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Working without worry: transition to foundation year 1 simulation training
  1. James Arlidge,
  2. Tarannum Rampal,
  3. Manisha Shah
  1. Anaesthetics Department, Medway NHS Foundation Trust, Gillingham, UK
  1. Correspondence to Dr James Arlidge, Anaesthetics Department, Medway NHS Foundation Trust, Gillingham ME7 5NY, UK; james_arlidge{at}

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As final year medical students prepare for their initial Foundation Year 1 (FY1) rotations, there remains a stressful period ahead; a time during which newly qualified doctors must rapidly learn to apply knowledge they have spent many years acquiring. The foundation programme is 2 years of professional development after graduation from medical school to prepare medical students for their chosen specialty training. FY1 doctors are expected to manage patients with acute and chronic conditions, recognise, initiate management and escalate care of deteriorating patients, integrate within a multidisciplinary team, and take appropriate responsibility while working within the limitations of their competence.1

Our goal was to develop a simulation-based training programme to bridge the gap between the self-directed knowledge acquisition and personal time management of medical school, and the multidisciplinary hospital environment, where working as a team towards shared goals under time pressure and high cognitive load requires efficient assessment, communication and teamworking. With this in mind we have developed a programme tailored to the specific needs of final year medical students in this transition period prior to starting Foundation Year training.

The simulation content was developed in response to feedback from current final year students and FY1 doctors at our institution, and the national student survey and foundation trainee feedback. A high proportion of final year medical students feel underprepared for the transition to …

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  • Contributors JA, MS and TR had equal roles in concept design, development and delivery of the simulation programme ‘Working Without Worry - Transition to Foundation Year One Simulation Training’. JA is responsible for the overall content as guarantor.

  • Competing interests None declared.

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

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