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Examples of this were that tutors did not prompt students during simulations, all bloods had to be taken to a ��lab��, incomplete or incorrect requests were rejected and results were received in real time. All requests for senior help had to be made properly by telephone to a ��registrar��.Students completed a questionnaire rating knowledge and confidence of various session outcomes before and after the session, and rated the overall session out of 10. They also provided free-text comments. Before and after scores were compared with a Mann�CWhitney U-test. Results:? Forty students completed the session. Overall, the session was evaluated highly by students (with a mean score of 9.6 out of 10). There was no significant difference between the pre- and post-session scores. Anticancer Compound Library The free-text comments reflected the utility of the enhanced realism and stress. Discussion:? From the students�� comments we appear to have successfully created the ��stress�� we set out to achieve. We were concerned that incorporating significant stress may have a negative impact on Sitaxentan learning; however, students did not report a decrease in confidence following the session. ""Geriatric medicine encompasses a diverse nature of medical, social and ethical challenges, and requires a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of the elderly, and it is therefore vital that specialist trainees in geriatric medicine are afforded opportunities to develop their skills in managing this complex patient population. Alectinib purchase Simulation has been widely adopted as a teaching tool in medicine; however, its use in geriatric medicine to date has involved primarily role-play or discrete clinical skills training. This article outlines the development of a bespoke, multimodal, simulation course for specialist trainees in geriatric medicine. A 1�Cday multimodal and interprofessional simulation course was created specifically for specialist trainees in geriatric medicine, using six curriculum-mapped scenarios in which the patient perspective was central to the teaching objectives. Various simulation techniques were used, including high-fidelity human patient manikins, patient actors, with integrated clinical skills using part-task trainers, and role-play exercises. Debriefs by trained faculty members were completed after each scenario. Twenty-six candidates attended four similar courses in 2012. Quantitative analysis of pre- and post-course questionnaires revealed an improvement of self-reported confidence in managing geriatric scenarios (Z?=?4.1; p?