478 Scaffolding supervision at a tertiary children’s hospital: can introduction of a toolkit streamline clinical supervision meetings?

• Published in: Archives of disease in childhood 2021-10, Vol.106 (Suppl 1), p.A23-A23
• Main Authors: Tsilifis, Christo, Battersby, Alexandra, Schenk, Daniel, Riley, Emma
• Format: Article
• Language: English
• Subjects: Abstracts; Career development planning; Career Planning; Careers; Consultants; Frustration; Meetings; Pediatrics; Polls & surveys; Qualitative research; Supervision; Supervisors; Trainees; Training
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2021-rcpch.37

BackgroundSupervision, both clinical and educational, has been identified as an area for improvement locally, by Health Education England, and in the General Medical Council National Training Survey. This was explored in 2018 through a survey completed by paediatric trainees and supervisors at our regional tertiary paediatric hospital, identifying factors relating to poor supervision, including poor preparation for meetings and limited time. When further exploring preparedness for becoming a supervisor in senior trainees, we identified that most senior trainees feel additional training is required prior to taking on supervisor responsibilities. We have subsequently designed a toolkit to make elements of supervision more streamlined.ObjectivesTo identify if a toolkit can streamline clinical supervision meetings by suggesting discussion points aligned with standard outcomes.MethodsWe designed a toolkit to streamline elements of supervision meetings derived from local and national documentation on supervision.Paediatric trainees were divided to tier 1 (ST1-3) or tier 2 (ST4-8), and allocated to receiving the toolkit or not, along with their clinical supervisors.Surveys were completed before and after the induction clinical supervision meeting and collected anonymously.ResultsInitial survey:43 paediatric trainees were identified; 13 at ST1–3 level and 30 at ST4–8 level25 responses were received from trainees (toolkit, n=11; no toolkit, n=11; not disclosed, n=3) and 20 responses were received from supervisors (toolkit, n=12; no toolkit, n=7; not disclosed, n=1)Trainees expect to discuss post-specific details (learning opportunities, expectations of the trainee), review their existing experience and portfolio, and career progressionTrainees report moderate confidence in their knowledge of the RCPCH curriculum (56%) but experience frustration with use of the ePortfolio and KaizenExperience of supervisors was skewed, with median experience of 3 years11/20 supervisors had attended training on supervision within the past year, and 9/20 supervisors had attended training on Kaizen and the new RCPCH portfolioHowever, 6/20 had never attended trainingSupervisors highlighted issues with resource, such as lack of appropriate meeting space, and the capability of local networks to access KaizenFollow-up survey:4 trainees and 8 consultants in the toolkit group responded; all used it.2 trainees identified that the toolkit allowed discussion of a topic that would otherwise not