On-call simulation in diagnostic radiology; an underused medical education tool

On-call responsibilities are fundamental to radiology training; requiring competence in managing workload, communication, prioritisation, and reporting. Simulation is a well-established medical education tool, but there are limited published studies on its application in diagnostic radiology. Existing research largely focuses on technical reporting, neglecting nontechnical skills, which are equally essential for safe on-call practice.

Design of a simulation course for junior radiology trainees prior to stepping onto an on-call rota. Participants were given real-life cases to report, while being interrupted by phone calls for clinical queries. They were expected to communicate urgent findings to facilitators in real-time. Rotating participants observed via video link and contemporaneously reviewed cases themselves. The simulation was facilitated by senior radiology trainees in a 'near-peer' format. A postsimulation debrief utilised a feedback cycle with relevant teaching and advice.

Improvement in confidence and preparedness for on-call work was demonstrated through pre- and post-course feedback, with confidence in preparedness for on-calls increasing from 5.1 to 7.1/10, vetting confidence increasing from 7.2 to 8.2/10, and confidence in reporting on call studies increasing from 4.8 to 6.7/10. General feedback themes included the usefulness of personalised feedback, the use of real-life on-call cases with challenging but realistic expectations, and the benefit of having near-peer facilitators promoting a psychologically safe learning environment.

Simulation training that incorporates both technical and nontechnical aspects of on-call work is a highly effective strategy to enhance trainee readiness and improve confidence. Integrating such programs into radiology curricula, with near-peer facilitation, ensures a structured, safe, and impactful learning experience.