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Medical student-led simulation in COVID-19 crisis
Justyna O Ekert1, Aphra Luchesa Smith2, Charlotte L Ramsey2
1Wellcome Centre for Human Neuroimaging, University College London, London, UK.
The Clinical Teacher
|December 6, 2020
Summary
Medical student-led simulation training significantly boosted healthcare worker confidence in managing COVID-19 patients. This approach also enhanced medical students
Area of Science:
- Medical Education
- Healthcare Simulation
- Infectious Disease Management
Background:
- The COVID-19 pandemic necessitated rapid retraining for healthcare workers (HCWs) to manage novel clinical situations.
- Simulation training is recognized as an effective method for enhancing HCW confidence in unfamiliar clinical environments.
- There was a need to assess the impact of a specific simulation program on HCWs redeployed to COVID-19 wards.
Purpose of the Study:
- To evaluate the effect of medical student-led simulation training on the confidence of HCWs managing COVID-19 patients.
- To assess the impact of designing and delivering simulation sessions on medical students' confidence as educators.
- To determine the overall utility and benefit of this student-led educational intervention.
Main Methods:
- Senior medical students designed and delivered half-day simulation training sessions focused on COVID-19 clinical scenarios.
- Approximately 150 HCWs participated in repeated sessions prior to redeployment.
- A pre- and post-simulation questionnaire assessed HCW confidence; a separate questionnaire evaluated student experiences.
Main Results:
- Respondents reported significant increases in confidence across all aspects of COVID-19 patient management (p < 0.001).
- Key areas of improved confidence included triage, discharge planning, recognizing deterioration, and basic life support.
- 97% of participants found the training useful, and thematic analysis revealed mutual benefits for both students and HCWs.
Conclusions:
- Medical student-led simulation training is a valuable tool for rapidly building staff confidence during public health crises.
- This model highlights the significant role medical students can play in supporting hospital responses to outbreaks.
- Further research into student-led simulation, including long-term follow-up, is recommended.

