1. Rural junior doctor and medical student Clinical Supervision : transitioning to a teaching hospital Professor Amanda Barnard

2. Aims of the project Locally focussed and responsive to local needs Develop (based on needs) and deliver rurally based supervisor workshops in SE NSW. Develop capacity in the rapidly increasing roles of rural hospitals as teaching hospitals Target VMO clinicians, CMOs and registrars. 2

3. Context 3

4. To date Literature review Focus groups- students Interviews – supervising staff Continuing – interviews, on line surveys Workshops (finally) locked in Evaluation 4

5. What have we learnt ? From the literature Limited, especially in difference rural vs major metropolitan teaching hospitals (e.g. Jelinek/EDs) Most rural focussed on medical students and post grad GP training No validated tool for evaluating clinical supervision from a supervisors perspective Most report multiplicity of roles/confusion re supervision Most conclude “more work needed” 5

6. Supervision/teaching nexus Clinical supervision/line management /performance/mentoring Need more knowledge of program requirements Service demands Different ‘structures’ of rural hospital workforce – VMOs, CMOs ‘Isolation’ – is this how its done at the centre? Support and feedback (two way) Tensions around delivery of critical feedback 6 What do our supervisors say?

7. Rural/small hospital supervision- multiplicity of roles VMO consultant Junior doctors Registrars Medical students VMO SupervisorTeacherAssessorMentor 7

8. Particular needs of supervising junior doctors on rotation “On their own” - autonomy, anxiety, angst and accelerated learning Culture of different hospitals Conscription vs choice Relationship - vertical integration 8

9. Supervisees perspectives Feedback, feedback, feedback Clarification of expectations, responsibilities Teaching is generally excellent Orientation to ‘ culture’ Returning is great! 9

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