cetiscape CLINICAL EDUCATION & TRAINING INSTITUTE Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 1 Improving prevocational trainingCETI is implementing key recommendations of an external review of prevocational training in NSWAn external review of the NSW prevocational training and Ensuring that all possible prevocational training places areeducation network system conducted in 2010 “found an used as efficiently and effectively as possible, given theextraordinary level of commitment of individuals and institutions growth in medical graduate numbers.at all levels to prevocational training across the NSW health The report of the independent panel has been considered bysystem.” The review panel acknowledged that “many of the the CETI Executive and the Prevocational Training Council,current participants and the available resources are already and will inform the development of prevocational training overstretched”. In response, the panel made 24 recommendations, 2011. The report and CETI’s response are now available onmany relating to simplifying the administration of prevocational the CETI website at <www.ceti.nsw.gov.au/prevocational>.training or augmenting the available resources.The prevocational network training system was set up by oneof CETI’s predecessor organisations, IMET, in cooperation External review panel memberswith area health services in 2007. CETI commissioned Professor Andrew Wilson, Executive Dean, Faculty ofan external review in 2010 as part of its commitment to Health Queensland University of Technology, Boardcontinuous quality improvement. The review team were given member of Health Workforce Australiaa brief to consult widely with state trainees and prevocational Denise Robinson, former NSW Chief Medical Officer Drtraining providers. and Deputy Director General Population Health “Many stakeholders thought that reforms to network training Anthony Llewellyn, Staff Specialist and Hunter New Drwere needed,” said Professor Andrew Wilson, chair of the England Mental Health Executive Medical Director, Primaryreview panel, “and the changing health structure in NSW had and Community Network, HNE Healthto be considered in formulating our recommendations. We are Jim Newcombe, Paediatrics Trainee, Greater Eastern Drgrateful to all the participants of the review who gave up their and Southern NSW Child Health Networkvaluable time to provide feedback on the current system.” Debbie Paltridge, National Project Coordinator – Ms Confederation of Postgraduate Medical Education CouncilsThe review panel’s recommendations relate to six main themes: Louis Christie, Director of Medical Services, Orange Dr Systematically implementing a learning model that Base Hospital NSW supports the Australian Curriculum Framework for Junior Doctors to ensure high quality experiential-based learning complemented by other learning modalities across the NSW health system. Updating and rationalising the accreditation system to be In this issue consistent with and reinforce the model. Improving the fit between prevocational training networks Improving prevocational training 1 and the new local hospital networks. Coming: Fourth Rural Health Research Colloquium 2 Ensuring equity and access in relation to training Coming: Fifth NSW Rural Allied Health Conference 2 opportunities, including rural rotations. Improving the governance arrangements for the networks Coming: NSW Prevocational Medical Education Forum 2 to improve clarity of responsibility. evaluation framework for CETI An 3 Workshop brings rural researchers together 4 Forum: planning another big year JMO 5 Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham Locked Bag 5022, Gladesville NSW 1675 02 9844 6511 CLINICAL EDUCATION & TRAINING INSTITUTE p: (02) 9844 6551 f: (02) 9844 6544 e: email@example.com firstname.lastname@example.org
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 2 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTEComing eventsRural research Strong foundations in shifting sandsîFourth Rural HealthResearch Colloquium Fifth NSW Rural Allied Health Conference î The Glasshouse, Port Macquarie, 9–11 November 2011Dubbo, 11–13 October 2011 Presented by CETI’s Rural DivisionThe Colloquium is co- Rural allied health services bring together a blend ofconvened by the Australian multidisciplinary skills, requiring a flexible approach toRural Health Research cooperation, coordination and collaboration. InterdisciplinaryCollaboration and CETI’s Rural rural health partnerships have become strong foundationsDivision, and will be hosted by which will continue to sustain quality care in shifting sands,The Western NSW and Far West Local Health Networks. the transitional period of the current national health reform.The theme for the Colloquium is “Sustaining Rural Health This conference will provide an opportunity for all allied healththrough Research”. staff, managers and education providers to demonstrate how collaborative health partnerships create models of care whichAbstracts are now being received (closing date 13 May achieve positive patient journeys.2011). Abstracts should present research with implications for This conference is designedrural health practice, and should demonstrate clarity in regard to attract rural and remoteto the research question, research method, and the analysis of allied health clinicians fromqualitative and/or quantitative data. new graduates to seniorAreas of particular interest include: managers, and those who Aboriginal health work in partnership with allied health services. Preventive health and health promotion Abstracts are now being Community well-being received (closing date 27 June 2011). Service delivery Additional information can be obtained from the conference Workforce. website: <www.hotelnetwork.com.au/conferences/For additional information, please see <www.rhrc.com.au>. conferences/ruralhealth2011>Principles and practiceîNSW Prevocational Medical Education ForumStamford Grand North Ryde 11–12 August 2011 îAt this year’s prevocational forum, medical educators,directors of training and administrators will share theirexperience, workshop the issues that matter and hearpractical advice from leaders in JMO education.On the agenda learning model in prevocational training: who learns The what, when, how. Tuning the networks for smoother performance Workable methods of assessing trainees and evaluating programs: building better feedback Workshop: techniques for building online learning Maximising the benefit of general practice training terms Innovations in training and education. 16th AustralasianMore information: Craig Bingham (02 9844 6511, Prevocational Medical Education Forumcbingham@ceti.nsw.gov.au), or visit the website <www.ceti.nsw.gov.au/prevocational>. 6-9 November 2011 Auckland, New Zealand
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 3 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTEAn evaluation framework for CETIDr Gaynor Heading, General Manager, CETICETI aims to improve patient outcomes by enhancing the As CETI’s new divisions (eg, Allied Health, Nursing andeducation and training opportunities and resources available Midwifery and the Centre for Learning and Teaching) taketo health professionals. We will achieve this goal by working shape, new staff will create program-specific evaluationwith health professionals, health services, consumers, plans within the framework and guided by the organisation’sgovernment, educational providers, member organisations mission and goals. We will consult our partners in the localand partners. Because we aim to be an efficient and health networks during this process.evidence-based facilitator of training, we think that theevaluation of our programs is central to our activities.CETI is developing an organisationalevaluation framework to ensurethat the organisation, and itsinitiatives, programs and Elements of the program logic modelprojects are evaluatedregularly, consistently and Inputs: Outputs: Outcomes: Pin accord with principles of R resources – what the program short, medium,best practice. O what is invested does – long term activities andThis work builds on a number of B participant reachrelated CETI activities including Lthe recent review of prevocational E Assumptions:training networks (see page 1) and M about the nature of the Environment:the evaluation of capacity building problem, and theprograms. In addition to identifying linkages between elements of the program external factors thatorganisational achievements influence outcomes CLINICALand informing decision making, the & TRAININframework will ensure that businessdecisions are based on evidence and that theorganisation is accountable. Evaluation findings will identifyour strengths and weaknesses and contribute to continualenhancement of our work.Part of CETI’s approach to evaluation is staff capabilitybuilding. Staff will be supported in evaluation CETI’s seven Cs CLINICAL EDUCATION & TRAINING INSTITUTEplanning, program logic modeling and evaluation planimplementation. Results identified through such activities Capacitywill be communicated to stakeholders and findings will be Communicationincorporated into programs to drive improvement. CollaborationDuring March, CETI held its first program logic workshop forstaff. A number of places were offered to partner agencies, Coordinationand we welcomed participants from the Policy and Technical CompetencySupport Unit, the Clinical Excellence Commission and theCancer Institute NSW. Program logic is a practical method Care modelsfor planning programs to ensure that the linkages between Cultureaims, processes and outcomes are logical and that evaluationof the program is integral to the program design. We hopethat sharing tools and knowledge across agency partners willsupport future collaborative efforts.
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 4 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTEWorkshop brings rural researchers togetherThirty-three researchers from the Rural Research Capacity The Thursday program focused on stages of writing,Building Program gathered for the annual two-day workshop enhancing recruitment, data collection and comparativeat the University of Sydney on 23–24 February. Bringing statistics. A reflection and feedback session bringing the twotogether current participants from the 2009 and 2010 groups together concluded the workshop.cohorts, the workshop combined lecture, small group and Tutors and presenters came from the Australian Rural Healthinteractive sessions. Research Collaboration (ARHRC), the PHC Collaboration,On Wednesday, Associate Professor David Perkins shared the NSW Health Bio-statistics program as well as graduateshis expertise on writing literature reviews, before candidates and staff from CETI Rural Division. Thank you on behalf of allsplit into groups for targeted sessions on topics ranging the candidates to David Lyle, David Perkins, Megan Passey,from running interviews to descriptive statistics. In project Raechelle Rubenstein, Frances Boreland, Alistair Merrifielddevelopment workshops, participants met with tutors to and Rachael O’Brien.discuss and solve problems in their own projects. The The value of networking and peer support provided by theday concluded with a dinner which provided networking workshop was a strong theme in feedback from participants,opportunities for the two cohorts. who also provided plenty of ideas for next year’s event. Left: David Lyle gets precise. Below: The workshop group. Right: IMG stats can be fun with Frances Boreland (at left of picture). For further information on the Rural Research Capacity Building Program please contact Emma Webster (6841 2652) or David Schmidt (6492 9600) or visit <www.ruralceti.health. nsw.gov.au/initiatives/building_rural_research_ capacity>.Scholarships for doctors in rural training you be working in two or more rural terms this year? Will Prevocational trainees — 2 terms Are you in a CETI network training program? Basic trainees — 2 3-month terms you can answer yes to both questions then you may be If Advanced trainees — a full clinical year. entitled to apply for a rural scholarship of up to $6,000, depending on your level of training. Eligible trainees receive payments of: $1500 for prevocational traineesThe Rural Scholarship Fund supports medical traineescommitted to training and providing patient care in rural $5000 for basic traineeslocations in NSW. Prevocational (PGY1 or 2), basic physician, $6000 for advanced trainees.paediatric physician, emergency medicine, pre-specialist Applications for the Rural Scholarship Fund close on 15 April.surgical and psychiatry (basic and advanced) trainees can apply. For more information, follow the links on the CETI website orApplicants must complete a minimum number of regional contact Andrea Ross (02 9844 6530) or Kirsten Campbelland/or remote terms in NSW Health facilities in the 2011 (02 9844 6536) at CETI.clinical year as follows:
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 5 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTEJMO Forum: planning another big year UM FOR JMOLucy ChoJMO Forum Chair 2011, PGY2 at Wollongong Hospital (Oceans 11 Training Network) N E W S O U T H WA L E Slucy.email@example.comThe NSW JMO Forum began a new year of work at its firstmeeting for 2011 on 11 March at the old Gladeville Hospital.Elected representatives from the 15 prevocational trainingnetworks in NSW and the ACT were present.The group discussed the report of the External Review ofPrevocational Training (see story, page 1). CETI is acting onthe recommendations for improving prevocational training,and the JMO Forum, through its advice to the PrevocationalTraining Council, will be helping to shape developments. CETI Chief Executive Professor Steven Boyages spoke to the meeting about his vision for work-appropriate technology and theThe Forum redefined its working groups and launched some future of medicine.great projects for the year (see below).All JMOs should know that they can contact their hospital or Acute Care Taskforce: safe clinicalnetwork JMO Forum representatives if they have any concernsor good ideas to share regarding their education and training. handoverCheck out <www.ceti.nsw.gov.au/jmoforum> for more info and In 2010 this NSW Health project focused on JMO shifta contact list. handover, rolling out recommendations for a structured approach to ensure that the transfer of patient care is efficient and effective, and that JMOs learn from the experience. TheBecome an accreditation surveyor taskforce will soon be assessing the changes made in handover.The Prevocational Accreditation Committee is always looking JMO Forum reps will be helping with an audit of handoverfor interns and residents to join the accreditation survey teams procedures in their hospitals.which check that training hospitals are meeting standards for The next stage of the Safe Clinical Handover project focuses onprevocational education, training and JMO welfare. If you are handover from hospitals to GPs and vice versa. If you have anyinterested in becoming a surveyor please contact Mathew comments on handover in your hospital please pass them on.Smith at CETI (firstname.lastname@example.org). You are paid fora rostered working day and have travel/accommodationexpenses covered where necessary. It’s a great way to see Education working groupwhat is happening at other hospitals, network with other JMO contact: Dr Blake Sandery, email@example.com and support your colleagues. The Education group is very excited to get back to work this year, riding high on the success of the unified lecture seriesEmergency department capacity for last year (see story in cetiscape, December 2010). At the first forum meeting, we outlined a few big, but we hope achievable,interns projects for the year:Rebecca Leon, from the Workforce Development and Innovation Skills Audit Tool — an online skills log. Having focused onBranch of NSW Health, spoke to the JMO Forum about future increasing knowledge last year, we felt it would be beneficial tochallenges of education and supervision in EDs in NSW arising address the improvement of JMO skills this year. The skills auditfrom the large volume of graduates coming in and the ongoing tool would serve as a personal record where JMOs could keepshortages and stresses on senior ED staff. track of the number and type of procedures they have performedA NSW Health working group will be looking into ways to (eg, lumbar punctures, central lines, assisting in theatre), alongincrease the capacity of emergency departments to provide with any complications or learning points. This would helpthis core term in a safe and effective manner. JMO Forum highlight any areas of improvement needed, and could also be used as a good addition to a resume.representatives will be involved in the working group. If youhave any ideas or questions for the working party, please Peer-to-peer teaching. Every JMO has had a different clinicalpass them on to your JMO Forum rep. experience, and as such, has developed specific knowledge
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 6 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTEthat other JMOs will not have. Itwould be fantastic if we couldtap into that knowledge, andfind an easy way for it to beshared in some form of peer-to-peer teaching. We’re aiming todevelop practical ways to helpinstitute peer to peer teaching.New and improvedassessment. Following Pictured left to right: Education working group members Dr Vik Gupta, Dr Richard Sullivan, Dr Jean-Paulon from the work of the Favero, Dr Blake Sandery, Dr Emily Zammit, Dr Kieren Po, and Dr Elize O’Reilly.assessment portfolio last year,and the review of assessmentconducted by CETI, we hopeto trial some new assessmentforms which will provide morevaluable feedback on yourperformance.If you’re a JMO and have someideas for any of the abovetopics, we’d love you to get in Pictured left to right: Accreditation working group members Dr Stefan Aveling, Dr Daniel Stewart,contact with the JMO Forum Dr James Maung, Dr Cameron Korb-Wells, Dr Louisa Ng and Dr Negin Sedaghat.education working group.Accreditation working group Information technology working groupJMO contact: Dr Negin Sedaghat, firstname.lastname@example.org JMO contact: Dr Gabriel James, email@example.comThe accreditation working group will aim to become more This small but enthusiastic working group has the followingfamiliar with the standards of accreditation for prevocational aims for the year:terms and training facilities. As accreditation is directly Define available IT resources for JMOs:concerned with maintaining high standards of training software being used at hospitals (each AHS/network)and welfare of prevocational trainees, this working group popular smartphone apps and websites being used bylooks forward to positively contributing, with other key JMOs.stakeholders, towards refining the standards. The proposed Improve use of existing resources:outcome for this year is to develop a representative JMO provide handy hints for use of powerchart and similarworking paper regarding the current standards which we toolshope will support a robust accreditation process. The define basic standards JMOs should expect at theirworking group will also be reviewing ways and methods of hospitals (hardware and software), based on surveysincreasing JMO recruitment in the accreditation process. create a list of apps and IT resources for JMOs Create new resources: investigate simple software systems, such as an overtime task list that might be implemented state-wide support other working groups in creating good online content for welfare, education, careers, supervision and networking tools study possibility of getting MIMS and other useful apps made available to all JMOs study idea of a NSW JMO app with curriculum content, Pictured left to right: IT working group members networking, rostering, procedure log, etc. Dr Tom Hughes, Dr Gabriel James and If you’re an IT-savvy JMO or have a helpful app you’d like to Dr Brenton Sanderson. share, please get in touch with us.
cetiscape March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 7 CLINICAL EDUCATION Issue 4 & TRAINING INSTITUTE Supervision working group JMO contact: Dr Rahil Nagpal, nagpal.rahil@ gmail.com The supervision working group is continuing work commenced last year on profiling supervision for JMOs in NSW. There was a good response to the survey conducted in Term 5 2010, and the group is currently analysing the data to compare the surgical/ medical/ED experience and to identify terms of concern across the state. The group is looking at ways and means to identify and help JMOs who may need some initial extra support and to preempt Pictured left to right: Supervision working group members Dr Rahil Nagpal, problems by improving preparation (eg PRINT Dr Jovina Graham, Dr Shehnarz Salinders, Dr Kristelle Day, Dr Russell Thomas, terms, orientation, buddy systems). If you have Dr Masum Alam and Dr Peter Chigwidden. some ideas about what does or does not work in your hospital and ways to improve the intern experience please let us know. Careers working group JMO contact: Dr Nicole Hersch, nhersch@nsccahs. health.nsw.gov.au This is a new working group which aims to provide JMOs with career-related information from their first days as an intern through to their transition into specialty training. The careers group will update and continue work on the Doctor’s Compass handbook, which is a broad introduction to managing the challenges of internship. This year we hope to create a new publication as well — a guide to training that collates information on vocational training in all the major specialties withPictured left to right: Careers working group members Dr Usaid Allahwala, information on colleges, deadlines, courses and otherDr Christine Velayuthen, Dr Adi Vyas, Dr Morgan Anslow, Dr Timra Bowerman, helpful information. This is a big task and of courseDr Christine Verdon, Dr Juan Dong and Dr Nicole Hersh. more people are welcome to join and help the group, especially anyone with magazine making/IT skills. cetiscape is published monthly by email and online: The submission deadline for each issue is the middle of www.ceti.nsw.gov.au/cetiscape the month. Articles can be submitted as Word documents. Pictures and logos should be sent separately, using the best available file. For logos, this is often an EPS file. Contributions: cetiscape invites contributions on all aspects Picture files should be sent at the highest resolution of clinical education and training, in particular: available. Short news stories: achievements, launches, events. Articles submitted to cetiscape are subject to editing (100 to 300 words, photos and illustrations desirable) (proofs are shown to the authors). Reviews or editorials commenting upon issues related to health workforce education, training and development To subscribe or unsubscribe: (300 to 1000 words, photos and illustrations desirable). email firstname.lastname@example.org Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham Locked Bag 5022, Gladesville NSW 1675 02 9844 6511 CLINICAL EDUCATION & TRAINING INSTITUTE p: (02) 9844 6551 f: (02) 9844 6544 e: email@example.com firstname.lastname@example.org