Flying solo: use of simulation and a ward round checklist to teach new Foundation Year 1 doctors ward round skills

Undertaking a ward round independently is not a common teaching topic yet is often required of Foundation Year 1 (FY1) doctors from day one.
A new ward round checklist was introduced in small-group simulation-based teaching sessions during FY1 induction using three common ward round scenarios. The checklist was then disseminated for use by all trainees on medical wards.1
FY1’s self-rated confidence was assessed before and after teaching. Confidence in documentation increased from 7 to 8/10. Confidence in leading an independent ward round increased from 4 to 7/10. FY1s found the session ‘useful’ and ‘engaging’, rating it on average 4.8/5 stars.2
We have shown that a ward round checklist and simulation are effective for teaching new doctors ward round skills. Sessions will be repeated for future junior doctor inductions and medical student programmes.

References:
1. RUH Ward Round Guidance October 2020. https://uob-my.sharepoint.com/:b:/g/personal/gp1321_bristol_ac_uk/EZR1pH-xnVFIhoaTFK60YFIBpdhTAjxmvijYyhjkhHLGwQ?e=auvgp5 [Last accessed 16/10/20]
2. RUH FY1 Ward Round Simulation Teaching Evaluation. https://www.surveymonkey.com/stories/SM-QG9J5SWY/ [Last accessed 16/10/20]