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