wsoa quality reports gmc trainee survey 2013 & epefs d maloney
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WSOA
Quality Reports GMC Trainee Survey 2013 & EPEFs
D Maloney
GMC Trainee report
• http://www.gmc-uk.org/education/national_summary_reports.asp
• Outlier reports
Vs• Indicator reports
Vs
• ARCP/ RITA outcome
Doctors in training overall satisfaction in different post specialty – Wales
Number 2013
Average 2013
Number2012
Average 2012
GP 198 90.1 190 88.9
Pathology 19 89.3 21 89.3
Radiology 51 87.4 58 84.3
Public Health 5 86.4 8 81.5
Paeds & CH 215 84.8 212 83.2
Anaesthetics 245 84.6 249 85.4
Surgery 403 78.7 441 76.5
WSOA Satisfaction - 2012
WSOA Satisfaction – Since 2007
Outlier reports i.e. RAG
Cumulative RAG Indicators
Trust / Board Site
Den
om
inato
r
Overall S
atisfaction
Clin
ical Su
pervisio
n
Han
do
ver
Ind
uctio
n
Ad
equ
ate Exp
erience
Wo
rk Lo
ad
Ed
ucatio
nal S
up
ervision
Access to
Ed
ucatio
nal R
esou
rces
Feed
back
Lo
cal Teach
ing
Reg
ion
al Teach
ing
Stu
dy L
eave
Abertawe Bro Morgannwg University
Lhb
Morriston Hospital 33
Princess of Wales Hospital 12
Aneurin Bevan LhbNevill Hall Hospital 14
Royal Gwent Hospital 29
Betsi Cadwaladr University Lhb
Wrexham Maelor Hospital 12
Ysbyty Glan Clwyd 10
Ysbyty Gwynedd 10
Cardiff & Vale University Lhb
University Hospital of Wales 65
Cwm Taf LhbPrince Charles Hospital Site 6
The Royal Glamorgan Hospital 12
Hywel Dda Lhb West Wales General Hospital 8
Programme Group
Trust / Board
Site
Den
om
inato
r
Overall S
atisfaction
Clin
ical Su
pervisio
n
Han
do
ver
Ind
uctio
n
Ad
equ
ate Exp
erience
Wo
rk Lo
ad
Ed
ucatio
nal S
up
ervision
Access to
Ed
ucatio
nal R
esou
rces
Feed
back
Lo
cal Teach
ing
Reg
ion
al Teach
ing
Stu
dy L
eave
Specialty A
naesthetics
Abertawe Bro Morgannwg University Lhb
Morriston Hospital 18
Princess of Wales Hospital 4
Aneurin Bevan Lhb Royal Gwent Hospital 13
Betsi Cadwaladr University Lhb
Wrexham Maelor Hospital 5
Ysbyty Glan Clwyd 4
Ysbyty Gwynedd 5
Cardiff & Vale University Lhb
University Hospital of Wales 55
Cwm Taf Lhb The Royal Glamorgan Hospital 5
Hywel Dda Lhb West Wales General Hospital 3
Core A
naesthetics
Abertawe Bro Morgannwg University Lhb
Morriston Hospital 11
Princess of Wales Hospital 8
Aneurin Bevan LhbNevill Hall Hospital 10
Royal Gwent Hospital 13
Betsi Cadwaladr University Lhb
Wrexham Maelor Hospital 5
Ysbyty Glan Clwyd 5
Ysbyty Gwynedd 3
Cardiff & Vale University Lhb
University Hospital of Wales 6
Cwm Taf LhbPrince Charles Hospital Site 3
The Royal Glamorgan Hospital 9
Hywel Dda Lhb West Wales General Hospital 3
Abertawe Bro Morg
Aneurin Bevan
Betsi
Cardiff & Vale
Cwm Taf
Hwyel Dda
'Induction' indicator
• Did you get all the information you needed about your workplace when you started working in this post?
• Did someone explain your role and responsibilities in your unit or department at the start of this process?
• How would you rate the quality of induction in this post? (This refers to your induction to the organisation in which you worked.)
• Did you sit down with your educational supervisor and discuss your educational objectives for this post?
Welsh School 2012 -13
N.B. WSoA only has induction days for CT1& ST3
‘Educational Supervision’ indicator
• Did you have a designated educational supervisor (the person responsible for your appraisal) in this post?
• In this post did you have a training/learning agreement with your educational supervisor, setting out your respective responsibilities?
• In this post did you use a learning portfolio? • In this post were you told who to talk to in
confidence if you had concerns, personal or educational?
Educational Supervision
Educational Supervision
'Feedback' indicator
• How often did you have informal feedback from a senior clinician on how you were doing in this post?
• Did you have a formal meeting with your educational supervisor to talk about your progress in this post?
• Did you have a formal assessment of your performance in the workplace in this post?
Feedback
'Clinical supervision' indicator
• How would you rate the quality of clinical supervision in this post?
• In this post did you always know who was providing your clinical supervision when you were working?
• In this post how often, if ever, were you clinically supervised by someone who you felt wasn’t competent to do so?
• In this post how often did you feel forced to cope with clinical problems beyond your competence or experience?
• In this post how often have you been expected to obtain consent for procedures where you feel you do not understand the proposed interventions and its risks?
Welsh School – Clinical Supervision
Welsh School – Clinical Supervision
Adequate experience
• How would you rate the practical experience you were receiving in this post?
• How confident are you that this post will help you acquire the competencies you needed at that particular stage of your training?
Adequate Experience
'Local teaching' indicator
• How would you rate the quality of this local/departmental teaching for this post?
• For how many hours per week was the local/departmental basis specialty-specific teaching provided in this post?
• When attending these local/departmental sessions, in this post, how often did you have to leave a teaching session to answer a clinical call?
• In this post who provided the local/departmental teaching?
Welsh School – Local Teaching
‘Workload’ Indicator
• •How would you rate the intensity of your work, by day in this post?
• •How would you rate the intensity of your work, by night in this post?
• •In this post, how often have you worked beyond your rostered hours?
• •In this post, how often did your working pattern leave you feeling short of sleep when at work?
'Regional teaching' indicator
• In this post, was specialty-specific teaching provided on a deanery/regional/school wide basis?
• In this post how frequently was this deanery/regional/school specialty-specific teaching provided?
• Were you able to attend these whilst in this post?
• How would you rate the quality of this deanery/regional/school specialty-specific teaching for this post
'Study leave' indicator
• In this post how would you rate the encouragement you had to take study leave?
• In this post were you able to access funds to cover the cost of all courses that were recommended for you to complete?
• Were any days subtracted from your study leave allowance for compulsory training in this post (in or out of hospital)?
• In this post did you have difficulty obtaining study leave for any of the following reasons?
Access to educational resources indicator
• Overall, how would you rate the educational resources available to you in this post?
• How good or poor was access to each of the following in your post? – Library – Online journals
• How good or poor was access to each of the following in your post? – E-learning resources – Inernet access – Space for private study
• How good or poor was access to the following in your post? – Equipped rooms for group teaching – Simulation facilities
ARCP unsatisfactory OutcomesProvider Mean Lower_CI Upper_CI
NHS Education for Scotland (West Region) 11.79 9.54 14.49
Wessex Deanery 11.17 8.4 14.71
Wales Deanery 10.36 7.86 13.54
East Midlands Healthcare Workforce Deanery 9.34 7.05 12.26
North Western Deanery 8.47 6.59 10.82
London Deanery 8.03 7.1 9.07
NHS West Midlands Workforce Deanery 7.67 5.83 10.02
Yorkshire and the Humber Postgrad Deanery 7.65 6.08 9.58
NHS Education for Scotland (North Region) 7.38 4.17 12.74
South West Peninsula Deanery 7.05 4.45 11.01
Severn Deanery 6.37 4.16 9.63
Kent, Surrey and Sussex Deanery 5.76 2.94 10.95
NHS Education for Scotland (SE Region) 5.31 2.99 9.26
Northern Deanery 5.06 3.45 7.36
NHS Education for Scotland (East Region) 4.9 2.11 10.97
East of England Multi-Professional Deanery 4.84 2.95 7.83
Oxford Deanery 4.72 2.93 7.53
Mersey Deanery 3.41 1.91 5.99
Northern Ireland Medical Dental Training Agency 1.25 0.49 3.16
ARCP unsatisfactory outcomes (Exam Failure excluded)
Provider Mean Lower_CI Upper_CI
NHS Education for Scotland (West Region) 7.69 5.85 10.05
Wessex Deanery 7.59 5.3 10.75
NHS Education for Scotland (North Region) 4.26 1.96 8.97
Severn Deanery 4.23 2.49 7.11
East Midlands Healthcare Workforce Deanery 3.96 2.52 6.17
North Western Deanery 3.75 2.53 5.52
Wales Deanery 3.4 2.03 5.62
Yorkshire and the Humber Postgraduate Deanery 2.96 2.01 4.34
Northern Deanery 2.7 1.58 4.56
East of England Multi-Professional Deanery 2.64 1.34 5.12
NHS West Midlands Workforce Deanery 2.37 1.42 3.94
Oxford Deanery 1.82 0.84 3.92
NHS Education for Scotland (South-East Region) 1.51 0.51 4.34
Kent, Surrey and Sussex Deanery 1.5 0.41 5.32
Northern Ireland Medical Dental Training Agency 1.25 0.49 3.16
NHS Education for Scotland (East Region) 1.02 0.18 5.56
London Deanery 0.88 0.59 1.31
Handover
• In this post, which of the following best describes handover arrangements BEFORE night duty?
• In this post, which of the following best describes handover arrangements AFTER night duty?
Welsh EPEF indicators
Summary
• Good with an overall improvement
• Still some pockets to improve
• Induction should be possible in particular to improve
• Educational Supervisors role crucial
• Don’t forget to give more informal feedback