Traditional Poster Round


Enhancing perceptions of Paediatrics and stimulating speciality recruitment using high fidelity simulation.

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

Context: : Paediatrics, like many specialties, is experiencing a decline in applications for specialty training.1
Reasons include perceptions of poor flexibility; arduous training programme and lack of adequate career guidance and support.2 The Royal College of Paediatrics and Child Health (RCPCH) suggest strategies to increase recruitment should include exposure to educational opportunities. 2 In the UK, the transition between foundation level training and specialty training is an uncertain and stressful time. 3
We believe that allowing access to a specifically-designed targeted high fidelity simulation course affords a unique opportunity to showcase our specialty and potentially generate or stimulate an interest in Paediatric speciality application from junior doctors.

Description: : We designed, delivered and evaluated ‘A Foundation in Acute Paediatrics Simulation’ (FAPS) course aimed at offering junior doctors an introduction into the management of common paediatric conditions. The target audience is doctors at Foundation Year 2 level or post Foundation level in locum positions. A highly experienced inter-professional faculty provides an insight into a career in paediatrics, their own career perspectives and an opportunity for group discussion and tailored personal career advice. Clinically relevant interactive simulation scenarios offer the candidates the opportunity to work alongside colleagues and encounter common paediatric conditions, potentially developing their clinical acumen and enhancing non-technical skills such as teamwork and communication.

Observation/Evaluation: : 16 candidates took part in the pilot FAPS course. Prior to the course 11/16 (69%) candidates were unsure whether they were going to apply for paediatrics. After the course all 11 candidates indicated that that they were more likely to apply [mean score 2.9 before Vs 4.0 after; 1-very unlikely, 3-undecided, 5-Very likely to apply]. 15/16 candidates (94%) felt more confident in the assessment of the unwell child following the course, and all candidates (100%) would recommend this course to peers. Qualitative comments included ‘Excellent concept, relevant scenarios and useful course. Thoroughly enjoyable.’

Discussion: : This is the first use of high fidelity simulation to enhance specialty recruitment that we are aware of. This course affords an opportunity to gain access to motivated clinicians while experiencing common paediatric conditions in a safe, simulated learning environment. The tailored career advice may be of use for their future speciality direction. This course actively helps in addressing the current plight of low trainee recruitment and retention in Paediatrics and could be easily replicated in other areas.

Peter Mallett

Clinical Fellow in Simulation & Education
Dept of Paediatric Simulation & Education

Hi my name is Peter Mallett.
I am a Paediatric Registrar in Northern Ireland. I gradtuated from Queens University Belfast in 2010.
I am currently doing a fellowship in Education & Simulation in Royal Belfast Hospital for Sick Children.
My interests include Technology enhanced learning, translational simulation, human factors ,Quality improvement & Sim-based inter-professional education.


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Lennox Huang, MD

Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada

Dr. Lennox Huang is the Chief Medical Officer and Vice President for Medical and Academic Affairs at the Hospital for Sick Children in Toronto, Canada. He is a staff physician in the Pediatric Critical Care Unit at Sick Kids and holds the rank of Associate Professor in the Department of Paediatrics at the University of Toronto and Associate Clinical Professor of Pediatrics at McMaster University.

Dr. Huang’s past leadership roles include Chair of the Department of Pediatrics at McMaster University and the Chief of Pediatrics at Hamilton Health Sciences and St. Joseph's Healthcare Hamilton. Dr. Huang has held leadership roles at the regional, provincial and national level including President of the Regional Medical Associates of Hamilton, and Vice President of the Paediatric Chairs of Canada.

Dr. Huang’s interests are in the areas of simulation, patient safety, and quality improvement. He has led projects using Lean principles and in-situ simulation to guide the design and testing of clinical spaces and has incorporated simulation into hospital-wide safety initiatives.


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