Preparing to be medical registrars - College Tutor Conference 7th September 2017 Petra Hanson Tristan Page Associate College Tutors University Hospitals Coventry and Warwickshire
Stepping up to become a specialist registrar Medical and surgical registrars are expected to lead teams, teach juniors and improve services. The transition from core training to a registrar post is often stressful 44% of core medical trainees did not feel prepared for medical registrar posts. Tasker et al. (2014) Tristan Tasker F, Newbery N, Burr B, Goddard AF. Survey of core medical trainees in the United Kingdom 2013 - inconsistencies in training experience and competing with service demands. Clin Med (Lond). 2014 Apr;14(2):149-56. doi: 10.7861/clinmedicine.14-2-149.
How prepared are you for being a registrar on-call? CMT survey 2017 Rating from ‘Strongly Agree’ to ‘Strongly Disagree’ Understanding of the role Development of necessary skills CMT training prepares me for becoming registrar on-call What would help to prepare you for becoming registrar on-call? Do you feel confident in acting as a registrar on call in August? Tristan. 18 CMTs asked, 8 CT2, 2 CT1s
Petra
Do you feel confident in acting as medical registrar on call from August? Petra
Themes Acute medicine and medical registrar shadowing experience Leadership and organisation skills Core medical training is service provision led – Limited time for training opportunities Petra
Clinical ‘readiness’ Allows experience of working in the role of the medical registrar Enhances clinical ‘readiness’ with direct observation and feedback on practice Opportunity for mentoring and support – aiming to enhance confidence Human factors – specific teaching Tristan
Project steps Challenges: data collection from individuals, interviews used to obtain feedback Petra
Shadowing and mentoring package Package outlining the main aims of the project for both the CMT and registrar Support in providing shadowing and mentoring Teaching style examples ‘One Minute Preceptor Model’ Petra
Further actions to address main challenges Acute medicine and medical registrar shadowing experience Updating medical rota to contain more acute medical experience Leadership and organisation skills Two formal teaching sessions Core medical training is service provision led – Limited time for training opportunities Work schedules and exception reporting Tristan
Consultant feedback from Grand Round Curriculum needs reviewing to give better exposure and confidence The value of service based learning Registrars also feel they are mostly for service provision and get little learning CMT year 2 to do ward cover Tristan
Next steps 5 CMTs took part in the pilot Useful project but done late in the year This academic year recruitment already started Aim is to incorporate this into the CMT curriculum Petra
Preparing to be medical registrars - College Tutor Conference 7th September 2017 Petra Hanson Tristan Page Associate College Tutors University Hospitals Coventry and Warwickshire