It was an exciting day at the London School of Paediatrics November meeting! Lots of energetic and enthusiastic attendees that included Head of School, Trainee Trust Reps, Trainees Committee, College Tutors and Training Programme Directors. From consultants to trainees, it was encouraging to see so much drive to want to improve paediatric education and training in London.
Today’s session was led by the Quality Assurance Group who simultaneously released the latest 2017 LSP Trainees End-of-Post Survey results. At the end of the day, it’s about how can we use the survey results/data to drive improvements in training? One way of doing this is by studying the excellent placements – What can we learn from them? How can we spread the good ideas and share best practices between trusts?
We worked in small groups focusing on 3 main areas. Here’s a snippet of what were the top-rated good ideas:
- Be explicit in teaching trainees clinic skills (Example of things to cover include expectation of clinic time, how to use dictaphone, letter writing, background operation and finances, other local supporting services, running through cases from referral-to-discharge, avoiding clinic disasters, managing uncertainty with families etc)
- Designated trainee clinic list or new cases from consultant case-load & the importance of ring-fencing clinic time
- Planning ahead is key to good clinic experience – space, structure of pre-clinic briefing and post-clinic debrief, careful case selection
SUPERVISED LEARNING EVENTS/WORK-PLACE BASED ASSESSMENTS
- Doing the assessments there and then – reminding people that assessments can be completed on mobile devices and on trainee’s log-in. Harder to ignore than an e-ticket hidden within a full email inbox!
- Having a designated SLE/WPBA clinic/time (perhaps incorporating a social element e.g. lunchtime or ‘cake club’? 🙂
- Trainees being creative and proactive in suggesting to supervisors what could constitute as a good learning event opportunity (e.g. registrar leading on a ward case, SHO reviewing NICU patient on ward round-> coming up with management plan for day -> then discussing with senior)
- Supporting Faculty Development – Develop and supporting education supervision skills so there is standardised quality across supervisors
- It helps to pair up consultant with trainee in some sort of planned way (e.g. trainee would be working with consultant within first few weeks, consultant paired with trainee with similar special interests etc)
In the morning, the trust reps and trainees committee did similar work on 4 other domains – Management, Formal Teaching, Clinical Leadership and Morale. (See attached pictures!)
Remember it’s small things that can sometimes make the biggest difference on trainee experience and morale. Be intentional, share good ideas and look out for one another!
Things that might be of interest:
10 Training Ideals – http://www.londonpaediatrics.co.uk/10-training-ideals/
Understanding and improving the experience of paediatricians in training – http://adc.bmj.com/content/early/2017/10/26/archdischild-2017-313180
P.S. The full 2017 survey report should be arriving in your inboxes by the end of the week. If you haven’t received it, get in touch with your local college tutor/trust rep.