That is the case for most protocols. Many believe they are the norm everywhere, and yet most places have very different policies. This is challenging for agency nurses. Until March 31 2017 50% of Nurses worked for an agency
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Yup. Sharing learning from complaints and mistakes is one of the best tools we have for education. But the short duration of junior doctor placements is a challenge, particularly in “generalist” specialties.
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With juniors spending as little as 3 or 4 months in Emergency Medicine or Paeds, where the range of casemix is huge and the potential pitfalls are many, it is hard to cover everything early on, which is when it is needed.
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Solutions are either: 1)having enough cover/slack in the system to allow them to actually have several days of “classroom induction” before they start seeing patients, which requires having enough seniors or other clinicians to a) deliver that training and b) cover the shop floor
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Considering that the consequences of an error in medicine are so extreme, we really do seem to run everything on a shoestring sometimes. Hard to imagine anything more important to properly fund.
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It is worse than this all suggests. Once being oncall, study days and holidays the trainees are with ward team about 40-45% of time. I will be away some of this time. Also my timetable has only some of time on ward. So direct contact for passing on experience limited
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And they wonder why negligence claims have gone through the roof? I'm not surprised. We should be putting the money into this, rather than paying far more out later for failing to do so. Ridiculous!
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There is more classroom teaching than before, but education/supervision needs to be taken more seriously. Job plans for seniors need to have genuine time for supervision. It is suggested 1 hr per trainee per week for 1 to 1 supervision (this is in addition to on the job/ward)
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Interesting, thank you Mark. Classroom time is important in any subject, but even patients realise passing your driving theory test doesn't mean you can drive. That particular transition to reality comes with L plates and a qualified driver at all times for a reason. It matters.
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The obvious pitfalls are communicated. However seniors have a wealth of experience that can be passed on, but it takes time. Time that isn’t sufficiently built in
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