Real-life Activities Research Articles

Challenges Experienced by Teachers when Integrating Indigenous Knowledge Systems in Natural Sciences Practical Work

This study explored what challenges teachers experienced when integrating indigenous knowledge systems (IKS), which are culture specific, into practical work in natural sciences classrooms with diverse learners. Using an exploratory qualitative case study based on an interpretive paradigm, three natural sciences teachers and two subject advisors were purposively selected from the Harry Gwala district in the KwaZulu–Natal province of South Africa. Semi-structured interviews, a focus group interview and practical work lesson observations were used to collect data that were analysed using thematic content analysis. The findings show that when indigenous knowledge was integrated with practical work, real-life activities were simulated in the classrooms. The introduction of real-life situations and IKS-based practical activities invited IKS-based learner behaviour. When simulating real-life practices, the learners’ socio-cultural beliefs became manifest. It was reported that learners assigned traditional gender roles for the practical work activities. Recent initiates into adulthood did not participate in activities that included the use of open fires because it was forbidden in their culture. Learners were also not willing to work with clay soil based on the belief that it attracted goblins, despite evidence showing its use in the building of huts and making of pots. Furthermore, teachers recognised the need to manage the conflicts and controversies that might result from integrating IKS into practical work. The study recommends education districts to establish contextualised resource centres for IKS integration that take into account the socio-cultural beliefs of local learners as a way to support the teachers.

TASAVVUF TARIQATI VA UNING FALSAFIY TAHLILI

In this article, issues such as the socio-spiritual essence of a person in Sufism, his activities in real life, the issue of his relationship with society and people, and the ways of educating a perfect person on the path of Sufism of the Naqshbandi doctrine are philosophically analyzed.

Trial of Memory: Legal Regulation as a Tool of Memory Politics in Contemporary Russia

The article examines how law enforcement sanctions, typically applied to real-life actions, are being transferred to online activities. Building on François Hartog’s ideas, the study links memorial legislation to a new “regime of historicity,” highlighting its unique role in commemoration. By examining relevant laws and media discussions, the study follows the evolution of memorial legislation, demonstrating its importance in commemorating the Great Patriotic War in post-Soviet symbolic politics. Analysis of the amendments to Article 354.1 of Russia’s Criminal Code from its original formulation in 2014 to the revisions in 2021 reveals the shifting legal landscape surrounding online commemorative practices. As virtual spaces are gaining prominence in public discourse and legal interpretations, the boundaries between online activities and real-world actions are becoming increasingly blurred. The key trends in this process include the growing reliance on virtual platforms for information dissemination, the evolving notion of publicity in legal contexts pertaining to online behavior, and the broadening enforcement of Article 354.1. This research sheds light on the intricate interplay between memory politics, virtual spaces, and legal frameworks, reflecting broader societal shifts in information consumption and expression.

Results of a pilot study of the features of the development of valuesemantic foundations of the content of teacher education (on a sample of teachers of a pedagogical university)

Introduction. The article outlines the current problem of mastering by students of pedagogical universities the value-semantic foundations of the content of education in the context of the ongoing modernization of pedagogical education. Particular attention should be paid to teachers of pedagogical universities, who are for students – future teachers – carriers of a professional value system and the main source of information about the value-semantic foundations of the content of pedagogical education. We identified the need to develop a methodology that allows us to quickly and objectively assess the level of teachers’ mastery of the value-semantic foundations of the content of pedagogical education.Materials and Methods. The article presents the results of testing the author's methodology “Methodology for determining the features of the development of value-semantic foundations of the content of pedagogical education,” in which teachers from Yaroslavl State Pedagogical University named after K.D. Ushinsky. The purpose of the developed methodology is to identify the features of the development of the value-semantic foundations of the content of Russian pedagogical education. For meaningful validation of the developed methodology, the methodology “Diagnostics of the real structure of a person’s value orientation” by S.S. was used. Bubnova.Results. The results of testing the author’s methodology presented in the article proved its validity and reliability. In the process of content validation of the methodology, a partial correspondence between the degree of implementation of the value-semantic foundations of the content of pedagogical education and the value orientations of the individual in the conditions of real life activity is noted. At the same time, it seems important to emphasize that value positions acting as priorities are characterized by fairly high consistency and comparability. The existing inconsistencies are recorded according to those value positions that occupy relatively low places in the hierarchy of teachers’ values and in our case can be considered as manifestations of the diversity of personal meanings and their combinations in the individual consciousness.Discussion and Conclusions. The results of a pilot study of the author’s methodology using the analysis of correlations presented in the article confirm that the presented methodology can be used to study the development of the value-semantic foundations of the content of pedagogical education (on a sample of teachers at a pedagogical university).

Translation of literary texts and online collaboration: Breaking barriers through virtual exchange

Literary translation usually brings linguistic, textual, cultural, and pragmatic problems into perspective. As a knowledge-transfer process, it also demands a set of skills as the translator intends to convey, to some extent, the literary subtleties of the original. Graduate students attending a MA seminar of Translation of Literary Texts are frequently asked to undertake the process of translating a selection of excerpts of a variety of literary texts, to acknowledge difficulties and set up strategies for achieving their work. One of the most rewarding tools available to literary translators is working with the author, which is not always feasible in real-life activity and even more unlikely in Literary Translation classes. This report presents the practice of virtual exchange by describing the experience of matching Creative Writing students with students attending a Translation of Literary Texts seminar. Online collaboration gave Literary Translation students a sense of real-life experience by having the opportunity to communicate and work with the author, translating unpublished and untranslated texts. It was not only an opportunity of participating in a collaborative international project by means of virtual exchange, but also an opportunity of translating with the author.

Methodologies and Didactic Approaches in Teaching English as a Foreign Language in Ecuadorian Education

Currently, Ecuador and other Spanish-speaking countries are not achieving positive results with their students in the teaching-learning process of the English language due to the application of traditionalist methodologies or approaches, which lead to student disinterest. Another negative factor is the limited experience of some teachers in the English language area. The objective of this article is to understand the methodologies and didactic approaches used by teachers and identify which of these methodologies and approaches yield better results in teaching the foreign language. This research is qualitative, as various bibliographic sources were analyzed to collect and develop the information. It was identified that the best approach and technique to be used in teaching a foreign language is the communicative approach, as students learn to perform in everyday real-life activities, and to make it more dynamic and engaging for students, playful activities and character characterization through role play.

Authentic Learning: Financial Literacy in Postsecondary Bridging Experiences

We applied the most significant change analytical approach to explore what summer bridging camp participants characterized as valuable to their post-high school transitions. Through interviews, program documents, dialogue with program staff, curriculum review, and observations, our participants identified the curriculum on managing their personal finances as the most impactful and useful for their future planning. In this qualitative study, we used an interpretive framework of authentic learning to present and organize our description of the curriculum and find that both the content and the real-life activities resonated with students as they planned for their lives after high school graduation. Our discussion considers our findings in the context of school-based and informal financial literacy education and makes recommendations for authentic learning as a sound theoretical approach for designing financial literacy curricula.

Molecular monitoring of viral infections in immunocompromised patients in a large university hospital in Italy: reflections after thirteen years of real-life activity

PurposeThis study aimed to investigate the prevalence and viral reactivations of clinical interest in the immunocompromised patient with particular focus on hematologic and solid organ transplant recipients.MethodsMolecular screening data of CMV, EBV, JCV and BKV from 2011 to 2023 were analyzed. This extensive time span allowed the access to more than 100,000 samples from over 20,000 patients treated at Policlinico Umberto I. It was possible to temporally investigate patient attendance patterns, average age distribution, seasonality of infections, and positivity rates of the analyzed viruses.ResultsBetween 2019 and 2022 a significant reduction in organ transplants performed and in the positive molecular detection of EBV, JCV and BKV was observed. Additionally, there has been a noteworthy decrease in CMV reactivations, with a reduction of up to 50% starting in 2019. A remarkable reduction of 39% in the rate of CMV viral reactivation has been also achieved in SOT between 2016 and 2023.ConclusionThe years following 2019 were profoundly impacted by the COVID-19 pandemic era. This period resulted in a substantial reduction in healthcare services and hospital visits. Furthermore, the introduction of the drug Letermovir in Italy in 2019 demonstrated remarkable efficacy, evidenced by a reduction in CMV reactivations. Additionally, the adoption of a novel clinical approach centered on personalized therapy facilitated improved management of immunocompromised patients.

Accelerometer-based measures in Friedreich ataxia: a longitudinal study on real-life activity.

Quantitative measurement of physical activity may complement neurological evaluation and provide valuable information on patients' daily life. We evaluated longitudinal changes of physical activity in patients with Friedreich ataxia (FRDA) using remote monitoring with wearable sensors. We performed an observational study in 26 adult patients with FRDA and 13 age-sex matched healthy controls (CTR). Participants were asked to wear two wearable sensors, at non-dominant wrist and at waist, for 7days during waking hours. Evaluations were performed at baseline and at 1-year follow-up. We analysed the percentage of time spent in sedentary or physical activities, the Vector Magnitude on the 3 axes (VM3), and average number of steps/min. Study participants were also evaluated with ataxia clinical scales and functional tests for upper limbs dexterity and walking capability. Baseline data showed that patients had an overall reduced level of physical activity as compared to CTR. Accelerometer-based measures were highly correlated with clinical scales and disease duration in FRDA. Significantly changes from baseline to l-year follow-up were observed in patients for the following measures: (i) VM3; (ii) percentage of sedentary and light activity, and (iii) percentage of Moderate-Vigorous Physical Activity (MVPA). Reduction in physical activity corresponded to worsening in gait score of the Scale for Assessment and Rating of Ataxia. Real-life activity monitoring is feasible and well tolerated by patients. Accelerometer-based measures can quantify disease progression in FRDA over 1 year, providing objective information about patient's motor activities and supporting the usefulness of these data as complementary outcome measure in interventional trials.

Augmented Reality Advertisements within the Realm of Phygital Marketing: Case Studies of Advertising Examples

Technology has evolved to be a concept of constant development and innovation, significantly impacting both individual and societal life. It has become a fundamental building block that influences personal inclinations, choices, and decisions, and is already present in many phases of human life. Individuals react to technological advancements they encounter in their daily lives, as they are not just consumers in the current era, but also producers. The responses to technological advancements extend to influencing purchasing activities and shopping behaviors of individuals. This study has been developed to analyze the role and usage of Augmented Reality technology, one of these technological advancements, in the transforming field of marketing and specifically in advertising. The evolution of the marketing concept has brought about new approaches, as is the case in almost every developing field. Among these new approaches, the influence of digitalization is acknowledged. Within these definitions, the concept of phygital marketing is included. The phenomenon of transferring real-life actions to a virtual (digital) environment has given way to the transfer of virtual (digital) environments into the physical, real-life aspect. The term "phygital", a combination of physical and digital, can be summarized as the reflection of digital phenomena, especially in the physical dimension, into everyday life. One of the application areas where the impact of phygital concept in marketing is evident is the use of Augmented Reality technology in advertisements, which defines the scope of this study.

‘Provide real life activities that open their eyes and make connections in the brain’

Charlotte Greeno, childminder at Among The Leaves Childminding, discusses the importance of providing real life activities to children, to broaden their horizons and help them handle situations and have confidence in themselves when on their own. She won Childminder of the Year at the Nursery World Awards 2023.

Video Games as Awareness Raisers, Attitude Changers, and Agents of Social Change

The widespreadness of video games, particularly among digital natives, requires ongoing exploration of their profound effects. This study aligns with this need, investigating video games as possible tools for positive societal influence and exploring their potential to address sensitive social issues. Transportation theory underscores the transformative potential of video games, casting players as “travellers” who, traversing stages of reality dissolution, emotional connection, and altered return, present a pathway for attitude transformation. Participants (N=98) engaged with “Survival,” “Paper, Please,” and “Against All Odds” to explore the effectiveness of video games in addressing the refugee crisis, increasing awareness of the issue at hand, changing perceptions, and encouraging them to take action in real life. The study’s results align with integrated threat theory, revealing that immersive gaming experiences can induce significant changes in attitudes, decrease denial, and increase empathy. The results highlight the potential of video games to educate people about pressing global issues and invoke empathy without trivialising problems. Consequently, while this study extends the current body of knowledge, it offers some promising directions for further research to validate the affirmative impact of video games in this realm.

Comparisons of three different modes of digital mirror therapy for post-stroke rehabilitation: Preliminary results of randomized controlled trial

Objective Technologically adapted mirror therapy shows promising results in improving motor function for stroke survivors. The treatment effects of a newly developed multi-mode stroke rehabilitation system offering multiple training modes in digital mirror therapy remain unknown. This study aimed to examine the effects of unilateral mirror visual feedback (MVF) with unimanual training (UM-UT), unilateral MVF with bimanual training (UM-BT), and bilateral MVF with bimanual training (BM-BT) on clinical outcomes in stroke survivors, compared to classical mirror therapy (CMT). Methods Thirty-five participants were randomly assigned to one of four groups receiving fifteen 60-minute training sessions for 3–4 weeks. The Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Chedoke Arm and Hand Activity Inventory (CAHAI), Revised Nottingham Sensory Assessment (rNSA), Motor Activity Log (MAL), and EQ-5D-5L were administered at pre- and post-intervention and at 1-month follow-up. Results After intervention and follow-up, significant within-group treatment efficacies were found on most primary outcomes of the FMA-UE and CAHAI scores in all four groups. Significant within-group improvements in the secondary outcomes were found on the MAL and EQ-5D-5L index in the UM-BT group, and the rNSA tactile sensation and MAL quality of movement subscales in the BM-BT group. No significant between-group treatment efficacies were found. Conclusions UM-UT, UM-BT, BM-BT, and CMT led to similar clinical effects on the FMA-UE and can be considered effective alternative interventions for post-stroke upper-limb motor rehabilitation. UM-BT and BM-BT showed within-group improvements in functional performance in the patients’ affected upper limbs in real-life activities.

The Utilitarian Virtual Self - Using Embodied Personalized Avatars to Investigate Moral Decision-Making in Semi-Autonomous Vehicle Dilemmas.

Embodied personalized avatars are a promising new tool to investigate moral decision-making by transposing the user into the "middle of the action" in moral dilemmas. Here, we tested whether avatar personalization and motor control could impact moral decision-making, physiological reactions and reaction times, as well as embodiment, presence and avatar perception. Seventeen participants, who had their personalized avatars created in a previous study, took part in a range of incongruent (i.e., harmful action led to better overall outcomes) and congruent (i.e., harmful action led to trivial outcomes) moral dilemmas as the drivers of a semi-autonomous car. They embodied four different avatars (counterbalanced - personalized motor control, personalized no motor control, generic motor control, generic no motor control). Overall, participants took a utilitarian approach by performing harmful actions only to maximize outcomes. We found increased physiological arousal (SCRs and heart rate) for personalized avatars compared to generic avatars, and increased SCRs in motor control conditions compared to no motor control. Participants had slower reaction times when they had motor control over their avatars, possibly hinting at more elaborate decision-making processes. Presence was also higher in motor control compared to no motor control conditions. Embodiment ratings were higher for personalized avatars, and generally, personalization and motor control were perceptually positive features. These findings highlight the utility of personalized avatars and open up a range of future research possibilities that could benefit from the affordances of this technology and simulate, more closely than ever, real-life action.

Wearable Technologies for Monitoring Upper Extremity Functions During Daily Life in Neurologically Impaired Individuals.

Neurological disorders, including stroke, spinal cord injuries, multiple sclerosis, and Parkinson's disease, generally lead to diminished upper extremity (UE) function, impacting individuals' independence and quality of life. Traditional assessments predominantly focus on standardized clinical tasks, offering limited insights into real-life UE performance. In this context, this review focuses on wearable technologies as a promising solution to monitor UE function in neurologically impaired individuals during daily life activities. Our primary objective is to categorize the different sensors, review the data collection and understand the employed data processing approaches. After screening over 1500 papers and including 21 studies, what comes to light is that the majority of them involved stroke survivors, and predominantly employed accelerometers or inertial measurement units to collect kinematics. Most analyses in these studies were performed offline, focusing on activity duration and frequency as key metrics. Although wearable technology shows potential in monitoring UE function in real-life scenarios, it also appears that a solution combining non-intrusiveness, lightweight design, detailed hand and finger movement capture, contextual information, extended recording duration, ease of use, and privacy protection remains an elusive goal. These are critical characteristics for a monitoring solution and researchers in the field should try to integrate the most in future developments. Last but not least, it stands out a growing necessity for a multimodal approach in capturing comprehensive data on UE function during real-life activities to enhance the personalization of rehabilitation strategies and ultimately improve outcomes for these individuals.

Applying drama methods in foresight: Supporting futures agency and creating in-depth futures knowing

This article observes and constructs possibilities that drama methods may have for futures studies. By describing a few selected techniques from drama workshops, the article demonstrates how applied drama can function as a form of futures workshopping. Findings are constructed through two research paths or schemas. The first schema, supporting futures agency, explores how drama methods can support the development of futures agency, understood as a plural and holistic understanding that can influence a person’s futures thinking and real-life actions. The second schema, in-depth futures knowing, depicts drama-based enquiries as a route for creating novel understanding through their ability to observe the world through subjective and imaginary perspectives.

Exploring users’ attitude towards privacy-preserving search engines: a protection motivation theory approach

PurposeSearch engines, the most popular online services, are associated with several concerns. Users are concerned about the unauthorized processing of their personal data, as well as about search engines keeping track of their search preferences. Various search engines have been introduced to address these concerns, claiming that they protect users’ privacy. The authors call these search engines privacy-preserving search engines (PPSEs). This paper aims to investigate the factors that motivate search engine users to use PPSEs.Design/methodology/approachThis study adopted protection motivation theory (PMT) and associated its constructs with subjective norms to build a comprehensive research model. The authors tested the research model using survey data from 830 search engine users worldwide.FindingsThe results confirm the interpretive power of PMT in privacy-related decision-making and show that users are more inclined to take protective measures when they consider that data abuse is a more severe risk and that they are more vulnerable to data abuse. Furthermore, the results highlight the importance of subjective norms in predicting and determining PPSE use. Because subjective norms refer to perceived social influences from important others to engage or refrain from protective behavior, the authors reveal that the recommendation from people that users consider important motivates them to take protective measures and use PPSE.Research limitations/implicationsDespite its interesting results, this research also has some limitations. First, because the survey was conducted online, the study environment was less controlled. Participants may have been disrupted or affected, for example, by the presence of others or background noise during the session. Second, some of the survey items could possibly be misinterpreted by the respondents in the study questionnaire, as they did not have access to clarifications that a researcher could possibly provide. Third, another limitation refers to the use of the Amazon Turk tool. According Paolacci and Chandler (2014) in comparison to the US population, the MTurk workers are more educated, younger and less religiously and politically diverse. Fourth, another limitation of this study could be that Actual Use of PPSE is self-reported by the participants. This could cause bias because it is argued that internet users’ statements may be in contrast with their actions in real life or in an experimental scenario (Berendt et al., 2005, Jensen et al., 2005); Moreover, some limitations of this study emerge from the use of PMT as the background theory of the study. PMT identifies the main factors that affect protection motivation, but other environmental and cognitive factors can also have a significant role in determining the way an individual’s attitude is formed. As Rogers (1975) argued, PMT as proposed does not attempt to specify all of the possible factors in a fear appeal that may affect persuasion, but rather a systematic exposition of a limited set of components and cognitive mediational processes that may account for a significant portion of the variance in acceptance by users. In addition, as Tanner et al. (1991) argue, the ‘PMT’s assumption that the subjects have not already developed a coping mechanism is one of its limitations. Finally, another limitation is that the sample does not include users from China, which is the second most populated country. Unfortunately, DuckDuckGo has been blocked in China, so it has not been feasible to include users from China in this study.Practical implicationsThe proposed model and, specifically, the subjective norms construct proved to be successful in predicting PPSE use. This study demonstrates the need for PPSE to exhibit and advertise the technology and measures they use to protect users’ privacy. This will contribute to the effort to persuade internet users to use these tools.Social implicationsThis study sought to explore the privacy attitudes of search engine users using PMT and its constructs’ association with subjective norms. It used the PMT to elucidate users’ perceptions that motivate them to privacy adoption behavior, as well as how these perceptions influence the type of search engine they use. This research is a first step toward gaining a better understanding of the processes that drive people’s motivation to, or not to, protect their privacy online by means of using PPSE. At the same time, this study contributes to search engine vendors by revealing that users’ need to be persuaded not only about their policy toward privacy but also by considering and implementing new strategies of diffusion that could enhance the use of the PPSE.Originality/valueThis research is a first step toward gaining a better understanding of the processes that drive people’s motivation to, or not to, protect their privacy online by means of using PPSEs.

Teaching Grammar through Content-Based Instruction in a Second Language Classroom

Content-Based Instruction (CBI) is a novel approach that delivers a systematic preparation to acquire English language skills within a specific context. This paper demonstrates the basic postulates of how the elements of grammar are effectively taught by this approach. It brings a profound study of the essential characteristics of Content-Based Instruction that is well-suited to teaching language learners. In the case of both speaking and writing skills, the learner is expected to ascertain the nuances and the essentialities of the English language. A firm ground to the exposure of the grammatical regulations gives an edge to the learning language when it comes to practical usage. Grammar rules and regulates its stature as a sure foundation of language learning. Content-Based Instruction is an approach that aids young learners to imbibe listening, speaking, reading and writing skills and to utilize them in real-life activities. Content-Based Instruction is an amalgamation of content learning with its focus on English verbal communication. The major endeavour of the CBI is to provide learners with a grasp of the grammatical systems that functions in the language. One of the conditions that the CBI claims to fulfil is that it focuses on the use of the language in its form and function. Grammar is an unwavering referral point and maintains an undisputable position when it deals with the never-ending patterns of human utterances. Content-Based Instruction functions effectively with authentic content and continuously upgraded and trained tutors. This paper propounds that grammar has to be instructed by experienced teachers with inexplicit input from an expert who gives weightage to the practical and pragmatic application of the language, unlike the followers of the traditional grammarians and grammar-translation method who stop within the arena of teaching only by trying to figure out grammatical properties. By involving students in language study through interactions and various classroom activities, Content-Based Instruction has gained a position on its own in aiding learners to utilize the English language in their everyday application.

A55‘Who’s in charge? Me!’ Using simulation for band 5 nurses who are learning to lead

The ‘Standards Framework for Nursing and Midwifery Education’ set out by the Nursing and Midwifery Council states that nurses are expected to develop ‘supervision and leadership skills’ [1]. However, band 5 nurses at a NHS Trust indicated their reticence about taking on ‘nurse in charge’ roles and wanted to build their confidence in engaging in challenging conversations with an assertive approach. As an education provider, we worked alongside the Trust nursing practice development team to develop and deliver a simulation-based workshop to help improve band 5 nurses leadership skills through simulated scenarios. The workshop was integrated into a leadership development day. To encourage all nursing staff to ‘embrace their inner leader’, The Royal College of Nursing described five ways to do so – be a role model, show emotional intelligence, motivate others, create shared goals and display courage [2]. Scenarios, with actors, were developed to allow practice of these strategies whilst having difficult conversations from within a leadership role and included: listening to a colleague with personal difficulties, dealing with angry relatives, supporting a patient after unwelcome news and discussing with a clinician concerns about professionalism and kindness. Participants were provided a communication framework (STEPS: start, time, empathy, provision of support, sense check)) to assist their preparation, pacing, framing and summarizing. Of the 12 sessions completed ( Everyone was so brilliant! I was so nervous about the simulation but (the facilitator) has been wonderful. Actors were amazing. Facilitators have been so kind and knowledgeable. Attending this study day has given me better confidence in my own ability to be in charge and deal with challenging situations. STEPS has given me a very good guide in dealing with professional communication as a nurse in charge. Live actors are very beneficial for us as it gives us real life actions to follow and deal with daily situations in the ward. Immersive and interactive. This simulation-based workshop developed with RCN leadership values in mind, has supported 180 band 5 nurses with their leadership roles. It has been immensely well received and has assisted these nurses in their workplaces. Based on the success of the first 12 sessions, 12 additional sessions are planned with pre and post feedback data from attendees being collated for analysis. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.

A38Bridging the gap to FY1 – A high fidelity, regional programme with real life actor-based simulation of the acutely unwell patient

Simulation based learning is becoming an increasingly important focus across medical curricula internationally [1]. The need for medical students to be both theoretically and practically competent is essential in the transition to becoming a successful junior doctor. High technology driven manikin simulations are useful, however access is limited by lack of equipment, finance, and training. In district general hospitals this restricts junior doctors’ exposure to teaching and students’ access to a diversity of cases. Utilizing junior doctors as Near Peer Tutors (NPTs) provides a real life equivalent to the simulation experience that comes closer to exposing trainees to the realities of hospital life as an on-call doctor [2]. A 6-week programme originally designed in a separate NHS Trust was adapted and streamlined with improvements made to data collection, labour division and content delivery. Ten simulation sessions across two district general hospitals ran from 18/10/22 to 21/04/23 with 37 medical students and 8 NPTs. Each week focused on typical, in-hospital scenarios commonly faced by junior doctors. A self-assessment confidence survey and digital knowledge quiz was undertaken on the weekly topic followed by a 10-minute, high yield, interactive lecture delivered by a NPT. Students were split into groups of two and each group assessed the ‘acutely unwell patient’ with an ‘ABCDE’ styled approach to diagnosis and management. The NPT actor simulated improvement or decline based on the management decisions of the students. A STOP5 hot debrief ran at the end to give constructive feedback and promote discussion [3]. Self-assessment confidence scores by medical students were quantified against a 4-point Likert confidence scale. The students’ confidence rating improved by an average of 0.65 units (average pre-teaching = 2.40, average post-teaching = 3.05) (p<0.00001). Following the session, 35/37 students described themselves as ‘quite confident’ managing an emergency scenario compared with 13/37 prior to the session. Thematic analysis of the perceived benefit by students highlighted 3 main areas; an opportunity to engage in practical scenarios, utilization of A-E assessments, and the benefits of real-life actors. Students enjoyed the ‘informal setting’, ‘life like’ encounters, and expressed they would like to attend additional specialty specific sessions. NPT centred medical simulation in a low-cost environment is a compelling method of engaging junior doctors as teachers and equipping medical students with the skills to become future on-call doctors. We encourage the implementation of similar programmes alongside medical school curricula to supplement preparation for practice. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.