Traditional Poster Round


Simulation training for medical students in the management of the acutely unwell child

Tuesday, May 15
09:45 - 10:45
Location: The Gate, Atrium Level

Context: : Simulated based education is rapidly becoming more successfully utilised in under-graduate medical education. This may be especially important in paediatrics, where medical students have comparatively less clinical exposure than to adult medicine. Students may also have limited experience assessing acutely unwell children due to early senior involvement and the rapid resolution of clinical signs. Simulation may therefore be a valuable technique for aiding the education of medical students during their paediatric rotation.

Description: : An in-situ session consisting of a half-day of simulation teaching was put into practice during the fifth and final week of the final year medical student paediatric rotation at our hospital. The aims of the session were to improve medical student confidence with the assessment and initial management of the acutely unwell child, whilst also encouraging students to consider paediatrics as a career.
The simulation session consists of four clinical scenarios, selected to meet the medical student curriculum. Students approached these in pairs, covering aspects such as the ABCDE assessment, differential diagnoses, initial management (including prescribing in paediatrics) and concluding with escalation and handover to a senior colleague.

Observation/Evaluation: : 41 medical students have attended the session to date. 100% of students felt that participating in the simulation increased their confidence levels assessing and managing an acutely unwell child. Over 46% of students reported that they were more likely to consider a career in paediatrics following the session. The realism of the scenarios, safe learning environment and opportunity to apply their knowledge were all specifically noted in feedback.
Students commented on improved knowledge of specific paediatric emergencies as well as enhanced non-technical skills including communication, working within a team and decision making. Many students expressed a desire for more opportunities for simulation teaching in the future.

Discussion: : The above simulation session improves self-reported confidence levels and awareness of the management of the acutely unwell child. Many of the skills taught are transferable across many specialities. The session is highly valued by the medical student cohort, and continues to be run every five weeks with each group in their paediatric rotation. It may improve consideration of application to future paediatric training as part of the medical student rotation.
Further work may include comparing the post-course confidence levels and/or clinical assessments with a control group not exposed to the simulation course, and expanding the course across other teaching hospitals in the region. With only minimal adaptation the session may also be valued by students of other healthcare disciplines.

Ashley D. Holt, MBChB BMedSc MRCPCH

Paediatric Simulation Fellow
New Cross Hospital, Wolverhampton
Birmingham, England, United Kingdom

Dr Ashley Holt - MBChB, BMedsc (Healthcare Ethics and Law)
Ashley is a Paediatric Simulation Fellow working at New Cross Hospital in the West Midlands region of the United Kingdom. The post is in its third year and has been presenting work both nationally and internationally during that time. Ashley is currently in Paediatric training in the West Midlands and became interested in simulation as a candidate when seeing the benefits it brought to the team and how it combined with existing interests in education. Other areas of interest include General Paediatrics and inter-speciality working. He is undertaking a Postgraduate Certificate in Healthcare Simulation at the University of Birmingham to supplement the Simulation Fellow post.


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Susanne Elliott, MBChB BMedSc

Paediatric Registrar
Walsall Manor Hospital, Walsall


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Peter Weinstock, MD, PhD

Director - Simulator Program
Boston Children's Hospital, MA

Chair and Executive Director, Boston Children's Hospital Simulator Program (SIMPeds)
Senior Assoc. Critical Care Medicine
Associate Professor of Anesthesia, Harvard Medical School

A practicing pediatric intensive care unit physician, Dr. Weinstock combines >20 years in surgery, medicine, education and innovation to lead the Boston Children's Simulator Program (SIMPeds) to one of largest most integrated "return on investment" simulator enterprises world-wide. Dr. Weinstock has weaved sustainable medical simulation ecosystems into the fabric of medical centers and regional health care systems on 6 continents and is founding president of the International Pediatric Simulation Society (IPSS). He serves on multiple advisory boards including education, simulation, social robotics and AI, and lectures internationally including "TED" on combining simulation, human factors, 3DP and special effects -- all to prepare world-class clinicians and healthcare systems to perform at their best, as well as to reduce fear and anxiety in patients and families.


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Simulation training for medical students in the management of the acutely unwell child

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