supporting our future colleagues to improve our clinical teams...the ask share this + encourage all...

MBChB Clinical Years 4-6

James Tiernan, Euan Sandilands, Kirsty EganMatt King, Iain Hathorn, Sara Robinson

Simon EdgarDavid Kluth

Supporting our Future Colleagues to

Improve our Clinical Teams

Why are we here?

To look after people that need our help

To look after the youngsters, who will look after people who need their help

Why are we here?

• To raise awareness of the new UG model among colleagues in training + management

• To consider how we can best welcome students into our MDT

• To consider how we can help them feel, and be, helpful within ward teams

• To understand what support trainees + clinical management might need for this

Imagine a magical time, not too long from now, when all the nurses, doctors and managers of the world communicate and co-operate effectively to ensure their patients receive excellent

healthcare……..

Restarting clinical placements

• Training of healthcare students is critical

• Students need to complete their studies and start working

• Foundation doctors are vital members of clinical teams

• NHS Planning dependent on graduation on time

• Students are recognised as key workers

• Service has undergone significant reconfiguration

• Large groups of students no longer appropriate on ward

• Patients may be hesitant to see large groups of students

• Some areas may no longer be appropriate for students e.g. AGPs

• Changes to out-patients - more telephone and video consultation

Why Change?

What will the new model look like?

The students will become a meaningful part of our team• 10-week placements• 7-day weeks• 6 - 8 students per ward• Longer shifts• Max. 2 students at any one time

Clinical experience will be immersive and longitudinal

Specialty knowledge delivered online

Year 4 – First Clinical Year

• Teamwork

• Communication

• History taking

• Examination

• Clinical procedural skills

GeneralistExperience

Year 4

3 x 10-week longitudinal placements

Group 1

Group 2

Group 3

Hospital 1 GP Hospital 2

Hospital 1

Hospital 1Hospital 2

Hospital 2 GP

GP

Year 4 – Shift Template

Year 4 Hospital 6 student Model

Week 1 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

9.00-14.00 S1, S2 S1, S3 S2, S1 S2, S3 S3, S2

14.00-21.00 S1 S1 S2 S2 S3

Week 2 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

9.00-14.00 S4, S5 S4, S3 S5, S4 S5, S6 S6, S5 S6 S6

14.00-21.00 S4 S4 S5 S5 S6

Week 3 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

9.00-14.00 S2 S3 S2 S1 S3 S2 S3 S1 S1 S3 S1 S1

14.00-21.00 S2 S2 S3 S3 S1

Year 4 Placement Wards

RIE Ward Specialty No. Students101 MoE/CVA 6

103 Cardio 8108 Ortho 8109 Ortho 8201 MoE / CVA 6202 MoE 6203 MoE 6204 Resp 8206 Renal (Y5 intro) 6

207 Gen Med 8208 Gen Med 8209 GI 8230 New DCN 6

231 New DCN 6

WGH Ward Specialty No. Students

54 Resp 8

74 ID 826 Gen Med 8

27 Gen Med 8

50 MoE/CVA 651 MoE 6

55 MoE 6

70 MoE 673 MoE 6

75 GI 8

SJH Ward Specialty No. Students

AM/GM AM/GM 6

AM/GM AM/GM 6

RIEWGH SJH

Year 5

• Obstetrics and Gynaecology 5 weeks• Child Life and Health 5 weeks• Psychiatry 5 weeks• Renal/Urology 3 weeks• ENT, Dermatology, Ophthalmology 3 weeks• Haematology, Oncology, Palliative Care, Breast 3 weeks• Year 4 catch-up 2 weeks

Year 6

• Senior Medicine 5 weeks• Senior Surgery 5 weeks• Acute Care 5 weeks• General Practice 5 weeks• Year 5 catch-up 3 weeks

• Clinical assessment of O&G, psychiatry and child life and health included in expanded Finals

Educational Opportunities

Contribute to Handovers

Join ward rounds

Review new admissions

Contribute to management e.g. venesection, cannulation

Accompany patients to investigations where possible e.g. radiology

Learn from members of the multidisciplinary care team• Nurses, CSW, Pharmacist, PT, OT

Attend multidisciplinary team meetings

Complete clinical portfolio• ‘Sign offs’ by any of the MDT

Waow, this sounds great!

How can I help?

Firstly, remember that you are awesome….

Clinical portfolio

• Observed history taking• Observed examination• Presentation of cases• Presenting on ward round• Online case presentation and discussion• Clinical case summaries and reflections

Weekly activity log• Pebblepocket

Clinical Procedural Skills

Learning from your expertise +

Sharing workload

The AskShare this + encourage all our colleagues-in-training to help students feel: • Welcome on wards• Valuable members of our team• Contribute to their Ward Inductions – ‘Hello’ from D-I-T / Service Manager is HUGE!

Offer them opportunities to learn from you, to develop their clinical skillsProvide feedback on directly observed practice

Buddy / Mentor Roles?

Highlight any students who might be struggling

Are there other learning opportunities / approaches / environments?

How can we help you?

Clinical Placement Organisers (UoE Programme questions)james.tiernan@nhs.neteuan.sandilands@ed.ac.uk

Undergraduate Leads (NHS Site/Logistics questions)Matthew.king@nhslothian.scot.nhs.uk – WGHIain.hathorn@nhs.net - SJHSara.robinson@nhslothian.scot.nhs.uk - RIE

NHSL Clinical Teaching Fellow

for each site

Back to The Why?

• To raise awareness of the new UG model among colleagues in training + management

• To consider how we can best welcome students into our MDT

• To consider how we can help them feel, and be, helpful within ward teams

• To understand what support trainees + clinical management might need for this

Any questions?

Thank you