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.
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