Time and motion studies: Helping to identify simulation training needs for doctors.
Time and motion is an observational study that has traditionally been conducted in order to address system failures and areas for improvement within an organisation (1), but never before as a course development needs analysis process. Previously, simulation courses have been used to cover the management of clinical emergencies. Increasingly, however, they are used to teach human factors and strategies to cope with everyday pressures on a busy ward. We believe that our study, conducted in busy medical wards, can provide real time data of a junior doctors' work schedule, in order to increase the realism of simulation scenarios and reflect more accurately work conditions on a busy ward. It can also help identify training needs of doctors and design simulation courses to target specific learning strategies to improve efficiency and reduce errors.