Baby doctors in Palliative Medicine Helping arrivals deal with departures Dr Frederick Speyer Foundation Year 2 Doctor - North Wales Trust (East) Dr Marlise Poolman Specialist Registrar in Palliative Medicine - North Wales Trust (East) Dr Matthew Makin Consultant in Palliative Medicine - North Wales Trust (East) Nightingale House Hospice Hospis Tŷ’r Eos
Outline • Evidence • Training structure • The Induction and Training Programme • The future
The Foundation Programme • Foundation Programme implemented by MMC in 2005 • Broad-based generic training • 6 x 4 month rotations totalling two years • North Wales NHS Trust (East) has had Foundation Year 1 doctors in Palliative Medicine since conception
Training outline Previous system Year 1 Year 2 Pre-registration House Officer (PRHO) Current System Foundation Programme Senior House Officer (SHO) Year 3 Year 4 Year 5 Year 6 -8 Year 9 Specialist Registrar (Sp. R) Consultant Speciality GP Registrar (St. R) Speciality Registrar (St. R) (GP) (Hospital) GP Consultant GP
Benefits and disadvantages Learning from experienced teachers Highly specialised area Grass roots Isolation Horizontal and vertical transmission of learning Potential skewed view of normality Early exposure to death and dying Psychological burden
What we did - The principles • Developed two-stage education programme – Stage 1: Induction – Stage 2: Training
How it works - Induction • Two-week induction period • No Service provision commitments • Formalised timetable • Topics covered: – – Palliative Medicine Team structure and approach Allied holistic care Clinical Governance Prescribing in Palliative Medicine
Psychological Support Supervisor • Confidential psychological support service away from clinical setting • Psychological issues of Palliative Care • Minimum of 3 structured meetings: – Meeting 1: within induction – Meeting 2: mid-point – Meeting 3: penultimate week
How it works - Training • Seamless continuation • Option for specialist attachment – Pain team – Hospice at Home service – Visit services at North Wales Cancer Treatment Centre, Glan Clwyd Hospital – Oncology Consultant Clinic – Drop-in Clinic at Deeside Hospital – Bereavement services for children (RELEASE) • Audit / Research • Teaching others
The future • Continuous review and revision of programme • Integrated unselected ‘takes’ • Development of research project into junior doctors’ experiences in Palliative Medicine (pre-programme) – Literature Review – Qualitative research – Measuring effectiveness of programme • New posts: – Academic Clinical Fellowship in Palliative Medicine – Academic Foundation Year 1 Doctor in Palliative Medicine – Clinical Senior Lecturer in Palliative Medicine • Collaboration with other trusts for a unified approach
Thank you! Nightingale House Hospice Hospis Tŷ’r Eos
Скачать презентацию Baby doctors in Palliative Medicine Helping arrivals deal
5273826fdd94062669ae5fc66f5c0525.ppt