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Related Experiment Video

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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
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Published on: August 9, 2024

Using simulation to support doctors in difficulty.

Kevin Stirling1, George Hogg, Jean Ker

  • 1Clincial Skills Centre, University of Dundee, Tayside, UK. k.j.stirling@dundee.ac.uk

The Clinical Teacher
|September 22, 2012
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Summary

The Postgraduate Ward Simulation Exercise (PgWSE) provides targeted assessment and feedback for medical trainees facing performance issues. This simulation helps improve clinical decision-making and team collaboration for doctors in difficulty.

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Area of Science:

  • Medical Education
  • Clinical Skills Assessment
  • Simulation-Based Training

Background:

  • A small percentage of medical trainees exhibit performance concerns requiring specific interventions.
  • The Postgraduate Ward Simulation Exercise (PgWSE) was developed collaboratively by the University of Dundee and NHS Education for Scotland (NES).
  • The 90-minute PgWSE assesses trainees in a simulated ward, focusing on prioritization, teamwork, and clinical decision-making.

Purpose of the Study:

  • To introduce the PgWSE as a novel national intervention for assessing and remediating underperforming trainee doctors.
  • To evaluate the effectiveness of a simulation-based exercise in managing trainees with performance difficulties.

Main Methods:

  • Development of nine realistic clinical scenarios (surgery, general medicine, elderly medicine) with trained simulated patients.
  • Utilisation of validated, standardized assessment tools for objective performance evaluation.
  • Incorporation of self-assessment to facilitate trainee engagement and feedback preparation.

Main Results:

  • The PgWSE has proven to be an effective tool for managing trainee doctors experiencing difficulties in Scotland.
  • Despite being resource-intensive, the exercise positively impacts trainee remediation.
  • Objective, detailed, and comprehensive feedback is provided to referring deaneries.

Conclusions:

  • The PgWSE is a valuable intervention for the remediation of medical trainees in difficulty.
  • The simulation provides crucial objective data for postgraduate medical education oversight.
  • This approach enhances the quality of feedback and support for struggling trainees.