O8 A novel approach to delivering departmental induction using simulation: combining clinical skills, prioritisation and human factors to improve confidence
| Autor: | Shelina Sachedina, Emily Millen, Malcolm C. Smith, Katherine Hodgson |
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| Rok vydání: | 2018 |
| Předmět: |
Medical education
Apprehension business.industry education Specialty Context (language use) 030206 dentistry 030204 cardiovascular system & hematology Test (assessment) Likert scale 03 medical and health sciences 0302 clinical medicine medicine Oral and maxillofacial surgery medicine.symptom business Simulation based Clinical skills |
| Zdroj: | Oral presentations. |
| DOI: | 10.1136/bmjstel-2018-aspihconf.8 |
| Popis: | Background The Haematology and Oncology departments care for around 5000 inpatients a year with four-monthly rotations of 10–12 junior doctors. These doctors start with little or no specialty experience and their apprehension is increased by working with non-resident registrars. To address this, junior doctors have an induction at the start of their rotation to gain knowledge, confidence and integration into the hospital team, however, there are no standards regarding content or delivery.1 Summary of work Our previous departmental induction had become cumbersome and didactic, resulting in little engagement and failed to adequately prepare juniors for the wards. We considered that redesigning induction to include Simulation Based Education (SBE) may enable us to overcome these problems. The new programme included SBE to improve junior doctors’ confidence in handling haematology/oncology emergencies, provided clinical context for specialty specific learning and consider the human factors that may be involved. We also included a prioritisation exercise to prepare the doctors for the decisions they would need to make when on-call. Questionnaires using a Likert scale (0=not very confident, 5=very confident) evaluated junior doctors’ self-reported confidence at managing a variety of Haematology and Oncology scenarios. Primary outcomes were evaluated immediately following the new induction training and secondary outcomes evaluated confidence one month after. Summary of results At time of abstract submission, 31 junior doctors have completed the new induction training. Paired t-test analysis has shown a statistically significant improvement (p Discussion Overall feedback from SBE has been hugely positive; doctors felt that the new induction helped prepare them for working in the department. 83% of doctors rated this induction programme as excellent compared to other departmental inductions. Conclusions SBE is considered to provide a safe environment to learn specialty specific skills and can be used not only to test clinical skills but also human and ethical factors.2 We have shown that delivering an induction that utilises SBE and a prioritisation exercise significantly increased doctor’s confidence and thereby improves their ability at managing a complex patient population. Recommendations Future innovative projects include simulation for haematology specialist registrars, inter-professional simulations and consolidation of learning with micro-SBE throughout the rotation. References Koshal S. Induction training for senior house officers in oral and maxillofacial surgery: Literature review and local evaluation. British Dental Journal2012:213(2):73–6. Gosai J, Purva M, Gunn J. Simulation in cardiology: State of the art. European Heart Journal2015;36:777–83. |
| Databáze: | OpenAIRE |
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