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SUCCESSFUL TRAINEE INDUCTION PROGRAMME

SUCCESSFUL TRAINEE INDUCTION PROGRAMME. Dr. Byron Howells. BACKROUND. The GMC generic standards for training (The Training Doctor, Feb 2011) state that induction is mandatory:-

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SUCCESSFUL TRAINEE INDUCTION PROGRAMME

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  1. SUCCESSFUL TRAINEE INDUCTION PROGRAMME Dr. Byron Howells

  2. BACKROUND • 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.”

  3. BACKROUND • 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”

  4. Health Boards Responsibility • 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.

  5. Health Boards Responsibility • Ensure all staff are fit to practice!. • Ensure staff do not undertake duties outside their competency!.

  6. Health Boards Responsibility • 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.

  7. Induction • GENERIC – Day 1 Lectures Supported by electronic pack Medical staff Handbook e-Modules • DEPARTMENTAL - Day 1 or 2 Content varies! Progressive process

  8. Generic Induction

  9. What is Induction ? “An occasion when someone is formally introduced into a new post/organisation especially through a special ceremony”

  10. What is Induction ? “ a period of training during which a new trainee learns about the organisation they are working for and the job they will be doing”

  11. Phases of Induction ? • Orientation • Adjustment/Acclimatisation • Socialisation

  12. DEPARTMENTAL INDUCTION

  13. Welcome and Introduction • Introduction by Trainee’s • Gather information – Past posts Objectives • Health Board Structure • Hospital Structure • Departmental Structure and Personnel

  14. Service & Rota • 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

  15. Training • REGISTER WITH RCoA !!!!!

  16. Training • Register with RCoA • CCT in Anaesthesia

  17. Training • Register with RCoA • CCT in Anaesthesia • Basic/Intermediate/Higher/Advanced • Competencies/Units of Training/Assessments • e-Portfolio

  18. Training • Register with RCoA • CCT in Anaesthesia • Basic/Intermediate/Higher/Advanced • Competencies/Units of Training/Assessments • e-Portfolio • Appraisals • ARCP • Audit • Teaching

  19. Teaching • Informal • Formal - In-house Regional (SWABS/SWAC) Simulator Based National Courses/Meetings • Learning resources – e-learning websites Libraries/Quiet rooms

  20. Training • 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.

  21. Supervision • Clinical Supervisors • Educational Supervisors • College Tutor • Allocation of ES !!! • Sign Learning Agreement

  22. Hospital Tour • 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

  23. Feedback

  24. Induction Programme (later) • Anaesthetic Machine • Pump training (Pain team) • Emergency management - Equipment Defibrillator Drugs • 1st Appraisal – any specific issues? • Assess Trainee

  25. General Principles • Interactive- establish rapport! • Confucius (450 BC):- “Tell me and I will forget. Show me and I may remember. Involve me and I will understand”

  26. General Principles • 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

  27. Summary • 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.

  28. QUESTIONS?

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