Education Fellowships Pilot Proposal, Severn School of Psychiatry.
In order to increase the range of opportunities and quality of education with the Severn School of Psychiatry, it is necessary to develop a range of projects across the School. Although there is a strong group of Training Programme Directors, Tutors and DMEs who provide leadership, there is limited time within the job planned allowances across the Consultant trainer group, to permit extensive work within projects.
Advanced trainees need to develop leadership skills and an obvious forum is project development. There are opportunities across the School of Psychiatry for projects in areas of educational development, quality, review of educational processes, innovation and new ways of working. The new curriculum for care & advanced training is expected to contain specific leadership domains
Morrow (2009) surveyed advanced trainees, questioning how prepared they felt for the role of the consultant and found the following: They felt well prepared for the clinical role, but were less prepared for leading, designing & changing services. There was felt to be a need for higher training to engage with the entirety of the new consultant role.
The business internship model, which originated in 2gether Trust and now operates across AWP also, has proved a helpful initiative, providing opportunities for project-based management training. This appears to have had wider benefits, to the trainee population and also to the organisations where trainees have worked within the projects.
As well as preparing trainees for the management aspects of their new consultant roles, it is important to prepare them fully for the educational role as the majority will become trainers. A smaller group will go on to develop higher level training roles, such as tutor, TPD, Regional Advisor or Head of School role. Project management has the potential to facilitate development across a wide range of areas, due to its multi-faceted nature and the requirement to work across a variety of interfaces.
The project aims to offer four specific fellowships over one year, allocated through competitive interview.
The following individuals will take a lead role in overseeing the programme:
Rob Macpherson (Head of School)
Sian Hughes, lead for core course, consultant AWP.
Guy Undrill, Regional Advisor
Simon Atkinson, Lead, Bristol University TLHP Dept
Steve Arnott, DME, 2Gether Trust, Glos.
The Fellowships will be made available by email invitation to apply, to all advanced trainees (approx 50).
Trainees will be invited to submit an application to undertake a fellowship, through a writing a 500 word statement, expressing their interest in this and their key background skills. If there are more applicants than places available, a competitive interview will be held to award the fellowships. The first trainees will be appointed in may 2012.
Fellowships will be expected to last for one year, with the fellows meeting monthly for peer support, together with project leads and with educational supervision from the TLHP team. It is expected that trainees will use one to two sessions of non-clinical special interest time for the project.
Within the first phase of development of education fellowships, it is proposed to consider four specific areas of need within the School:
- Core training- crossing boundaries of medical/GP practice. (RM)
- The review and development of the communication skills training element of the core psychiatry course. (GU)
- Research project into Educational Supervision structure and content in postgraduate training OR Research project into Medical Leadership training and experience of Psychiatric Trainees. Trainee to choose project. (SA)
- Development of a support/remediation programme for core trainees at risk of non-progression. (SH)
Each area of need & specific project will be overseen & managed by a consultant with a specific, related educational role.
The work required will vary across the different projects, but there will be some common requirements:
Literature review & summary of relevant evidence
Liaison with key stakeholders including service user & carer groups
Liaison with the trainee group
Preparation of reports
Presentation of material to the project lead/team
Link to Foundation year 2 trainee
It is suggested that the fellow offers to work with a foundation year 2 trainee in their Trust, which will help to involve a wider number of individuals, provide an interesting and attractive opportunity for the F2 trainee and also give opportunities for the fellows to give academic/project supervision, viewing the F2 trainee as a research assistant in this context.
Link with TLHP
The Fellows will be automatically enrolled on the TLHP research methods module, which will run over the year of the project. Each Fellow will need to attend 2 study days and complete assignments, which will link with their School project. On successful completion of the course they will be awarded 20 credits at Masters level (approx 1/3 of Masters course) and will be able to take this credit into any further work in this area.
The costs of the module (approx £1200) will be found within the project.
The trainees will be expected to use special interest time to carry out this work. Meetings of the Project group will be held in the Deanery and any costs for specific activities related to projects will be considered through by the Head of School, in collaboration with the School manager
Education fellows will be expected to provide a report on the outcome of their fellowship to the project group after one year. The reports will be assessed by the Project Board, with feedback to fellows individually about the contribution they have made within their fellowship and hopefully an invitation to disseminate the project work, through one of the School meeting forums or another local regional or national forum. It will be expected that the project will be written up for publication in an appropriate educational journal, using support from the TLHP research methods programme to support this.
The programme will be managed through the School of Psychiatry and report to the Board. Further governance support will be obtained as needed through the Severn Deanery Executive team.
Proposal authors: Rob Macpherson, Guy Undrill, Simon Atkinson, 3/4/12.
Morrow G et al (2009) Are specialist registrars fully prepared for the role of consultant? The Clinical Teacher, 6, 87-90.