The escape room training doctors for life on the wards

News imageBBC A mannequin covered in bloodstained bandages. It is Caucasian and has its mouth open. A spider is crawling out. It is in a darkened room with artificial candles lighting up the room. Behind is a monitor screen on a desk with an empty chair nearby.BBC
The macabre escape room is designed to challenge second year medical students

It's dark, chaotic and the clock is ticking — the two rooms that make up the escape room challenge contain scenes that look more like Halloween horrors than a hospital ward.

They are designed to resemble treatment areas during a pandemic, with dummies dressed as patients groaning and making vomiting sounds in subdued lighting.

Students from the University of Exeter are being tested in a high-pressure challenge designed to mirror the realities of hospital life.

Locked inside, they must diagnose medical emergencies, solve puzzles and work together to escape both rooms in less than 60 minutes.

The unique training exercise comes just months before they begin working on hospital wards.

News imageBig yellow quarantine sign on a classroom door. It reads: Infective Outbreak. No one shall enter or leave this area without the written permission of the local health authority! A sign behind it reads: Fire door. Keep shut.
Locked in this escape room, students are told they are in the middle of a viral outbreak
News imageMedical student, Maya Pearson, wearing a light brown woollen, round neck jumper with dark blond, long, straight, hair. She is smiling and in a classroom. There is a teaching screen featuring a silhouette of a rhinoceros behind her.
Maya Pearson, a medical student at the University of Exeter was among those to take part

For second-year student Maya Pearson, the experience was overwhelming at first.

"I felt helpless when I went in," she said. "But working as a team and sharing ideas really helped."

The exercise, developed by staff and academics at the University of Exeter Medical School, aims to help students apply what they have learned in a high-pressure environment before moving on to wards.

Senior tutor, Elizabeth Tompkins, said the idea came from the growing popularity of escape rooms and a desire to make learning more engaging.

She added it has been a successful part of their training for five years.

"We wanted to challenge students in a different way and get them applying everything they've learned," she said.

News imageFour medical students, all women, are grouped together. One, with long dark hair, is looking at a box that needs unlocking. A fourth student, with straight blond hair tied back, has blue medical gloves on and a syringe in one hand. standing looking. One of the students, with dark blond hair tied back in a cream scrunchie is looking over at her. The lighting is subdued.
Medical students work together to diagnose and treat a patient to get part of a code to allow them to get out of the escape room.
News imageYoung, second year medical student John Morris. He has dark brown hair in a short, mullet style. He is wearing a smart, stripped shirt. He is in a classroom and behind him is a blank whiteboard.
Second year medical student, John Morris praised the simulation

For many, the pressure quickly felt realistic.

Student John Morris said the challenge initially caused him to "freeze".

"But then it all came back — it felt like being in a real situation," he said.

Others said the chaos and lack of structure was what made it valuable.

"It didn't feel like a lesson," said Amelie Allen. "We had no direction — we just had to work it out ourselves."

News imageClinical Skills tutor, Andy Garcia. He has a dark brown, short sleeved polo top, with white and khaki think stripes. He has short dark brown hair. He is inside an escape room. Bandages are hung across the ceiling and there are medical warning posters on the wall.
Clinical skills tutor, Andy Garcia says the exercise is designed to be "chaotic"

Tutors say that unpredictability is key.

Clinical skills tutor Andy Garcia said the exercise is designed as a final step before students begin working on wards later this year. He added it helps them cope with distractions and stay focused on patient care.

"It's chaotic, but it teaches them to prioritise and stick to their principles," he said.

Despite the pressure, the group we followed successfully escaped both rooms in just over 40 minutes.

Students will begin working on hospital wards in the coming months, with tutors hoping the experience will help them feel more confident when treating real patients.

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