What do FY1s think at the end?
• Very intimidated initially but I grew in confidence
• So much to do, patients always getting moved
• No way to know if I was right or managed them ok; need feedback
• Fire – fighting, so many patients / so few staff
• Assessments seemed a pain but I have been glad in end to prove competence / be able to demonstrate I can do it
• Scary at first, but steep learning curve
• Definitely more confident towards end of year
• It is tough!
It is tough! So how can you make it easier?
• Always make it clear to everyone that you are an Fy1 so they know you will need a bit more help e.g. than CT1s
• Have a good chat to your educational supervisor early in the post & at regular intervals (at LEAST 3 times in the post for appraisals). Tell them about areas where you lack confidence
• You rarely have a full clinical team around you (shifts / leave / sickness / clinics) but make good use of them whilst there – rounds, supervision / teaching of tricky procedures / tasks, coffee
So how can you make it easier?
• Good handover; give & demand!!
• When asking for help use SBAR to give all the info the senior needs
• When you are asked for help try & get the SBAR type info (e.g. from nurses) to allow you to assess urgency / prioritise your tasks
• Situation; e.g. I am FY1 on X ward & calling about patient Y / I am concerned because….
• Background; Patient is in for X operation / Y condition, normally ….., has changed in past … minutes / hours / days to …….
• Assessment; I think the problem is…. I have done…..(e.g. O2 / analgesia) Or: I am not sure what problem is but patient is deteriorating
• Recommendation; Would you please e.g. come & see them, advise me on…. / consider transfer (e.g. to ITU)
• DO YOU NEED ME TO DO ANYTHING NOW?
So how can you make it easier?
• When you go home / out / gym / pub / to bed do try & leave it all behind. Handover well, set up what you can e.g. blood tests then have confidence in colleagues to carry on your good work.
• Mixture of purely clinical (e.g. renal failure/ acute coronary syndromes) & more generic subjects e.g. death certification/ dealing with the coroner or subjects such as good clinical note - keeping or consent issues
• 1-2 pm in CSB (room varies), bring lunch if you need to
• Attendance expected unless on leave of any kind including ‘days off after’. If ‘on take’ team & busy with sick patients that no–one else can take over don’t leave them to die!
• Let Alison know by email / phone or a note on previous register if you expect to be away
• 70% attendance is required to allow for leave etc
• 1 (Friday) afternoon each of teaching in the simulation lab – acute medical scenarios
• 1x ½ day ‘Windmills’ course – help with career planning
• ALS if you don’t have it
• PLS (if needed for your post)
• Other resources Doctors.org / BMJ Learning / eLFH at www.e-lfh.org.uk are very useful to you especially if missing a session or tackling and area of weakness
• Document it in your portfolio
• Key FY1 competency
• Intend to have you all certified Safe Prescribers by the end of the year
• Targeted teaching & a copy of old paper / answers to help you
• E-learning modules
• Series of formative assessments
• Feedback if you fail
• Will shortly be a Deanery wide requirement
• 8 questions
• On this Trusts prescription charts, TTO & infusion charts so make sure familiar
• Use BNF , Pocket Prescriber & anything else you want
• Calculators are fine
• No ‘phone a friend’
• may take more than 1 hour – not time limited at all (but warn firm)
• All have usernames / passwords to access e-Portfolio
• Enter username / password to login
• Changing your portal password
• Click on Change password
• Enter your old password & then enter a new password twice.
• Click on OK
• Make a start on your e – portfolio now
• Be persistent; everybody navigates it
• Fill in all the demographics etc, a photo is useful
• Most seniors familiar with format now & have their passwords – you can download help for them from within the portfolio if not!
• Ruth can get brand new educational supervisors sorted if no passwords etc
• At appraisal open it up & lead them thru it!!
• Some items only completed within your login or our login
• As well as appraisals / assessments don’t forget the certificates / library & PDP / reflective bits
• Uploading electronically is easiest
• Paper certificates need scanning - put on computer somewhere & then import
• Sign the health & probity bits
• Record all sickness absence - at end of yr1 we need a record & it saves you searching back (GMC very strict!)
Timeline / Hurdles
• 3 appraisals per job (early / middle / late) – chase ed supervisor
• Aim for 2 - 3 minicex / cbd / DOPS per post - some post better than others – aim high!
• Demonstrate your competencies/ interests in particular fields
• In early days we do not expect you to be at standard of ‘end of year 1’
• I will be viewing…
• Towards end of 1st post
• Interim validation
• For FY2 application scoring (see booklet)
• Final validation
• GMC signoff
• More often if I am worried / you are slacking
• You will be told where you can improve – the rest is up to you
• Last year some trainees in CWFS expected to get FY2 jobs here but beaten by applicants from outside with better FY2AP scores - ended up in Stoke / Stafford – so worth a bit of effort
• Portfolios scored at CMT / BST / GP selection