1. Establishing and optimising a local curriculum mapped teaching programme. Positive feedback works.
Personal Informal
Presentation on local teaching programme and how positive feedback worked for us
Dr Laura Adams
Dr Shreena Shah
Postgraduate Fellows
West Middlesex University Hospital
Chelsea and Westminster NHS Foundation Trust

2. Setting London DGH 8 Core Medical Trainees 16 Medical Registrars
New appointment of two postgraduate teaching fellows August 2017
The programme was set up in ..

3. GMC National Training Survey 2017
A Training Gap…
GMC National Training Survey 2017
% trainees
At the start of our appt, we reviewed the GMC NTS which highlighted a gap in locally delivered medical teaching.
And noticably, as the graph displays, nearly 1/3 medical trainees received < 1 hour teaching per week

4. National Training Survey
Training delivered by:
It was also noted that only 6% of medical trainees were receiving regular senior led teaching locally

5. Local Survey Themes
42.9% Never Receive Curriculum Specific Local Teaching
Lack of Consultant Led Teaching
To explore this training gap further, we carried out our own survey. From 27 eligible doctors, we had 14 responses and the key themes raised from this survey were:
42.9% NEVER RECEIVE CURRICULUM-SPECIFIC LOCAL TEACHING
No formal local teaching takes place for core medical / registrar level trainees
Any teaching that did occur was not aligned with the curriculum nor relevant to clinical practice
Variable quality
Not pitched at correct level
Lack of consultant teaching
Identified a gap
No local regular, formal medical teaching
Relevant to RCP curriculum
Relevant to clinical practice
Delivered at a level appropriate for the trainees stage of training
*14 responses

6. ‘MEDICAL MONDAYS’
In order to fill the training gap identified, we introduced a programme called ‘Medical Mondays’ which is a weekly, consultant led teaching programme mapped to the core medical and general internal medical curricula. We advertised it by , word of mouth, face to face and posters and using the medical education what’s app group.

7. Weekly Teaching Programme
Identify Topics : Map RCP Curriculum
Recruit Consultant Speakers
The way we designed it, was by reviewing the curricula and identifying the topics needed to be taught.
Following this, we identified the consultants in the relevant specialties for those topics and ed/ spoke to them to invite them to teach and commit dates to dairies.
Once this had been done, a programme was generated.
We designed certificates of attendance for trainees to upload and link on their eportfolios and certificates of appreciation with collated feedback for consultants to use in their appraisals.
Once the programme was established and had developed a good reputation through positive feedback and word of mouth, our certificates were endorsed by the DME and college tutors mandated attendance for CMT.
Weekly consultant led teaching programme
Mapped to the RCP GIM Curriculum for CMTs & Registrars
Certificate of Attendance for trainees
Certificate of Appreciation & RCPTB feedback for consultants
Certificates endorsed by Postgraduate Education Team and the Director of Medical Education

8. Initial Challenges Consultant Recruitment Attidudes/ Change Culture
Attendance
Venue and Time
Technology
Attidudes/ Change Culture
Consultants- time commitment due to service provision/ clinics
Trainee attendance – service provision and
POSITIVE FEEDBACK
Busy consultants, give up time for teaching no one has heard of
Advertising – called Medical Mondays - posters, , word of mouth, daily electronic notice board, whatsapp
On call rotas, ‘new contract’, Room size, computers and prjectors.

9. Word of Mouth Positive Feedback Certificates of Attendance
Certificates of Appreciation & RCPTB feedback for consultants
Endorsed by Postgraduate Education Team and the Director of Medical Education
Mandatory for CMT level Trainees
Word of Mouth
Positive Feedback

10. Results Second round survey @10 weeks 18 responses
Increased frequency & improved quality of consultant led, curriculum specific local teaching
Increased trainee satisfaction with teaching

11. Q. On average how often do you receive formal local teaching specific to the Royal College of Physicians curriculum?
% trainees
92% in round 2 had weekly curriculum specific teaching when compared with 21.4% in round 1

12. Q. The formal local teaching I receive is always delivered by a senior doctor
% trainees
100% agree vs 63% in round 1

13. Q. The formal teaching I receive locally allows me to meet the RCP curriculum requirements for ARCP
92% vs 56% in round 1

14. Q. I feel very satisfied with the formal teaching I have received locally during this stage of my training
92% vs 42% in round 1

15. Q. The formal teaching I receive locally is very useful for my day to day work
100% vs 70%

16. Take Home Messages
Required dedicated time to plan, establish, organise and run.
A focused well supported approach improved trainee satisfaction and quality of teaching.

17. Take Home Messages
Don’t give up at the first hurdle…..

18. The future…. Provisioned to continue indefinitely
Endorsed by College Tutors
Now mandatory teaching for CMTs

19. Thank You “Boosted morale for junior doctors”
“Transformed medical teaching at our hospital”
“Boosted morale for junior doctors”