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Background: Specialist trainees in Geriatrics need to manage complex scenarios in a range of settings. Simulation provides an education platform for clinicians to become immersed in realistic scenarios where outcome is dependent upon technical and non-technical skills.

Methods: 27 trainees attended 4 similar one-day courses focussed on curriculum-mapped clinical scenarios using high-fidelity life-size manikins, patient-actors, patient actors with integrated clinical skills, and role-play exercises. Trainees participated in scenarios individually or in small groups whilst others watched live audio-visual transmission remotely. Debriefs by trained faculty were completed after each scenario. Participants completed validated pre-and post-course questionnaires to assess confidence in managing clinical scenarios (on a linear 0-100 scale) and to evaluate the course's educational value.

Results: Trainees' confidence in clinical and non-clinical skills was improved, as shown in the table. Median scores on a 1-5 Likert scale showed trainees to evaluate the course as educational (4), interesting (5), relevant (5) and useful for reflection (4). Median overall satisfaction score was 5. The most common constructs learned were clinical knowledge, situational awareness and communication skills; all of which were judged not to have been taught as effectively by other learning media.

Conclusions: A specialist Geriatrics simulation training programme is feasible and perceived to address areas of the curriculum successfully and to improve clinical and non-clinical skills.

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