Departmental induction and the simulated surgical ward round.

BACKGROUND: Departmental induction for junior doctors is a very important part of the process of handover, so as to facilitate continuity of care and patient safety. Historically this is led by senior doctors within the department, and may not cover the topics that are most needed. CONTEXT: An audit of induction of our junior doctors highlighted concerns, including inadequate training on surgical ward rounds and preparedness for their role. Consultant feedback suggested ward rounds were often of poor quality, causing delays, potentially affecting patient care and limiting the time for teaching. INNOVATION: A new near-peer induction including simulated ward rounds was introduced. An updated written survival guide was also developed. The induction included a presentation of common cases. The simulated ward round included the use of a high-fidelity simulation suite to allow realistic scenarios. Results demonstrated an improvement in the perceived preparedness of junior doctors for their role within the department. Overall preparedness improved from 5.80/10 to 8.75/10 (0, not prepared at all; 10, fully prepared for all day-to-day tasks). Overall satisfaction at the end of the placement was high, with all juniors recommending the placement. Consultant feedback demonstrated an 83 per cent improvement in their ward rounds. An audit of induction of junior doctors highlighted concerns IMPLICATIONS: A near-peer departmental induction using simulated ward rounds may improve the preparedness of junior doctors for their role within a new department, potentially improving patient care and the junior doctors' learning experiences.