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“A Trainee Perspective..”

“A Trainee Perspective..”. James Piper, BSc ( Hons ), MRCP. Reading University (2001-2004) Manchester Med School (2004-2009) Blackpool Victoria Hospital (2009-2011) Manchester Royal Infirmary (2011-2014) (ACCS Acute Medicine) Mersey (ST3 ICM) from August. Perspective….

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“A Trainee Perspective..”

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  1. “A Trainee Perspective..” James Piper, BSc (Hons), MRCP

  2. Reading University (2001-2004) • Manchester Med School (2004-2009) • Blackpool Victoria Hospital (2009-2011) • Manchester Royal Infirmary (2011-2014) (ACCS Acute Medicine) • Mersey (ST3 ICM) from August.

  3. Perspective… Greenway – 6th report since MMC All say change is required. Like the status quo or reluctant to change? “why change a system that has served so many doctors for so long” (Alex Kingston, ER, Season 6)

  4. Old Age: Service Vs Training Patterns and needs of service are changing therefore training must too. - shorter length of stay - less outpatient exposure - shift work - skill mentorship and adequate exposure - when did you last say team?

  5. An Uncertain Future? • More emphasis on community training? • Inception of Broad-based training? • Specialist versus generalist? • Future training numbers? • What will the workforce look like?

  6. Careers Advice! • Trainees need it! • Needs to be realistic and accessible. • Careers leads/champions for specialities • “open door” policy • Many trainees don’t know or are confused about their educational needs or plans. • Where to turn….pursue BBT vs. speciality specific CV work/exams.

  7. Educational Supervision A listening ear? Exam Support Paperwork & Portfolios – please do it! What does it mean? It must be real – you should be working with your trainee. Careers Advisor Role Model – Where possible match specialties. Inspire & Empower

  8. “Adjunctive Training” • Doctors as leaders? Researchers? Teachers? • Recognise the need to integrate leadership and teaching competencies into day-to-day working life. • These curriculum aspects shouldn’t be just “on-paper” – We should optimise opportunities and ensure trainee participation.

  9. When things go wrong… Be prepared to listen and make changes when placements don’t work…We will help you make it better! “ only clinical environments that provide high quality education and training should be approved for postgraduate medical training” John Tooke, BMJ, Jan 2014.

  10. Satisfaction by Speciality

  11. Feedback • 99.2% of trainees knew their ES but 31% of trainees said they rarely or had never had feedback! (GMC, 2013) • 65% found their ES meetings helpful. • Do you actively feedback to trainees? • Trainees like compliments too!

  12. Handover and Rotas • 20% of trainees experience an informal handover. • Does your department have formal handover arrangements….are they educational? • Does your rota make sense? (e.g. medical ward cover at weekends) • 22% of trainees are knackered! • Its not the number of hours but the quality and number in your team! • This is a university teaching hospital – not lets forget it!

  13. It’s the simple things…things I dislike… • Accessing bleep and phone numbers on the intranet • Hospital catering out of hours • PCs and printers that don’t work • RMO1 shifts….I’m not a secretary • Speciality “turf-war” – Ps. Acute Medicine isn’t a dumping ground! • Not enough phlebotomists.

  14. Things I like… • The patients...I’d like more time with them. • “Bizarre ER” pathology • My colleagues • Our professional colleagues • Teaching…. • The opportunities and a real chance to make a difference.

  15. Thank You! James.piper@doctors.org.uk

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