1. Preparing to be medical registrars - College Tutor Conference 7th September 2017
Petra Hanson
Tristan Page
Associate College Tutors
University Hospitals Coventry and Warwickshire

2. 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 inconsistencies in training experience and competing with service demands. Clin Med (Lond). 2014 Apr;14(2): doi: /clinmedicine

3. 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

4. Petra

5. Do you feel confident in acting as medical registrar on call from August?
Petra

6. 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

7. 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

8. Project steps
Challenges: data collection from individuals, interviews used to obtain feedback
Petra

9. 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

10. 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

11. 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

12. 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

13. Preparing to be medical registrars - College Tutor Conference 7th September 2017
Petra Hanson
Tristan Page
Associate College Tutors
University Hospitals Coventry and Warwickshire