Poster Presentations


P-8: Introducing a simulation-based learning curriculum into the internal medicine clerkship rotation at a distributed medical school campus

Ms. Shelley Kuang

Shelley Kuang,
Zara Khalid,
Daniel Brandt Vegas,
Rebecca Kruisselbrink

Centre for Family Medicine
Research and Clinical Trials

Topic: Education

Background
Many regional medical campuses have established community-based clinical teaching units (CTUs) as learning environments for trainees in internal medicine. At Grand River Hospital, clinical clerks on CTU have limited exposure to overnight call, which may limit their acute care medicine experience.

Objective
To examine changes to self-reported confidence levels of clinical clerks after a pilot simulation-based exercise.

Methods
Clinical clerks on their core internal medicine rotations were recruited to complete a 90-minute simulation between April and October 2017 in small groups. Constructive feedback regarding their performance was provided by a senior resident or staff facilitator. Self-reported confidence levels were gathered from all participants before the simulation and at the end of their internal medicine rotation.

Results
8 clinical clerks participated in the simulation. They reported the strengths of the simulation as increasing their exposure to varied clinical presentations and helping them identify knowledge gaps in a non-threatening environment. Participants also found the interactive nature and constructive feedback from facilitators to be helpful. At the end of the internal medicine rotation, their confidence level in all aspects had improved, especially with initiating interventions and communicating with allied health workers. Compared to students who did not participate in the simulation, their perceived confidence after their CTU rotations were similar.

Conclusions
Simulation-based exercises may be a useful educational tool for clinical clerks on internal medicine rotations at distributed medical school campuses.