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1HR ON-CALL — Using Simulated ON-CALL to Underpin Experiential Learning in Final Year Medical Students

机译:1HR随机通话 - 在最后一年医学生中使用模拟随叫随到的基础学习

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A survey of Blackpool Foundation Year One (FY1) doctors found limited training about being on-call. We could not find any direct mention in Tomorrow’s Doctors for preparing undergraduates for this. 1 Working out of hours, on-call and with a reduced workforce is a known area of anxiety among junior doctors. With few examples in literature, 2 ,3 we developed a novel approach to aiding final-year medical students prepare for this. A simulated teaching programme allowed students to experience the pressures of working on-call. We hoped to imitate stressors within a safe environment. Students were each given a bleep for an hour. Supervisors role-playing a concerned nurse “bleeped” the students. Each task was held in a folder on different wards (no patient interaction or information was involved). They were relatively simple and designed to stimulate resourcefulness, communication and triage skills. Various resources were available including the number for the medical registrar, played by supervisors. The final station was always the unwell patient aimed at drawing the student immediately to this scenario. A facilitated feedback session explored students’ positive and negative experiences, concerns and coping mechanisms. Over the three years of this running, results were resoundingly positive with students taking great confidence from the programme. During the open feedback session, students valued using open wards and having to navigate in an unfamiliar hospital as a realistic preparation for next year. Being on-call is an inevitable part of a junior doctor’s work and we believe there is scope for better preparation within undergraduate training. We have developed an effective and sustainable simulation that has shown excellent results. Due to the positive reaction and low maintenance of the project, we aim to cement our teaching programme as a permanent feature for undergraduate students at Blackpool Victoria Hospital.
机译:对Blackpool Boundy One(FY1)医生的调查发现有限的培训关于随叫随到。我们在明天的医生中找不到任何直接提及,为此做准备本科生。 1在几小时内工作,随叫随到和减少的劳动力是初中医生中已知的焦虑领域。在文献中的少数例子,2,3我们开发了一种新颖的方法来帮助最后一年的医学生准备这一点。模拟教学计划允许学生体验致电工作的压力。我们希望在安全的环境中模仿压力。学生每个人都睡了一小时。主管角色扮演一个有关护士“厌倦了”学生。每个任务都在不同病房的文件夹中举行(没有涉及患者互动或信息)。它们相对简单,旨在刺激灵活性,通信和分类技能。可提供各种资源,包括监督员扮演的医疗书记官长的号码。最终站始终是旨在立即将学生绘制的不适的患者。促进的反馈会议探讨了学生的积极和消极经验,关注和应对机制。在这次跑步的三年内,结果与学生从计划带来了巨大信心的结果剧烈。在开放式反馈会议期间,学生使用公开病房估值,并在未经熟悉的医院中导航为明年的现实准备。随叫随到是初级医生工作的不可避免的部分,我们认为在本科培训方面有更好的准备范围。我们开发了一个有效和可持续的模拟,表明了出色的结果。由于该项目的积极反应和低维护,我们的目标是将我们的教学计划水解为Blackpool Victoria Hospital的本科生的永久特征。

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