sharing the load – building career support expertise for
TRANSCRIPT
Sharing the Load – building career support expertise for doctors in Wales
Our Start-up Challenges
Demand for career supportCapacity of careers team (1.5)Geography of WalesBalancing service delivery with service
development
The helpers we have engaged
Career Leads in Specialty Schools: development event in March 2009
Foundation Programme DirectorsPostgraduate Centre ManagersCareer network contactsMentoring Group
Strategy Group
2 University Careers ServicesDeanery CareersUndergraduate Curriculum LeadsAssociate DeansFoundation and Specialty ProgrammesWorkforce planningBMA reps (students, Foundation,
Specialty)
Foundation Workshops3 generic curriculum-based career sessions Contain key, up-to date information Blended e-resources in development to complement
F2F sessions Gets us in front of Foundation Doctors
242 F1 and 179 F2 to date“Excellent, very useful”“Brill, more stuff like this”
Educational Supervisors
2 hour workshop, 2 CPD points, 71 to dateTalks and Grand RoundsNew E – Learning module“How to”…Downloadable information resources and
handouts on Deanery website
Unanswered questions…
Is all this communication one or two-way?
Are we reaching everybody?Are we “spraying and praying”?Are we making any difference?How can we evaluate the
decentralised career help others are giving and receiving?
Incorporating tasters in Foundation Year 1 with a redesign of the rota
1st July , 2009
Background
• Tasters envisaged as an important part of FP
• Tasters traditionally taken in FY2
• Recently suggested that there may be greater benefits in tasters being taken in FY1
Difficulties at Trust-level
• Service delivery
• Co-ordination (trainee, Clinical Supervisor, Taster Supervisor, Medical Education Team)
• Responsibility
• Timing (FY2, pre-ST1 interview)
Homerton approach
• Changes to GMC requirements for the content of pre-registration programmes allowed opportunity to restructure
• Restructuring gave the opportunity to incorporate tasters in FY1
The Posts
• All Homerton FY1 posts were restructured as follows:
• Acute Care (3 months)
• General Medicine (3 months)
• General Surgery (3 months)
• General Medicine (3 months)
Block 1 Block 2 Block 3 Block 4
Acute Care General Medicine (Pharmacology) General Surgery (Lower GI) General Medicine (Cardiology)
Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Lower GI) General Medicine (Cardiology)
Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI) General Medicine (Respiratory)
Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI) General Medicine (Respiratory)
Acute Care General Medicine (Rheumatology) General Surgery (Upper GI) General Medicine (Care of the Elderly)
Acute Care General Medicine (Gastroenterology) General Surgery (T&O) General Medicine (Care of the Elderly)
Acute Care General Medicine (Gastroenterology) General Surgery (T&O) General Medicine (Care of the Elderly)
Acute Care General Medicine (Rheumatology) General Surgery (Urology/Breast) General Medicine (Elderly/Rehabilitation)
General Medicine (Cardiology) Acute Care General Medicine (Pharmacology) General Surgery (Lower GI)
General Medicine (Cardiology) Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Lower GI)
General Medicine (Respiratory) Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI)
General Medicine (Respiratory) Acute Care General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI)
General Medicine (Care of the Elderly) Acute Care (with Surgical Specialty Taster) General Medicine (Rheumatology) General Surgery (Upper GI)
General Medicine (Care of the Elderly) Acute Care (with Surgical Specialty Taster) General Medicine (Gastroenterology) General Surgery (T&O)
General Medicine (Care of the Elderly) Acute Care (with Surgical Specialty Taster) General Medicine (Gastroenterology) General Surgery (T&O)
General Medicine (Elderly/Rehabilitation) Acute Care General Medicine (Rheumatology) General Surgery (Urology/Breast)
General Surgery (Lower GI) General Medicine (Cardiology) Acute Care General Medicine (Pharmacology)
General Surgery (Lower GI) General Medicine (Cardiology) Acute Care General Medicine (Endocrinology/Diabetes)
General Surgery (Upper GI) General Medicine (Respiratory) Acute Care General Medicine (Endocrinology/Diabetes)
General Surgery (Upper GI) General Medicine (Respiratory) Acute Care General Medicine (Endocrinology/Diabetes)
General Surgery (Upper GI) General Medicine (Care of the Elderly) Acute Care General Medicine (Rheumatology)
General Surgery (T&O) General Medicine (Care of the Elderly) Acute Care General Medicine (Gastroenterology)
General Surgery (T&O) General Medicine (Care of the Elderly) Acute Care General Medicine (Gastroenterology)
General Surgery (Urology/Breast) General Medicine (Elderly/Rehabilitation) Acute Care General Medicine (Rheumatology)
General Medicine (Pharmacology) General Surgery (Lower GI) General Medicine (Cardiology) Acute Care
General Medicine (Endocrinology/Diabetes) General Surgery (Lower GI) General Medicine (Cardiology) Acute Care
General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI) General Medicine (Respiratory) Acute Care
General Medicine (Endocrinology/Diabetes) General Surgery (Upper GI) General Medicine (Respiratory) Acute Care
General Medicine (Rheumatology) General Surgery (Upper GI) General Medicine (Care of the Elderly) Acute Care
General Medicine (Gastroenterology) General Surgery (T&O) General Medicine (Care of the Elderly) Acute Care
General Medicine (Gastroenterology) General Surgery (T&O) General Medicine (Care of the Elderly) Acute Care
General Medicine (Rheumatology) General Surgery (Urology/Breast) General Medicine (Elderly/Rehabilitation) Acute Care
Acute Care General Medicine General Surgery General Medicine
Acute Care posts
• Two posts not required for service delivery (Psychiatry and O&G) were reallocated to Acute Care
• Eight trainees allocated to a six-trainee rota• Fixed-leave rota designed• Two trainees off in three week blocks• Blocks labelled as ‘tasters’• Fifteen working days to be allocated as six (or
seven) days leave and nine (or eight) days taster(s)
Co-ordination
• Trainees requested to submit a taster co-ordination form
• Trainees supported in organising placements
• Trainees asked to complete a taster evaluation form
0
5
10
15
20
25
30
35
2005-06 2006-07 2007-08 2008-09
F1 taster outcomes
F1 Tasters (Total =32/33)
0
2
4
6
8
10
12
14
16
18
Gatwick HUH RLH Barts Kings IH
F1 tasters locations
0
1
2
3
4
5
6
7
ITU
Pae
ds
Der
mA
naes
thet
ics
Avi
atio
n M
edic
ine
Neu
rosu
rger
yV
ascu
lar
Sur
gery
H
aem
atol
ogy
Gas
tro
DO
SH
Uro
logy
Tr
avel
Med
icin
e P
sych
iatr
y P
allia
tive
Car
e
F1 taster specialties
F1 tastersspecialties
0
2
4
6
8
10
12
14
16
ExtremelyUseful
Very Useful Useful Not veryuseful
Not usefulat all
How useful was the opportunity to undertake a taster in your F1 year?
0
2
4
6
8
10
12
14
16
18
20
Yes No
Would you encourage trainees to do tasters in their F1 year?
Career InnovationsUK Foundation Programme
London 1 July 2009
Dr Anil GargFY2 Programme Director
Worthing Hospital
Dr Karen ClarkeGP Tutor
Claire KrostFoundation Manager
Career Innovations
Career Advice Session
for
Foundation Year 2Dr Anil Garg
FY2 Programme DirectorWorthing Hospital
Dr Karen ClarkeGP Tutor
Claire KrostFoundation Manager
Foundation Year 2
25 traineesHospital career choice:10
Primary Care Career choice:8Undecided:2 Travelling:2
Half day session 9:15 – 12:30
Objectives
• Better understanding of what to expect in 4 weeks• Process of application • How to approach interviews• Practical understanding of interviews• Learn the basics of interview scenarios• More confidence with interviews• How to approach answering ST mock interview questions
“What do you expect to gain from the session?”
Objectives
“Interview training as paramount”
2008 Survey of Careers Support in the STFS. 5.5
Fun & Games
• All the group to gather
– What Quality they would like in their colleague – 1 each.
– Work in pairs : chosen speciality and why?
Interview Process
General Practice & Hospital Specialities
is
Different
Fish Bowl
Fish Bowl Exercise
ObserverObserver
Observer Observer
F2 colleague has received a complaint from a patient.You know he drinks too much and have witnessed him make a mistake. The nurses do not bother to ask him to do things.
Discuss with your F2 colleagues how you are going to approach this problem.
‘Speciality’ Duel
‘Speciality’ Duel
How did you manage your last crisis?
What do you think of EWTD?
2 InterviewersI interviewee Rest ObserversFeed back real timeAfter each trainee
10 min each
‘Speciality’ Duel
How did you manage your last crisis?
What do you think of EWTD?
Swapped Interviewee&
Interviewer
What did you learn from the session
• Putting myself in the hot seat• Various ways of approaching a question• What interviewers are looking for• Techniques and strategies for GP selection• It was excellent to practice group discussion as that’s
hard to practice
Few weeks after the ‘Interviews’
Few weeks after the ‘Interviews’
Finally
Do we tell them about what they want to know rather what they need to know.
????
Thank you