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Managing a septic patient: the role of simulation in the Foundation Year 1 induction programme
  1. Emma Samantha Hogg,
  2. Nathan Littley,
  3. Rob Jones
  1. Postgraduate Centre, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Dr Emma Samantha Hogg, Postgraduate Centre, Aintree University Hospitals NHS Foundation Trust, Liverpool L9 7AL, UK; eshogg{at}yahoo.com

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Introduction

The prompt identification and resuscitation of an acutely unwell patient is important in reducing morbidity and mortality. It is often a Foundation Year 1 (FY1) doctor (a doctor within 1 year of graduating from medical school) who will be the first to be alerted to a deteriorating patient in hospital. It is therefore important that they understand how to assess and manage an acutely unwell patient and escalate care appropriately.

The transition from medical student to FY1 doctor can be a stressful and challenging process. Previous studies indicate that many newly qualified doctors feel poorly prepared in managing an unwell patient.1 Simulation can be used to ‘bridge the gap’ between medical student and FY1 doctor; however, its role in the hospital FY1 doctor induction programme has not been previously discussed.

Prior to commencing employment, all final year medical students receive a period of induction arranged locally at the Trust where they are employed. The induction period provides them with Trust-specific information on local policies and procedures, which is critical in delivering safe patient care.

The aim of the authors was to provide FY1 doctors with experience in managing an acutely unwell simulated septic patient. This included ensuring that they were aware of Trust-specific treatment and patient escalation policies. The scenario formed …

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