LAUSR

Three months prior to residency entry, 35 incoming paediatric interns whose medical school training was affected by the COVID 19 pandemic were asked via a mixed method survey which of the 13-core medical student core EPAs they would like additional training in prior to residency. The interns identified the need for additional training in the following EPAs: EPA 4 (enter and discuss orders) (97%), EPA 10 (recognise a patient requiring emergent care) (82%) and EPA 12 (procedures) (74%). The most common qualitative themes noted included (1) lack of clinical exposure (69%), (2) efficiency (15%) and (3) procedural skills (15%). Based on these results, a series of 4 2-hour, in-person, small group workshops were held during an extended orientation, entitled: ‘Order Writing’, ‘Emergency Scenarios 1’, ‘Emergency Scenarios 2’ and ‘Procedures’. The order-writing workshop included a hands-on, resident-supervised, practice session entering clinical orders in the Electronic Medical Record. The two emergency scenario workshops were small group case discussions covering salient paediatric topics: asthma, anaphylaxis, arrythmia, bronchiolitis, hypotension, sepsis, seizures and newborn emergencies. The procedure workshop included stations on airway management, intravascular access, lumber puncture and suturing. Sessions were evaluated via a 5-point Likert scale. The interns reported the order writing training as improving their knowledge, skills and confidence in the subject at 91%, 81% and 81%, respectively. The emergency scenario training was reported as improving knowledge, skills and confidence at 97%, 100% and 100%, respectively. The procedure workshop was reported as improving knowledge, skills and confidence at 97%, 97% and 91%, respectively. 3 | WHAT LESSONS WERE LEARNED?