CETI Psychiatry Review


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CETI Psychiatry Review

  1. 1. Supporting and Developing the Junior Medical Workforce in Psychiatry Professor Steven C. Boyages November 2010
  2. 2. Challenges to the health system Rising Demand Constrained Capacity  Growing & ageing population  Patient Safety  Chronic illness rising  Workforce shortages and  High levels smoking, obesity, stress attitudes  High consumer expectations  Manage demand within finite resources  Cost vs investment  NSW spends about 28% of budget on health care  1.3 million dollars per hour 2
  3. 3. Medical Mistakes trigger major inquiryinto health system-2008
  4. 4. The Four Pillars of Reform of the PublicHospital System Clinical Education and Training Institute Bureau of Clinical Health Excellence Information Commission Agency for Clinical Innovation
  5. 5. Clinical Education and Training InstituteVISIONTo lead, facilitate and build sustainable capacity to improve health and achieve better health through education, training and development of a clinical workforce that will meet the healthcare needs of the people of New South Wales.MISSIONInvestment, Innovation and InfluenceGOALS To achieve inter-professional standards of competency for new graduates To build better systems and models of clinical supervision To develop and role a learning management system to facilitate e – learning and blended learning opportunities
  6. 6. The Seven Cs to Success Competency Context Care Models Culture Coordination Communication Capacity Collaboration 6
  7. 7. Success is 80% related to people 7
  8. 8. Understand the nature of the work • Workforce • Mobile • Collaborative • Team based • Bee-hive mode • Disconnected • Malunga.C, 2000: The Beehive Model for Team Building, Footsteps Magazine no 43
  9. 9. Technology Paradox of Work vs Personal 10
  10. 10. Disconnect in School Slide Courtesy of Cisco, Australia 11
  11. 11. Drivers for change Slide Courtesy of Cisco, Australia 12
  12. 12. Technology Enabling• New Ways of Organising Learning• New pedagogy• New relationships• More sophisticated learning mix• Richer assessments and evaluations• Data at all levels 13
  13. 13. Technology (finally) ripe for education Slide Courtesy of Cisco, Australia 14
  14. 14. Content versus collaboration Slide Courtesy of Cisco, Australia 15
  15. 15. Learning Management Systems
  16. 16. Developing a common platform  eLearning by definition is any learning that can be delivered (and undertaken) electronically.  There are 2 elements to eLearning: o the technology, or learning experience, ie the electronic media of formats o the learning design, or the learning experience, ie the events, activities and relationships that the learner is involved in  While the technology and the learning design are intrinsically bound together, it is useful to be mindful of these elements in isolation when considering eLearning. 17
  17. 17. eLearning is evolving  eLearning is an evolving format which has been enabled through technology. Just as the landscape of „technology supported activities‟ continues to evolve, so does eLearning 18
  18. 18. Types of eLearning Web-based or online tutorial Podcast / Vodcast Virtual or Simulated Reality Webinar / Virtual Classroom Session Blog Threaded online discussion Wiki Yammer; Twitter (micro-blogs) Mobile learning (mLearning) Others e.g. Web sites, Video or Phone Conferencing 19
  19. 19. Investing In Health IT perceived as asolution to some of the challenges Benefits Risks  Improved automation  Financial investment not  Improved productivity realised  Poor connectivity  Reduced duplication  Lack of common standards  Improved safety  Increased risk to patients  Improved patient and staff  Increased staff frustration experience and lower morale  Improved reach of  Staff expectations not information and service realised  Poor execution and implementation due to inadequate training 20
  20. 20. Execution is the keyEvolution as opposed to revolutionEngagement with key staff in designIntegration with key legacy systemsUnderstand complexity and complex systemsManage expectations and scopeUnderstand nature of the workforceAppropriate start up and sustainable training
  21. 21. Technology Enabling• New Ways of Organising Learning• New pedagogy• New relationships• More sophisticated learning mix• Richer assessments and evaluations• Data at all levels 22
  22. 22. Curriculum Alignment Assessment Learning Learning Objectives Materials 23
  23. 23. Changing Learning Slide Courtesy of Cisco, Australia 24
  24. 24. Clinical Supervision 25
  25. 25. Roles and Responsibilities Building and owning programs Building and owning courses Integrating with existing programs (eg colleges) Commissioning others to build programs and courses Managing and administering programs and courses Acting as a “clearing house” of resources and programs (portal) Resource program/course development and maintenance Running assessments Evaluating programs/courses 26