“R1 Nightmares”: a resident-led on-call medical emergency simulation course for junior residents

Abstract

Implication Statement On-call medical emergencies can be a source of anxiety for junior medical residents. Senior resident teachers are well-positioned to teach a safe approach to managing on-call emergencies, and simulation-based training has educational and patient safety advantages. We describe the implementation of a resident-facilitated, on-call emergency simulation course for first-year residents. The course was low-cost, time-efficient, increased residents’ self-rated comfort with acutely deteriorating patients and was highly recommended by participants. The “R1 Nightmares” course could be adapted for other residency programs and institutions.

The Ladder of Inference re-visited: “Don't jump to confusions!”

“…Erica McKenzie and team wrote, "R1 Nightmares": a resident-led on-call medical emergency simulation course for junior residents. 15 They described an on-call emergency simulation course aimed to reduce anxiety surrounding oncall medical emergencies for junior medical residents. The participants reported that the course increased their comfort with acutely deteriorating patients.…”