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Introduction Crosshouse Hospital Emergency Department (ED) is a busy department responsible for teaching final year medical students. This teaching consists of practical experience, lunchtime tutorials and simulation. Increasingly, simulation-based training is shown to be beneficial in undergraduate and postgraduate education. Despite this, simulation is an under-utilised teaching method. This is often due to limitations such cost, time and equipment. (1) Our aim was to develop a simulation format which could be easily delivered in the ED with minimal cost and resource requirements which still provides a realistic environment in which to practice managing the unwell patient. Methods To do this we carried out several simulation sessions as follows: 1. Site Resus bay within ED Observations on monitors Tasks performed in real-time 2. Participants 1 medical student as patient 1 medical student as a doctor 1 nursing student 1–2 facilitators 3. Briefing Participants briefed on roles and set up Ground rules set out to ensure ‘safe space’ 4. Scenario Pre-written scenarios covering common A&E presentations help standardise delivery 5. Debrief With all participants Further discussion on points raised Trained facilitators Debrief the debrief regularly We were able to run this session on 5 occasions with the students. Results In-situ simulation has received only positive feedback from the students involved. Both nursing and medical students felt that, although simple, the simulation was very realistic. They gained greater understanding of each other’s roles, enhanced confidence in their ability to manage unwell patients and greater insight into the patient experience. Discussion Simulation is often underutilised due to perceived challenges (1). The main challenges we faced were The need for dynamic risk assessment of the department Balancing prompt clear up with the debrief Time commitment. We were able to mitigate these by using pre-written scenarios which afforded us flexibility to make the most of any calmer periods. We also tried to ensure the presence of two facilitators for efficient clear up and the sessions were run by Clinical teaching fellows who have dedicated teaching time. Conclusion We hope this encourages others to utilise in situ simulation for undergraduate education within the ED particularly since we’ve shown that this can be easily performed with minimal resources. References Battista, A., Nestel, D. Simulation in Medical Education. In Forrest, K., Swanwick, T. and O’Brien, BC. Understanding medical education: Education theory and practice. Hoboken, NJ: Wiley-Blackwell, 2018. p151–162. |
