43 Pilot of a regional palliative medicine simulation training package for internal medicine training as a specialist trainee collaborative: peer education, an opportunity for dual competency achievement

Background Shape of Training is a substantial transformation to postgraduate medical education. ‘Managing end of life and applying palliative care skills is one of eight ‘specialty capabilities in practice’ for all internal medicine trainees (IMTs). Simulation based training (SIM) can help ensure a programme of holistic and intuitive assessment (JRCPTB, 2019). As a group of palliative medicine trainees (PMTs), we developed an innovative simulation package for IMTs across the North East region. This offers an exciting opportunity for dual competency achievement: PMTs will develop their skills in management and teaching, whilst IMTs will develop palliative care knowledge, skills and attitudes required. Methods A literature review evaluated pre-existing palliative medicine simulation training programmes. All PMTs were trained in SIM facilitation and debrief. A comprehensive review of IMT and PMT curriculum requirements was used to develop teaching materials. This was piloted at two half day training sessions attended by 11 out of 12 IMTs that commenced at Northumbria NHS trust this year. Results Feedback from all trainees who took part in the pilot was very positive with evidence of good progress in confidence in the majority of curriculum outcomes. Conclusion This pilot aimed to inform the development of a regional training course. Evaluation of the pilot showed its potential impact and the value of a locally delivered course. It also highlighted potential challenges in the time commitment required from a small group of PMTs. Feedback has informed a second pilot at another trust to ascertain if it is possible to deliver high quality and effective training in a more sustainable and reproducible way. We are also aiming to develop the material into a training package that could be used nationally. Palliative SIM aims to provide an efficient and effective way of improving training and patient care.