Jane da roza davis clinical scenario e induction - mental health trainees

Clinical Scenario E-induction for trainees working in Mental Health

settings

• Where are we now in 2014?• Why did we do it?• How did we get there?• What do the trainees think?• What do we need to do going forward?

Summary

Where are we now in 2014?• Clinical Scenario based e-induction

programme for all new trainees starting a post in Mental Health setting

• Being used in Berkshire Healthcare and Oxfordhealth Foundation Trusts

• For FY, GPVTS and core trainees but also helpful for advanced trainees in psychiatry

Why did we do it?

• 2012 £10K available for trust induction projects. We negotiated with Dynamic for a bespoke BHFT e-induction & held focus groups with traineess

• Trainee feedback from local induction identified a need to give more clinically based information from day 1

• Later 2012 Thames valley funded clinical e-induction project focussing on FY in acute trusts

• We volunteered to work with Dynamic to develop a MH scenario based induction for trainees. Funding support.

• Relevant to working in psychiatry• Engaging and a tool for learning• Time efficient… maximum impact• Accessible• Generic but with ability to link to local

information, policies and processes

What we needed it to be:

• Key information given • Practiced decision making and application

knowledge• Help trainee consider how they might

manage similar situations• Improved confidence at start of new post

What were the intended learning outcomes?:

• Asked all the trainees to answer… “ I wish I had known that when I started?”

• Identified list of common clinical challenges for trainees new to psychiatry

How did we do it?

• Decided on 5 cases that illustrated as many of the list of clinical challenges as possible

• Sense checked this with DME for neighbouring MH trust

How did we do it?

Trainees volunteered to join DME in scenario script writing for the 5 cases using templates

How did we do it?

• Handover between shifts• Opportunity to emphasize importance of

handover

How to introduce the cases?

• Key questions to ask at stages in scenario that reflected decision making

• Scripted Correct & incorrect answers

• Explanations for both

How to explore decision making?

• Identified the important trust guidance and policies relevant to induction

• Linked them with scripted scenarios

• Made them easily available

How to deliver key information

• Still photography • Props for every scene• Rooms for filming• Suitable role playing actors for cases• Volunteer role players from trust

How did we make it look realistic.. and engaging?

• Checking and checking again

• Clinical colleagues• Impending changes?• Clarify policies• Write new guidance if

needed

How did we get it right?

Feb 2012

Feb 2013

More funding

• More ideas

• More excitement

April 2013

• Script writing

• Policy chasing

• Actors• Room

s• Props

June 2013

Prospect Park

Hospital

Aug 2013First

Viewing

Nov 2013Local BHFT induction &

Clinical induction uploaded to

learning platform Teething

problems….

May 2014 Feedback

• 100% rated as excellent to good• “relevant”,” excellent presentation,

useful in practice as learning points clear and easy to pick up in this format”. “Engaging presentation”

• “Best online learning experience I have had so far”.

Feedback

• Consider funding for additional scenarios

• Update policies and guidance as needed

• Consider how to clarify access more easily

• Double check hyperlinks

Going forward

• Where are we now in 2014?• Why did we do it?• How did we get there?• What do the trainees think?• What do we need to do going forward?

Summary

• Caroline Neale• Jackie Smith• Mark Parry• David Mc Donald• Lisa Johnson & Dynamic• Andrea Butler• Matt Lowe• Andrew West• Naseem Ahklaq• Abi Taylor

• Joanne McConnell• Darren Bailey• Sharada Deepak • Trevor Langrish• Nursing staff PPH• BHFT Drs in training• Sarah Manning • Joy Williams• Tamsin Heatley & cast

• Peter Sargent

Acknowledgements