Traditional Poster Round
Context: : Time out of training is common for paediatric trainees. Reasons for breaks in training include maternity leave, research, career breaks, long term sickness or other Out of Programme experiences (OOPEs).
When returning back to work, trainees often feel anxious and lack confidence having been away from clinical practice for a prolonged length of time. As well as feeling de-skilled, there are also the emotional aspects of dealing with sick children, particularly following maternity leave.
It is highly likely that trainees returning back to work will additionally be taking on a more senior role. Given the recent Bawa-Garba case, anxiety amongst paediatric trainees returning to work is even greater.
The Royal College of Paediatrics and Child Health (RCPCH) indicates that returning paediatricians should be supported with a formal return to work programme. As a result, a paediatric Return to Work Simulation Course was developed with our region to facilitate this training need. This course has been successfully running since 2013.
Description: : All trainees who are out of programme within our region are invited to attend a one-day course of high fidelity simulation, at the simulation centre at The Royal Wolverhampton NHS Trust. The course is run two times a year, coordinated around the paediatric trainee rotation changeover dates. The course is fully funded by our Deanery and counts as a Keeping in Touch Day
The scenarios used are mapped to the RCPCH Curriculum to cover key aspects and skills of paediatric training including safeguarding, emergency management of acutely unwell children, leadership, communication and human factors.
Observation/Evaluation: : To date a total of 75 candidates (between ST2-ST8) have attended our return to work simulation course. Some trainees have attended more than one course having had more than one break in training. The course was evaluated using a questionnaire, which includes a mixture of Likert scales and free text questions. The results of the feedback was as follows:
• 100% of trainees felt the course met their learning needs,
• 100% of candidates expressed the content of the course was appropriate for their level of training.
• 100% of participants evaluated the course would change their clinical practice with 60% saying it would alter their practice a great deal.
• 100% of trainees would recommend the course to other colleagues.
The free text comments were overwhelmingly positive with participants liking the range of scenarios, particularly the stressful situations like resuscitation, cardiac arrest and sudden infant death syndrome (SIDS). Confidence and clinical knowledge of trainees improved, obtaining feedback on technical and non-technical skills.
Discussion: : Return to work is an anxious time for trainees. Organisations and the speciality need to have a clear programme in place to facilitate the return to training. Our course highlights that simulation can be used successfully to aid trainees to return to work safely. The results show that the confidence and skills of trainees improved prior to returning back to clinical work. Returning candidates clearly have felt proven benefit attending multiple courses.
This course shows that simulation training programmes can be used to facilitate returning to speciality training. Using our programme, our recommendation is that simulation can be adapted to other specialities and health care professionals to ensure safe return to work nationally.