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IntroductionAs the COVID-19 pandemic began to surge in the UK, medical students were removed from clinical placements Consequently many medical students, including those transitioning into foundation posts in August 2020, have had little direct experience of managing patients with COVID-19 This study reports on two simulation training activities which were designed to introduce 3rd year medical students and new foundation doctors to the key clinical and communication challenges of treating patients with COVID-19 The simulated scenarios and the outcome of training will be presented Methods21 3rd year medical students undertook a teaching session on breaking bad news A modified SBAR1 model was taught as a consultation framework Simulated scenarios, included two patients deteriorating from COVID-19 and telephone consultations with the patients’ families Students wore surgical masks and undertook the role of junior doctor and patient or relative Subsequently, four students acted as simulated patients in an induction training event for new foundation doctors This included a patient with symptoms and signs of COVID-pneumonia and a simulated consultant ward round Anonymised written questionnaires, which incorporated qualitative and quantitative elements, were used to evaluate both training sessions Results95% of the students rated their course as excellent Free-text responses revealed the training had demonstrated the impact of COVID-19 and PPE on clinical practice and communication;given them an insight into the experiences of clinicians during the pandemic and provided a framework for their first attempts at breaking bad news consultations The students who participated in the foundation doctors’ training all felt this benefitted their learning and taught them about patients’ and junior doctors’ perspectives All foundation doctors rated their training at effective or highly effective They commented on the benefits of practicing acute assessment, escalation decisions and presentation skills before staring work as a doctor DiscussionThe COVID pandemic has had a significant impact upon medical education, causing concern about the loss of clinical experience 2 As a result, a range of innovative teaching models have been proposed and reported on worldwide 3 Simulation offers an ideal training opportunity in which realistic clinical and communication scenarios can be replicated to facilitate learning ReferencesQuality, Service Improvement and Redesign Tools: SBAR communication tool – situation, background, assessment, recommendation NHS Improvement, 2018 Available at: https://improvement nhs uk/documents/2162/sbar-communication-tool pdfAhmed H, Allaf M, Elghazaly H COVID-19 and medical education The Lancet Infectious Diseases 2020;published online March 23 https://doi org/10 1016/S1473-3099(20)30226-7Dedeilia A, Sotiropoulos MG, Hanrahan JG, et al Medical and surgical education challenges and innovations in the COVID-19 era: a systematic review In Vivo 2020;34:1603–1611 doi: 10 21873/invivo 11950
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