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Use of high-fidelity simulated cases to improve third-year medical students’ ability to manage an acutely unwell patient
  1. Pratik Solanki
  1. Correspondence to Dr Pratik Solanki, Department of Medical Education, Princess Alexandra Hospital NHS Trust, Harlow CM20 1QX, UK; pratik.solanki{at}

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A major issue for medical students is that they do not obtain adequate experience on the management of unwell patients.1 As soon as a patient is noted to be unwell, students may be excluded and a great educational opportunity is missed. High-fidelity simulation provides a great opportunity for students to treat acutely unwell patients in a controlled and structured environment, and the benefits of these sessions have already been documented in the literature.2

Although simulation is used for final-year medical students, those in earlier clinical years are generally overlooked, with the assumption that they have not yet had the experience or knowledge to find simulations useful. Thus, hybrid sessions, combining high-fidelity simulation with a tutorial, were created to allow third-year medical students the opportunity to experience treating sick patients. Although not the primary aim of the sessions, any change in the students' ability to assess an unwell patient were investigated using presimulation and postsimulation surveys.


In total, there were nine groups of third-year students on placement at Princess Alexandra Hospital NHS Trust throughout the year, with each group containing three to four students. We initially carried out an assessment of their knowledge on the ABCDE …

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  • Contributors PS organised and ran the course, collected the data and wrote the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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