1. Avoiding Grey Wednesdays FY1 Presentation “Avoiding Grey Wednesdays” Tim Robbins, Petra Hanson, Shirish Dubey BY Trainees FOR Trainees

2. 95% SAFER CARE HANDOVER OF OPPORTUNITIES BETTER PATIENT FLOW LESS STRESS Why change anything? Receive proper handover? Want pre-rotation shadowing? Avoiding Grey Wednesdays BY Trainees FOR Trainees

3. Avoiding Grey Wednesdays BY Trainees FOR Trainees 1 day 1 hour What we did in 2013 in Coventry and Warwickshire: Better handover in 2 steps

4. Avoiding Grey Wednesdays BY Trainees FOR Trainees An introduction to all relevant staff, with a description of their roles and firm workings Familiarisation with the layout of the hospital /clinical areas Discussion of the local protocols and how to access them Demonstration of how to operate any unfamiliar equipment An explanation of on-call arrangements and day-day handover Academy of Medical Royal Colleges Inter-rotation shadowing : Aims

5. Avoiding Grey Wednesdays BY Trainees FOR Trainees Inter-rotation shadowing 2013: What we did 1 2 3 + 4 FY1s Settled into current job! Arranged a shadowing day Told us which day it was What happenedMONTH Shadowed Were Shadowed Gave us Feedback

6. Avoiding Grey Wednesdays BY Trainees FOR Trainees lunch web Peer Mentoring 2013 After swapped rotation: (1)Met other F1’s (2)Identified problems with new job (3)Identified opportunities (4)Shared During lunch with a co-ordinator First week after change over

7. Feedback we received (1) 97% of F1s organised a shadowing day! 94% found shadowing day very useful or useful. 76% felt prepared to start their second rotation. (55% increase from 2013) (P<0.05) 77% understood the roles and responsibilities of their second post (83% increase from 2013) (P<0.05) Improvements in the percentage of FY1’s who: (1)Met their new team before starting (42% increase from 2013) (2) Received a handover of patients (25% increase from 2013)

8. Feedback we received (2) 63% Believe the shadowing day significantly improved patient safety 62% Identified additional areas of medicine they wished to revise before starting their next rotation as a result of the shadowing day 52% Identified new educational or learning opportunities as a result of the shadowing day 93%83% Feel all F1’s nationally should have the opportunity to complete a shadowing day Feel shadowing should be formally incorporated into FY1 rota’s

9. 1 2 3 + 4 Settle into new job! Arrange a shadowing day Tell co-ordinator and supervisor which day it is TO DO MONTH Shadow Be Shadowed Upload your certificate on e- portfolio Inter-rotation shadowing 2014-2015: Method Avoiding Grey Wednesdays BY Trainees FOR Trainees

10. Peer Mentoring 2014-2015 First week After swapped rotation: (1)Meet other F1’s (2)Identify problems with new job (3)Identify opportunities (4)Review your progress (5)Share HOSPITAL SPECIFIC Avoiding Grey Wednesdays BY Trainees FOR Trainees

11. Summary: Shadowing: Arrange a date, tell your administrator when it is. Take part in shadowing and upload certificate Peer Mentoring: Share your experience after change over Also gives you an opportunity to review own progress. Shadowing Peer Mentoring Avoiding Grey Wednesdays BY Trainees FOR Trainees

12. Shadowing & Peer Mentoring Join the team! Feedback The team Dr Tim Robbins: DrTrobbins@gmail.com Dr Shirish Dubey: shirish.dubey@uhcw.nhs.uk Dr Petra Hanson: pv6795@my.bristol.ac.uk Questions Avoiding Grey Wednesdays BY Trainees FOR Trainees