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STUDENT ASSISTANTSHIPS (SAs) Academic Year 2011/2012. Professor Michael A Horan – Year 5 Lead Manchester Medical School Dr Marie Hanley – Year 5 Lead MRI Louise Turner – Year 5 Co-ordinator MRI. ORIGINS of SAs. Requirement of GMC Tomorrow ’ s Doctors 2009 (TD 2009) Supplementary Guidance

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Student assistantships sas academic year 2011 2012

STUDENT ASSISTANTSHIPS (SAs)Academic Year 2011/2012

Professor Michael A Horan – Year 5 Lead Manchester Medical School

Dr Marie Hanley – Year 5 Lead MRI

Louise Turner – Year 5 Co-ordinator MRI


Origins of sas
ORIGINS of SAs

  • Requirement of GMC

    • Tomorrow’s Doctors 2009 (TD 2009)

    • Supplementary Guidance

  • Curriculum mapped to TD 2009

  • Required in Academic Year 2011/2012

  • Pilot of SAs occurred in Academic Year 2010/2011 at all base hospitals


‘In the final year, students must use practical and clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’


Sa duties
SA Duties clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

Student assistants should:

  • Be fully integrated within a clinical team

  • Be on the rota for that team

  • Have a defined role with defined responsibilities within the team

  • Participate in activities similar to those of a newly qualified doctor wherever possible subject to patient safety and consent and legal requirements

    (Supplementary Guidance, para. 77)


Sa tasks
SA Tasks clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

(a) Clerking patients so that their notes, although checked by a doctor, can form the basis of the patient record

(b) Carrying out practical procedures on real patients under supervision. These could include procedures from the list of practical procedures listed in Appendix 1 of Tomorrow’s Doctors (2009)

(c) Managing acute patients under supervision

(d) Prioritising patients and tasks


(e) clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’Working shifts and out of hours

(f) Managing patient paperwork under supervision

(g) Making recommendations for the prescription of drugs to real patients. This could take the form of producing duplicate ‘dummy’ prescriptions on which the student is given feedback from a registered doctor or pharmacist

(Supplementary Guidance Para. 78)


Sa learning outcomes
SA Learning Outcomes clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

(a)  Develop complex communication skills, for example breaking bad news

(b)  Learn how to priorise a complex workload

(c) Learn how tounderstand and apply legal and ethical considerations

(d)  Develop an understanding of the operation of the NHS

(e)  Improve and develop their knowledge of prescribing


Supervision
Supervision clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

Medical students must:

  • Be supervised by a fully registered doctor

  • The supervising doctor may determine that an F1 doctor can oversee the student in certain contexts but the responsibility for the student and their supervision ultimately remains with the supervising doctor

  • Overall responsibility for supervising medical students be undertaken by the consultant or consultants to whom the student is attached


Levels of supervision
Levels of Supervision clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

Consultant “Supervisor” – overall responsibility for the student and completes end of placement form

Immediate “Coach” – middle grade staff who provide day to day supervision

FY1 or 2 “Observer” – the person whose rota the student will follow


Key features
Key Features clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

All students will experience:

  • One SA of four weeks duration

  • Most in blocks 5-8 (February – May)

    • EO Students in blocks 1-4, in Base Hospitals (September – December)

  • Any SA induction/governance requirements in week 1

  • Student allowed to attend half day per week education/training time (may be at Base Hospital)

  • Assessment through Portfolio (Supervisor Forms A and B replaced by Student Assistantship Placement & Feedback record)

    • Feedback is a critical component and should be explicit

  • QA by placement form and on-site inspections (weeks 2 and 3) and student feedback

  • Students can fail to graduate because of an unsatisfactory SA

  • While on a SA placement, the requirements of the placement take precedence over all other activities other than a QA visit


Students must not
Students Must Not: clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • Prescribe medicines

  • Sign any statutory forms (e.g. MCCD, Cremation, Sickness leave)

  • Perform invasive procedures (e.g. chest drain, liver biopsy, central venous cannulation)

  • Record written consent


Supervisors must
Supervisors must: clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • Induct the student assistants to the ward

  • Introduce the students to the named coach and observer

  • Meet with the students regularly throughout the placement to ensure they are meeting their objectives

  • Ensure that the student is following the rota of the FY1 and that they complete at least 2 acute “on takes”

  • Validate the completed SA form which is the students responsibility to complete and submit on MedLea


Students must
Students Must: clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • Report any problems on SA placements, as soon as they arise to their supervisor and to Louise Turner

  • Ensure they can perform all practical procedures listed in TD 2009

  • Meet WBA (work based assessment) requirements e.g. U-PSAs, U-CEXs, U-CMDs

  • Adhere to Faculty Dress Code

  • Engage fully in the activities of the “firm”

  • Complete the Student Assistantship Placement & Feedback from week 1 of the placement and the final version be submitted within 1 week of the end of the placement

  • Record and reflect on feedback

  • Complete a minimum of two “acute takes”


Placement feedback record
Placement & Feedback record clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • Must be completed from week 1

  • Describes the location and content of the placement

    • Includes work plan and on-call requirements

  • Records the names of supervisor(s), coach(es) and observers

  • Requires a record of what is actually done during the SA placement

  • Records any and all time “off-placement”

  • Requires a record of feedback received

    • And the plans made in the light of such feedback


The form will be clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

submitted under

the student and

supervisor name

on MedLea

As the

Supervisor you

will be

signing the form

off for Technical

compliance only


The form is 9 pages long in clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

total and a Medical School

member of staff will have the

final sign off


Quality assurance
Quality Assurance clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • Will be assessed as part of the placement form

  • A proportion of SAs will have a QA visit

    • Usually in week 2 of the placement

    • 2 assessors (1 from QA team, 1 from Phase 3 team)

    • This visit will last 30 – 60 minutes

    • Visit to include meeting a patient

    • It takes precedence over all other activities


Quality assurance section on the placement form
Quality Assurance Section on the Placement Form clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’


Placement feedback
Placement Feedback clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

  • We will be asking students to complete an end of block feedback form as we do for all blocks and we did in the pilot 2010/11

  • It is also assessed through the placement form:


Feedback from the pilot
Feedback from the Pilot clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

From the 49 people who took part in the pilot at the MRI:

  • 98% said that it has increased their readiness for FY1

    • 2% felt ready for FY1 when they started their placement and therefore their readiness couldn't be improved

  • “You learn things about the job that only come with experience and not from books.”

  • “I felt that this is the best placement that I have ever had … My FY1/FY2 were very enthusiastic and supportive I cannot thank them enough.”

  • “Excellent preparation. FY1s allowed us to be part of the team and 'act' as Foundation doctors - without ever letting us feel out of our depth.”


Additional information: clinical skills, rehearsing their eventual responsibilities as an F1 doctor. This should take the form of one or more Student Assistantships in which a student, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor’

MedLea:

https://www.medlea.manchester.ac.uk/files/year5/studentassistantships/

MRI Undergraduate Website:

http://www.cmft.nhs.uk/undergrad/tutorarea.asp.html

Tomorrow’s Doctors:

http://www.gmc-uk.org/education/undergraduate/tomorrows_doctors_2009.asp

Thank you for your time.

Any questions?


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