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On-call simulation: Evaluating cost and impact.

Rachel Scott¹, Samuel D Chumbley¹, Maria Miles¹

¹Bristol Medical School, University of Bristol, Bristol, UK.

The Clinical Teacher

|September 10, 2024

Summary

On-call simulation training significantly boosts medical student preparedness for shifts. This low-cost, multi-site program enhances confidence in clinical skills and communication, making it a valuable addition to curricula.

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Area of Science:

Medical Education
Simulation-Based Learning
Healthcare Professional Training

Background:

On-call simulation training improves junior doctor confidence but lacks UK curriculum mandate.
Barriers include perceived effectiveness, multi-site feasibility, and cost concerns.
A multi-site on-call simulation program was developed to address these gaps.

Purpose of the Study:

To evaluate the educational impact of a multi-site on-call simulation program on student preparedness.
To conduct an economic evaluation of the program's cost-effectiveness.

Main Methods:

The 'Bleep 101' program involved 217 students across eight hospitals from 2018-2023.
Students engaged with clinical scenarios, prescribing, and distractor tasks, with facilitator support.
Debrief sessions focused on prioritization and communication skills.

Main Results:

Significant increase in preparedness for on-call shifts (pre-4/10 to post-7/10, p<0.01).
Improved student confidence in bleep usage, prioritization, information gathering, and handover.
Low implementation cost: £1.99/student/year (excluding volunteer/room savings).

Conclusions:

On-call simulation is a low-cost, effective educational tool deliverable within existing hospital infrastructure.
The program demonstrably improves medical students' preparedness for on-call duties.
Recommendation for universal availability of on-call simulation within medical school curricula.