Can a ward simulation exercise achieve the realism that reflects the complexity of everyday practice junior doctors encounter?

Abstract

Recent changes in medical education have resulted in an increased focus on patient safety. It is vital that new doctors can recognize and manage acutely-ill patients, as well as work safely and effectively as a member of a multi-professional team. A ward simulation exercise has been developed to provide a safe, but authentic setting to support junior doctors with further practice and feedback. In developing such an exercise realism is important in recreating the complex climate in which the junior doctor has to function as part of the healthcare team in the hospital ward. This paper shares the design methodology of a ward simulation exercise and the views on its authenticity from both the junior doctors and the observers.

Additional information

Notes on contributors

Jean S. Ker

JEAN KER is Director of the Clinical Skills Centre at Ninewells Hospital and Medical School and an Honorary Consultant in Primary Care. Her main interests include professionalism, clinical skills and reflective thinking.

E. Anne Hesketh

ANNE HESKETH is Senior Education Development Officer in the East Postgraduate Deanery, Ninewells Hospital & Medical School. She has been involved in the development and evaluation of learning resources and, in recent years, been primarily involved in projects associated with improving the PRHO year.

Fiona Anderson

FIONA ANDERSON is Training and Education Development Manager in the East Postgraduate Deanery, Ninewells Hospital & Medical School. She has a particular interest in the management of poorly performing trainees.

David A. Johnston

DAVID JOHNSTON is a Consultant Gastroenterologist and Associate Postgraduate Dean in Ninewells Hospital & Medical School.