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by Lowri Bowen

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Background

Induction is key for the preparation of medical students on a new clinical attachment. In situ simulation involves conducting simulation in the clinical environment; this is expected to increase fidelity and learning. It’s argued that in situ simulation is more effective for learning compared to other types.

Aim

In an attempt to make induction more interactive for our students, we came up with the idea of combining induction and simulation teaching.

Method

We took a group of fifth year medical students and divided them into the ‘control group’ and the ‘intervention group’. The control group had regular induction to the clinical environment, whilst the intervention group had this plus the opportunity to participate in an in situ simulation. Students were invited to complete a post induction questionnaire and part take in a focus group.

Results

The questionnaire showed results in favour of the simulation group. Of the students who participated in the simulation, 100% of them said they enjoyed it, found it beneficial to their learning and think it should be included in future induction, and 83% of students felt more comfortable assessing an unwell patient in their new clinical environment. Focus group discussions were analysed together as similar themes were noted throughout; these were Structure, Familiarity and Team.

Conclusion

The use of in situ simulation in induction can be easily transferred to other universities, hospitals and professional groups. We encourage educators to continue to develop this idea, and consider the integration of in situ simulation into future induction programmes.