Journal of Surgical Simulation 2021; 8: A: 22 - 22

Published: 30 June 2021


Meeting abstract

Special Issue: Assessing effectiveness of remote online simulation

Rebecca Fisher, Philipp Antonas, Aishwarya Nambiar, Kishan Parekh, Luke Tanner and Daniel Worley
Corresponding author: Rebecca Fisher, Basildon University Hospital, Basildon, UK. Email:


Introduction: During the COVID-19 pandemic, our team of six junior doctors provided weekly online simulation-based teaching for the interim Foundation Year 1 (FiY1) doctors across the East of England. Each session included feedback on areas for future topics, one of the most sought-after was prescribing.

Methods: We distributed a questionnaire assessing confidence in prescribing common medications, and overall in the acute setting. This was measured using a scale of 1 (not confident) to 5 (very confident). From this we designed six scenarios, delivered via a one hour ‘Zoom’ session, addressing common prescribing topics encountered when on-call. Six volunteers took on the role of FY1 to assess and prescribe for our simulated patients. They prescribed alongside a live demonstrator on the drug charts, with pre-written prescriptions and teaching points discussed afterwards. We asked all attendees to repeat the questionnaire with their confidence level following the session.

Results: 49 individuals completed both pre- and post-questionnaires, with an overall confidence score increase of 1.2 points (24% increase). Each topic had a statistically significant increase in confidence (0.92 - 1.65, P<0.01 for all six topics). 61.5% rated the online format 5/5, and 98.5% would recommend this session to a colleague.

Conclusion: Using remote teaching to deliver important topics to FiY1s is a useful means to ameliorate the teaching lost due to COVID-19. It is effective in helping improve confidence when prescribing and is a useful medium to cover other important topics to help new doctors feel more prepared taking on their FY1 role.


remote learning; online simulation; foundation doctor; FY1; prescribing

Additional Information

This work was presented at the SES 2020 online conference, 4 July 2020.