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Placement year feedback from students placed 2007/08 PowerPoint PPT Presentation


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Dr Gary Farrell. Placement year feedback from students placed 2007/08. Overview. Course changes Student integration Sharing best practice Deviation from BSA procedures Variation in service provision/structure Student projects Student comments Student projects Unusual student experiences

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Placement year feedback from students placed 2007/08

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Dr gary farrell

Dr Gary Farrell

Placement year feedbackfrom students placed 2007/08


Overview

Overview

  • Course changes

  • Student integration

  • Sharing best practice

  • Deviation from BSA procedures

  • Variation in service provision/structure

  • Student projects

  • Student comments

  • Student projects

  • Unusual student experiences

  • Accreditation –service feedback and curriculum input


Course changes

Course changes

  • Nothing major last year

  • Proposed

    • Analogue aids – less

    • Digital aid programme and modification – more

    • Occulomotor testing – less

    • Communication skills and dealing with difficult/challenging patients

    • Aurical audiometry?

    • Effective masking?

  • What else is missing – curriculum review later


Student integration 1

Student integration 1

  • Talk from year 3 student really useful

  • We expect contact from the student even a visit to you prior to placement

  • All students re-familiarise themselves with BSA recommended procedures prior to starting

  • A welcome pack with basic information is very useful to the student

  • Location of clinic protocols is also useful

  • Induction –earlier the better

    • Manual Handling?

      • Disabled, Dix-Hallpike, elderly frail – balance testing

    • 2nd Induction – how different – can it be tailored?


Student integration 2

Student integration 2

  • Time at start to re-familiarise themselves with Practice Navigator/Auditbase and the aids used in the department – less so on second placement

    • We teach Auditbase and Spirit aids

  • Shadowing other staff was excellent ToD, HT, speech therapist ENT doctor etc

  • Visit to ENT surgery – great but not for the squeamish

  • They enjoy being part of the team

    • Journal clubs

    • Staff lunches

    • Staff meetings

    • Staff socials

    • Xmas party etc


Sharing best practice

Sharing best practice

  • Most students see two different departments and compare and contrast

  • Courtesy telephone calls to reduce DNA rates

  • Effective timetabling of slots – admin staff induction into type of slot i.e. re-tube or re-assess

  • Noisy busy waiting rooms not a good first impression for hearing impaired

  • A tidy workplace is an efficient workplace

  • Quality of rooms and privacy of patients in shared rooms – ie storeroom in a patient interview room


Deviation from bsa procedures or best practice

Deviation from BSA procedures or best practice

  • Some testing carried out in non-soundproof booths

  • Not using otostop for impressions and also undertaken when excessive wax and infection?

  • Doing open fit in last 5 mins of appointment without complete verification due to time constraints

  • Free field warble tones used on 4 year old when can possibly use headphones

  • NAL NL1 or DSL i/o – which is best for kids and why – YOU decide

  • Fully masked PTA in 5 mins!

  • Paediatricians cleanliness – a lot to be desired and lack of communication (hand washing)


Variation in service provision

Variation in service provision

  • Routinely testing 3 and 6 kHz in PTA

  • Variable use of GHAB

  • REMs – when used and justification

  • REMs used for open fit?

  • Just fitting unilateral hearing aids – no option for patient to have bilateral aids

  • High proportion of click fits in a number of departments – is this the future or convenient

  • Management structure and style variable – this is good


Variations from the students point

Variations from the students point

  • Students are not an imposition they are an asset

  • Students should not be talked down to in front of patients

  • Some departments could do with a lick of paint

  • Protocols varied and some out of date

    • “Clinical guidelines reduce unacceptable or undesirable variations in practice and provide a focus for discussion among health professions”

  • Availability of mentor and Head of Department

  • Time to enter or discuss logbook entries and achievements

  • 2nd placement – they are ready to go from the start


Student comments

Student comments

  • Overlap with inductions

  • Open door policy very useful

  • Cover at outstations not as good as central location

  • Lack of panic buttons

  • Whistleblowing policy

  • Support from University and tension!

  • Being with another student is much more settling – a buddy


Student projects

Student projects

  • Designing leaflets, poster displays or patient information sheets

  • Equipment operating instructions

  • Academic talk to staff or patient interest groups, audit guidelines, protocols and protocol updates

  • Essay on BAHAs, localisation (unilateral or bilateral aids), open fits, VEMPs, earmould modifications etc

  • Talk in a village Hall

  • Talk to Journal Club


Unusual student experiences comments

Unusual student experiences comments

  • Brighton Bells

  • Nurse arrested for child molestation

  • Arson attack and break in next door

  • “Do hospitals normally have shootings”

  • “Does audiometry affect pacemakers”

  • Dementia patients are a real challenge

  • I had to counsel the patients wife as she was more frustrated

  • The letters to PALS really show patient appreciation

  • What is CHARGE syndrome

  • Finding a mastoid cavity not spotted by the audiologis

  • Patient falling asleep during REMs

  • Kids love bubbles

  • Looking for toys in childrens ears – transformers and potatoes?

  • Testing the King of Tonga’s hearing


Accreditation and curriculum

Accreditation and curriculum

  • 5 year accreditation

  • 2 advocates

    • Student experience

    • Improvements over the years

    • Changes required

  • Curriculum development

    • Analogue aids – less

    • Digital aid programme and modification – more

    • Occulomotor testing – less

    • Communication skills and dealing with difficult/challenging patients

    • Aurical audiometry?

    • Effective masking?


Final comment

Final comment

  • When they come back from their placement year they are buzzing with confidence and enthusiasm.

  • They have matured and are more engaging and certainly have more clinical knowledge

  • That is primarily up to you and your staff

  • Thank you from us all


Contact details

Contact details

  • Dr Gary Farrell - Room 4087 ISVR

  • Tel 023 80594942

  • E:mail [email protected]


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