1HR ON-CALL - Using Simulated ON-CALL to Underpin Experiential Learning in Final Year Medical Students.

Area of Science:

• Medical Education
• Simulation Training
• Undergraduate Medical Studies

Background:

• Limited formal training exists for medical undergraduates regarding on-call duties.
• Junior doctors often experience anxiety related to out-of-hours work and reduced staffing.
• Existing literature on undergraduate on-call preparation is sparse.

Purpose of the Study:

• To develop and evaluate a novel simulated teaching program for final-year medical students.
• To prepare students for the pressures and demands of working on-call in a safe environment.
• To enhance resourcefulness, communication, and triage skills essential for on-call duties.

Main Methods:

• Implemented a simulated teaching program where students received a 'bleep' for one hour.
• Supervisors role-played nurses and registrars, presenting realistic on-call scenarios.
• Tasks involved resource navigation and triage, culminating in an 'unwell patient' simulation, followed by facilitated feedback.

Main Results:

• The simulation program yielded resoundingly positive results over three years.
• Students reported increased confidence and valued the realistic preparation, including navigating unfamiliar hospital wards.
• The program demonstrated effectiveness, sustainability, and low maintenance.

Conclusions:

• There is a significant need for improved undergraduate preparation for on-call responsibilities.
• The developed simulation is an effective and sustainable method for preparing medical students for on-call work.
• The program is recommended as a permanent feature of undergraduate training at Blackpool Victoria Hospital.