGs and UKGs. We believe blended learning may be the solution to help bridge this gap. Our survey highlighted potential resources we can introduce, including introductory videos, additional learning materials, and attending simulation as an observer. We hope to incorporate some of these in the future within our Trust Simulation Department and, if successfully received, expand throughout the KSS deanery. References 1. Martinerie L, Rasoaherinomenjanahary F, Ronot M, Fournier P, Dousset B, Tesnière A, Mariette C, Gaujoux S, Gronnier C. Health care simulation in developing countries and low-resource situations. J Contin Educ Health Prof. 2018;38(3):205–212 2. Campbell D. NHS hiring more doctors from outside UK and EEA than inside for first time. The Guardian. 8 June 2022. https://www.theguardian.com/society/2022/jun/08/nhs-hiring-more-doctors-from-outside-uk-and-eea-than-inside-for-first-time. [Accessed on 29/09/2022] 3. Singh H. Building effective blended learning programs. Educational Technology. 2003; 43:51–54 Background: With the increasing number of International Medical Graduates (IMGs) hired by the UK National Healthcare Service (NHS), a unification of training becomes essential. One of the main obstacles facing IMGs is insufficient simulation-based training [1]. In 2021, 19,977 doctors were registered to the General Medical Council (GMC). 10,009 of them studied medicine outside the United Kingdom (UK) [2]. Blended learning offers the opportunity for engagement and interaction to facilitate learning experiences [3]. Methods: We created and distributed a survey to Anaesthetic trainees in the ‘Kent Surrey Sussex (KSS)’ Deanery. We received a total of 76 responses, 49 (64.5%) UK graduates (UKGs) and 27 (35.5%) international graduates. The survey was designed to ascertain their medical training, simulation experience, and their perception of that simulation experience. We also included additional questions aimed specifically at IMGs to demonstrate the best way they could be supported to acquaint themselves with the simulation process further. Findings: IMGs were less likely to have simulation training as an undergraduate (24% IMGs vs 96% UKGs), and 37% of IMGs had no simulation exposure before coming to the UK. IMGs were also exposed to fewer simulation sessions during their career when compared with UKGs. When asked how simulation can improve human factor variables, including teamworking, leadership, and managing stressful situations, both groups responded similarly. An exception was that IMGs were much more likely to ‘strongly agree’ that simulation improved their communication skills (41% vs 29%). IMGs were less likely to find the overall simulation experience ‘excellent’ (24% vs 51% in UKGs), suggesting more can be done to improve their perception of simulation (Table 1). Most IMGs (88.9%) believed they would benefit from blended learning. These included methods such as; an introductory video describing simulation (59%), pre-course materials (59%), manikin familiarisation (59%), a virtual tour (52%), and attending as an observer before simulation sessions (56%). Table 1: Comparison of UKGs versus IMGs simulation experience. As well as asking about how simulation improved communication skills, responders were asked the impact simulation had in improving other core skills including teamwork, leadership, and managing stressful...
- Open Access
Scheduling External Trucks Appointments in Container Terminals to Minimize Cost and Truck Turnaround Times
Background: Scheduling the arrival of external trucks in container terminals is a critical operational decision that faces both terminal managers and trucking companies. This issue is crucial for both stakeholders since the random arrival of trucks causes congestion in the terminals and extended delays for the trucks. The objective of scheduling external truck appointments is not only to control the workload inside the terminal and the costs resulting from the excessive waiting times of trucks but also, to reduce the truck turnaround time. Methods: A binary programming model was proposed to minimize the waiting time cost, demurrage cost, and container delivery cost. Moreover, a sensitivity analysis was performed to compare various scenarios in terms of cost and to study to what extent the workload level is affected. The mathematical model was solved using Gurobi© 8.1.0 software. Results: 30 instances found in the literature were solved and evaluated in terms of the objective function value (i.e., cost) and truck turnaround time before and after controlling the workload inside the container terminal using the new proposed constraint. Conclusions: The obtained results showed a better distribution of the terminal workload, as well as a lower truck turnaround time that reduces the total cost.
Open AccessScheduling External Trucks Appointments in Container Terminals to Minimize Cost and Truck Turnaround Times
Background: Scheduling the arrival of external trucks in container terminals is a critical operational decision that faces both terminal managers and trucking companies. This issue is crucial for both stakeholders since the random arrival of trucks causes congestion in the terminals and extended delays for the trucks. The objective of scheduling external truck appointments is not only to control the workload inside the terminal and the costs resulting from the excessive waiting times of trucks but also, to reduce the truck turnaround time. Methods: A binary programming model was proposed to minimize the waiting time cost, demurrage cost, and container delivery cost. Moreover, a sensitivity analysis was performed to compare various scenarios in terms of cost and to study to what extent the workload level is affected. The mathematical model was solved using Gurobi© 8.1.0 software. Results: 30 instances found in the literature were solved and evaluated in terms of the objective function value (i.e., cost) and truck turnaround time before and after controlling the workload inside the container terminal using the new proposed constraint. Conclusions: The obtained results showed a better distribution of the terminal workload, as well as a lower truck turnaround time that reduces the total cost.