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Training junior doctors to lead rapid responses.

Emily Cetrone1, Hallie Rozansky2, Subha Ramani2

  • 1Division of Geriatrics, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.

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A simulation curriculum improved junior doctors' confidence in leading rapid response events. This training addressed the chaos and emotional aspects of critical care scenarios, enhancing preparedness for real-world situations.

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Area of Science:

  • Medical Education
  • Simulation-Based Learning
  • Internal Medicine Training

Background:

  • Medical training transitions, particularly from postgraduate year (PGY) 1 to 2, are stressful for junior doctors.
  • Residents often lack preparedness for managing clinically unstable patients during rapid response (RR) scenarios.
  • On-the-job training is the primary method for skill acquisition in residency.

Purpose of the Study:

  • To design and evaluate a simulation-based curriculum to enhance residents' preparedness for leading RRs.
  • To assess the impact of the simulation on residents' perceived preparedness and identify key learning themes.

Main Methods:

  • A simulation-based curriculum was implemented for PGY-1 internal medicine residents.
  • Participants completed pre- and post-simulation questionnaires on preparedness.
  • Resident performance was assessed using skills checklists, and debriefing sessions were audiotaped, transcribed, and thematically analyzed.

Main Results:

  • 82% of PGY-1 residents participated in the simulation.
  • Perceived preparedness to lead RRs increased from 12.5% pre-intervention to 33% post-intervention.
  • Four key themes emerged: RR chaos, emotional reactions, task management, and interdisciplinary collaboration.

Conclusions:

  • The simulation-based curriculum improved residents' self-reported preparedness to lead RRs.
  • The training provided a safe space for residents to process complex emotions and learn about RR dynamics.
  • Further follow-up is needed to assess the long-term impact on real-life clinical performance.