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0137 Simulating acute medical scenarios (SAMS): A innovative pilot course for medical trainees
  1. Emma Welfare1,
  2. Dominic Pickles1,2,
  3. Annemarie Brown1,2
  1. 1Centre for Simulation and Patient Safety, Liverpool, Merseyside, UK
  2. 2Royal Liverpool University Hospital, Liverpool, Merseyside, UK


Background Acute medical situations are often time critical and frequently yield challenging discussions. These events are difficult to predict and observe in practice making the opportunity for feedback and development of necessary skills understandably difficult. Simulation based training is well placed to allow experience of such situations;1 however the provision of such training varies considerably between specialities with core medical trainees reporting relatively poor access to simulation courses.2 To address this within the region a course was designed for medical trainees from CT1 to ST7 to provide experience in these challenging areas in a safe educational environment.

Methodology The pilot course ran over one day and allowed participants to experience and lead a range of medical emergencies, each culminating in a challenging discussion, such as dealing with medical error or resuscitation status. Following each scenario the participants underwent video assisted debrief with a human factors trained facilitator and medical instructor. Perceived confidence in abilities were recorded pre and post course with free text responses recorded for course evaluation purposes.

Results Pre-course ratings across the attributes were globally mediocre. All attributes were rated higher post course, particularly when rating their communication skills, ability managing emergencies and dealing with medical error. The greatest increase however was in their confidence as a leader. Overall the course was very well received with numerous positive comments and rated as very useful by 100% of participants.

Potential impact Global feedback identified a real enthusiasm for simulation training for medical trainees. As scenarios were specifically linked to the medical curriculae, it not only allowed completion of work based assessments but also provided unique and valuable opportunity for trainees to develop both their clinical and non-technical skills in a supported non-threatening environment.


  1. Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(1):i2–i10

  2. Tasker F, Newbury N, Burr B, et al. Survey of core medical trainees in the United Kingdom 2013 – inconsistencies in training experience and competing with service demands. Clin Med 2014;14(2):149–56

  3. Likert R. A technique for the measurement of attitudes. Arch Psychol.1932;140:1–55

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