Transcript Document
1. Several regions have
scenario-based, interactive
eInduction
2. Comprehensive MT has not
been included elsewhere
3. Trainees are poorly
compliant with MT
4. Assessment of learning is
difficult to implement
5.
The August changeover is risky
F1 shadowing
has helped
…but what about
induction and
mandatory training?
Associated with adverse patient outcomes and
reduced trainee satisfaction
Emphasized the provision of high quality
comprehensive induction and MT
Novel strategies to deliver this in a time-efficient
manner and minimising doctors’ time spent away
from clinical care
NHSLA requirement
GMC national trainee
survey
Learning & Development
Agreement
Interesting & exciting?
Quality?
Timely, comprehensive &
recorded?
Verify learning?
Dement
Adult
ia for
Conflic
Basic
all staff
Spec.
Blood
t
Life
(clinica
Ind
Gas Resolut
Suppor
l) on
ion
t
Inducti
on
Depriva
tion of
Liberty
Health
Equalit Dement Safegu
Informa
End of
Safety Infectio
y&
ia all
ards
Fire
tion
Life
&
n
Diversit OPU (DoLs) Safety
Govern
Care
Securit Control
y
staff
- for
ance
y
relevan
t
identifi
ed staff
Manual
Handlin
Manual
g Level
Handlin
2
g?
(patient
s)
• 31 domains
• Variable completion rates
• Issues around recording
21.9%
0.6% 22.5% 10.6%
0.0%
0.0% 16.3%
0.0%
0.0%
Mental
Capacit
Safegu
y Act
arding
Safegu Safegu
(MC) &
Safegu
Safegu Adults
Patient
Resusc
arding arding
Depriva
arding
arding Level 2
Consen Resus itation
Childre Childre
tion of
Childre
Adults (Inducti
t
(PBLS)
n Level n Level
Liberty
n
Level 1 on &
1
2
Safegu
Refres
ards
her)
(DoLs)
0.0%
1.3% 21.9%
0.0% 11.3%
3.8%
3.8%
1.3%
0.0%
1.3%
2.5% 75.0% 10.0% 21.9%
Blood
Safegu
Safe
Slips Transfu
arding
use of Trips & sion
Adults
Insulin Falls Practic
Level 3
e
0.6%
IT
6.9%
VTE
9.4% 16.3% 35.6%
1.3% 15.6%
Waste
Manag
ement
0.6%
Commissioned eInduction
package
Team – PGMC, Education
Centre, trainees, SMEs, IT & HR
Defined 13 core areas of
eLearning MT (eMT)
10 summative assessments
Questions from SMEs
Angoff pass-mark setting
1
2
3
4
5
6
7
8
9
10
11
12
13
Core eMT
Infection Control
Conflict
Equality and Diversity
Fire
Safeguarding adults
Safeguarding children
Manual Handling
Transfusion
Information Governance
Medicines management
VTE
Health Records
Death Certification
Web-based login using Moodle
1.
Induction
2.
Assessments x10
(5 MCQs with 5 parts ie 25 parts per
assessment; 250 questions overall)
3.
Evaluation
4.
Certificate
Trainees asked to complete eInduction and eMT
2-4 weeks before their start date
In own time, at own speed
Compensatory day in lieu
Average time to complete 6.5 hours
Compensated by lieu day
100% completion rate
from Aug ‘13 to Sep ’14 (n=370)
Cumulative Completion Rate by Trainee Grade
100%
Cumulative frequency
90%
80%
n=370
Day 1
85.7%
Day 14
92.4%
Day 28
94.9%
(Day 141 100%)
70%
60%
50%
40%
30%
F1
F2
GPST
CT
ST3+
NTG
20%
Lieu day
10%
0%
-4
-3
-2
-1
0
1
2
3
4
5
6
7
8
9
Week from start date
10 11 12 13 14
‘Day 1 Trust Induction’ 90 minutes made free this Aug
(n=109)
163.5 hours time for patient care and ward
orientation on riskiest day of year
Trainees reported being available for work by
11am
Without eInduction, face-to-face MT would take 29.5
hrs
But no trainee ever completed
eInduction/eMT vs. face-to-face saves:
Saves 23 hours for the trainee, &
Saves 21.5 hours for the Trust (including lieu day)
For 2013-14 intake (261 trainees),
701 trainee days were saved
£146,786 savings
Mandatory training completion rates 2012-14
100%
80%
60%
2012 modules
2013 5min talks
2013 eMT
40%
20%
0%
2014 eMT
p<0.001 for
both comparisons
Clearer navigation tools, sign-posting, ability to
review material
Re-visit assessment material
expanded question bank
remove weak questions
Different model for ST3+ grade?
eInduction – better navigation and ‘Avatar’
Automated email reminder system
“The clinical scenarios made
“Best e-learning
induction packages I
have used across 10
trusts that I have worked
at across the country.”
“Nowhere I have worked has
pulled together the policies in
a way that was applicable to
the day to day job.
I think this makes it much
more likely that I will
remember the policies”
the induction seem much
more relevant and in
context… than separate
lectures.
There is no ability with the
elearning to switch off”
“It was nice that the induction
included a few extra pointers such
as doctors mess and cycle to work
scheme.
The induction was able to portray
a friendly, welcoming feeling to
starting at the trust”
“Excellent clinical contexting. eg. fire alarm
during shift, dealing with clinical (antibiotic)
error and its consequences, dealing with difficult
colleagues and relatives.
It would be amazing if this became a passport
that we could take to other trusts within the
Deanery.”
PGMC
Gillie Atkins
Education Centre
Tracy Elvins, Amanda Gunning, Lisa Harvey & Angela Hayday
Trainees
Natalie Gaskell, Richard Hinton & Tristan Page
HR
Alison Stead & Hannah McCoid
IT
Richard James & Doug Quiddington
Actors
Fiona Kelly, Tim Craft & Dom Williamson
Dynamic Business Systems
Julia Gilbert, Ian Crossly & James Munroe