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Objectives Registrar Ready days are aimed at trainees prior to starting the second on-call rota. It is a simulation-based course which aims to help trainees learn in a constructive and safe environment what being the 'Paediatric Registrar on-call' may feel like. The scenarios cover a variety of aspects including critical thinking and decision making, dealing with difficult patients, communication and leadership skills. Each candidate will experience leading a scenario, with sufficient time for debrief and self-reflection by a supportive faculty. We aim to build self-confidence and ability, whilst allowing the trainees to experience decision making/team management skills in an encouraging environment. Methods Previous Registrar Ready days had been uncoordinated, meaning trainees experience were different depending on where they attended. We wanted to ensure that no matter where the course was delivered, and who the faculty were, the trainees would have an equitable experience. The previous and prospective trainees were surveyed to ensure that we delivered scenarios that were relevant to their level, and of topics that were interesting and based on real-life situations. As part of the process the simulations were re-written with sufficient information, so that the days could be run even without the organisers! Results Feedback from both paediatric trainees and faculty from the course was excellent. Self-ratings for confidence relating to different situations showed an improvement following the day. Trainees commented on a supportive atmosphere, useful scenarios and detailed feedback discussion as being the best aspects of the course. The revitalised course is now into it's second year and has already been expanded to capture those stepping up half-way through the year. Industrial action has had an impact on the most recent courses, but we will be looking to replicate and improve on the results of feedback in the next iteration of the course. Conclusion Standardising the simulation day has meant that paediatric trainees in our region have an equitable experience when attending the course. The new scenarios are relevant to trainees and have proved to improve their confidence when they have to take responsibility for different scenarios. Using the candidates feedback and suggestions we are continuing to develop these days with a bank of scenarios prepared and being added to, ensuring it remains relevant and realistic. Our hope would be to integrate this into regional recommendations as part of the 'Readiness for Tier 2 Rota' e-portfolio entry.
Jansen et al. (Tue,) studied this question.