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

2. Reading University (2001-2004) Manchester Med School (2004-2009) Blackpool Victoria Hospital (2009-2011) Manchester Royal Infirmary (2011-2014) (ACCS Acute Medicine) Mersey (ST3 ICM) from August.

3. 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…

4. 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

5. 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?

6. 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!

7. 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

8. 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”

9. 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 2014. When things go wrong…

10. Satisfaction by Speciality

11. 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

12. 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

13. 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…

14. 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…

15. Thank You! James.piper@doctors.org.uk