problems to be solved large number of doctors work in public hospital system outside of co-ordinated...
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Problems to be solved
• Large number of doctors work in public hospital system outside of co-ordinated training systemNo regulation of skills capabilityPotential risks to patient safety
• Lack of career pathways for ‘non-specialist’ doctors leads to exit from JMO & CMO roles to ‘locum’ work
• No system to acknowledge, reward or develop new skills for ‘non-specialist’ health professionals in a standardised fashion.
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Hospital Skills Program
• About 1400 NSW doctors working as non-specialist medical staff in hospitalsCMOs, locums, MMOsPrimarily in critical care areas
• Need for skills recognition and/or training emerged through EM training review and locum review
• Aim : systematically develop training & professional recognition for non-specialist medical staff Initially doctors, initially ‘Hospitalist & critical care
CMOsThen mental health, aged care, palliative carebuilds on existing workforceLater can be extended to others
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Hospital Skills Program : Principles• Safe patient care by health professionals
Not in a vocational training program Not attained specialist qualifications
• Ensure capabilities are matched to job requirements, especially for ‘locums’
• Provide a respected career pathway for those who do not seek a specialist career Facilitate doctors remaining in public hospital workforce Reduce expenditure on ‘locums’
• For IMGs ( AMC or AoN) Opportunity to assess & enhance clinical skills
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PGY1 PGY2 PGY3 PGY4 PGY 5 and above
Intern
Specialist
Junior Registrar Senior Registrar Senior Registrar
IMET Allocation process
OR
Hospital Skills Program
Level 2 Level 3 Level 4
OR
Locum
Resident
Specialist Training Program
Hospital Skills Program : a new career path
? Link salaries to capabilities
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Hospital Skills Program
Assurance of capability :Recognise skills ; new learning to increase skills
Record skillsStandardised training CV
Clinical experience, courses completed, skills recognised
Match required skills against job requirementsPosition description eg.ED CMO, to list skills neededEmployer access to IMET held training CV
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Hospital Skills Program : training program
• Skills training to take place largely in the workplace
• State wide HSP training & education committee
Set standards, clearly define single program, RPL
• Area or hospital director of ‘Non-Specialist’ Medical Staff
eg. CMO
AHS boundaries
HSP program co-ordinator
‘Non-specialist’ support officer
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Hospital Skills Program : training program
• Education program
Hands –on ( hospital +/- simulation centre )
Cognitive ( various possible providers)
Certificate of skills recognition ( AHS & IMET, ?
others)
• Role of IMET
Development & consultation
Implementation
Governance & oversight
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Hospital Skills Program : can apply to
• Medical staffCMO / MMO; IMGs – AMC & AoNCasual medical staff (‘locums’)Rural GPsJMOs – ?match with national ‘core curriculum’Medical students
• Senior nurses, including nurse practitioners• ?ambulance officers & paramedics• ?’physician assistant’ or ‘hospitalist’ health care workers
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HSP : way forward
• ConsultationLarge working group & advisory group DoH WLDBGMCT Medical Board –feedback to comeCEC – feedback to comeCEs
• Planning session with all parties• Identify potential funding sources• Start with specific group & tasks, eg CMOs in ED
Later role out to other groups