Article Text

60 Utilising “in-situ” high fidelity simulation for nhs work place induction
  1. Y Kukreja,
  2. B Herath,
  3. J Woods
  1. Frimely Health NHS Foundation Trust, Frimley Park Hopsital, Camberley, UK


Background Hospital induction programmes play a central role in assimilating medical professionals to both a new working environment and frequently a new clinical role. The methods of delivering such programmes have remained relatively static over the years.

Research demonstrates new starters learn best when programmes are fun, multisensory and facilitated through their peers.1 It is essential to incorporate crucial aspects of quality, patient safety and teamwork into such programmes2 to maximise clinical effectiveness and allay anxiety of inductees.

Trainees have stressed the importance of orientation within a new department and the understanding of protocols, procedures and policies.3 We outline our experience of using high fidelity in-situ simulation to induct trainees new to our anaesthetic department.

Methodology As a baseline, trainees’ (n = 12) rated their confidence in dealing with anaesthetic complications following the standard trust and departmental induction, using a five point Likert scale.

Inductees participated or observed four scenarios involving real clinical teams in varied theatre settings. Participants reappraised the baseline question following debriefing of all sessions.

Results A major improvement was noted post simulation, with those strongly agreeing to have confidence in managing anaesthetic complications in their new workplace, increasing from 28% to 55% post simulation. 81% felt that simulation based teaching had improved the overall induction process.

Themes from the comments included simulation consolidating time critical information such as the location of emergency equipment, improved orientation plus instilling methods to assemble necessary support in this new working environment.

Conclusions High fidelity in-situ simulation refocused our induction on the principles of patient safety and teamwork whilst increasing trainees’ confidence and reinforcing important practical aspects. This method revealed unanticipated nuances unique to any given institution and could be replicated to improve satisfaction with the induction process.


  1. James J, Bibb S, Walker S. Tell it how it is. Summary research report 2008. Talentsmoothie,

  2. Stanton E, Lemer C. The art of NHS Induction. BMJ Careers 2010.

  3. Ward S. Improving quality in hospital induction programmes. BMJ 1998;316:2.

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