Fitting Medical Education Into Training

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Fitting Medical Education Into Training

• James Shaw
• Clinical Fellow in Medical Education
• University of Dundee

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Clinical Fellowship in Medical Education

• 2 year post
• SpRs/ GPRs in training
• Gain experience of
• Assessment
• Curriculum Development
• Teaching/ learning approaches
• Curriculum Management
• Academic Student Support
• Research
• Higher Qualification (funded)
• Driven by a need for trained educators for the
  future

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Other Similar Jobs

• Clinical lecturer posts in specialty
• Clinical Lecturer posts in medical education (3y)
• Posts in post graduate education
• ALS/ IMPACT instructor
• Formal part-time posts in medical education
• 6 months 2 days/ week
• Often dont extend training
• Make education your specialist interest in ST/SpR
  programme
• Up to 2 regular sessions/ week

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My Background

• Longstanding interest in medical education
• Peer Tutor
• Junior ASME
• Busy JHO/ SHO jobs
• SpR
• Regular MFE Y4 clinical teaching
• Marked written exam for MFE
• Small group work in Ageing week for Y3
• Regular clinical skills session for Y2 GIM

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(No Transcript)
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Why did I go for the job?

• Interest in medical education
• Aiming for a consultant post with significant
  medical education involvement
• Suitable background in education
• National Training Number
• Count 1 year towards training
• So what was stopping me
• No out of hours
• Delaying CCT (2 year post)
• Peer consultant pressure/ Negative
  preconceptions

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What Im supposed to do each day

• 2 sessions clinical medicine
• 2 sessions service teaching
• 2 sessions teaching within specialty/ phase
• 2 sessions admin/ curriculum development/
  assessment/ student support feedback/
  committees
• 2 sessions research/ masters programme

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What I actually do each day

• 2 sessions clinical medicine
• 5 months clinical medicine
• 2 sessions service teaching
• Y1-3 clinical skills
• 1 session teaching within specialty/ phase
• Bedside MFE teaching
• Acute Care workshops
• 4 sessions curriculum development/ admin/
  preparation
• 1 session assessment/ student support feedback/
  Committees

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• Steep
• Learning
• Curve

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Teaching Learning

• Teaching Styles
• Learning Styles
• Large group teaching
• Small group teaching methods
• Skills teaching
• PBL facilitation
• Tutorials
• Teaching in Simulation
• E-learning
• Mentoring

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Curriculum Development

• Year 1 Projects
• Assessing leadership/ management in UG education
• Transition block (new material developed
  existing material)
• Developing existing acute care workshops (4th
  year)
• Final Year Introductory week and workshops
• Year 5 Ward Simulation Exercise feasibility study
  (WSE)
• Year 2 Projects
• Final year prescribing workshops
• Quality assurance GMC visit (QABME)
• Further work on WSE
• Develop final year acute care programme

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Assessment

• OSCE
• Examined
• Created OSCE stations
• Standard set
• Site supervised
• Written/ on-line exams
• Created Extended Matching Item Questions
• Standard Set
• Invigilated
• Portfolio
• Oral examiner Y3
• Marked Y4
• Give feedback properly!

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• Not
• always
• easy

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What are the strengths of the job?

• Working for the University
• Less red tape than NHS
• Flexibility in working life
• Interesting and varied teaching experiences
• Working with experienced educators likeminded
  people
• Generic Skills
• Retain Clinical Experience
• Job satisfaction
• Teaching sessions
• Good feedback
• Seeing your work embedded in curriculum

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• Hugely
• Rewarding

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What are the challenging bits?
X
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What are the challenging bits?

• New kid on the block/ making coffee
• Working for the University!
• Justifying you existence/ quality assurance
• Desk job
• Working 9-5 in office environment
• Organising self/ others
• Aiming for reasonable goals
• No banding!
• Lack of understanding from NHS colleagues
• Education beating

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Opportunities in Medical Education

• Medical Education
• Dundee/ Edinburgh
• Relatively expensive
• Teaching styles vary!
• Dundee (Total cost 4800)
• Certificate (20 modules)
• Diploma (20 modules)
• Masters (Thesis)
• Education (800)
• General certificate in education
• Engineers/ Social science
• PGCertEd
• MDs/ PhDs
• Difficult without prior knowledge of educational
  theory

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Research Opportunities

• Endless opportunities
• Ready study populations
• University Ethics quick and easier than COREC
• Need for evidence for teaching interventions
• Sharing new and innovative ideas
• Great advice from senior colleagues (many
  non-medical)
• But
• Often action research
• Un-funded

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Generic Skills

• Leadership
• Management
• Time management skills
• Presentation skills
• Responsibility
• Research

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What can you do?

• Contact education programme organiser/ convenor
• Teaching different years
• Different teaching styles
• Assessment
• Contact Medical School re. general programmes
• Clinical Skills
• Communication skills
• Acute Care workshops
• Shop around for certificate/ diploma/ masters
• Courses in medical education eg 4 workshops
  series
• No substitute for (and not as much fun as)
  experience

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Any Questions