Background: In the Australian state of Victoria, specialist doctors are central to the operation of voluntary assisted dying (VAD). However, a broad range of clinicians may be involved in the care of patients requesting or using VAD.Aims: To describe levels of support for and willingness to be involved in VAD and consider factors associated with clinician support for the VAD legislation and physicians' willingness to provide VAD in practice.Methods: A multisite, cross-sectional survey of clinicians in seven Victorian hospitals.All clinicians were invited to complete an online survey measuring demographic characteristics, awareness of and support for the VAD legislation, willingness to participate in VAD related activities and reasons for willingness or unwillingness to participate in VAD.Results: Of 5690 who opened the survey, 5159 (90.1%) were included in the final sample and 73% (n = 3768) supported the VAD legislation. The strongest predictor of support for the VAD legislation was clinical role. Forty percent (n = 238) of medical specialists indicated they would be willing to participate in either the VAD consulting or coordinating role. Doctors did not differ in willingness between high impact (44%) and low impact specialty (41%); however, doctors specialising in palliative care or geriatric medicine were significantly less willing to participate (27%). Conclusion:Approximately 73% of surveyed staff supported Victoria's VAD legislation. However, only a minority of medical specialists reported willingness to participate in VAD, suggesting potential access issues for patients requesting VAD in accordance with the legal requirements in Victoria.

provided only if the student requests them through free-form, usergenerated commands. The system then shows the requested clinical assessment findings as high-definition photos, sounds and/or text.The student determines whether the assessment finding is normal or abnormal and reports it, resembling a CS session. Diverse patient profiles have been included in the tool, such as BIPOC, LGBTQ+ and other marginalised populations, to expose students to a wider range of assessment findings than would typically be available in pre-clinical settings. This is critically important for developing a culturally responsive and inclusive tool that promotes socially responsible education. | WHAT LESSONS WERE LEARNED?NLP AI was successfully leveraged to develop a clinical skills digital solution, and the multiprofessional team was the keystone in the accomplishment. Student feedback collected during alpha testing indicated that they appreciated the opportunity for repeated practice and the use of multimedia to learn CS concepts. Medical programme faculty endorsed the innovation and expressed interest in the potential benefits of student performance diagnostics and customised evaluations.This innovation has many long-term benefits that will continue to be valuable beyond the COVID-19 pandemic. Students can use this innovation to practice what they learn during in-person CS sessions by customising their experience to their learning needs and receiving immediate feedback on their performance. Ongoing development of this innovation will allow students to explore various pathologies and patient presentations through different media, enabling students to use cognitive patterns that more closely align with in-person practice.The team plans to explore future opportunities including conversational history taking, voice-to-text AI and richer multimedia, such as video and 3D imaging.

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