SOUTHAMPTON 5 - BRISTOL 1 A chance to compare and contrast Carol Churchill Jackie Johnson Chief Audiologist Audiology Services Manager Training Co-ordinator

Background Bristol student– placement year at Torbay - away from friends & family in West Sussex - young, family concerns, homesick Agreed to take over placement Sept – Dec 07: Torbay Jan – Aug 08: Worthing

Support Initial contact via Jane Prior to transfer of student we phoned and ed Bristol University and Supervisor at Torbay Bristol have never actually visited department Bristol have never phoned placement supervisor to see how things are working out Therefore feel we have had little or no support (totally different to Southampton experience)

Differences in approach to Clinical Placement Year Balance/advanced/paediatric theory and practice: Southampton – year 2 Bristol – year 4 Year 4: Southampton – more time for dissertation and research Bristol – lectures 9-5 Southampton – no clinical placement month Bristol - still expected to do 6 week unpaid clinical placement with no financial help towards cost of accommodation, travel, etc

Positives Students have 1 day back at University every 6 weeks More emphasis on rehab/counselling Holistic approach Input from Primary Care

Not-so-Positives! Far too much written work - same amount as in academic years Often set with little/no warning Short time-scales All very vague with little direction from University as to what is expected

Written work - Bristol Key Professional Skills (10 x 2 pieces) Professional Practice Portfolio Personal Journal Notebook Also expected to start 4 th year dissertation

Key Professional Skills 1. Work safely within the placement setting 2. Professionalism 3. Team working 4. Self management 5. Written communication 6. Communication with staff 7. Communication with patients 8. Change management 9. Application of knowledge 10. Commitment to learning

Examples 1. Earmould impression 2. Ethics and patient confidentiality 3. Conference 4. Booked appointment session 5. Letter to patient 6. Staff meeting

Supervision sheet Supervision sheet for key professional skill 1: Working safely within the clinical setting Third year placement Supervisor’s commentsSupervisee’s comments Range of activity / patients How competent is the supervisee in working safely within the placement setting? Suggested areas for further development Any other concerns and / or comments Signed Date (both to sign and date)

Recording of achievement of key skills SUPERVISORSTUDENT 2PROFESSIONALISM TYPE OF EVIDENCE Date NOTE THE DATES OF RELEVANT JOURNAL ENTRIES / EVIDENCE 2.1 Abide by professional code of ethics Demonstrated in clinical practice P1P2P3 2.2 Abide by departmental policy and procedures Demonstrated in clinical practice P1P2P3 2.3 Dress suitably for the environment and tasks Demonstrated in clinical practice P1P2P3 2.4 Conduct all patient care activities with respect for their rights Demonstrated in clinical practice P1P2P3 2.5Maintain patient confidentiality Demonstrated in clinical practice P1P2P3 2.6 Respect the rights of those in authority to make decisions and comply with them Demonstrated in clinical practice P1P2P3

2PROFESSIONALISM TYPE OF EVIDENCE Date & Initial NOTE THE DATES OF RELEVANT JOURNAL ENTRIES / EVIDENCE 2.7 Manage personal affairs in a manner that does not interfere with professional responsibilities Demonstrated in clinical practice P1P2P3 2.8 Modify and maintain professional behaviour according to situation Demonstrated in clinical practice P1P2P3 2.9 Be aware of limits of own competency Demonstrated in clinical practice P1P2P3

Professional Practice Portfolio Personal profile statement – before placement Summary statement – end of placement Evidence of achievement of following learning outcomes:

Learning outcomes 1. Understand, work within and respond appropriately to the limits of professional practice 2. Practice within the profession’s moral and ethical framework 3. Think critically about personal practice and its context 4. Communicate and collaborate effectively 5. Demonstrate effectiveness in practice

Personal Journal Strongly advised – although optional! “Invaluable learning tool” Skills developed in writing such a journal are similar to those required for CPD portfolio

Notebook Record of day to day activities – clinical or non-clinical Scripts, procedures, issues that arise, pathologies to explore, etc

To be submitted at end of placement year Pre and post placement statements Evidence of 5 learning outcomes – 3 written + 1 as oral presentation to fellow students and lecturers + monitoring of participation in class 20 pieces of written work demonstrating the 10 Key Skills Key Skills Grid Logbook!

Written work - Southampton Personal Development Portfolio 2 individual projects per placement Case study to present in Year 4 1 letter or report to demonstrate competence End of placement report x 2 (Placement centre may set additional work related to department’s clinical practice)

What we have learnt Cannot cope with 2 students due to most senior staff being part-time Southampton and Bristol Universities work very differently But the end product is still a well- rounded and very competent Audiologist-to-be!

Conclusions Year 3 should be a PRACTICAL year Amount of written work expected by Bristol on top of learning a large number of new practical skills is very time-demanding and can cause stress and anxiety to student Both Universities could learn from each other But we feel Southampton has the better approach to the Clinical Placement Year