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0208 The Simulated On Call Hourimproving The Transition From Medical Student To Doctor
  1. Rebecca Preedy
  1. Barts Health NHS Trust, London, UK


Introduction The transition from medical student to doctor is recognised to be a difficult and stressful period despite significant change within undergraduate education. 1,2,3 Research continues to highlight the problems of transition,4 with further recommendations to offer students even more experiential learning.5

At Barts health we have piloted an innovate simulation introducing undergraduates to the challenges faced of being ‘on-call.’6 This involves undergraduate students receiving a number of tasks over an hour through a paging system. They then must prioritise and undertake these tasks, as they would be expected to do as a junior doctor, after through brief, discussion of technical and non-technical skills occurs. It received positive feedback from the students but as yet we do not know whether it has an actual benefit to their experience of being on-call, which is the aim of our further research.

Methodology This programme will be included in the work-shadow period at some of the sites within Bart’s Health so that data can be collected to compare the experience of all newly appointed doctors to see if this type of simulation can make a difference to their transition on becoming a doctor. Data will be collected through the use of a questionnaire and interview of their experience of being on call.

Results Descriptive statistics will compare responses of those that undertook the programme and those that did not.

Conclusion Junior doctors commencing their first on call face a new level of responsibility and problems that they may have not encountered before. This additional experiential learning experience through simulating will allow discussing problems such as prioritising, gathering information, time management as well as technical aspects of patient care to provide a bank of experience that they will have recourse to use real-life.


  1. Goldacre M, et al. PRHOs’ views on whether their experience at medical school prepared them well for their jobs: national questionnaire survey. BMJ 2003;326:1011–1101

  2. Brennan NE.: The transition from medical student to junior doctor: today’s experiences of Tomorrow’s Doctors. Med Ed 2010;44;449–458

  3. Berridge EJ, et al. Bridging the gap: supporting the transition from medical student to practising doctor-a two-week preparation programme after graduation. Med Teach. 2007; 29:119–27

  4. Kavanagh P, et al. Evaluation of final year work-shadowing attachment. Ulster Med J 2012;81:83–33

  5. Lumley S. An hour on call: simulation for medical students. Med Educ 2013;47;1125

  • Category: Course or curriculum evaluation/innovation/integration
  • Category: Non-technical skills, communication, behaviors, team performance

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