“A Trainee Perspective..” James Piper, BSc (Hons), MRCP

Reading University ( ) Manchester Med School ( ) Blackpool Victoria Hospital ( ) Manchester Royal Infirmary ( ) (ACCS Acute Medicine) Mersey (ST3 ICM) from August.

Greenway – 6 th report since MMC All say change is required. Like the status quo or reluctant to change? “why change a system that has served so many doctors for so long” (Alex Kingston, ER, Season 6) Perspective…

Patterns and needs of service are changing therefore training must too. - shorter length of stay - less outpatient exposure - shift work - skill mentorship and adequate exposure - when did you last say team? Old Age: Service Vs Training

More emphasis on community training? Inception of Broad-based training? Specialist versus generalist? Future training numbers? What will the workforce look like? An Uncertain Future?

Trainees need it! Needs to be realistic and accessible. Careers leads/champions for specialities “open door” policy Many trainees don’t know or are confused about their educational needs or plans. Where to turn….pursue BBT vs. speciality specific CV work/exams. Careers Advice!

Educational Supervision What does it mean? A listening ear? Paperwork & Portfolios – please do it! Careers Advisor Role Model – Where possible match specialties. It must be real – you should be working with your trainee. Exam Support Inspire & Empower

Doctors as leaders? Researchers? Teachers? Recognise the need to integrate leadership and teaching competencies into day-to-day working life. These curriculum aspects shouldn’t be just “on-paper” – We should optimise opportunities and ensure trainee participation. “Adjunctive Training”

Be prepared to listen and make changes when placements don’t work…We will help you make it better! “ only clinical environments that provide high quality education and training should be approved for postgraduate medical training” John Tooke, BMJ, Jan When things go wrong…

Satisfaction by Speciality

99.2% of trainees knew their ES but 31% of trainees said they rarely or had never had feedback! (GMC, 2013) 65% found their ES meetings helpful. Do you actively feedback to trainees? Trainees like compliments too! Feedback

20% of trainees experience an informal handover. Does your department have formal handover arrangements….are they educational? Does your rota make sense? (e.g. medical ward cover at weekends) 22% of trainees are knackered! Its not the number of hours but the quality and number in your team! This is a university teaching hospital – not lets forget it! Handover and Rotas

Accessing bleep and phone numbers on the intranet Hospital catering out of hours PCs and printers that don’t work RMO1 shifts….I’m not a secretary Speciality “turf-war” – Ps. Acute Medicine isn’t a dumping ground! Not enough phlebotomists. It’s the simple things…things I dislike…

The patients...I’d like more time with them. “Bizarre ER” pathology My colleagues Our professional colleagues Teaching…. The opportunities and a real chance to make a difference. Things I like…

Thank You!