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Foundation Doctor Induction

Foundation Doctor Induction. Philippa Shallard, Manager NW Thames Foundation School Dr Clare Van Hamel, Director, Severn Foundation School Dr Charlotte Askew, F2 NWTFS. Structure of Session. Background: Philippa Shallard F1 Induction survey results: Clare Van Hamel

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Foundation Doctor Induction

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  1. Foundation Doctor Induction Philippa Shallard, Manager NW Thames Foundation School Dr Clare Van Hamel, Director, Severn Foundation School Dr Charlotte Askew, F2 NWTFS

  2. Structure of Session • Background: Philippa Shallard • F1 Induction survey results: Clare Van Hamel • F2 Induction: Charlotte Askew • Discussion on Best Practice: Audience • Conclusions: Philippa Shallard

  3. Transition Time

  4. Preparation for F1 • Different for each Medical School • Practical medicine courses • Compulsory shadowing

  5. Transfer of Information • Declaration from Medical School to Foundation School and F1 Trust • Health and welfare • Educational progress • Only as good as the Medical School makes it • Surprises each year

  6. Induction pre-2012 • No national guidelines on length or content • Some 2 weeks, some 2 days • Some paid, some unpaid • 1st Wednesday in Aug =‘Black Wednesday’ • 2009 publication findings • Shadowing/induction pilots at Bristol, East Anglian and Cardiff • ‘From Scared to Prepared’

  7. Induction 2012 • March 2012 Sir Bruce Keogh, NHS Medical Director announced compulsory 4 days paid shadowing/induction before first Wed in Aug • Key Learning Outcomes: • Demonstrate they are familiar with new working environment • Describe their responsibilities for safe and effective patient care, including how to seek supervision • Demonstrate familiarity with IT systems & procedures • Understand what their roles & responsibilities are, and their limitations

  8. What Went Well • Shadowing outgoing F1 • Introduction to other members of clinical team • Top tips from outgoing F1 • F1 handbooks very useful and all Trusts should have one • Lectures on prescribing fluids, insulin and opiates

  9. Areas for Improvement in 2013 • Outgoing F1s need guidance & objectives to meet when showing an incoming F1 around • Consider induction checklist for all outgoing F1s • Ensure outgoing F1s know this is an expected part of their job • Many F1s were on leave so incoming F1 had no one to shadow • Consider restricting F1 leave on 1,2,5,6 Aug 2013 • Tour of whole Hospital by outgoing F1 • Familiarisation with all equipment & IT systems the F1 is required to use • Guidance on who to ask for help out of hours • E-Portfolio induction from outgoing F1 as well as PG Centre

  10. Areas for Improvement in 2013 • Shadowing best done in the morning so incoming F1 sees handover & ward rounds to give best idea of what job is about • If incoming F1 is starting on call or on nights then must shadow an on call or a night • Suggestion that incoming F1 shadows outgoing F1 on day 1 then visa versa on day 2 • Run a virtual patient admission with incoming F1s deciding actions at each stage and using appropriate forms etc • Explanation of different shifts & where to go to and who to report to • ID badges, log-ins etc. given out on first day of induction • Some did not have these 2-3 weeks into the job!

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