Departmental induction and the simulated surgical ward round

Gee, Christopher; Morrissey, Natasha; Hook, Samantha

doi:10.1111/tct.12247

Cited by 9 publications

(9 citation statements)

References 7 publications

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“… 17 , 18 In addition, evidence suggests there is a great deal of inconsistency in learning experiences, with students often reporting inadequate supervision, 8 , 19 and feeling underprepared for Foundation Training, 7 , 19–21 particularly in NTS. 6 , 7 , 14 , 17 , 22 Given the existing constraints medical educators face, 16 simulation has provided an alternative educational solution. 18 , 19 …”

Section: Introductionmentioning

confidence: 99%

“… 8 , 14 , 24–26 Ward round simulations for undergraduate medical students provide the opportunity to develop skills in diagnosis and management, as well as decision-making, communication and teamwork. 14 , 27 Behaviours demonstrated in the simulation environment have been shown to predict professional behaviours in the clinical environment 28 and the literature supports simulation as a tool for preparing for clinical practice. 7 , 8 , 15 , 17 , 23 , 29 …”

Section: Introductionmentioning

confidence: 99%

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Teaching Undergraduate Medical Students Non-Technical Skills: An Evaluation Study of a Simulated Ward Experience

Pollard¹,

Tombs²

2022

AMEP

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Purpose Research suggests that medical students in the UK report a need to be better prepared for the non-technical skills required for the role of a junior doctor. A Simulated Ward Experience was developed in an attempt to address this need. The purpose of this study was (1) to evaluate the effectiveness of the Simulated Ward Experiences by examining students’ reactions regarding the quality of teaching and (2) to examine the main drivers of learning and the extent to which students felt it helped them prepare for their future training. Methods A mixed method evaluation study was conducted using a questionnaire and focus groups. Final year students who participated in the Simulated Ward Experience were invited to contribute to the evaluation, out of which 25 completed the questionnaire and 13 took part in focus group interviews. Data analysis were conducted by means of descriptive statistics for questionnaire data and thematic analysis of focus group transcripts. Results The median Likert scores for quality of teaching Non-Technical Skills were either very good or excellent, demonstrating that students were highly satisfied with the way in which these were taught. Qualitative data provided further insights into the aspects of the intervention that promoted learning, and these were categorised into four themes, including realism of the simulation; relevance for the role and responsibilities of the Foundation Year 1 Doctor (including Non-Technical Skills); learning from and with others; and supportive learning environment. Conclusion This evaluation study provides further evidence of the value of learning in a simulated setting, particularly when it is closely aligned to the real clinical context and creates opportunities to practice skills that are perceived to be relevant by the learner. Study limitations are recognised and suggestions for further studies are provided.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Teaching Undergraduate Medical Students Non-Technical Skills: An Evaluation Study of a Simulated Ward Experience

Pollard¹,

Tombs²

2022

AMEP

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“…2 Previous studies support this as an effective way to improve ward round skills and confidence. [6][7][8][9] Authors: A clinical research fellow, Bristol Medical School, Bristol, UK and honorary trust grade doctor, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK; B clinical teaching fellow, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK; C foundation year-2 doctor, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK; D senior research associate, Bristol Medical School, Bristol, UK; E consultant senior lecturer, Bristol Medical School, Bristol, UK and honorary consultant geriatrician, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK Our team of junior doctors and a supervising consultant physician developed a medical ward round checklist and simulation training package. This educational quality improvement project aimed to equip medical trainees with essential ward round skills and improve their confidence: engraining best practice early in their professional careers.…”

Section: Introductionmentioning

confidence: 99%

Using a checklist within simulation improves trainees' confidence on ward rounds

Pearson

Wege

Rosen

et al. 2022

Future Healthcare Journal

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Ward rounds are integral to maintaining patient safety in everyday clinical care. Junior doctors are often expected to conduct independent rounds on graduation, but many feel ill-equipped to do so. We developed a safety checklist and simulation sessions to improve junior-led ward round practice at one district general hospital. We found that embedding a checklist within simulation is an effective way to teach ward round skills and increase confidence among undergraduate and postgraduate medical trainees.

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“…Yet, we have been failing to explore opportunities to enhance patient care at the ward level. Only in the past 5 years has the surgical ward round emerged as a research focus of any description, with the welcome developments of ward round checklists10 – 12 and of ward round simulation in education 13 – 15. Somewhat ironically, given the profound technological basis of advances within the operating theatre and the presumed predilection of the surgeon for such new ‘toys’, there has been minimal application of technology to surgical ward rounds.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted surgical ward rounds: virtually always there

Croghan¹,

Carroll²,

Reade

et al. 2018

BMJ Health Care Inform

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Background While an explosion in technological sophistication has revolutionised surgery within the operating theatre, delivery of surgical ward-based care has seen little innovation. Use of telepresence allowing offsite clinicians communicate with patients has been largely restricted to outpatient settings or use of complex, expensive and static devices. We designed a prospective study ascertaining feasibility and face validity of a remotely controlled mobile audiovisual drone (LUCY) to access inpatients. This device is, uniquely, lightweight, freely mobile and emulates 'human' interaction by swiveling and adjusting height to patients' eye-level. Methods Robot-assisted ward rounds (RASWRs) were conducted over 3 months. A remotely located consultant surgeon communicated with patients/bedside teams via encrypted audiovisual telepresence robot (DoubleRobotics, Burlingame, CA). Likert-scale satisfaction questionnaires, incorporating free-text sections for mixedmethods data collection, were disseminated to patient and staff volunteers following RASWRs. The same cohort completed a linked questionnaire following conventional (gold-standard) rounds, acting as a control group. Data were paired and non-parametric analysis was performed. Results RASWRs are feasible (>90% completed without technical difficulty). The RASWR (n = 52 observations) demonstrated face validity with strong correlations (r > 0.7; Spearman, p-value < 0.05) between robotic and conventional ward rounds among patients and staff on core themes, including dignity/confidentiality/communication/satisfaction with management plan. Patients (96.08%, n = 25) agreed RASWR were a satisfactory alternative when consultant physical presence was not possible. There was acceptance of nursing/non-consultant hospital doctor cohort [100% (n = 11) willing to regularly partake in RASWR]. Conclusion RASWRs receive high levels of patient and staff acceptance, and offer a valid alternative to conventional ward rounds when a consultant cannot be physically present.

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Departmental induction and the simulated surgical ward round

Abstract: A near-peer departmental induction using simulated ward rounds may improve the preparedness of junior doctors for their role within a new department, potentially improving patient care and the junior doctors' learning experiences.

Cited by 9 publications

References 7 publications

Teaching Undergraduate Medical Students Non-Technical Skills: An Evaluation Study of a Simulated Ward Experience

Teaching Undergraduate Medical Students Non-Technical Skills: An Evaluation Study of a Simulated Ward Experience

Using a checklist within simulation improves trainees' confidence on ward rounds

Robot-assisted surgical ward rounds: virtually always there

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