Hospital at home – developing a simulation induction programme for junior doctors
Hospital at Home (HaH) provides hospital-level care within patients’ homes. With services expanding, a London HaH service embedded new junior doctor posts. Currently, gaps exist in the under- and postgraduate curriculum to develop clinical skills required to deliver care in this context. HaH simulat...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Clinical Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1470211824054447 |
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| author | Gareth Watson Amelia Paveley Katherine Chin Alexandra Lindsay-Perez Rebekah Schiff |
| author_facet | Gareth Watson Amelia Paveley Katherine Chin Alexandra Lindsay-Perez Rebekah Schiff |
| author_sort | Gareth Watson |
| collection | DOAJ |
| description | Hospital at Home (HaH) provides hospital-level care within patients’ homes. With services expanding, a London HaH service embedded new junior doctor posts. Currently, gaps exist in the under- and postgraduate curriculum to develop clinical skills required to deliver care in this context. HaH simulation (HaH-SIM) was developed, through a multi-cycle QIP, to improve early-career doctors’ confidence in providing care in this unfamiliar environment. Surveys before and after HaH-SIM assessed confidence in practical, clinical and communication skills; ranked concerns; rated sessions and gained qualitative feedback. 41 doctors participated over 2 years. It currently includes six low-fidelity stations and three high-fidelity stations. Confidence improved, particularly in managing end of life, decision-making around hospital admission and administering intravenous medications/fluids. High-fidelity scenarios, practical skills and prescribing stations were most highly rated. As HaH services expand, HaH-SIM is a feasible, effective and transferable way of improving early-career doctors’ confidence and skills to provide care in patients’ homes. |
| format | Article |
| id | doaj-art-904d4fa7d106443d936346277253bba1 |
| institution | OA Journals |
| issn | 1470-2118 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Medicine |
| spelling | doaj-art-904d4fa7d106443d936346277253bba12025-08-20T02:06:57ZengElsevierClinical Medicine1470-21182024-11-0124610025910.1016/j.clinme.2024.100259Hospital at home – developing a simulation induction programme for junior doctorsGareth Watson0Amelia Paveley1Katherine Chin2Alexandra Lindsay-Perez3Rebekah Schiff4Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UKDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UKDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UKPopulation Health Science, University of Bristol, Bristol, United KingdomDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK; Faculty and Life Sciences and Medicine, Kings College London, London, United Kingdom; Corresponding author.Hospital at Home (HaH) provides hospital-level care within patients’ homes. With services expanding, a London HaH service embedded new junior doctor posts. Currently, gaps exist in the under- and postgraduate curriculum to develop clinical skills required to deliver care in this context. HaH simulation (HaH-SIM) was developed, through a multi-cycle QIP, to improve early-career doctors’ confidence in providing care in this unfamiliar environment. Surveys before and after HaH-SIM assessed confidence in practical, clinical and communication skills; ranked concerns; rated sessions and gained qualitative feedback. 41 doctors participated over 2 years. It currently includes six low-fidelity stations and three high-fidelity stations. Confidence improved, particularly in managing end of life, decision-making around hospital admission and administering intravenous medications/fluids. High-fidelity scenarios, practical skills and prescribing stations were most highly rated. As HaH services expand, HaH-SIM is a feasible, effective and transferable way of improving early-career doctors’ confidence and skills to provide care in patients’ homes.http://www.sciencedirect.com/science/article/pii/S1470211824054447Hospital at homeCommunity medicineSimulationMedical educationPostgraduate training |
| spellingShingle | Gareth Watson Amelia Paveley Katherine Chin Alexandra Lindsay-Perez Rebekah Schiff Hospital at home – developing a simulation induction programme for junior doctors Clinical Medicine Hospital at home Community medicine Simulation Medical education Postgraduate training |
| title | Hospital at home – developing a simulation induction programme for junior doctors |
| title_full | Hospital at home – developing a simulation induction programme for junior doctors |
| title_fullStr | Hospital at home – developing a simulation induction programme for junior doctors |
| title_full_unstemmed | Hospital at home – developing a simulation induction programme for junior doctors |
| title_short | Hospital at home – developing a simulation induction programme for junior doctors |
| title_sort | hospital at home developing a simulation induction programme for junior doctors |
| topic | Hospital at home Community medicine Simulation Medical education Postgraduate training |
| url | http://www.sciencedirect.com/science/article/pii/S1470211824054447 |
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