rural junior doctor and medical student clinical supervision : transitioning to a teaching hospital...
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Rural junior doctor and medical student Clinical Supervision : transitioning to a teaching hospital
Professor Amanda Barnard
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.
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Context
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To date
• Literature review• Focus groups- students• Interviews – supervising staff• Continuing – interviews, on line surveys• Workshops (finally) locked in• Evaluation
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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”
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• 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
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What do our supervisors say?
Rural/small hospital supervision- multiplicity of roles
VMO consultan
t
Junior doctors
RegistrarsMedical students
VMO
Supervisor
Teacher
Assessor
Mentor
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Particular needs of supervising junior doctors on rotation
“On their own” - autonomy, anxiety, angst and accelerated learningCulture of different hospitalsConscription vs choiceRelationship - vertical integration
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Supervisees perspectives
• Feedback , feedback, feedback• Clarification of expectations,
responsibilities• Teaching is generally excellent• Orientation to ‘ culture’• Returning is great!
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