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Background It is known that there is room for improvement in recruitment to paediatric training. The current RCPCH application guidance is a 23 page document, and the RCPCH YouTube channel has 2 × 1 hour videos. Social media has proven to be a source of condensed, readily accessible information. Instagram is a social media platform used daily by millions. Instagram Stories can be used to post multiple videos/images in slideshow format, instantly reaching an interested audience. Use of such a platform has the potential to accelerate the distribution of paediatric application guidance in an intuitive, easily updatable format. Objectives To investigate the suitability of Instagram to deliver application guidance for those interested in entering Level 1 Paediatric Training (ST1), and how this compares to popular platforms currently in use. To survey how aware prospective applicants are of the official RCPCH application guidance. To survey how prospective trainees would prefer to have their questions about applications addressed. Methods A total of 4 minutes of short videos were produced by an ST1 paediatric trainee. The content was based on the document ‘Application Guidance - Level 1 Paediatric Training (ST1)’ by the RCPCH. These covered key elements of the application process including essential and desirable qualities, eligibility criteria, exams and interview format. These were posted via Instagram Stories to her Instagram page with a following of 11,500 people. 80.2% of followers were aged 18–34 and 67.2% were female. Viewers were invited to complete an anonymous self-reported web survey. Viewers were also invited to ask questions directly to the trainee using Instagram’s ‘Q&A Box’. This allowed the trainee to answer anonymised individual questions, and share responses to the whole audience. Results This series of Instagram Stories were watched by 2107 people within the first 24 hours. 134 survey responses were received after watching the Instagram Stories. 71.6% of respondents were from the UK, 64.9% were medical students and 23.9% were junior doctors. 100% of respondents reported that these Instagram Stories helped their understanding of the paediatric application process, of which 65.9% rated them 6/6 for helpfulness. 44.7% preferred receiving the application guidance in the format of Instagram Stories, compared with 32.6% preferring official RCPCH documents. Instagram Stories were strongly preferred over YouTube videos (59.7%), online seminars (54.5%) and blogs (63.4%). 48.1% of respondents were not aware of the RCPCH Application Guidance. 82.2% of respondents stated the Instagram ‘Q&A box’ as their preferred method to have questions answered about the application process. Only 12.6% preferred corresponding with an email account. Conclusions Instagram stories are a viable adjunct to provide application guidance to prospective applicants to paediatric training. Use of such a platform may be an excellent tool to provide more accessible information for medical students and junior doctors. The Instagram ‘Q&A Box’ provides an efficient way to address questions from prospective applicants, to a wide audience.

404 The use of instagram for improving access to application guidance for level 1 paediatric training