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.
Clinical Fellow in Simulation & Education
Dept of Paediatric Simulation & Education
Advanced Paediatric Nurse Practitioner
Dept of Simulation & Education, RBHSC
Clinical Academic Consultant Paediatrician
Consultant Paediatrician and Lead Educational Supervisor
Royal Belfast Hospital for Sick Children, United Kingdom
Lennox Huang, MD
Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada