Intern 101: Tips and Tricks for Surviving Internship Dr Samuel Roberts, RMO, John Hunter Hospital Dr Alex Legge, Intern, John Hunter Hospital

Summary Background – Manning Hospital “The Gaps” The Program The Feedback The Future

Manning Hospital Taree, NSW

The Gaps… Medical school gives good medical knowledge Much of this is irrelevant to life as a JMO! Little taught about how to “do the job” of a JMO

The Gaps Continued… Many JMOs want to teach “Junior” knowledge is a barrier Access to formal teaching limited due to full time working hours They DO have good knowledge about how to be JMOs!

The Solution – Intern 101 Once weekly Over Lunch Informal In the JMO common room Relatively unstructured Topics of relevance for JMOs – both “day to day” and “clinical”

Topics – Day to Day Structuring Your Day/Ordering Bloods Writing In Notes Getting a consult (without being abused!) Discharge Summaries Imaging Requests

Topics - Clinical Low Urine Output Fevers Chest Pain Analgesia/Anti-emetics Sugars Fluids

Example: Structuring Your Day Turn up early, print lists. Ward Round Sick Patients!! Imaging and other investigations Consults Discharge Summaries Cannulas, rechart’s, fluid’s Bloods

Feedback Formalized Survey after each session Collected separately from students and presenters

From Students Examined “usefulness”, “style”, “content” and “whether you would recommend to a colleague” Paper forms, employing Likert Scales Some issues with presenters! 21 total responses

From Students 100% said style was “just right” 100% said content was “just right” 100% said sessions were either “useful” or “extremely useful” 100% said they would “definitely” recommend the session to a colleague

From Presenters Online Survey Employed Likert scales and “true/false” plus free text boxes Total of 6 responses

From Presenters 100% Said they would like more teaching opportunities 83% said they thought their session had been useful or extremely useful 100% said their teaching skills had improved 100% said they would recommend involvement to a colleague

The Future This semester – John Hunter Hospital Next Year – Possibly network wide Need to get more feedback – small numbers from Taree Possibility of a day long workshop Orange and Blacktown

Conclusions There is a gap in medical education JMOs like to teach – and have strong knowledge in this area The intern 101 sessions were very successful in Taree with overwhelmingly positive feedback

Acknowledgements Dr Alan Pederson (Senior Lecturer, University of Newcastle) Mrs Mel Kerr (4 th year Manager, University of Newcastle Medical School) Mrs Peta Bernasconi (5 th Year Manager, University of Newcastle) Mrs Jessica Moore (JMO Manager JHH/RNC) All the JMOs and medical students who have been involved with the program