- We recognize the challenges in delivering an induction program and supporting junior trainees whilst maintaining the clinical service.
- The School has developed recommendations to support ST1 trainees in Neonates with the aims of increasing patient safety and improving the quality of training by strengthening existing induction.
- The following recommendations are based upon College guidance and our research.
- Trainees who are expected to perform neonatal duties should have a neonatal specific induction.
- Neonatal specific induction should be of high quality i.e. 2 days or more in length, delivered by a multidisciplinary faculty, and include scenario based teaching or simulation of neonatal resuscitation. Induction should cover: attending deliveries, using a resuscitaire, performing chest compressions, performing newborn checks, prescribing fluids, working on labour ward.
- Trainees should complete the NIPE e-learning module on newborn examination. http://www.newbornphysical.screening.nhs.uk/elearning
- Clinical cover should be provided to allow Trainees to attend their entire induction.
- Gather feedback from trainees to highlight strengths and weaknesses of the induction program for future planning.
Supporting trainees following induction:
- Trainees should be accompanied to at least their first 4 deliveries by a senior colleague.
- Trainees should have an assessment of their competence before attending deliveries alone using a SLE (Supervised Learning Event e.g. minicex) and ideally follow up with another SLE to document progress.
- Trainees should be observed performing at least their first 3 newborn checks by a senior colleague.
- Trainees should have an assessment of their competence before performing newborn checks alone using a SLE (Supervised Learning Event e.g. minicex) and ideally follow up with another SLE to document progress.
- Ask trainees to complete a Resuscitation Council Neonatal Life Support course organised by the School (link to Neonatal Life Support courses for ST1 trainees).
We are grateful to the Specialty Training Committee and Training Program Directors involved for their hard work and support.
Nicholas Hoque, Shuang Wang, Mando Watson