Quality Improvement the NYECFS experience

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Quality Improvement the NYECFS experience

• Dr Colin R Melville MB ChB FRCA FRCP
• Foundation School Director, NYEC Foundation
  School
• Honorary Clinical Senior Lecturer, HYMS

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Outline

• Why collect data?
• What data to collect?
• How best to collect it?

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Why collect data?

• Managerial
• Bean counting?
• Educational
• Demonstrate excellence
• Identify support
• Facilitating learning
• Sharing
• Avoids duplication
• Transferable

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What data to collect?

• Trainees
• Demographic data (w)
• Employment status (w)
• Doctors in difficulty (s)
• F2 preferences (w)
• F2 allocation (w)

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What data to collect?

• Trainers
• ES/FTPD
• Training record (w)
• Educational Supervision
• Skills of teaching
• Appraisal/assessment
• Supporting Doctors
• Careers
• Equality and Diversity
• Allocated trainees (w)
• Various
• Tools of the trade (w)

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Trainers records
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TOTT assessors
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What data to collect?

• Processes
• Recruitment
• HYMS
• Preparedness for practice
• Focus groups
• F2 allocation
• ST application
• F2 exit survey

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F2 exit survey
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What data to collect?

• Others
• LTFT
• Mat leave TOFP
• HYMS dispositions

• Educational
• PDP feedback
• PAF

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Collection Timeline
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Collectors?

• School web site (database)
• Demographic information
• Ownership by trainees
• Data linking and cross referencing
• Spreadsheet
• Recruitment (app int)
• RAW data
• Doctors in difficulty
• LTFT/Mat leave
• Documents
• QM survey
• Collated by school
• Generic Programme evaluation
• Collated by Trust, and school

• Database
• Most Complex
• Most powerful
• Programming skills required
• Speadsheet
• Convenient layout for analysis
• Can become unwieldy
• Documents
• Easiest to produce/print
• Fields can be locked
• Data manipulation most difficult

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Rain check!

• Good
• Recruitment
• Generic Programme
• F2 matching

• Could do better
• Doctors in difficulty
• Placement feedback
• Quality monitoring

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Getting ahead!

• Blueprinting/mapping
• Alignment
• Familiarity
• Excellence

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Workshop questions (40 mins)

• Share (briefly) own experience/examples
• How can data collection be streamlined?
• In my school/deanery
• Nationally
• What structures or processes could/should be
  included in the OF?
• How should data be reported/presented?
• Locally
• Nationally