RT Journal Article SR Electronic T1 A foundation interim year 1 sequential simulation experience and analysis of preparedness to practice early JF Future Healthcare Journal JO Future Healthc J FD Royal College of Physicians SP e137 OP e141 DO 10.7861/fhj.2020-0183 VO 8 IS 1 A1 Noah Havers A1 Alvaro Seebacher-Tomas A1 James Ashcroft YR 2021 UL http://www.rcpjournals.org/content/8/1/e137.abstract AB This project involved the implementation of a simulation session followed by interviews to assess and improve foundation interim year 1 (FiY1) preparedness.The session focused on the interpretation of investigations, clinical examinations, the implementation of management plans and appropriate escalation. Preparedness was measured quantitatively using Likert-type scales and qualitatively using interviews.Following the simulation, there was a significant increase in median preparedness for giving treatment (3 vs 4; p=0.04), paperwork (2 vs 4; p=0.03) and independent, responsible working (3 vs 4.5; p=0.03), before and after, respectively. Following the FiY1 period, participants demonstrated significant improvement in median preparedness for giving treatment (3 vs 4.5; p=0.01), paperwork (2 vs 5; p=0.01), independent, responsible working (3 vs 4.5; p=0.02), and communication and teamworking (4 vs 5; p=0.01), before and after, respectively.This simulation and the FiY1 period increased preparedness. This study suggests that future medical apprenticeships should provide the same opportunities and responsibilities as the FiY1 programme.