Aims Complex multitasking, multiple pressures, and frequent demands on a new consultant are daunting. We designed a course to give candidates extension beyond their clinical knowledge. We describe the inspiration, delivery, and feedback from our novel all day Consultant role simulation course aimed at ST8 paediatric trainees
Methods A full day simulation course devised for final year paediatric trainees, to support transition to Consultant working. Simulation components included:
Leading a neonatal resuscitation
Dealing with complex ward situations
Preparing a written media statement
A media interview
Emergency department resuscitation
Speaking to parents about a complaint
Office time with inbox problems
Speaking to the Coroner and tertiary experts
Analysing a service improvement problem
A handover to the evening consultant
Delivering a short presentation
The simulation events were run continuously and in parallel, demanding real time prioritisation, time management, leadership and managerial skills. Candidates were also expected to demonstrate their ability to prioritise their ‘inbox’ tasks and prepare a presentation. The day was delivered by senior trainers, simulation experts and professional actors in a bespoke simulation centre.
Results and feedback Feedback was very positive after a long, intensive day. On a 1–5 scale candidate scores were:
Highest rated session was the media session scoring 4.8. Mean score for all sessions was 4.5, with no session scoring below 4.2.
Conclusion Our feedback shows there is a need and desire for a course which exposes trainees to some of the aspects of being a consultant which are not otherwise addressed. The use of professional actors improved the fidelity of the course and the reliability of the simulations. We believe this course is an important addition to training.
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