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Clinical Scenario E-induction for trainees working in Mental Health
settings
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• Where are we now in 2014?• Why did we do it?• How did we get there?• What do the trainees think?• What do we need to do going forward?
Summary
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Where are we now in 2014?• Clinical Scenario based e-induction
programme for all new trainees starting a post in Mental Health setting
• Being used in Berkshire Healthcare and Oxfordhealth Foundation Trusts
• For FY, GPVTS and core trainees but also helpful for advanced trainees in psychiatry
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Why did we do it?
• 2012 £10K available for trust induction projects. We negotiated with Dynamic for a bespoke BHFT e-induction & held focus groups with traineess
• Trainee feedback from local induction identified a need to give more clinically based information from day 1
• Later 2012 Thames valley funded clinical e-induction project focussing on FY in acute trusts
• We volunteered to work with Dynamic to develop a MH scenario based induction for trainees. Funding support.
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• Relevant to working in psychiatry• Engaging and a tool for learning• Time efficient… maximum impact• Accessible• Generic but with ability to link to local
information, policies and processes
What we needed it to be:
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• Key information given • Practiced decision making and application
knowledge• Help trainee consider how they might
manage similar situations• Improved confidence at start of new post
What were the intended learning outcomes?:
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• Asked all the trainees to answer… “ I wish I had known that when I started?”
• Identified list of common clinical challenges for trainees new to psychiatry
How did we do it?
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• Decided on 5 cases that illustrated as many of the list of clinical challenges as possible
• Sense checked this with DME for neighbouring MH trust
How did we do it?
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Trainees volunteered to join DME in scenario script writing for the 5 cases using templates
How did we do it?
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• Handover between shifts• Opportunity to emphasize importance of
handover
How to introduce the cases?
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• Key questions to ask at stages in scenario that reflected decision making
• Scripted Correct & incorrect answers
• Explanations for both
How to explore decision making?
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• Identified the important trust guidance and policies relevant to induction
• Linked them with scripted scenarios
• Made them easily available
How to deliver key information
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• Still photography • Props for every scene• Rooms for filming• Suitable role playing actors for cases• Volunteer role players from trust
How did we make it look realistic.. and engaging?
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• Checking and checking again
• Clinical colleagues• Impending changes?• Clarify policies• Write new guidance if
needed
How did we get it right?
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Feb 2012
Feb 2013
More funding
• More ideas
• More excitement
April 2013
• Script writing
• Policy chasing
• Actors• Room
s• Props
June 2013
Prospect Park
Hospital
Aug 2013First
Viewing
Nov 2013Local BHFT induction &
Clinical induction uploaded to
learning platform Teething
problems….
May 2014 Feedback
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• 100% rated as excellent to good• “relevant”,” excellent presentation,
useful in practice as learning points clear and easy to pick up in this format”. “Engaging presentation”
• “Best online learning experience I have had so far”.
Feedback
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• Consider funding for additional scenarios
• Update policies and guidance as needed
• Consider how to clarify access more easily
• Double check hyperlinks
Going forward
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• Where are we now in 2014?• Why did we do it?• How did we get there?• What do the trainees think?• What do we need to do going forward?
Summary
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• Caroline Neale• Jackie Smith• Mark Parry• David Mc Donald• Lisa Johnson & Dynamic• Andrea Butler• Matt Lowe• Andrew West• Naseem Ahklaq• Abi Taylor
• Joanne McConnell• Darren Bailey• Sharada Deepak • Trevor Langrish• Nursing staff PPH• BHFT Drs in training• Sarah Manning • Joy Williams• Tamsin Heatley & cast
• Peter Sargent
Acknowledgements