Intern 101: Tips and Tricks for Surviving Internship

1. Intern 101: Tips and Tricks for Surviving Internship Dr Samuel Roberts, RMO, John Hunter Hospital Dr Alex Legge, Intern, John Hunter Hospital

2. Summary • Background – Manning Hospital • “The Gaps” • The Program • The Feedback • The Future

3. Manning Hospital Taree, NSW

4. The Gaps… • Medical school gives good medical knowledge • Much of this is irrelevant to life as a JMO! • Little taught about how to “do the job” of a JMO

5. The Gaps Continued… • Many JMOs want to teach • “Junior” knowledge is a barrier • Access to formal teaching limited due to full time working hours • They DO have good knowledge about how to be JMOs!

6. The Solution – Intern 101 • Once weekly • Over Lunch • Informal • In the JMO common room • Relatively unstructured • Topics of relevance for JMOs – both “day to day” and “clinical”

7. Topics – Day to Day • Structuring Your Day/Ordering Bloods • Writing In Notes • Getting a consult (without being abused!) • Discharge Summaries • Imaging Requests

8. Topics - Clinical • Low Urine Output • Fevers • Chest Pain • Analgesia/Anti-emetics • Sugars • Fluids

9. Example: Structuring Your Day • Turn up early, print lists. • Ward Round • Sick Patients!! • Imaging and other investigations • Consults • Discharge Summaries • Cannulas, rechart’s, fluid’s • Bloods

10. Feedback • Formalized Survey after each session • Collected separately from students and presenters

11. From Students • Examined “usefulness”, “style”, “content” and “whether you would recommend to a colleague” • Paper forms, employing Likert Scales • Some issues with presenters! • 21 total responses

12. From Students • 100% said style was “just right” • 100% said content was “just right” • 100% said sessions were either “useful” or “extremely useful” • 100% said they would “definitely” recommend the session to a colleague

13. From Presenters • Online Survey • Employed Likert scales and “true/false” plus free text boxes • Total of 6 responses

14. From Presenters • 100% Said they would like more teaching opportunities • 83% said they thought their session had been useful or extremely useful • 100% said their teaching skills had improved • 100% said they would recommend involvement to a colleague

15. The Future • This semester – John Hunter Hospital • Next Year – Possibly network wide • Need to get more feedback – small numbers from Taree • Possibility of a day long workshop • Orange and Blacktown

16. Conclusions • There is a gap in medical education • JMOs like to teach – and have strong knowledge in this area • The intern 101 sessions were very successful in Taree with overwhelmingly positive feedback

17. Acknowledgements • Dr Alan Pederson (Senior Lecturer, University of Newcastle) • MrsMel Kerr (4th year Manager, University of Newcastle Medical School) • MrsPetaBernasconi (5th Year Manager, University of Newcastle) • Mrs Jessica Moore (JMO Manager JHH/RNC) • All the JMOs and medical students who have been involved with the program