1. RAISE: The Standard of Induction
Dr Hazel Coop and Dr Shaun Thein
Dr Lisa Hallam, Dr Helen McDermott, Dr Eleanor Singer, Dr Darryl Menezes, Dr Emma Hirons and Dr Christine Wright

2. Background
Mention drive to improve patient safety in hospitals in UK, never events and potential impact on trainee, now reportable to the GMC

3. What is RAISE?
Raising Awareness at Induction in common Sources of Error

4. Our Mission statement
Every year patients suffer preventable morbidity and mortality as a result of common sources of error.
We endeavour to raise awareness of these common sources of error at induction
Our aims are to educate FY1s in order to reduce incidence of these events and therefore improve patient safety.

5. What is the RAISE programme?
2 hour near peer teaching programme delivered during induction to new foundation doctors
Highlights key messages in a clear and concise manner
Topics based on national patient safety alerts

6. What is the RAISE programme?
Topics covered
Anaemia and transfusion
Anticoagulation
Insulin prescription
Nasogastric tube placement and checking
Palliative symptom control
Sepsis
Falls (new for 2017)

7. What is the RAISE programme?
Each topic has 3 key points
Bite sized lecture format delivered by current trainees
Consolidated by interactive case scenarios
Pre and post session questionnaire
Questionnaire looking at knowledge and competence

8. What makes RAISE different?
Regional programme delivered by local near peers
3-4 trainees per site
Material is relevant to the trust that the doctors will start in
Training day
Faculty Mentors
Training day – faculty to train, new teachers, increasing teaching experience organised by 2 trainees who have PGCME
Faculty mentors – faculty who have been involved in developing material, will help support trainees and review material, check for accuracy and support with any queries, where possible attend session and can complete portfolio assessments

9. How has RAISE developed?
2014
2 sites
2015
5 sites
2016
11 sites
2017
14 sites

10. What have we achieved?

11. What have we achieved?
2017 RAISE delivered to over 350 new doctors in West Midlands
289 doctors – just over 50% of total doctors

12. 2016 data

13. 2016 data

14. Feedback 99.7% found RAISE relevant 99% would recommend RAISE
99% content pitched at the right level
96% like the structure
2017 data

16. Useful Aspects

17. Areas to improve

18. Benefits Improve confidence and competence of new junior doctors
Exposure for junior doctors to be involved in regional teaching
Education on teaching methods
Management and leadership skills development for junior doctors
Peer to peer teaching
Consolidates topics covered in medical school

19. Challenges Uniformity in teaching delivery Regional - pros and cons
Fitting the session into induction programme
Organisational variation between trusts
How to upscale this model successfully
Time
Succession

20. The next steps…. 2018 pilot programme to promote self sufficiency
2019 expand outside West Midlands
Beyond 2019

21. Conclusions RAISE covers key patient safety issues at induction
It improves new doctors knowledge and confidence
New doctors find the programme excellent and practical
It can be disseminated on a local level
It provides an opportunity for junior doctors to be involved in teaching and also programme development

22. your hand for any questions?