Implementing Inreach Programme to Bridge Medical Education Gap
Learn about Dr. Kathleen Thompson's implementation of an Inreach programme at BTHFT to address challenges between medical education and the clinical environment. Results from surveys highlight the need for targeted strategies to enhance student and clinical staff experiences, promoting multi-professional learning and reducing teaching burden.
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Presentation Transcript
Hello from the other side: Implementation of an Inreach programme to bridge the gap between medical education and the clinical environment. Dr Kathleen Thompson Senior medical education fellow, BTHFT
Disclosure statement There are no conflicts of interest to declare.
So what? DIVISION BURDEN DISSATISFACTION Stretched clinical colleagues can view teaching as an additional workload burden. Students report feeling unwelcome and excluded. UGME teams are often based away from clinical areas.
At BTHFT We surveyed clinical staff and students in 4 clinical areas at BRI: 26 clinical colleague responses 63 student responses
Responses: 58% clinical colleagues felt uncomfortable balancing clinical duties with teaching responsibilities 65% clinical colleagues did not know who to contact if they had a question or concern regarding students 41% of students felt excluded from ward rounds 37% of students felt clinical staff were not able to give enough time for teaching
Now what? Targeted Inreach programme. Promoting multi-professional learning (Medical students and PA students) Reduce teaching burden for clinical colleagues Interaction between year groups/peer teaching Improve student clinical placement experience Patient focused teaching real pathologies Continuity with teaching and in clinical environment Increase awareness and presence of UGME team in clinical areas Direct towards learning opportunities Tailored teaching for each student
What is Inreach? A medical education fellow allocated to one clinical area. Aim to attend for a whole day, each week. November - May Liaised with consultant prior to going each week which day most suitable, numbers on ward round, any planned local teaching etc.
88% reported the Inreach programme had improved their teaching burden Keep this programme going next year To come to the ward more often Eases the pressure of having to teach on ward round or post ward round if busy. More frequent sessions! Has been much more manageable balancing clinical duties and students. We know where the students are and that they are learning. Saves us time having to chase them. Enabled us to deliver more focused teaching on ward round. Increase the number of sessions
96% reported the Inreach programme had improved their educational experience It was very helpful to practise examinations and interpret test results from real patients. I wish this was available on all placements! Targeted learning approach with specific learning points. Being able to ask questions without feeling like your taking up the doctors time. Having support when the ward is busy. Also gained really useful teaching when the ward was less busy. Great opportunity to practice examinations, histories and skills. One to one support and guidance specific for my learning needs.
Challenges Getting clinical areas onboard with Inreach prior to its implementation. Keeping medical education fellow protected ie not contributing significantly to service provision. Drop in numbers completing the post inreach survey.
Summary Inreach has helped to bridge the gap between medical education and the clinical environment. Contributed to an improved student placement experience. Contributed to a reduction in clinical teaching burden. Next steps more widespread roll out of regular inreach across BTHFT.
References 1. Deakin M. NHS Workforce Shortages and Staff Burnout Are Taking a Toll. BMJ. 2022;377(1):945. doi:https://doi.org/10.1136/bmj.o945 2. Kohler D. NHS staff wellbeing has already been weaponised. BMJ. 2023;381:p1128. doi:https://doi.org/10.1136/bmj.p1128 3. NHS Staff survey 2023: National results across the NHS in England | NHS Staff Survey (nhsstaffsurveys.com) 4. NHS England. NHS England NHS Long Term Workforce Plan. www.england.nhs.uk. Published June 30, 2023. https://www.england.nhs.uk/publication/nhs-long-term-workforce-plan/
