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A Quality Improvement Project presentation by Kate Kiln & Meng Wang

This quality improvement project aims to address the lack of confidence in junior doctors by teaching final year medical students the practical knowledge and skills needed to manage clinical problems commonly faced by junior doctors. The project includes weekly teaching sessions by recruited junior doctors, focusing on topics identified as areas of need by surveyed medical students. Results show an increase in subjective confidence among medical students. Lessons learned include the value of practical activities and the under-utilized resource of junior doctors in teaching. Future plans include presenting at the AMEE international conference and continuing collaboration with Cambridge clinical school.

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A Quality Improvement Project presentation by Kate Kiln & Meng Wang

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  1. “Wardcraft”: Equipping medical students with the procedural knowledge and skills to make them more confident junior doctors A Quality Improvement Project presentation by Kate Kiln & Meng Wang

  2. Aims Identified gap in skills and knowledge: “wardcraft” Aims: Identify clinical topics commonly faced by junior doctors that medical students lack confidence in managing. Recruit junior doctors to design and deliver weekly sessions to final year medical students at Addenbrooke’s Hospital, teaching them the practical knowledge/skills used by junior doctors to tackle the identified clinical topics. Increase the subjective confidence of medical students in managing these clinical problems through our teaching course

  3. Planning Surveyed medical students to identify topics of interest/need Designed a teaching programme, based on team members previous experiences involving: ~ Short lecture followed by small group teaching ~ Scenario based tutorials ~ Inclusion of practical skills e.g. prescribing Recruited junior doctors to facilitate Designed written feedback forms

  4. Implementation Prescribing and monitoring antibiotics. Interpreting full blood counts and prescribing blood products. Practical prescribing and symptom management. Practicalities of inpatient diabetes management and insulin prescription. Interpreting electrolyte derangements and prescribing IV fluids Practical and organizational skills to survive on-call shifts.

  5. Results and actions taken

  6. CYCLE 2 CYCLE 1 CYCLE 3 Student Attendance Sessions Overall Rating Sessions Self-rated Confidence

  7. Results and actions taken Student:Facilitator Ratio CYCLE 1 CYCLE 2 CYCLE 3 Sessions

  8. Lessons learnt and next steps • Medical students particularly value teaching on practical activities that simulate the role of the junior doctor. • Junior doctors are an under-utilized resource in medical student teaching, and are well placed to teach the appropriate skills and knowledge required for a new junior doctor • Ongoing problems include: timing and length of session, recruitment of junior doctor facilitators, continuation of sessions once current committee leave Future: • AMEE international conference • Cambridge clinical school liaison

  9. Team members and thanks Simon Biddie Kate Kiln Bahar Mirshekar-Syahkal Edward Poynton Snigdha Reddy Russell Senanayake Meng Wang Ben Warne The Stage 3 Medical Students of Cambridge University Clinical School

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