RCOG education and training awards 2018: What can we learn from our top performing units?
This is the second year that the RCOG has recognised the top training units in Obstetrics and Gynaecology in the UK, based on trainee feedback via the training evaluation forms (TEFs) that were completed earlier this year. Units were ranked in three categories – gynaecological training, obstetric training and professional development / education with an overall ranking based on performance in all 3 categories.
The awards were announced at the Educators Faculty meeting in October. Winners and runners up are listed on the link below, but the winner for Overall performance, Gynaecology training and Professional development was Southend University hospital NHS Foundation Trust and the winner of the Obstetric training award was NHS Borders.
Details of the TEF award-winners and highly commended units can be accessed here, by clicking on the “TEF Awards” tab.
Subsequently the RCOG asked units identified as providing high quality training for their thoughts as to what they were particularly proud of and “how they did it”. We also asked what could be done to improve training “even more”.
Units were proud that they:
- Were part of a functional team – treating medical students, junior medical staff and registrars as team members and equals.
- Provided continuity to ensure continuous progression of trainees during their time in the unit.
- Turned service provision into training opportunities.
- Increased opportunities for team training and simulation
- Have at least maintained our strong reputation for 2 years in a row. We have all put in a lot of work over the last 8-9 years or so …and have successfully ‘turned around’ a unit that was having problems a few years ago.
- Trainee centred unit
- Focus on pastoral care so trainees feel valued & supported
- Value & respect trainees
- Open door policy so that trainees feel able to discuss anything with consultants.
- Team structure
- Team effort – everyone has to be 100% committed to teaching & training
- Have lunch together- it’s about being part of a team
- Divide work up as evenly as possible – could mean a consultant covering a less interesting session to ensure that a trainee gets to theatre
- Matching educational supervision and clinical supervision with the education and career aims of trainees
- Have a committed rota co-ordination team led by a consultant who has trainees’ learning needs at heart
- Develop an educational faculty
Even more / better
- Use trainee feedback to concentrate trainees in the better units
- Minimise hoops to be jumped through to become or to stay an Educational supervisor
- Don’t rest on your laurels
Last year we discussed a “3C model” that could be used to describe highly performing educational units across all specialities. The 3C’s were:
Community: The sense of belonging within a unit, finding identity within it and striving for cohesion.
Collegiality: A shared vision that is known, understood and owned by all, such that senior members treat more junior members as colleagues.
Criticality: Reviewing & refreshing educational practice by everyone involved.
See The TEF Awards – Good Practice 2017
In summary to improve training in any unit consider:
- Better team working
- Valuing, supporting & respecting trainees
- Putting training first – evidence links high quality training with high quality patient care