Background The recent ‘Shape of training report’ made several recommendations for change to medical training. These included implementing full registration at graduation.1 To facilitate this medical graduates must be competent as junior doctors, including being able to ‘manage acutely ill patients’. Studies have shown that under the current system 50–72% of doctors don’t feel prepared at graduation.2,3 This needs to change.
Growing evidence supports the use of simulation training in medicine. It enables healthcare professionals to practice and learn key skills in a realistic yet safe environment, without putting patients at risk.4 A survey of Wessex hospitals found only 33% offered regular simulation training.5
Our goal was to introduce a simulated teaching course in Poole to improve students’ assessment and management of critically unwell patients, which could be implemented elsewhere.
Methodology Weekly sessions using standardised scenarios focusing on the “ABCDE” assessment of critically unwell patients were designed and implemented. Written and verbal feedback was provided to students and sessions supplemented with an online ‘learning platform’. Students completed questionnaires rating their confidence before and after the sessions.
Results To date, 84 students have taken part in 25 sessions over 9 months. Reported improvements in students’ confidence were statistically significant in 18 of 20 areas assessed. Students’ overall confidence in managing the sick patient rose by 33.35% one of the best areas of improvement seen. Since its launch, our learning platform has had 1395 views.
Potential impact Initial results and written feedback have been excellent. We plan on expanding our catalogue of standardised scenarios, introducing a pre and post course situational-awareness MCQ to assess changes in students’ competence and recording students’ scenarios which will be available to watch privately online allowing them to reflect. Once in place we will look to introduce this throughout the deanery.
Greenway et al. Shape of Training. Securing the future of excellent patient care. October 2013
Goldacre M et al. Views of junior doctors about whether their medical school prepared them well for work: questionnaire surveys. BMC Medical Education 2010
Goldacre MJ, et al. Foundation doctors’ views on whether their medical school prepared them well for work: UK graduates of 2008 and 2009. Postgrad Med J 2012
Lateef F. Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma and Shock 2010;3(4):348–352
- Category: Course or curriculum evaluation/innovation/integration
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