rural junior doctor and medical student clinical supervision transitionin g to a teaching hospital n.
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Rural junior doctor and medical student Clinical Supervision : transitionin g to a teaching hospital. Professor Amanda Barnard. Aims of the project. Locally focussed and responsive to local needs

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rural junior doctor and medical student clinical supervision transitionin g to a teaching hospital

Rural junior doctor and medical student Clinical Supervision : transitioning to a teaching hospital

Professor Amanda Barnard

aims of the project
Aims of the project
  • Locally focussed and responsive to local needs
  • Develop (based on needs) and deliver rurally based supervisor workshops in SE NSW. Develop capacity in the rapidly increasing roles of rural hospitals as teaching hospitals
  • Target VMO clinicians, CMOs and registrars.
to date
To date
  • Literature review
  • Focus groups- students
  • Interviews – supervising staff
  • Continuing – interviews, on line surveys
  • Workshops (finally) locked in
  • Evaluation
what have we learnt from the literature
What have we learnt ? From the literature
  • Limited, especially in difference rural vs major metropolitan teaching hospitals (e.g. Jelinek/EDs)
  • Most rural focussed on medical students and post grad GP training
  • No validated tool for evaluating clinical supervision from a supervisors perspective
  • Most report multiplicity of roles/confusion re supervision
  • Most conclude “more work needed”
what do our supervisors say
What do our supervisors say?
  • Supervision/teaching nexus
  • Clinical supervision/line management /performance/mentoring
  • Need more knowledge of program requirements
  • Service demands
  • Different ‘structures’ of rural hospital workforce –VMOs, CMOs
  • ‘Isolation’ – is this how its done at the centre?
  • Support and feedback (two way)
  • Tensions around delivery of critical feedback
slide8

Particular needs of supervising junior doctors on rotation“On their own” - autonomy, anxiety, angst and accelerated learningCulture of different hospitalsConscription vs choiceRelationship - vertical integration

supervisees perspectives
Supervisees perspectives
  • Feedback , feedback, feedback
  • Clarification of expectations, responsibilities
  • Teaching is generally excellent
  • Orientation to ‘ culture’
  • Returning is great!