Newly qualified doctors entering the hospital environment are scared and underprepared when facing acutely ill patients. I am a foundation year 1 (F1) doctor currently based on a medical assessment unit in the United Kingdom, where some of the sickest patients arrive from the accident and emergency department. I have often had to deal with acutely ill patients, both medical and surgical. Initially, the thought of managing a sick patient evoked great stress for my colleagues and myself as we were thrown into the deep end with limited senior support. Bovier et al recognised that physicians in training were the most anxious group due to uncertainty in medical care.1 As medical students, we were more concerned about passing exams than recognising sick patients. When patients do present as acute emergencies, the urgency of the situation is such that there is often no time for teaching and training.2 Educational tools that help build this skill are invaluable, particularly now that junior doctors gain …