TEL2014 eLearning and Clinical Simulation Conference presentation slides

1. Clinical Scenario E-induction for
trainees working in Mental Health
settings

2. • Where are we now in 2014?
• Why did we do it?
• How did we get there?
• What do the trainees think?
• What do we need to do going forward?
Summary

3. Where are we now in 2014?
• Clinical Scenario based e-induction
programme for all new trainees starting a
post in Mental Health setting
• Being used in Berkshire Healthcare and
Oxfordhealth Foundation Trusts
• For FY, GPVTS and core trainees but also
helpful for advanced trainees in psychiatry

7. Why did we do it?
• 2012 £10K available for trust induction projects. We
negotiated with Dynamic for a bespoke BHFT e-
induction & held focus groups with traineess
• Trainee feedback from local induction identified a need
to give more clinically based information from day 1
• Later 2012 Thames valley funded clinical e-induction
project focussing on FY in acute trusts
• We volunteered to work with Dynamic to develop a MH
scenario based induction for trainees. Funding support.

8. • Relevant to working in psychiatry
• Engaging and a tool for learning
• Time efficient… maximum impact
• Accessible
• Generic but with ability to link to local
information, policies and processes
What we needed it to be:

9. • Key information given
• Practiced decision making and application
knowledge
• Help trainee consider how they might
manage similar situations
• Improved confidence at start of new post
What were the intended learning
outcomes?:

10. • Asked all the trainees to answer… “ I
wish I had known that when I started?”
• Identified list of common clinical
challenges for trainees new to
psychiatry
How did we do it?

11. • Decided on 5 cases that illustrated as
many of the list of clinical challenges as
possible
• Sense checked this with DME for
neighbouring MH trust
How did we do it?

12. Trainees volunteered to join DME in
scenario script writing for the 5 cases
using templates
How did we do it?

13. • Handover between shifts
• Opportunity to emphasize importance of
handover
How to introduce the cases?

16. • Key questions to ask at stages in
scenario that reflected decision making
• Scripted Correct & incorrect answers
• Explanations for both
How to explore decision
making?

19. • Identified the important trust guidance
and policies relevant to induction
• Linked them with scripted scenarios
• Made them easily available
How to deliver key information

23. • Still photography
• Props for every scene
• Rooms for filming
• Suitable role playing actors for cases
• Volunteer role players from trust
How did we make it look
realistic.. and engaging?

30. • Checking and
checking again
• Clinical colleagues
• Impending changes?
• Clarify policies
• Write new guidance if
needed
How did we get it right?

40. Feb
2012
Feb 2013
More funding
• More ideas
• More
excitement
April 2013
• Script writing
• Policy chasing
• Actors
• Rooms
• Props
June 2013
Prospect
Park
Hospital
Aug
2013
First
Viewing
Nov 2013
Local BHFT
induction &
Clinical
induction
uploaded to
learning
platform
Teething
problems….
May 2014
Feedback

41. • 100% rated as excellent to good
• “relevant”,” excellent presentation,
useful in practice as learning points
clear and easy to pick up in this format”.
“Engaging presentation”
• “Best online learning experience I have
had so far”.
Feedback

42. • Consider funding for additional
scenarios
• Update policies and guidance as
needed
• Consider how to clarify access more
easily
• Double check hyperlinks
Going forward

43. • Where are we now in 2014?
• Why did we do it?
• How did we get there?
• What do the trainees think?
• What do we need to do going forward?
Summary

44. • Caroline Neale
• Jackie Smith
• Mark Parry
• David Mc Donald
• Lisa Johnson & Dynamic
• Andrea Butler
• Matt Lowe
• Andrew West
• Naseem Ahklaq
• Abi Taylor
• Joanne McConnell
• Darren Bailey
• Sharada Deepak
• Trevor Langrish
• Nursing staff PPH
• BHFT Drs in training
• Sarah Manning
• Joy Williams
• Tamsin Heatley & cast
• Peter Sargent
Acknowledgements