Helen York Supported by Aarthi Ramlaul Anthony Herbland, Toni Meyer and James Busby Clinical decision making is an advanced skill which develops over time First year students are often faced with difficult and complex situations for which they are unprepared. Anecdotal evidence from clinical colleagues raised concerns in first year student’s having the skills required for dealing with new situations in clinical practice 4 scenarios were developed and produced as short videos Students were asked to watch the videos and discuss the issues raised by their content Students evaluated the process and gave feed back 57 students responded to the request for feedback 53 evaluated positively 4 students enjoyed the videos but did not feel they would aid their personal learning and development “This was a great opportunity to explore a difficult situation and discuss with tutors in a safe environment” “The videos showed common but difficult patient interactions that I would struggle with” “I can now express my concerns dealng with these decisons in class rather than with patients” The videos are a great success Students have made suggestions for further video scenarios Students have also asked for “before and after” versions of the videos to demonstrate poor decisons and then the ideal situation. The videos will continue to be used in Radiographic practice modules in all 3 years of the programme to improve critical thinking and decison making skills.