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Table 2 Summaries of free text responses from the questionnaire

From: Unexpected medical undergraduate simulation training (UMUST): can unexpected medical simulation scenarios help prepare medical students for the transition to foundation year doctor?

Do you think the UMUST programme has helped your approach to real life unplanned emergencies? If yes, How do you think your experience of UMUST changed or helped you with the management of that situation?

Can you give examples of how UMUST has helped your approach to real life unplanned medical emergencies?

How has UMUST been useful in preparing you to work as a Foundation Trainee?

Did you find the debriefing sessions useful?

How do you think UMUST could be improved for future cohorts of students?

Number of FY1 trainees citing this in brackets/summary of comments

Number of FY1 trainees citing this in brackets/summary of comments

Number of FY1 trainees citing this in brackets/summary of comments

Number of FY1 trainees citing this in brackets/summary of comments

Number of FY1 trainees citing this in brackets/summary of comments

(5) Experience of ABCDE, UMUST scenarios when called to patients.

(7) Being more confident in ABCDE approach when starting as an FY1

(7) UMUST encouraged teamwork

(4) it was useful to learn from seeing errors

(6) More UMUST sessions

(4) Teamwork, less panic when faced with these situations.

(5) Working in a team

(4) Gives experience of ABCDE

(3) It encouraged reflection,

(2) Introduce a more multidisciplinary approach (e.g., students nurses) and shorten the de briefing

(3) Increased confidence, less panic holding a hospital pager.

(3) Gives confidence generally

(3) Gives experience of common scenarios FY1 doctors encounter

(2) It was useful to see how treatment can be streamlined, teamwork

(1) make calls to doctor more senior to us, make all students do it, give strict roles to students to stop people doing the same roles each time, have a GI bleed scenario, have 2 scenarios in a week, more input from senior clinicians, use more defibrillators, put summary of scenarios completed in the portfolio, make participants assess themselves, allow the staff to run through the first one with students, tell some wards to be more forgiving for students attending UMUST.

(2) Managing acutely ill patients, increases knowledge

(2) Gives structure when seeing patients

(2) being on call, crash bleep, provides a template for initial assessment of unwell patients

(1) Resuscitation, just knowing what to do as an FY1, uses UMUST to deal with cardiac arrests, invaluable to practice in a safe environment, can think outside the box when seeing patients, structure to fall back on if unsure.

(1) helps with arrest calls, gives skills to stabilise patients before a senior arrives, can manage an emergency single handed, guides further learning, shows communication is vital, helps at paged calls, wearing gloves as directed by UMUST, initial assessment of unwell patient, recognises common diagnoses, similar scenarios were seen, gives a chance to go through emotions like fear and excitement.

(1)resuscitation, human factors, experience of emergency calls, communication skills, decision making, recognised limitations/know when to call for help, helps stay calm, seeing similar scenarios, gives a system to use when unsure what to do.

(1) Highlights personal strengths and weaknesses, useful to see improvements over the scenarios, can identify learning goals, good but would be better to have senior clinicians there, gives experience of being stressed.