Laura Harrington

Laura Harrington

Affiliations: MBChB, MRCP, Specialty Registrar (ST3) Acute Internal Medicine/General Internal Medicine, Royal Free London NHS Foundation Trust

About Laura Harrington

All Journals from Laura Harrington

A Qualitative Evaluation of a Simulation Training Initiative for Registrars Working in Acute Medicine

Introduction: We evaluated a simulation-based training day for medical registrars to define the hidden curriculum of the training.

Methods: We interviewed participants to explore their reflections about the day, what they had learned and how it had influenced their practice. Interviews were conducted iteratively and analysed in accordance with content thematic analysis.

Results: We established four themes: sharing (collaborative learning), sensing (comparing one’s practice against peers’), transforming (development or change in practice based on learning from the day), and endorsing (appreciating authenticity in the simulation and psychological safety in debriefing).

Conclusion: This evaluation furthered our understanding of the self-reported learning outcomes of our participants. We encourage other institutions to perform similar evaluations to build a collaborative understanding of simulationbased education for medical registrars.

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Developing priorities for quality improvement in acute medicine using a modified Delphi method
A consensus process hosted by the Society for Acute Medicine Quality Improvement Committee (SAM-QI)

Introduction: The SAM Quality Improvement Committee (SAM-QI), set up in 2016, has worked over the last year to determine the priority Acute Medicine QI topics. They have also discussed and put forward proposals to improve QI training for Acute Medicine professionals.
Methods: A modified Delphi process was completed over four rounds to determine priority QI topics. Online meetings were also used to develop proposals for QI training.
Results: Same Day Emergency Care (SDEC) was chosen as the priority topic for QI work within Acute Medicine.
Conclusion: The SAM-QI group settled on SDEC being the priority topic for Acute Medicine QI development. Throughout the Delphi process SAM-QI has also developed proposals for QI training that will help Acute Medicine professionals deliver coordinated meaningful improvements in care.

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