An external review of the NSW prevocational training and education network system conducted in 2010 “found an extraordinary level of commitment of individuals and institutions at all levels to prevocational training across the NSW health system.” The review panel acknowledged that “many of the current participants and the available resources are already stretched”. In response, the panel made 24 recommendations, many relating to simplifying the administration of prevocational training or augmenting the available resources. The prevocational network training system was set up by one of CETI’s predecessor organisations, IMET, in cooperation with area health services in 2007. CETI commissioned an external review in 2010 as part of its commitment to continuous quality improvement. The review team were given a brief to consult widely with state trainees and prevocational training providers. “Many stakeholders thought that reforms to network training were needed,” said Professor Andrew Wilson, chair of the review panel, “and the changing health structure in NSW had to be considered in formulating our recommendations. We are grateful to all the participants of the review who gave up their valuable time to provide feedback on the current system.” The review panel’s recommendations relate to six main themes: Systematically implementing a learning model that 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 consistent with and reinforce the model. Improving the fit between prevocational training networks and the new local hospital networks. Ensuring equity and access in relation to training opportunities, including rural rotations. Improving the governance arrangements for the networks to improve clarity of responsibility. Ensuring that all possible prevocational training places are used as efficiently and effectively as possible, given the growth in medical graduate numbers. The report of the independent panel has been considered by the CETI Executive and the Prevocational Training Council, and will inform the development of prevocational training over 2011. The report and CETI’s response are now available on the CETI website at <www.ceti.nsw.gov.au/prevocational>. CLINICAL EDUCATION & TRAINING INSTITUTE Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham Locked Bag 5022, Gladesville NSW 1675 02 9844 6511 p: (02) 9844 6551 f: (02) 9844 6544 e: [email protected][email protected]cetiscape Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 1 Improving prevocational training CETI is implementing key recommendations of an external review of prevocational training in NSW In this issue Improving prevocational training 1 Coming: Fourth Rural Health Research Colloquium 2 Coming: Fifth NSW Rural Allied Health Conference 2 Coming: NSW Prevocational Medical Education Forum 2 An evaluation framework for CETI 3 Workshop brings rural researchers together 4 JMO Forum: planning another big year 5 External review panel members Professor Andrew Wilson, Executive Dean, Faculty of Health Queensland University of Technology, Board member of Health Workforce Australia Dr Denise Robinson, former NSW Chief Medical Officer and Deputy Director General Population Health Dr Anthony Llewellyn, Staff Specialist and Hunter New England Mental Health Executive Medical Director, Primary and Community Network, HNE Health Dr Jim Newcombe, Paediatrics Trainee, Greater Eastern and Southern NSW Child Health Network Ms Debbie Paltridge, National Project Coordinator – Confederation of Postgraduate Medical Education Councils Dr Louis Christie, Director of Medical Services, Orange Base Hospital NSW
Transcript
An external review of the NSW prevocational training and education network system conducted in 2010 “found an extraordinary level of commitment of individuals and institutions at all levels to prevocational training across the NSW health system.” The review panel acknowledged that “many of the current participants and the available resources are already stretched”. In response, the panel made 24 recommendations, many relating to simplifying the administration of prevocational training or augmenting the available resources.
The prevocational network training system was set up by one of CETI’s predecessor organisations, IMET, in cooperation with area health services in 2007. CETI commissioned an external review in 2010 as part of its commitment to continuous quality improvement. The review team were given a brief to consult widely with state trainees and prevocational training providers.
“Many stakeholders thought that reforms to network training were needed,” said Professor Andrew Wilson, chair of the review panel, “and the changing health structure in NSW had to be considered in formulating our recommendations. We are grateful to all the participants of the review who gave up their valuable time to provide feedback on the current system.”
The review panel’s recommendations relate to six main themes:
Systematically implementing a learning model that 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 consistent with and reinforce the model.
Improving the fit between prevocational training networks and the new local hospital networks.
Ensuring equity and access in relation to training opportunities, including rural rotations.
Improving the governance arrangements for the networks to improve clarity of responsibility.
Ensuring that all possible prevocational training places are used as efficiently and effectively as possible, given the growth in medical graduate numbers.
The report of the independent panel has been considered by the CETI Executive and the Prevocational Training Council, and will inform the development of prevocational training over 2011. The report and CETI’s response are now available on the CETI website at <www.ceti.nsw.gov.au/prevocational>.
CLINICAL EDUCATION& TRAINING INSTITUTE
Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham
Locked Bag 5022, Gladesville NSW 1675 02 9844 6511
cetiscape Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 1
Improving prevocational training
CETI is implementing key recommendations of an external review of prevocational training in NSW
In this issueImproving prevocational training 1
Coming: Fourth Rural Health Research Colloquium 2
Coming: Fifth NSW Rural Allied Health Conference 2
Coming: NSW Prevocational Medical Education Forum 2
An evaluation framework for CETI 3
Workshop brings rural researchers together 4
JMO Forum: planning another big year 5
External review panel membersProfessor Andrew Wilson, Executive Dean, Faculty of
Health Queensland University of Technology, Board member of Health Workforce Australia
Dr Denise Robinson, former NSW Chief Medical Officer and Deputy Director General Population Health
Dr Anthony Llewellyn, Staff Specialist and Hunter New England Mental Health Executive Medical Director, Primary and Community Network, HNE Health
Dr Jim Newcombe, Paediatrics Trainee, Greater Eastern and Southern NSW Child Health Network
Ms Debbie Paltridge, National Project Coordinator – Confederation of Postgraduate Medical Education Councils
Dr Louis Christie, Director of Medical Services, Orange Base Hospital NSW
CLINICAL EDUCATION& TRAINING INSTITUTE
cetiscape Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 2
Principles and practiceNSW Prevocational Medical Education Forum Stamford Grand North Ryde 11–12 August 2011
At this year’s prevocational forum, medical educators, directors of training and administrators will share their experience, workshop the issues that matter and hear practical advice from leaders in JMO education.
On the agendaThe learning model in prevocational training: who learns
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.
More information: Craig Bingham (02 9844 6511, [email protected]), or visit the website <www.ceti.nsw.gov.au/prevocational>.
Coming events
Rural researchFourth Rural Health Research Colloquium Dubbo, 11–13 October 2011
The Colloquium is co-convened by the Australian Rural Health Research Collaboration and CETI’s Rural Division, and will be hosted by The Western NSW and Far West Local Health Networks.
The theme for the Colloquium is “Sustaining Rural Health through Research”.
Abstracts are now being received (closing date 13 May 2011). Abstracts should present research with implications for rural health practice, and should demonstrate clarity in regard to the research question, research method, and the analysis of qualitative and/or quantitative data.
Areas of particular interest include:
Aboriginal health
Preventive health and health promotion
Community well-being
Service delivery
Workforce.
For additional information, please see <www.rhrc.com.au>.
Strong foundations in shifting sandsFifth NSW Rural Allied Health Conference The Glasshouse, Port Macquarie, 9–11 November 2011 Presented by CETI’s Rural Division
Rural allied health services bring together a blend of multidisciplinary skills, requiring a flexible approach to cooperation, coordination and collaboration. Interdisciplinary rural health partnerships have become strong foundations which will continue to sustain quality care in shifting sands, the transitional period of the current national health reform.
This conference will provide an opportunity for all allied health staff, managers and education providers to demonstrate how collaborative health partnerships create models of care which achieve positive patient journeys.
This conference is designed to attract rural and remote allied health clinicians from new graduates to senior managers, and those who work in partnership with allied health services.
Abstracts are now being received (closing date 27 June 2011).
Additional information can be obtained from the conference website: <www.hotelnetwork.com.au/conferences/conferences/ruralhealth2011>
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16th Australasian Prevocational Medical Education Forum
cetiscape Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 3
CETI aims to improve patient outcomes by enhancing the education and training opportunities and resources available to health professionals. We will achieve this goal by working with health professionals, health services, consumers, government, educational providers, member organisations and partners. Because we aim to be an efficient and evidence-based facilitator of training, we think that the evaluation of our programs is central to our activities.
CETI is developing an organisational evaluation framework to ensure that the organisation, and its initiatives, programs and projects are evaluated regularly, consistently and in accord with principles of best practice.
This work builds on a number of related CETI activities including the recent review of prevocational training networks (see page 1) and the evaluation of capacity building programs. In addition to identifying organisational achievements and informing decision making, the framework will ensure that business decisions are based on evidence and that the organisation is accountable. Evaluation findings will identify our strengths and weaknesses and contribute to continual enhancement of our work.
Part of CETI’s approach to evaluation is staff capability building. Staff will be supported in evaluation planning, program logic modeling and evaluation plan implementation. Results identified through such activities will be communicated to stakeholders and findings will be incorporated into programs to drive improvement.
During March, CETI held its first program logic workshop for staff. A number of places were offered to partner agencies, and we welcomed participants from the Policy and Technical Support Unit, the Clinical Excellence Commission and the Cancer Institute NSW. Program logic is a practical method for planning programs to ensure that the linkages between aims, processes and outcomes are logical and that evaluation of the program is integral to the program design. We hope that sharing tools and knowledge across agency partners will support future collaborative efforts.
As CETI’s new divisions (eg, Allied Health, Nursing and Midwifery and the Centre for Learning and Teaching) take shape, new staff will create program-specific evaluation plans within the framework and guided by the organisation’s mission and goals. We will consult our partners in the local health networks during this process.
An evaluation framework for CETI
Dr Gaynor Heading, General Manager, CETI
CLINICAL EDUCATION& TRAINING INSTITUTECETI’s seven Cs CapacityCommunicationCollaboration CoordinationCompetencyCare modelsCulture
PROBLEM
Inputs:resources –what is invested
Outcomes:short, medium, long term
Outputs:what the program does –activities and participant reach
Environment:
external factors that influence outcomes
Assumptions:
about the nature of the problem, and the linkages between elements of the program
Elements of the program logic model
CLINICAL EDUCATION& TRAINING INSTITUTE
CLINICAL EDUCATION& TRAINING INSTITUTE
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Thirty-three researchers from the Rural Research Capacity Building Program gathered for the annual two-day workshop at the University of Sydney on 23–24 February. Bringing together current participants from the 2009 and 2010 cohorts, the workshop combined lecture, small group and interactive sessions.
On Wednesday, Associate Professor David Perkins shared his expertise on writing literature reviews, before candidates split into groups for targeted sessions on topics ranging from running interviews to descriptive statistics. In project development workshops, participants met with tutors to discuss and solve problems in their own projects. The day concluded with a dinner which provided networking opportunities for the two cohorts.
The Thursday program focused on stages of writing, enhancing recruitment, data collection and comparative statistics. A reflection and feedback session bringing the two groups together concluded the workshop.
Tutors and presenters came from the Australian Rural Health Research Collaboration (ARHRC), the PHC Collaboration, the NSW Health Bio-statistics program as well as graduates and staff from CETI Rural Division. Thank you on behalf of all the candidates to David Lyle, David Perkins, Megan Passey, Raechelle Rubenstein, Frances Boreland, Alistair Merrifield and Rachael O’Brien.
The value of networking and peer support provided by the workshop was a strong theme in feedback from participants, who also provided plenty of ideas for next year’s event.
Workshop brings rural researchers together
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 Will you be working in two or more rural terms this year?
Are you in a CETI network training program?
If you can answer yes to both questions then you may be entitled to apply for a rural scholarship of up to $6,000, depending on your level of training.
The Rural Scholarship Fund supports medical trainees committed to training and providing patient care in rural locations in NSW. Prevocational (PGY1 or 2), basic physician, paediatric physician, emergency medicine, pre-specialist surgical and psychiatry (basic and advanced) trainees can apply.
Applicants must complete a minimum number of regional and/or remote terms in NSW Health facilities in the 2011 clinical year as follows:
Prevocational trainees — 2 terms
Basic trainees — 2 3-month terms
Advanced trainees — a full clinical year.
Eligible trainees receive payments of:
$1500 for prevocational trainees
$5000 for basic trainees
$6000 for advanced trainees.
Applications for the Rural Scholarship Fund close on 15 April.
For more information, follow the links on the CETI website or contact Andrea Ross (02 9844 6530) or Kirsten Campbell (02 9844 6536) at CETI.
CLINICAL EDUCATION& TRAINING INSTITUTE
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The NSW JMO Forum began a new year of work at its first meeting for 2011 on 11 March at the old Gladeville Hospital. Elected representatives from the 15 prevocational training networks in NSW and the ACT were present.
The group discussed the report of the External Review of Prevocational Training (see story, page 1). CETI is acting on the recommendations for improving prevocational training, and the JMO Forum, through its advice to the Prevocational Training Council, will be helping to shape developments.
The Forum redefined its working groups and launched some great projects for the year (see below).
All JMOs should know that they can contact their hospital or network JMO Forum representatives if they have any concerns or good ideas to share regarding their education and training. Check out <www.ceti.nsw.gov.au/jmoforum> for more info and a contact list.
Become an accreditation surveyor The Prevocational Accreditation Committee is always looking for interns and residents to join the accreditation survey teams which check that training hospitals are meeting standards for prevocational education, training and JMO welfare. If you are interested in becoming a surveyor please contact Mathew Smith at CETI ([email protected]). You are paid for a rostered working day and have travel/accommodation expenses covered where necessary. It’s a great way to see what is happening at other hospitals, network with other clinicians and support your colleagues.
Emergency department capacity for interns Rebecca Leon, from the Workforce Development and Innovation Branch of NSW Health, spoke to the JMO Forum about future challenges of education and supervision in EDs in NSW arising from the large volume of graduates coming in and the ongoing shortages and stresses on senior ED staff.
A NSW Health working group will be looking into ways to increase the capacity of emergency departments to provide this core term in a safe and effective manner. JMO Forum representatives will be involved in the working group. If you have any ideas or questions for the working party, please pass them on to your JMO Forum rep.
Acute Care Taskforce: safe clinical handover In 2010 this NSW Health project focused on JMO shift 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. The taskforce will soon be assessing the changes made in handover. JMO Forum reps will be helping with an audit of handover procedures in their hospitals.
The next stage of the Safe Clinical Handover project focuses on handover from hospitals to GPs and vice versa. If you have any comments on handover in your hospital please pass them on.
Education working groupJMO contact: Dr Blake Sandery, [email protected]
The Education group is very excited to get back to work this year, riding high on the success of the unified lecture series last year (see story in cetiscape, December 2010). At the first forum meeting, we outlined a few big, but we hope achievable, projects for the year:
Skills Audit Tool — an online skills log. Having focused on increasing knowledge last year, we felt it would be beneficial to address the improvement of JMO skills this year. The skills audit tool would serve as a personal record where JMOs could keep track of the number and type of procedures they have performed (eg, lumbar punctures, central lines, assisting in theatre), along with any complications or learning points. This would help highlight any areas of improvement needed, and could also be used as a good addition to a resume.
Peer-to-peer teaching. Every JMO has had a different clinical experience, and as such, has developed specific knowledge
JMO Forum: planning another big year
Lucy Cho JMO Forum Chair 2011, PGY2 at Wollongong Hospital (Oceans 11 Training Network) [email protected]
CETI Chief Executive Professor Steven Boyages spoke to the meeting about his vision for work-appropriate technology and the future of medicine.
JMO FORUM
NEW SOUTH WALES
CLINICAL EDUCATION& TRAINING INSTITUTE
cetiscape Issue 4 March 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 6
that other JMOs will not have. It would be fantastic if we could tap into that knowledge, and find an easy way for it to be shared in some form of peer-to-peer teaching. We’re aiming to develop practical ways to help institute peer to peer teaching.
New and improved assessment. Following on from the work of the assessment portfolio last year, and the review of assessment conducted by CETI, we hope to trial some new assessment forms which will provide more valuable feedback on your performance.
If you’re a JMO and have some ideas for any of the above topics, we’d love you to get in contact with the JMO Forum education working group.
Accreditation working group JMO contact: Dr Negin Sedaghat, [email protected]
The accreditation working group will aim to become more familiar with the standards of accreditation for prevocational terms and training facilities. As accreditation is directly concerned with maintaining high standards of training and welfare of prevocational trainees, this working group looks forward to positively contributing, with other key stakeholders, towards refining the standards. The proposed outcome for this year is to develop a representative JMO working paper regarding the current standards which we hope will support a robust accreditation process. The working group will also be reviewing ways and methods of increasing JMO recruitment in the accreditation process.
Information technology working groupJMO contact: Dr Gabriel James, [email protected]
This small but enthusiastic working group has the following aims for the year:
Define available IT resources for JMOs:software being used at hospitals (each AHS/network) popular smartphone apps and websites being used by
JMOs.
Improve use of existing resources: provide handy hints for use of powerchart and similar
toolsdefine basic standards JMOs should expect at their
hospitals (hardware and software), based on surveyscreate 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, networking, rostering, procedure log, etc.
If you’re an IT-savvy JMO or have a helpful app you’d like to share, please get in touch with us.
Pictured left to right: Accreditation working group members Dr Stefan Aveling, Dr Daniel Stewart, Dr James Maung, Dr Cameron Korb-Wells, Dr Louisa Ng and Dr Negin Sedaghat.
Pictured left to right: IT working group members Dr Tom Hughes, Dr Gabriel James and Dr Brenton Sanderson.
Pictured left to right: Education working group members Dr Vik Gupta, Dr Richard Sullivan, Dr Jean-Paul Favero, Dr Blake Sandery, Dr Emily Zammit, Dr Kieren Po, and Dr Elize O’Reilly.
CLINICAL EDUCATION& TRAINING INSTITUTE
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Supervision working groupJMO contact: Dr Rahil Nagpal, [email protected]
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 problems by improving preparation (eg PRINT terms, orientation, buddy systems). If you have 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 groupJMO contact: Dr Nicole Hersch, [email protected]
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 with information on colleges, deadlines, courses and other helpful information. This is a big task and of course more people are welcome to join and help the group, especially anyone with magazine making/IT skills.
Pictured left to right: Careers working group members Dr Usaid Allahwala, Dr Christine Velayuthen, Dr Adi Vyas, Dr Morgan Anslow, Dr Timra Bowerman, Dr Christine Verdon, Dr Juan Dong and Dr Nicole Hersh.
Pictured left to right: Supervision working group members Dr Rahil Nagpal, Dr Jovina Graham, Dr Shehnarz Salinders, Dr Kristelle Day, Dr Russell Thomas, Dr Masum Alam and Dr Peter Chigwidden.
cetiscape is published monthly by email and online: www.ceti.nsw.gov.au/cetiscape
Contributions: cetiscape invites contributions on all aspects of clinical education and training, in particular:
Short news stories: achievements, launches, events. (100 to 300 words, photos and illustrations desirable)
Reviews or editorials commenting upon issues related to health workforce education, training and development (300 to 1000 words, photos and illustrations desirable).
The submission deadline for each issue is the middle of 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. Picture files should be sent at the highest resolution available. Articles submitted to cetiscape are subject to editing (proofs are shown to the authors).
