114 Innovation of cardiology simulation training in the district general hospital

Background Simulation (SIM) based medical education is one of the most important steps in internal medicine training (IMT) curriculum development towards capabilities in practice (CiPs) and generic capabilities in practice (GCiPs). The purpose of cardiology SIM is to be able to increase a trainee's self confidence in managing cardiac emergencies by applying the reflective practice in action with team work. We introduced the new interprofessional cardiac SIM training for internal medicine trainees, clinical fellows, student and registered nurses at Tameside General Hospital, Manchester starting from July, 2023 collaboratively with simulation team from medical education under the supervision of Royal College of Physicians (RCP) college tutor. Interprofessional education (IPE) is to cultivate collaborative practice by gaining insight into each other's role and learn from each other with good communication and teamwork to provide better patient centred care. (1) Method The cardiology SIM programme is designed by the course director with the contents mapping to IMT stage 1 curriculum and 2021 Advanced Life Support (ALS) resuscitation guidelines. (2) The scenarios include various cardiac emergency scenarios ranging from arrhythmias, acute pulmonary oedema to cardiac arrest. Moreover, the scenarios are created to test different levels of human factor and professional, leadership and team working skills within itself. The scenarios are constructed from real life cases which cardiology specialist registrars encounter during their training. It is delivered at the simulation classroom of medical education centre and provides half day simulation training to a maximum of five trainees (IMT and/or clinical fellows) and two to three nurses per session. The debrief section after role play allows trainees to be able to summarize experiences, reflect and highlight the benefits of experiencing different roles to be able to provide safe patient care. (3) Results and Discussion Forty trainees attended the cardiology SIM training between July to October 2023 with 100% returning surveys. Out of which, 97% recommend the training to others, 91.7% feel the content is very relevant to the level of trainees and 83.3% rate the training is smoothly run. Among unstructured feedbacks, 54% of trainees felt the scenarios and debrief sections are extremely useful, realistic and able to provide opportunities to demonstrate and reflect human factor such as team working, leadership and professional skills. 33% of trainees specifically expressed practice of IPE in this simulation support the transformative technology to improve patient care in real life scenarios as adverse events in patient care result from failures in communication and teamwork. Other feedbacks highlighted to deliver sessions more frequently and accommodate more trainees in each session. Conclusion The innovation of cardiology SIM training at the district general hospital has highlighted the benefit of simulation based medical education not only in ALS resuscitation and procedural training for managing cardiac emergencies but also in providing training in human factor aspects of clinical practice. After reflecting from feedbacks, our faculty members are planning to extend to a wider trainees group including foundation trainees by fitting in mandatory curriculum with more frequent sessions by recruiting more simulators and mentors. Conflict of Interest No