Foundation Doctor Induction - London Deanery by hcj

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									Foundation Doctor Induction

  Philippa Shallard, Manager NW Thames Foundation School
   Dr Clare Van Hamel, Director, Severn Foundation School
                 Dr Charlotte Askew, F2 NWTFS
            Structure of Session

1.   Background: Philippa Shallard
2.   F1 Induction survey results: Clare Van Hamel
3.   F2 Induction: Charlotte Askew
4.   Discussion on Best Practice: Audience
5.   Conclusions: Philippa Shallard
Transition Time
            Preparation for F1
• Different for each Medical School
  – Practical medicine courses
  – Compulsory shadowing
        Transfer of Information
• Declaration from Medical School to
  Foundation School and F1 Trust
  – Health and welfare
  – Educational progress
• Only as good as the Medical School makes it
  – Surprises each year
           Induction pre-2012
• No national guidelines on length or content
• Some 2 weeks, some 2 days
  – Some paid, some unpaid
• 1st Wednesday in Aug =‘Black Wednesday’
  – 2009 publication findings
• Shadowing/induction pilots at Bristol, East
  Anglian and Cardiff
  – ‘From Scared to Prepared’
                     Induction 2012
• March 2012 Sir Bruce Keogh, NHS Medical Director
  announced compulsory 4 days paid shadowing/induction
  before first Wed in Aug
• Key Learning Outcomes:
   – Demonstrate they are familiar with new working environment
   – Describe their responsibilities for safe and effective patient care,
     including how to seek supervision
   – Demonstrate familiarity with IT systems & procedures
   – Understand what their roles & responsibilities are, and their
     limitations
             What Went Well
• Shadowing outgoing F1
• Introduction to other members of clinical
  team
• Top tips from outgoing F1
  – F1 handbooks very useful and all Trusts should
    have one
• Lectures on prescribing fluids, insulin and
  opiates
   Areas for Improvement in 2013
• Outgoing F1s need guidance & objectives to meet when
  showing an incoming F1 around
   – Consider induction checklist for all outgoing F1s
   – Ensure outgoing F1s know this is an expected part of their job
• Many F1s were on leave so incoming F1 had no one to
  shadow
   – Consider restricting F1 leave on 1,2,5,6 Aug 2013
• Tour of whole Hospital by outgoing F1
• Familiarisation with all equipment & IT systems the F1 is
  required to use
• Guidance on who to ask for help out of hours
• E-Portfolio induction from outgoing F1 as well as PG Centre
   Areas for Improvement in 2013
• Shadowing best done in the morning so incoming F1 sees
  handover & ward rounds to give best idea of what job is
  about
• If incoming F1 is starting on call or on nights then must
  shadow an on call or a night
• Suggestion that incoming F1 shadows outgoing F1 on day 1
  then visa versa on day 2
• Run a virtual patient admission with incoming F1s deciding
  actions at each stage and using appropriate forms etc
• Explanation of different shifts & where to go to and who to
  report to
• ID badges, log-ins etc. given out on first day of induction
   – Some did not have these 2-3 weeks into the job!

								
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