Simulation Training to Improve the Ability of First-Year Doctors to Assess and Manage Deteriorating Patients: a Systematic Review and Meta-analysis

Buist, Nicholas; Webster, Craig

doi:10.1007/s40670-019-00755-9

Cited by 9 publications

(11 citation statements)

References 84 publications

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“…Under-preparedness is not only stressful for young doctors [ 10 ] but also impacts the quality of care and could be a patient safety issue [ 23 , 24 ]. For specific skills, such as the interpretation of chest X-rays [ 25 ] and electrocardiograms [ 26 ], suboptimal accuracy has been found in novice doctors.…”

Section: Reviewmentioning

confidence: 99%

“…The gaps in experience, knowledge, and skills influence the capacity of the novice doctor to manage deteriorating patients [ 12 , 23 ] and lead to poorer outcomes for ED patients. Patient outcomes in the period after the changeover of novice doctors were found to be worse with an increase in patient mortality of 5% [ 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…Teaching novice doctors in a simulated setting is highly popular. It is indeed proven that these simulation courses improve the confidence and performance of doctors [ 23 , 36 ]. However, there seems to be a gap in the transfer of the skills learned in a simulation lab to the real practice of a busy ED.…”

Section: Reviewmentioning

confidence: 99%

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Novice Doctors in the Emergency Department: A Scoping Review

Stassen¹,

Westerman²

2022

Cureus

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In many emergency departments (EDs), young, inexperienced doctors treat patients who are critically ill. At the start of their career, these novice doctors are not sufficiently qualified to take care of these potentially critically ill patients in the highly demanding environment of an ED. This not only poses a threat to the wellbeing of the doctor, who feels inadequately prepared and experiences a lot of stress, but also to that of the patients, who may not receive optimal care. Lastly, young doctors may influence the efficiency of the organization, with longer throughput times, more orders of ancillary investigations, and more admissions.Training novice doctors with regard to simple or complex skills using simulation techniques is part of the solution. However, the transfer of newly learned skills to clinical practice remains unexplored, and not everything can be trained before the actual skill is required. Therefore, it is important to train young doctors in their learning abilities, for instance, teach them how to be adaptive and how to use their skills in new situations. Lastly, the way care is organized is essential. Good supervision, leaving room for the learning processes of young doctors, developing a team with more experienced professionals (paramedics, nurses, and doctors), and well-organized processes, aiming to reduce the complexity of the work, are ways to improve the quality of care, independent of the experience level of the novice doctor.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

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Novice Doctors in the Emergency Department: A Scoping Review

Stassen¹,

Westerman²

2022

Cureus

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“…simulation) is more effective for building long-term confidence [2]. Therefore, the use of simulation is increasing, providing a safe space for students to practice [3].We agree that feedback is crucial for self-improvement, although it should be provided in a constructive and positive way, as it can have a significant impact on students' mental wellbeing [4]. This research demonstrates that receiving direct verbal feedback immediately after the phone calls instead of at the end led to a more significant improvement, thereby demonstrating how crucial constant feedback is to improving practice [1].We received reports that UK final-year medical students did not feel adequately prepared to become a qualified doctor, and this is extensively supported by literature [5], although it is improving as curricula change [6].…”

mentioning

confidence: 99%

“…simulation) is more effective for building long-term confidence [2]. Therefore, the use of simulation is increasing, providing a safe space for students to practice [3].…”

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confidence: 99%

Letter to the Editor on “Feedback Methods in an Interprofessional Mock Paging Program”

2022

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We would like to congratulate Mutter et al. on publishing an original piece of research on novel teaching methods for students [1]. We would like to make some contributions, whilst drawing on some of our own experiences as junior doctors.Medical school curricula utilise a combination of theoretical and practical-based education, with a more recent emphasis on self-directed and student-centred learning. However, it has been shown that completing sessions that require active involvement where the student is fully engaged throughout (e.g. simulation) is more effective for building long-term confidence [2]. Therefore, the use of simulation is increasing, providing a safe space for students to practice [3].We agree that feedback is crucial for self-improvement, although it should be provided in a constructive and positive way, as it can have a significant impact on students' mental wellbeing [4]. This research demonstrates that receiving direct verbal feedback immediately after the phone calls instead of at the end led to a more significant improvement, thereby demonstrating how crucial constant feedback is to improving practice [1].We received reports that UK final-year medical students did not feel adequately prepared to become a qualified doctor, and this is extensively supported by literature [5], although it is improving as curricula change [6]. Most papers on similar courses appear to be from the USA, and we argue that there is a need for similar programmes within the UK. As a result, we are currently running a similar course for final-year students during which students are "bleeped" to complete tasks around the hospital and have to use the SBAR format to give and receive handovers, receiving immediate and delayed feedback.

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Simulation as Clinical Replacement: Contemporary Approaches in Healthcare Professional Education

Kardong-Edgren¹,

Sullivan²

2020

Clinical Education for the Health Professions

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Simulation Training to Improve the Ability of First-Year Doctors to Assess and Manage Deteriorating Patients: a Systematic Review and Meta-analysis

Cited by 9 publications

References 84 publications

Novice Doctors in the Emergency Department: A Scoping Review

Novice Doctors in the Emergency Department: A Scoping Review

Letter to the Editor on “Feedback Methods in an Interprofessional Mock Paging Program”

Simulation as Clinical Replacement: Contemporary Approaches in Healthcare Professional Education

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