supporting our future colleagues to improve our clinical teams...the ask share this + encourage all...
TRANSCRIPT
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)[email protected]@ed.ac.uk
Undergraduate Leads (NHS Site/Logistics questions)[email protected] – [email protected] - [email protected] - 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