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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