True transition to practice: a role-reversal simulation




Implication Statement

This article explores a direct-observation simulation swapping resident and consultant roles as a measure to assess competence during the final “transition to practice” phase of residency. As indicated by the Royal College, assessment of competency in this stage should include direct observation; however, this is challenging to implement, both from the perspective of a busy clinical environment, but also logistically, as a final-stage resident is still a learner in a consultant clinic. Our suggested approach allows for both real-world experience for the resident as well as direct observation and assessment by the consultant, thus providing the resident with targeted, actionable feedback, as well as ensuring the final-stage resident is competent for practice.


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How to Cite

Preti B, Sanatani M. True transition to practice: a role-reversal simulation. Can. Med. Ed. J [Internet]. 2023 Jan. 31 [cited 2023 Sep. 22];14(4):120-2. Available from:



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