Introduction Dr David Eadington Welcome to Yorkshire and the NHS organisations within it. We hope you enjoy your time here, and for some of you it will probably be the beginning of a long period of settlement. These modules are intended to increase your familiarity with the many different aspects of working and learning that you will encounter very abruptly when you start work in August. Some of the emotions you are probably feeling are shown here. You can no doubt add some more.

Introduction The modules on the website can be done in any order. You will choose how long you spend on each of them. The longer you spend, the more use they will be. At the course day we will spend time talking about what you have learned from them, and will seek your views on what could be done differently.

What do you feel? Trepidation Fear Anxiety Uncertainty Excitement Opportunity New challenge Boredom / Don’t need it” What are you expecting??

Factors to consider Financial Documentation Environment Separation Health Environment Separation Uncertainty You have arrived here from many different origins and cultures. The things that make daily life tick will often be different. Learn about them as quickly as possible so that you can concentrate on your professional needs without distractions.

Purpose What you know you don’t know What you know you know Unknown unknowns What you know you don’t know What you know you know The purpose of these modules is to highlight for you areas that are obvious needs, AND areas that you might not yet have even recognised are important. The Unknown Unknowns are the greatest threat to your understanding of how to work effectively - until you recognise them you can not do anything about them.

Learning Adult/self directed learning Learning styles less didactic more interactive Technical and generic skills You are entering organisations where workplace service and training and learning are very much integrated. The term self-directed learning emphasises that you are responsible for identifying your own learning needs, and identifying how you achieve those. There will be lots of help for you in doing this. Learning material is all around you in the workplace, but may not be immediately obvious. Once you know how to look for it in the right way, life gets much clearer, and more satisfying. Thinking about your own preferred learning style is a good place to start. You will encounter much less didactic teaching than you may be used to (‘talk and chalk’), and much more interactive learning, where you need to be an active participant. If you are used to sitting silently while a lecturer talks AT you (not TO you) and you take notes, you will need to readjust. You are expected to ask questions, challenge senior opinion, and show initiative. This readjustment may take you a bit of time if you come from a culture where that sort of behaviour is discouraged, or is seen as challenging a hierarchy.

History and Clinical Examination Skills Teaching / learning Skills Integrated Learning Knowledge Integrative Skills Procedural Skills Curriculum Team work History and Clinical Examination Skills Teaching / learning Skills Whatever programme you are in there is a Curriculum. It sets out all the components of learning that you need to acquire, and demonstrate you have acquired, to successfully complete the programme. Take time to read it carefully, it contains a lot of valuable material. Notice that it contains a lot of things that depend on HOW WE BEHAVE (in Red) rather than WHAT WE KNOW (Black and Yellow). Trainees who run into serious problems are usually falling down in the former (Red) category, not the latter. Both are equally important. Communication Skills

No problem in medicine can be made worse by good communication Real Virtual networks When things go seriously wrong in hospital, the root cause almost always comes down to some sort of communication failure. Individuals will always make mistakes, but the effects of those can be avoided or minimised by strong communication systems that detect error before it causes harm. We all work in teams of some sort, either real physical entities, or invisible networks (which are actually far more influential). Keep thinking about your own roles and responsibilities within the systems you are working in. Are those being made clear to you (Induction) ? Do you know who to ask for guidance ? If not, tell somebody. Do not hope it will get better by doing nothing. It won’t.