Clare van Hamel Clinical Advisor UKFPO F1 Preparedness Survey 2016 Clare van Hamel Clinical Advisor UKFPO

Aim of Survey Background Review the Induction Process Assess preparedness for various aspects of work Identify ‘stress’ levels Allow feedback to organisations such as medical schools, foundation schools, trusts Review annual trends in data – commenced 2010

Severn – Bristol students

Severn – Non Bristol

Peninsula – Peninsula students

Peninsula – Non Peninsula

Preparedness 1 (2016)

Bristol MS and Severn FS

Preparedness 2 (2016)

Mental health competence

Team Introductions/Awareness

E-portfolio

Statistical changes 2012-15

Graphical changes 2012-16

2015 F1

2016 F1s

2015 F1s

F1s 2016

Trainer Survey 2015

Statistical trends in Prescribing

Trends in Prescribing 2012-16

Outside competence – 46 comments

Final year apprentice experience

70-100% Final year shadowing 2014

10-30% Final Year shadowing 2014

Timing of Finals Surveys have shown that ‘Preparedness’ was improved if finals were taken earlier in the course Potentially allows increased time for apprenticeship type experience in final year

Minimum 2/7 shadowing

Follow up survey 2015

Follow up 2015

Follow up 2015

E-portfolio – follow up 2015

Harm done 580 respondents in first 3/12 of work 10 permanent harm 10 significant harm 5 drug errors 7 fluid errors 6 recognising critically ill 1 blood error

Text analysis of potential harm

Surveys have helped to:- Provide evidence for a PAID induction period immediately prior to F1 post Demonstrate the importance of apprenticeship type experience in the final year of medical school Give consideration for timing of finals Provide evidence of prescribing confidence E-portfolio………. Trainer v trainee surveys Follow up survey demonstrates areas of potential harm