Vijayakumar Bavithra, Hynes Gareth, Kitt Jamie, Millette Sarah, FitzPatrick Michael
Royal Brompton Hospital, London, UK and Chelsea and Westminster Hospital, London, UK.
University of Oxford, Oxford, UK.
Future Healthc J. 2021 Mar;8(1):e117-e122. doi: 10.7861/fhj.2020-0090.
The Royal College of Physicians' recommends procedural training for medical registrars at all hospitals. We aimed to determine the interest and need, and to pilot the delivery of such training in the procedures outlined by the Joint Royal Colleges of Physicians Training Board (2017).
An online survey was sent to general internal medicine (GIM) trainees within the Thames Valley Deanery in January 2019. This identified a need for procedure skills training. Ninety per cent of trainees felt simulation training would improve their confidence in the outlined procedures.
We trialled a simulation programme for GIM registrars between September 2019 and October 2019. Sessions lasted 3-3.5 hours and trainees rotated through four stations. Feedback was obtained from trainees and trainers during each pilot session.
Thirty-two trainees attended across both sites. Excellent feedback was obtained and trainee confidence improved by visual analogue scale scoring post-training for all procedures. Almost 90% of trainees felt the sessions would improve safety on GIM on calls.
Simulation training is an effective way to improve trainee confidence in procedural skills and this pilot shows such training is desired and necessitated in higher specialty training. Further work will assess its impact on maintaining trainee skillsets and impact on patient safety.
皇家内科医师学院建议所有医院的医学住院医生接受程序培训。我们旨在确定兴趣和需求,并对联合皇家内科医师培训委员会(2017年)概述的程序中的此类培训进行试点。
2019年1月,向泰晤士河谷地区的普通内科(GIM)实习生发送了一项在线调查。这确定了对程序技能培训的需求。90%的实习生认为模拟培训将提高他们对概述程序的信心。
我们在2019年9月至10月期间为GIM住院医生试用了一个模拟项目。课程持续3 - 3.5小时,实习生在四个站点轮流。在每次试点课程期间从实习生和培训师那里获得反馈。
两个地点共有32名实习生参加。获得了极好的反馈,并且通过视觉模拟量表评分,培训后所有程序的实习生信心都有所提高。近90%的实习生认为这些课程将提高GIM值班时的安全性。
模拟培训是提高实习生程序技能信心的有效方法,并且这个试点表明在更高专科培训中这种培训是有需求且必要的。进一步的工作将评估其对维持实习生技能集的影响以及对患者安全的影响。