Rapidly Increasing Resident Confidence: Developing a Rapid Response Simulation at Your Program

The transition from PGY-1 to PGY-2 is a challenging time for many internal medicine residents. They are faced with the increased responsibility of being more autonomous physicians, especially in the context of responding to emergencies in the hospital. Many programs enlist PGY-2/3s as rapid response team members, often as the first physician responding to these calls. Implementing rapid response simulation has increased PGY-2 confidence with RRTs in a program by 150%. Each intern takes a role as "medical officer on duty (MOD)" where they are in charge of running the simulated rapid response. The MOD, with the help of co-interns, must address the situation, stabilize the patient, and make team decisions on work-up and disposition. Each case represents real rapid response calls for each of the major categories including respiratory distress, stroke, hypotension, and acute coronary syndrome. Each session closes with debriefing and teaching points. This comprehensive simulation program has been essential in preparing PGY-1s for the transition to PGY-2, giving them the opportunity to practice their skills in a safe and controlled environment and build confidence in responding to emergencies. This workshop will include a rapid response simulation, provide cases for breakout sessions, and provide a post-workshop survey about the experience. These types of programs are fundamental in developing resident skills and confidence necessary to be successful in their careers.