P065 Enhancing dermatology training through simulation-based education

Abstract

Surgical and communication skills are core to dermatology practice, yet structured training opportunities remain limited. Simulation-based education (SBE) provides a safe, controlled environment for developing and improving confidence in procedural and communication competencies. While established in other specialties, SBE is novel in dermatology. Building on a pilot study demonstrating improved surgical confidence through multiprofessional simulation workshops, a three-phase programme was developed aiming to embed SBE into dermatology training. Phase 1 introduced an interprofessional regional 1-day simulation and debrief training to dermatology registrars, consultants and nurses to build sustainable SBE delivery capacity. Phase 2 piloted a regional half-day communication workshop, using patient actors to address difficult diagnoses and challenging consultations. Phase 3 concluded with the first all-Ireland dermatology half-day surgical skills workshop for trainees across Northern Ireland and the Republic of Ireland. Delegates self-selected groups according to competence, covering excisions, complex closures, flaps and grafts. Phase 1 trained a multidisciplinary faculty in SBE delivery and debriefing, enabling ongoing simulation activity. There was a 60% increase in confidence in managing a difficult debrief after a simulation. Phase 2 feedback highlighted enhanced confidence in managing difficult consultations, with participants valuing realism, a supportive environment for learning, and structured debrief. Phase 3 involved 28 trainees (16 providing feedback). Overall satisfaction was high (usefulness 4.9/5). Confidence was greatest for biopsies (5.0/5), shave excisions (4.8/5), elliptical excisions (4.7/5) and complex closures/suturing (4.1/5). Lower ratings for flaps (3.0/5) and grafts (2.2/5) identified clear targets for future training. Simulation in dermatology offers significant benefits, primarily through safe, risk-free and hands-on training environments that enhance skill acquisition, diagnostic accuracy and patient communication. This novel SBE programme demonstrated strong educational value, improved confidence and fostered national collaboration. Future work will expand the scope, duration and subspecialty focus to sustain skill development across the dermatology community.