Autumn 2024 marked the 10-year anniversary of the Registrar Ready course for the Acute Schools in the North East. This one-day training event is for resident doctors in the third year of training in Emergency Medicine in the region, focusing on the management of an Emergency department at night.
The topics covered include important relevant legal frameworks, managing challenging behaviours, supervision of team members, important safeguarding considerations as well as nuances that are specific to different training units within the North East.
The course focuses specifically on non-technical skills including multi-professional teamwork, leadership, civility and conflict resolution. The course was developed as part of the work of the Royal College of Emergency simulation steering group looking at transition courses to try to reduce the attrition rate of trainees between ST3 and ST4 training years.
The original concept was a collaboration between the North East Acute Schools Simulation lead, Dr Katherine Williamson and a team at Northumbria University led by Dr Alan Platt, Head of Clinical Simulation & Associate Professor of Simulation Based Education. The structure of the day was guided by one of the University’s clinical psychologists and the clinical content by a collaboration of School executive members and regional trainees from both Emergency Medicine, Anaesthetics and Acute Medicine. The original design was funded through the then Health Education England North East and North Cumbria in 2013 with development throughout 2014. The course is an example of gamification in simulation and is based around a tabletop board with both regular distractive phone calls, role players, adult and paediatric manikin-based simulations.
Both Dr Kate Williamson and Dr Catriona Lane have shared the Registrar Ready course, delivering train the trainer sessions with other Emergency Medicine colleagues in other regions, including Scotland and Northern Ireland. The training day was shared and presented at the 2015 Association for Simulation in Practice in Healthcare conference.
The concept has now been developed by other schools in the Northern Deanery for Paediatrics and Acute Medicine specialities.
Many of the clinical faculty that return year on year have been sat in the position of the trainees and now contribute to continuous updates to the course and the debrief as regional consultants. The reason for returning faculty for both consultants and higher speciality trainees is due to the benefit they see in the course for the new registrars and wanting to give back to the training.
Dr Daniel Monk, Northumbria University, has also been involved with the Registrar Ready course since its first year and has provided valuable insight into the vital interaction between the Emergency Nurse in Charge role and the Emergency Physican in charge as well as the perspectives of Emergency Nurse Practitioner role within both remote and co-located Urgent Care Centre sites. The number of University faculty from acute speciality backgrounds wanting to support the course has also grown year on year and the collaberation is seen as one of the many strengths reported by the participants.
The original Registrar Ready course will be undergoing a full revision for 2025 including the inclusion of triage interactions and relevant patient safety alerts.
For further information contact Katherine.Williamson4@nhs.net
(picture credits: Craig Clark, Northumbria University)
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