Though they are knowledgeable, foundation year one (FY1) doctors can lack skills and confidence in acute situations due to inexperience. This was witnessed when a new FY1 on call attended an acute @entity360 ( @entity360 ), a common emergency with a 10% in hospital mortality rate. We aimed to improve FY1s' ability to manage these critical @entity1 through simulation based teaching, before and after the introduction of an algorithm summarising current guidelines. After assessing the FY1s' perceived level of confidence in managing UGIBs, they individually attended a simulation session which evaluated specific aspects of their assessment and management plans. Immediate debriefing and subsequent teaching sessions reinforced learning points, with an algorithm instituted as an aide m  moire to improve efficiency. A repeat simulation session assessed improvements in both subjective confidence and objective management targets. All FY1s expressed improved confidence in managing @entity1 with UGIBs. There were improvements across the board in their assessment and management, notably: verbalisation of concern for @entity551 increased to 100% (from 60%), two points of intravenous access requested in 100% of cases (from 53%), and a 76 second reduction in time to call for senior support. Collectively, these individual aspects led to improved @entity1 care. Effective management of acute @entity1 is best learnt through exposure, and simulation based teaching provides a safe but powerful modality to aid transition from textbook theory to ward situations. Algorithms can streamline care and hasten the stabilisation of @entity1 . This project reinforces generic competencies that FY1s can translate to their management of not only UGIBs, but many acute presentations, providing a convincing argument for broader simulation use in FY1 teaching.

Promoting the management of acute upper XXXX among junior doctors: a quality improvement project.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity360 :: ('MESH:D006471', 'Disease') :: ['UGIB', 'upper gastrointestinal bleed']
@entity360 :: (MESH:D006471,Disease) :: ['gastrointestinal bleeds']
