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Using simulation to prepare for clinical practice.

James Morgan1,2, Victoria Green1,2, John Blair1,2

  • 1South Warwickshire NHS Foundation Trust, Warwick, UK.

The Clinical Teacher
|April 4, 2017
PubMed
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Medical students often feel unprepared for clinical practice. A simulation course, Simulated Ward Round And Professional Skills (SWAPS), significantly boosted student confidence and readiness for patient care.

Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Simulation in Healthcare

Background:

  • Many medical students report feeling underprepared for clinical practice, particularly in decision-making, prioritization, and prescribing.
  • Current curriculum changes offer supervised practice but do not fully enable students to assume patient care responsibility.
  • Simulation-based learning is proposed as a method to bridge this preparation gap.

Purpose of the Study:

  • To develop and evaluate a simulation course, 'Simulated Ward Round And Professional Skills' (SWAPS), aimed at enhancing medical student preparedness for clinical practice.
  • To assess the impact of the SWAPS course on student confidence in key clinical and professional skills.

Main Methods:

  • A 'Simulated Ward Round And Professional Skills' (SWAPS) course was designed based on foundation doctor feedback.

Related Experiment Videos

  • 133 final-year medical students participated in a 60-minute simulation scenario, receiving structured feedback.
  • Pre- and post-course questionnaires evaluated changes in student confidence; qualitative feedback was also collected.

    • Main Results:

    • All assessed domains showed a statistically significant improvement in student confidence post-course.
    • Qualitative feedback indicated the course's high utility in simulating essential ward-based scenarios.
    • Students valued the realistic simulation and personalized feedback provided during the course.

    Conclusions:

    • The SWAPS simulation course effectively enhances medical students' confidence and perceived readiness for clinical practice.
    • Simulation provides a valuable platform for students to practice decision-making and experience junior doctor roles in a safe environment.
    • This approach empowers students to take greater responsibility, better preparing them for foundation training.