Transcript successful trainee induction programme

Dr. Byron Howells

The GMC generic standards for training (The
Training Doctor, Feb 2011) state that induction is
mandatory:-
“Every trainee starting a post or programme must
be able to access a departmental induction to
ensure they understand the approved curriculum;
how their post fits within the programme; their
duties and reporting arrangements; their role in
the inter-professional and inter-disciplinary
team; workplace and departmental policies and
to meet the staff.”

Gold Guide 2010 clearly links standards with
gaining and retaining training programme
approval:
“Speciality training programmes/posts,
including those in general practice must
conform to the training standards set by GMC
in order for speciality training approval to be
granted”





Patient safety is paramount!
Doctors arrive at different stages in their
careers.
Varying level of competency.
Doctors in training deliver considerable
service work, particularly out of normal
hours.
Most vulnerable time for patient care.


Ensure all staff are fit to practice!.
Ensure staff do not undertake duties outside
their competency!.





Pre-employment checks.
Ensuring assessments and annual appraisals
are up to date.
Provide trainees with a named
clinical/educational supervisor.
Providing a generic and departmental
induction.
Mechanism to address doctors in difficulty.


GENERIC –
Day 1
Lectures
Supported by electronic pack
Medical staff Handbook
e-Modules
DEPARTMENTAL - Day 1 or 2
Content varies!
Progressive process
“An occasion when someone is
formally introduced into a new
post/organisation especially
through a special ceremony”
“ a period of training during which
a new trainee learns about the
organisation they are working for
and the job they will be doing”
 Orientation
 Adjustment/Acclimatisation
 Socialisation

Introduction by Trainee’s

Gather information –

Health Board Structure

Hospital Structure

Departmental Structure and Personnel
Past posts
Objectives








Hospital Structure.
Theatres & place of work.
Rotas/Shift structure – Banding, leave, swaps.
Tier structure
Department personnel – lead roles,
secretaries.
On-call Duties – Roles, handovers, test calls.
On-call rooms – combinations/keys.
Guidelines (Intranet) - ITU, Paediatric, Obs.,
Major Incident
 REGISTER
WITH RCoA !!!!!


Register with RCoA
CCT in Anaesthesia





Register with RCoA
CCT in Anaesthesia
Basic/Intermediate/Higher/Advanced
Competencies/Units of Training/Assessments
e-Portfolio









Register with RCoA
CCT in Anaesthesia
Basic/Intermediate/Higher/Advanced
Competencies/Units of Training/Assessments
e-Portfolio
Appraisals
ARCP
Audit
Teaching

Informal

Formal -

In-house
Regional (SWABS/SWAC)
Simulator Based
National
Courses/Meetings
Learning resources – e-learning
websites
Libraries/Quiet rooms










Register with RCoA
CCT in Anaesthesia
Basic/Intermediate/Higher/Advanced
Competencies/Units of Training/Assessments
e-Portfolio
Appraisals
ARCP
Audit
Teaching
Exam preparation – Courses etc.





Clinical Supervisors
Educational Supervisors
College Tutor
Allocation of ES !!!
Sign Learning Agreement












General Hospital layout
Theatres (Main and remote)
Emergency list organisation/CEPOD/Trauma
ITU
Obstetric Unit
A&E
Haematology/Biochemistry/Microbiology
Changing rooms (how to get blues & shoes!)
Canteen (how to get food out of hours!)
Coffee rooms
On call rooms
Mess location





Anaesthetic Machine
Pump training (Pain team)
Emergency management - Equipment
Defibrillator
Drugs
1st Appraisal – any specific issues?
Assess Trainee

Interactive- establish rapport!

Confucius (450 BC):-
“Tell me and I will forget. Show me and I may
remember. Involve me and I will understand”

Interactive – establish rapport!

Tailored – specific packs for specific grades!

Well delivered – enthusiasm, good speaker,
show good knowledge of
trainees needs.

Well structured – not too much detail!

Feedback




Vital to ensure patient safety
Equip new trainees with the skills needed to
operate safely, appropriately and to the
satisfaction of their supervisors as soon as
they arrive in clinical areas
Evidence of the content and attendance of
generic and departmental induction
submitted to ‘Wales Deanery’.
Needed to fulfil training requirements and
retain training programme recognition.
QUESTIONS?