Background The challenges of training in medicine such as heavy workload, loss of teams, and work/life balance can contribute to low morale among trainees. This can lead to lower levels of engagement, associated with higher rates of medical error and lower patient satisfaction. NHS Education for Scotland are leading a project focused on the wellbeing of FY1 doctors, promoting the concept of ‘Thriving in Medicine’ to support trainees through these challenges.

Method A pilot programme was developed after a review of the literature. Input was sought from FY1s and FY2s, and educational supervisors. A voluntary 3-part workshop course was developed, covering stress responses, emotional skills, growth mindsets, and facilitated peer discussion of experiences. Simultaneously accessible support resources have been developed for all trainees on the Scotland Deanery website.

Measurement of Improvement A pilot within NHS Tayside is on going. Quantitative analysis of participant resilience is carried out using validated scales (BRS and BRCS). The structure and content of the workshops is evaluated via Likert and free text questions and a qualitative focus group will be conducted at completion of workshop package, and analysed for themes. After the first pilot, participant evaluations were unanimously positive. Comments supported facilitators and content, and suggested improvements made. We anticipate benefits for trainees will be improved resilience, practical tools, time for peer discussion, and a positive view of medicine.

Lessons Learnt To support all trainees in Scotland, there are challenges in terms of support from employing NHS boards, resources and facilitators, and ongoing governance. In anticipation of positive results, the working group is addressing these issues. NES acknowledges the need for personal trainee support, well as in training. Collaboration with other relevant bodies remains a key challenge to deliver this programme throughout Scotland.