scholarly journals Improving quality of psychiatry training in Northern Ireland through the introduction of postgraduate education fellows

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S127-S127
Author(s):  
Catherine Boucher ◽  
Roisin Connolly ◽  
Michael Doris ◽  
Colin Gorman ◽  
Michael McMorran ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Royal College ◽  
Postgraduate Education ◽  
Training Programme ◽  
Baseline Data ◽  
Pass Rate ◽  
Simulated Patients ◽  
Teaching Programme ◽  
Psychiatry Education ◽  
Starting Point

AimsTo improve postgraduate psychiatry education and training in Northern Ireland.BackgroundHistorically within Northern Ireland there has been a postgraduate Member of the Royal College of Psychiatrists (MRCPsych) teaching programme delivered to core trainees in preparation for MRCPsych examinations. There has been no official teaching programme for higher trainees. Northern Ireland Medical and Dental Training Agency (NIMDTA), in collaboration with the Royal College of Psychiatrists in Northern Ireland and all five Trusts developed the novel idea of introducing Postgraduate Education Fellows, to oversee and improve core training, and to develop a bespoke higher training programme.The Postgraduate Education Fellows met to collate information from various sources in relation to issues within the current teaching programme and address these along with the development of new initiatives. The fellows further act as a point of contact for all trainees within their Trust to provide advice and support with education if needed.MethodOne higher trainee was appointed to the role of Postgraduate Education Fellow in each Trust within the NIMDTA deanery for a term of 1 year.The starting point was delivering the pre-established teaching timetable and gaining feedback from core trainees to identify areas for improvement. The next phase involved piloting traditional and contemporary methods of feedback. A further development was designing a mock paper A delivered under exam conditions. Two mock Clinical Assessment of Skills and Competencies (CASC) exams were organised under exam conditions, offering other trainees the opportunity to act as simulated patients and examiners.The third aspect of this role involved creating a programme of higher trainee seminars. Baseline data were collated and identified key areas that higher trainees felt they needed further training and guidance in.ResultUsing baseline data on the current teaching programme and from higher trainees as well as incorporating quality improvement methodology, we have been making small changes to each aspect of the teaching programme and evaluating the changes made. The feedback from trainees has been positive as evidenced by quantitative and qualitative feedback. 8 candidates sat our first mock CASC with a 100% pass rate in their MRCPsych CASC examination. There has been a positive response to the higher trainee seminar programme.ConclusionThis programme has produced good outcomes to date and sets foundations for the future development of post graduate psychiatry education in Northern Ireland.

scholarly journals Developing a virtual mock casc for trainees

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S158-S158
Author(s):  
Laura Somerville ◽  
Peter McMurray ◽  
Vivian Sing ◽  
Stephanie Campbell ◽  
Meta McGee
Keyword(s):  
Northern Ireland ◽  
Royal College ◽  
Clinical Teaching ◽  
Ease Of Use ◽  
Simulated Patients ◽  
Free Text ◽  
Face To Face ◽  
Qualitative Feedback ◽  
Digital Format ◽  
The Face

AimsThe restrictions experienced due to the COVID-19 pandemic had impacts on how clinical teaching and assessment is conducted. The Royal College of Psychiatrists decided to run the final part of the membership exam, the Clinical Assessment of Skills and Competencies (CASC) online for the first time in September 2020. We aimed to prepare candidates in the Northern Ireland deanery for this by developing a virtual mock examination using the Zoom platform.MethodIn previous years, higher psychiatry trainees in the Northern Ireland deanery have run successful face to face mock examinations to help pre-membership trainees prepare for the CASC. We adapted some of this material to our virtual examination. 16 stations were run in total, in two circuits of eight. These stations were mapped to the Royal College CASC blueprint. Higher trainees were recruited to act as examiners, with core trainees acting as simulated patients. The mock examination was advertised through the local deanery and all candidates sitting in September availed of the opportunity (a total of 8 trainees).Zoom was used as the platform due to ease of use, familiarity and breakout room function. Each station formed one breakout room, and a facilitator moved candidates between rooms and provided timing prompts. Instructions were emailed to candidates in advance.A comfort break was provided between circuits. At the end of the mock examination, everyone was returned to the main room and examiners gave general feedback and tips. Individual feedback was provided by collating mark schemes for each candidate, which included free text feedback, and sending these via email.ResultDespite the evident challenges involved, the mock CASC ran smoothly. There was one minor delay of approximately 3 minutes due to technical difficulties, which was easily recouped. We obtained qualitative feedback from candidates which was positive, with trainees commenting that they felt “more at ease … less worried” about a digital exam, and that it was “efficient and effective”.All candidates who sat the mock examination were successful in the face to face CASC sitting which followed in September.ConclusionWe were able to successfully adapt what was previously an in-person mock CASC exam to the new digital format in a way that reflected how the actual CASC exam will run, and it was considered beneficial preparation by the candidates who sat this mock. This has improved trainee experience at a time when many teaching opportunities have been suspended.

The NACPDE: new opportunities for dentists trained overseas

2009 ◽  
Vol 91 (8) ◽  
pp. 283-283 ◽  
Author(s):  
Margaret Wilson
Keyword(s):  
Royal College ◽  
Clinical Training ◽  
Dental Education ◽  
Postgraduate Education ◽  
Dental Surgery ◽  
Department Of Health ◽  
The World ◽  
The Uk

The National Advice Centre for Postgraduate Dental Education (NACPDE) was founded in 1978 and is based in the Faculty of Dental Surgery of The Royal College of Surgeons of England and funded by the Department of Health. The UK has traditionally played an important part in providing clinical training and postgraduate education for dentists from all parts of the world. But it is equally important to recognise the contribution oversea-strained dentists have made to the NHS.

scholarly journals THE TROUBLES WITH A LOWER CASE t: UNDERGRADUATES AND BELFAST'S DIFFICULT HISTORY

2018 ◽  
Vol 28 ◽  
pp. 219-239 ◽  
Author(s):  
Sean O'Connell
Keyword(s):  
Northern Ireland ◽  
Oral History ◽  
Social History ◽  
Undergraduate Students ◽  
Historical Evidence ◽  
The Troubles ◽  
Lower Case ◽  
Starting Point ◽  
Post War

ABSTRACTThis paper explores the risks and rewards involved in directing undergraduate students engaged on an oral history project in Belfast. It advocates the role of oral history as a tool through which to encourage students’ engagement with research-led teaching to produce reflective assignments on the nature of historical evidence, particularly autobiographical memory. The particular challenges of conducting oral history in a city beset by ethno-sectarian divisions are discussed. This factor has ensured that the historiography of Belfast has focused extensively on conflict and violence. The city's social history is poorly understood, but employing oral history enables the exploration of issues that take undergraduate historians beyond the Troubles as a starting point. This project probed what is called the troubles with a lower case t, via an analysis of deindustrialisation and urban redevelopment in Sailortown (Belfast's dockland district). It provided evidence with which to offer a new assessment on existing historiographical discussions about working-class nostalgic memory and urban social change, one that supports those scholars that problematize attempts to categorise such memory. The testimony also differed in significant ways from previous oral history research on post-war Northern Ireland.

scholarly journals Strength in unity: the power of redesign to align the hospital team

2014 ◽  
Vol 38 (3) ◽  
pp. 271 ◽  
Author(s):  
Anthony Bell ◽  
Alastair Cochrane ◽  
Sally Courtice ◽  
Kathy Flanigan ◽  
Mandeep Mathur ◽  
...  
Keyword(s):  
Resistance To Change ◽  
Hospital Staff ◽  
Baseline Data ◽  
Clinical Group ◽  
Efficient Manner ◽  
Patient Journey ◽  
Communication Plan ◽  
Inpatient Episode ◽  
Starting Point ◽  
Hospital Team

Objective The aim of Queen Elizabeth II Jubilee Hospital (QEII) redesign project (QEII United) was to enhance timely access to an inpatient bed and maximise opportunities to value add during the inpatient episode of care. Methods A tripartite relationship between the hospital team, system manager and external consultants. The team, QEII United, was formed to ‘diagnose, solve and implement’ change under the unifying metaphorical banner of a football team. A marketing strategy and communication plan targeted the key ‘players’ and outlined the ‘game plan’. Baseline data were collected, analysed and reported in keeping with key aims. Strategies for systems improvement implementation were attached to key performance indicators (KPIs). Results Thematic KPIs were developed to embed internal process change to reflect the contributions made towards the National Emergency Access Target (NEAT) at each stage of the patient journey. As such, access block of under 20%, morning discharge rates of 50% before midday, reduced length of stay for selected elective orthopaedic and general medical diagnostic related groupings (DRGs; i.e. relative stay index ≤1) and hospital in the home (HITH) utilisation rates 1.5% of all admissions were all met. Key to sustainability was the transfer of clinical redesign skills to hospital staff and the fostering of emergent ground up leadership. Conclusions QEII United’s success has been underpinned by the development of themed solution areas developed by the hospital staff themselves. Robust baseline data analysis used in combination with nationally available benchmarking data provided a quantitative starting point for the work. The collaborative elements of the program re-energised the hospital team, who were kept informed by targeted communications, to establish quick wins and build trust and momentum for the more challenging areas. What is known about the topic? Clinical redesign is now commonly used to understand, define and improve those clinical processes that underpin the patient journey across the continuum of care. Different industry models exist and have been extended for use in healthcare settings to involve, engage and educate staff with the primary focus of providing the best possible patient care, in an effective and efficient manner. What does this paper add? The clinical redesign process outlined in this paper is instructive in its use of the metaphorical team. Team philosophy, composition and functionality was built up using the vernacular of a football competition. In this way, organisational learning and capability building occurred within empowered local action teams, across the ‘season’ to effect changes at all points of the patient journey. What are the implications for practitioners? The implications for practitioners are to fully understand the breadth of issues before deciding upon focus areas for improvement. Resistance to change is inevitable and there are a number of ways to mitigate this and create a sense of purpose within the broader clinical group by structuring teams across traditional reporting lines. Collaboration is crucial in keeping lines of communication open and the use of data and patient feedback is very instructive.

scholarly journals A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING PROGRAMME ON THE LEVEL OF KNOWLEDGE REGARDING CARDIOPULMONARY RESUSCITATION AMONG B.SC NURSING IIIRD YEAR STUDENTS AT SHRI GURU RAM RAI UNIVERSITY, COLLEGE OF NURSING, DEHRADUN

2021 ◽  
Vol 9 (11) ◽  
pp. 391-393
Author(s):  
Arpana Acharya ◽  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Training Programme ◽  
Educational Training ◽  
Teaching Programme ◽  
Video Assisted ◽  
University College ◽  
Level Of Knowledge ◽  
College Of Nursing

Problem statement: A study to assess the effectiveness of video assisted teaching programme on the level of knowledge regarding cardiopulmonary resuscitation among B.Sc Nursing IIIrd year students at Shri Guru Ram Rai University, College of Nursing, Dehradun. Objectives: 1. To assess the knowledge regarding cardiopulmonary resuscitation among BSc Nursing 3rd year. 2. To evaluate the effectiveness of video assisted teaching program on the level of knowledge regarding Cardio pulmonary resuscitation. 3. To find out the association between the demographic variables and on the level of knowledge regarding Cardiopulmonary resuscitation. Methodology: The nature of the study was quantitative approach. The research design used for this study was pre-experimental i.e. one group pre-test and post –test research design. The present study attempts to evaluate the effectiveness of video assisted teaching programme on the level of knowledge regarding cardiopulmonary resuscitation among BSc Nursing IIIrd year at selected Shri Guru Ram Rai University, College of Nursing, Dehradun. Non –probability sampling technique i.e purposive sampling technique was used in this study. This study included 65 BSc Nursing IIIrd year students and their level of knowledge was assessed by using self-structured questionnaire. Video assisted teaching programme was implemented through google meet and PowerPoint presentation and post –test was conducted after 7 days by using same questionnaire. The effectiveness of video assisted teaching programme was evaluated by comparing the level of knowledge score in pre-test and post –test by using descriptive and inferential statistics. Results 1. Majority (84.6%) of the respondents were from the age group of 19-21years. 2. Based on gender, 93.8% of the respondents were females. 3. Majority (70.8%) has previous knowledge on CPR. 4. Majority (86.2%) has not undergone through any educational training programme on CPR. 5. The post –test mean percentage knowledge score (81.5%) was found higher when compared with pre-test mean percentage knowledge score (46.3%). 6. The statistical paired t test indicates that enhancement in the mean knowledge scores found to be significant at 0.000 level for all the aspects under study this shows that video assisted teaching programme was effective in increasing level of knowledge of students regarding cardiopulmonary resuscitation. 7. The association between mean percentage knowledge score and demographic variables were computed by using chi – square test. 8. There was no association between age, gender, previous knowledge on CPR and whether they have undergone through any educational training programme on CPR Conclusion: The results revealed that mean knowledge score percentage in post –test is higher than the mean knowledge score percentage in pre-test. Overall findings shows that there was knowledge deficit among students regarding cardiopulmonary resuscitation and video assisted teaching programme was effective in improving their level of knowledge.

534 ADVANCED COMMUNICATION SKILLS: TEACHING DURING A PANDEMIC

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii1-ii4
Author(s):  
A Pedersen ◽  
M Greenhalgh ◽  
M Tan ◽  
R Terry ◽  
C Royle ◽  
...  
Keyword(s):  
Communication Skills ◽  
Cost Effective ◽  
Bad News ◽  
Simulated Patients ◽  
Point Scale ◽  
Skill Levels ◽  
Teaching Programme ◽  
Telephone Surveys ◽  
New Challenges ◽  
Eol Care

Abstract Introduction In the first wave of the COVID-19 pandemic, it was recognised there would be an increased demand on clinicians to provide patients and relatives with bad news. The national ban on hospital visiting rapidly changed the way in which this news would be delivered. In recognition of these new challenges, our team sought to design a teaching course that could be implemented quickly and cost effectively, with the aim of improving clinician’s confidence around these difficult skills. Methods A teaching programme was created using senior geriatric and palliative care clinicians as simulated patients, open to any grade and speciality. Learners were required to break bad news (BBN) without any visual feedback, to simulate skills required when using the telephone. Surveys were collected to determine self–assessed confidence across four domains (Table 1) before, immediately after and 4–20 weeks after the course. Participants were asked to rank their confidence for each skill on a 5 point scale with 1 being very unsure and 5 being very confident. Results Pre-teaching scores showed an average of 3 (neither confident nor unsure) across all domains. After the course all domains improved, most notably around discussing end of life (EoL) care and discussing information over the phone. Conclusion This project has highlighted a lack of confidence across all skill levels when it comes to BBN. This confidence is easily improved by a short, cost-effective teaching course. It remains to be seen if this improved confidence translates to better communication with relatives.

scholarly journals Prevalence of brucellosis in ruminants in Bangladesh

2011 ◽  
Vol 56 (No. 8) ◽  
pp. 379-385 ◽  
Author(s):  
MS Rahman ◽  
MO Faruk ◽  
M. Her ◽  
JY Kim ◽  
SI Kang ◽  
...  
Keyword(s):  
Baseline Data ◽  
Sheep And Goats ◽  
Livestock Species ◽  
Starting Point ◽  
Sera Samples ◽  
Epidemiological Information ◽  
Structured Questionnaire

The prevalence of brucellosis was determined in the ruminants (buffaloes, cattle, sheep and goats) of five different districts viz. Bagerhat, Bogra, Gaibangha, Mymensingh and Sirajgonj of Bangladesh. A total of 550 sera samples of 105 buffaloes, 188 cattle, 127 goats and 130 sheep were screened by RBT and were further confirmed with I-ELISA. A structured questionnaire was used to collect epidemiological information on the animals. The overall serological prevalence derived from the samples was 2.87% in buffaloes, 2.66% in cattle, 3.15% in goats, and 2.31% in sheep. The prevalence was relatively higher in females than that in males in cattle, goats and sheep but, an insignificantly higher prevalence was observed in males than that in females in the case of buffalo. A significant association was found between abortion or age and occurrence of brucellosis (P < 0.01). The results of the study provide (a) a comparison of the prevalence of brucellosis in different livestock species in Bangladesh, (b) constitute baseline data for further study of Brucella infections, and (c) are a starting point for the control of brucellosis.

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