A foundation interim year 1 sequential simulation experience and analysis of preparedness to practice early

Area of Science:

• Medical Education
• Clinical Skills Training
• Healthcare Simulation

Background:

• Foundation interim year 1 (FiY1) is crucial for medical graduate transition.
• Assessing and enhancing FiY1 preparedness is vital for patient safety and effective healthcare delivery.

Purpose of the Study:

• To evaluate the impact of a simulation session and the FiY1 period on medical trainee preparedness.
• To identify areas of significant improvement in clinical skills and professional competencies.

Main Methods:

• A simulation session covering investigations, examinations, management, and escalation was implemented.
• Quantitative (Likert scales) and qualitative (interviews) methods were used to measure preparedness before and after interventions.
• Preparedness was assessed pre- and post-simulation and pre- and post-FiY1 period.

Main Results:

• Simulation significantly improved preparedness in treatment administration (p=0.04), paperwork (p=0.03), and independent work (p=0.03).
• The FiY1 period led to significant gains in treatment (p=0.01), paperwork (p=0.01), independent work (p=0.02), and teamwork (p=0.01).
• Both simulation and the FiY1 period demonstrated a positive impact on overall trainee preparedness.

Conclusions:

• Simulation-based training and the FiY1 program are effective in enhancing medical trainee preparedness.
• Future medical apprenticeships should incorporate similar learning opportunities and responsibilities to those in the FiY1 program.