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25 Sim city: london
  1. Samuel Bulford1,
  2. R Hearn2
  1. 1University College London, UK
  2. 2Kings College London, UK


Throughout their training, medical students have varying exposure to high fidelity simulation. At a post-graduate level, training through simulation is more widely practiced. Undergraduate educators seek novel and varied ways to facilitate students’ learning, and it is these factors which inspired the inauguration of a series of semi-competitive events, involving high fidelity simulated scenarios, between medical undergraduates in London. This series aims to highlight the benefits of better engaging medical undergraduates in simulation, and to prove that ‘medutainment’ has a role within this educational platform.

Dubbed ‘Sim City: London’, each London medical school volunteered a team of enthusiastic penultimate and final year students to play the part of an in-hospital medical team. Utilising a mobile high fidelity simulation suite, during a lecture theatre based evening event each team was confronted with an acutely unwell patient. Scenarios differed between teams, and over 15 minutes team members played the role of the attending clinicians in front of their rival competitors and an audience of supporters. A panel of senior clinical staff then gave team-specific feedback on the medicine practiced, and on the non-technical team qualities observed. The audience also volunteered feedback, and at the end of the evening the expert panel ranked each team in order of overall success. This semi-competitive element helps ensure sustainability for future events though participant and audience buy-in, as does thorough feedback gathering as detailed below.

At the end of the event, observers and participants were surveyed via anonymous data collecting software. The feedback was overwhelmingly positive, with all 45 responders stating they would remain involved in this on-going work. Responders stated the event gave them confidence in managing an acutely unwell patient, and that they feel their communication skills have improved. We plan to gather more data as we move beyond this pilot project.

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