TERESA TSAKOK CORE MEDICAL TRAINEE YEAR 1/ ACADEMIC CLINICAL FELLOW JANUARY 23 RD 2013 Nurturing future educators Junior doctors as agents of medical education

Why should we teach? “All doctors have a professional obligation to contribute to the education and training of other doctors, medical students and non- medical healthcare professionals on the team” The Doctor as Teacher, GMC Sept 1999

Why do we want to teach? Fun Refreshes clinical skills Develops teaching and leadership skills Rise of the tickbox culture

Perspective of a medical student Entering the hospital environment can be daunting Large medical schools/hospitals can foster an atmosphere of anonymity Ward etiquette may be baffling Approaching real patients is alien and new

Lesson 1: Identify need Disillusioned doctors vs. Desperate medical students

Problems and Solutions Barriers to teaching activity Tickbox attitude to one-off teaching sessions Logistics Benefits of a teaching programme Meaningful teaching, sustained over a set period Logistics taken care of

Lesson 2: Have a concept Overarching aims: Strengthen rapport between medical students and junior doctors Place importance on value of bedside teaching How to deliver these: Voluntary scheme bringing together medical students in Clinical Year 1 with doctors in Foundation Years 1 or 2 Emphasis on basic clinical examinations ‘Med Ed’

Lesson 3: Identify key players/agendas Understand local culture Identify stakeholders Influence strategically - Pilot programme - Agree terms - Incorporate specific agendas

Agenda X: Ensuring teaching quality ISSUES: Students not receiving feedback Students being wrongly taught/misinformed Teachers not accountable for actions Teachers holding one-off sessions at random Structured teaching programme vs. Spontaneous teaching activity?

Agenda X: Ensuring teaching quality SOLUTIONS: Focus on clinical examination skills rather than medical theory Robust feedback systems Teacher training course Devise curriculum and lesson plans for approval by KCL Faculty

Lesson 4: Provide guidance but encourage autonomy Med Ed Tutors’ Pack Curriculum Lesson plans - Clinical examinations - History taking Tutors respond to demand for teaching on extracurricular topics E CG/CXR/ABG interpretation Practical skills eg. phlebotomy/cannulation/catheterisation

Lesson 5: Marketing Thinking about what will maximise the value of this teaching initiative to participants... Two key features of Med Ed: 1. Tutors teach in pairs 2. Tutors stick with the same group of medical students for the entire 6-week Cycle

Lesson 6: Feedback/Evaluation ‘Real-time’ paper feedback forms after each session - students on teachers Online survey after each cycle - students on teachers, students on Med Ed itself - teachers on students, teachers on Med Ed itself Tutor of the Term Nominations - students on teachers

Lesson 7: Carrot & Stick Teaching certificates Tutor of the Term Awards

Lesson 8: Shifting culture Actively recruit and engage participants Recognise and publicise teaching excellence Expand teaching programme to post-Foundation doctors

Lesson 9: Logistics Faculty administrator Online feedback/evaluation surveys Virtual Campus sign-ups

Lesson 10: Teacher training Half-day teaching skills course: ‘Preparing for Clinical Teaching’ Lectures on basic educational theory Micro-teach sessions

Lesson 11: Why it’s worth it…

STUDENTS’ TESTIMONIALS …it has honestly made my rotation 100% better. …has gone out of her way to provide patients, explanation, feedback and generally introduce us to medicine in the ward I also found it quite inspiring that she had such a good relationship with all of her patients I met …really made us feel at ease with asking all those 'stupid' questions we might be too shy to ask consultant His sessions were the perfect complement to the course! It has been a really good rotation having her there… I don't think I could have gained my competencies in medical practise without her Created a really comfortable, relaxed environment for learning. Most definitely a worth-while addition to this term's teaching. We'll miss him when we leave! Med Ed is a fantastic idea which has certainly been of great help, especially in my first term of clinics. I feel so much more confident doing clinical examinations and going into my OSCEs this year

TUTORS’ TESTIMONIALS Its been a thoroughly enjoyable experience. I would definitely sign up again. I really enjoy teaching students. Having some responsibility is a very good idea. Really great opportunity for junior doctors to learn how to deliver teaching to students. Absolutely loved it!!! Fantastic programme Loved meeting students and participating in MedEd. Boosted my confidence and the feedback helped me to improve my teaching skills so the students could make the most of the sessions. Time went very quickly!!

“The Med Ed course has rapidly become absolutely crucial to the Yr 3 experience” Dr David Treacher Sub-Dean, KCL School of Medicine & Consultant in Intensive Care

Lesson 12: Simplicity is the essence

Thank you Dr Rosalinde Tilley Dr David Treacher Dr Camus Nimmo Diana Kelly Rachel Mitchel Maria Fernandes Gabriella Goldberg Dr Claire Mallinson Dr Janice Rymer