13. Medical Education Presentation - Southern Health and Social ...

13. Medical Education Presentation - Southern Health and Social ... 13. Medical Education Presentation - Southern Health and Social ...

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Trust Board<br />

<strong>Presentation</strong><br />

Colin Weir<br />

AMD <strong>Education</strong> <strong>and</strong> Training


Roles<br />

• Overall responsibility <strong>Education</strong> <strong>and</strong><br />

Training<br />

• Appointment of Undergraduate Director<br />

<strong>and</strong> managing undergrad education <strong>and</strong><br />

budget<br />

• Appointment of Foundation Programme<br />

<strong>Education</strong>al Supervisors<br />

• Regularly meet other DMEs


Roles-2<br />

• Regular interaction with NIMDTA<br />

• Hospital at Night<br />

• Training tracker<br />

• Various meetings<br />

• every 6 week 1-1 with MD


Roles-3<br />

• MSMG at DoH<br />

• Sub-deanery at QUB<br />

• <strong>Health</strong>care library at <strong>Southern</strong> Trust<br />

• Following point is suspiciously like a mission statement....<br />

• But actually to ensure that we are developing <strong>and</strong> training doctors that will<br />

be equipped with skills look after us in a positive experiential learning<br />

environment


Structure<br />

Associate <strong>Medical</strong><br />

Director <strong>Education</strong><br />

& Training<br />

Mr C Weir<br />

Co Director <strong>Medical</strong><br />

<strong>Education</strong><br />

DHH<br />

Dr J Harty<br />

Co-Director<br />

Undergraduate<br />

<strong>Education</strong><br />

Dr M McConnell<br />

Associate <strong>Medical</strong> Directors<br />

<strong>Medical</strong> <strong>Education</strong><br />

Assistant [s] [DHH]<br />

<strong>Medical</strong> <strong>Education</strong><br />

Facilitator<br />

[CAH]<br />

Trainee’s forum<br />

Undergrad <strong>and</strong> Post grad<br />

commitee


Structure<br />

Foundation<br />

Programme<br />

Associate <strong>Medical</strong><br />

Director <strong>Education</strong><br />

& Training<br />

Mr C Weir<br />

Co Director <strong>Medical</strong><br />

<strong>Education</strong><br />

DHH<br />

Dr J Harty<br />

Co-Director<br />

Undergraduate<br />

<strong>Education</strong><br />

Dr M McConnell<br />

Associate <strong>Medical</strong> Directors<br />

<strong>Medical</strong> <strong>Education</strong><br />

Assistant [s] [DHH]<br />

<strong>Medical</strong> <strong>Education</strong><br />

Facilitator<br />

[CAH]<br />

Trainee’s forum<br />

Undergrad <strong>and</strong> Post grad<br />

commitee


Structure<br />

<strong>Education</strong>al<br />

Supervisors<br />

Clinical Supervisors<br />

Clinical Supervisors<br />

Foundation<br />

Programme<br />

<strong>Education</strong>al<br />

Supervisors


Foundation Programme<br />

• 2 year programme<br />

•<br />

•<br />

geographically central/peripheral year<br />

must be completed by all UK doctors after<br />

graduation<br />

• generic skills<br />

•<br />

•<br />

•<br />

taster modules<br />

e-portfolio <strong>and</strong> competency based assessment<br />

360 appraisal, audit


Structure <strong>Education</strong>al<br />

Leads CAH<br />

• Medicine – Dr Bronagh McGleenon, College<br />

Tutor<br />

• Geriatrics – Dr Pat McCaffrey<br />

• Surgery – Mr Epanomeritakis<br />

• ENT – Mr Irfan Basha<br />

• Paediatrics – Dr Mike Smith<br />

• ICU – Dr Neville Rutherford-Jones<br />

• A&E – Mr Paul Kerr<br />

• Psychiatry – Dr N Chada<br />

• X-Ray – Dr Mark McClure<br />

• Trauma & Orthopaedics – Mr R McKeown<br />

• Obs & Gynae – Mr J McCracken<br />

• Anaesthetics – Dr Andrew Ferguson


<strong>Education</strong>al Leads DHH<br />

• Co Director <strong>and</strong><br />

foundation programme<br />

co-director – Dr J Harty<br />

• Paediatrics – Dr B<br />

Aljarad<br />

• Medicine – Dr S Moan<br />

• Surgery – Mr R Brown<br />

• Emergency Care – Mr M<br />

McCann<br />

• Obs & Gynae – Dr K<br />

McKinney


Trainees<br />

155 Craigavon Area Hospital<br />

55 Daisy Hill Hospital<br />

26 Psychiatry<br />

5 F2s out of Trust (3x GP, 1xErne, 1xAcademic)<br />

Total 241


Facilities<br />

<strong>Medical</strong> <strong>Education</strong> Centre on Craigavon Area Hospital site<br />

<strong>Health</strong>care Library<br />

Dedicated IT suite<br />

Lecture theatre, 4 tutorial rooms <strong>and</strong> 2 seminar rooms<br />

Day & evening access<br />

<strong>Medical</strong> <strong>Education</strong> Centre on Daisy Hill Hospital Site<br />

Library & IT Suite<br />

‘Up to Date’ available on both acute sites<br />

Administrative support both sites<br />

1.0 WTE B<strong>and</strong> 4 & 0.50 WTE B<strong>and</strong> 2 – CAH site<br />

1.25 WTE B<strong>and</strong> 3 – DHH site<br />

Dedicated librarian


Committes<br />

• Under/Post Grad<br />

• x 4 per year<br />

• lay representative<br />

• Trainee’s forum<br />

• every month<br />

• “Executive” get things<br />

done group


Quality Control of the<br />

L.E.P<br />

Annual Deanery inspection on both sites<br />

Deanery Pre-Visit questionnaire<br />

PMETB (Now GMC) annual survey online – junior doctors complete<br />

Deanery Report reviewed by Trust <strong>Medical</strong> <strong>Education</strong> <strong>and</strong> Training<br />

committee – actions taken forward<br />

Comparison of PMETB survey results reviewed by <strong>Education</strong>al Leads –<br />

actions taken forward<br />

Annual director medical education report to Deanery


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1


PMETB 2009


CAH 2009


DHH PMETB 2009


DHH Cont


More detail


Induction Programme<br />

M<strong>and</strong>atory for all new trainees<br />

Face to face presentations from clinical <strong>and</strong> corporate<br />

teams<br />

Training Tracker<br />

Written evidence of completion of hyponatraemia &<br />

Right Patient, Right Blood<br />

Specialty specific protocols on Trust web site


9.15am – 9.30am Welcome & Introduction Dr P Loughran, <strong>Medical</strong> Director<br />

9.30am – 9.45am Training Tracker / <strong>Education</strong>al Resources Mr C Weir, ADM – <strong>Education</strong> & Training<br />

9.45am – 10.45am Infection Control (inc H<strong>and</strong> Hygiene) Trudy Reid, Senior Nurse Infection Control<br />

Dr N Damani, Infection Prevention & Control<br />

10.45am - 11.00am Antibiotic Policy Dr N Damani, Consultant Microbiologist<br />

11.00am-11.15am<br />

COFFEE BREAK<br />

11.15am – 11.35am Hospital at Night Mrs Mary Averall<br />

HAN Co-ordinator<br />

11.35am-11.55am HONNI / QUB Library Services Alex McIlroy<br />

<strong>Medical</strong> Library QUB<br />

11.55am – 12.00pm<br />

Introduction to Right Patient, Right Blood<br />

Responsibilities<br />

Mrs P Watt<br />

Haemovigilance Practitioner<br />

12.00pm – 12.15pm Verification of Life Extinct Mrs Anne Coyle<br />

Bereavement Co-ordinator<br />

12.15pm – 12.30pm MEWS Chart Dr C Clarke,<br />

Consultant Anaesthetist<br />

12.30pm-12.45pm Introduction to X-Ray Dr Fawzy / Alexis Davidson<br />

12.45pm – 2.00pm Signing On <strong>and</strong> Payroll Details Human Resources


Undergraduate<br />

<strong>Education</strong><br />

• Dr Mae McConnell lead<br />

• Working with QUB on Sub deanery<br />

structure<br />

• Clinical Leads in Medicine, Surgery, O&G,<br />

Paediatrics <strong>and</strong> Psychiatry


Sub Dean<br />

• Accountable to MD Trust<br />

• AND Director Centre <strong>Medical</strong> <strong>Education</strong>,<br />

QUB<br />

• Appoint Clinical Lead<br />

• Review input <strong>and</strong> structure of the<br />

programe<br />

• Funded from SUMDE allocation<br />

• 2 PAs


QC<br />

• Student evaluation<br />

• measure of quantum of teaching activity<br />

• develop tools to evaluate palcements<br />

• re engagement of wider consultant body<br />

• audit of SUMDE


Sub deanery<br />

• Firms <strong>and</strong> formalises links with QUB<br />

• Recognises better the Trust as a teaching<br />

trust<br />

• Enhanced role for Director Undergrad<br />

<strong>Education</strong>-becoming Clinical Sub Dean


Sub Deanery<br />

• “Aim for Trust <strong>and</strong> QUB to develop <strong>and</strong><br />

implement appropriate clinical<br />

placement...provision of high quality<br />

teaching to enable students to aquire skills<br />

<strong>and</strong> knowledge...”


Sub-deanery<br />

• But....<br />

• More work<br />

• Much more accountability<br />

• Reporting back to QUB<br />

• Regular appraisal of roles


SUMDE for beginners<br />

• Supplement for Undergraduate <strong>Medical</strong> <strong>and</strong><br />

Dental <strong>Education</strong><br />

• Historically “OLD”<br />

• Clinical Placement £464373<br />

• Infrastructure £701378


New SUMDE<br />

• Expansion of medical school<br />

• Additional funding based on student<br />

numbers<br />

• 2009/2010 £186,759<br />

• Strict accountability


Review by Minister<br />

• All SUMDE will be allocated as NEW<br />

SUMDE<br />

• ALL accountable<br />

• Audited returns<br />

• Based on activity ie student numbers<br />

• £1.35m


Recent Audit<br />

• New SUMDE accountability £29k<br />

underspend<br />

• No figures for infrastructure funding £701k


Challenges<br />

• GMC survey of trainers <strong>and</strong> trainees<br />

• Supporting training under EWTD<br />

• Engaging consultants in undergrad<br />

education<br />

• ..<strong>and</strong> in post grad education

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