Prevocational Supervision Training Package Video 3 - Clinical Supervision

Summary

This video highlights the critical role of clinical supervisors in supporting prevocational doctors' training within a national framework. Supervisors, including Directors of Clinical Training, primary and day-to-day clinical supervisors, ensure that doctors receive the necessary clinical guidance, cultural safety considerations, and emotional support. They provide frequent observations, feedback, and assessments, contributing to the doctors' progress toward independent practice. Emphasis is placed on fostering a growth mindset, culturally safe practice, and psychological well-being, ultimately improving patient outcomes through quality supervision and feedback.

Takeaways

• 😀 High-quality clinical supervision improves the way prevocational doctors carry out their work, ultimately leading to better patient outcomes.
• 😀 Clinical supervisors play a crucial role in supporting the social and emotional well-being of prevocational doctors through regular observations and feedback.
• 😀 Clinical supervision is not limited to clinical skills but also includes ensuring cultural safety in practice, especially in working with Aboriginal and Torres Strait Islander patients.
• 😀 Supervisors are responsible for providing meaningful feedback, assessments, and discussions to help doctors improve their practice over time.
• 😀 There are two main types of clinical supervisors: primary clinical supervisors and day-to-day clinical supervisors, each playing specific roles in guiding prevocational doctors.
• 😀 The Director of Clinical Training (DCT) and term supervisors also contribute to a prevocational doctor's progress and assessment, providing oversight throughout the year.
• 😀 Cultural safety is a key consideration across all clinical terms, with supervisors ensuring opportunities for prevocational doctors to engage with diverse patient groups.
• 😀 Supervisors are encouraged to provide multisource feedback, which helps in assessing the broader development of the prevocational doctor beyond a single term.
• 😀 Clinical supervision is essential for the overall development of prevocational doctors, guiding them towards achieving independent practice by the end of their training program.
• 😀 A minimum of 10 Entrustable Professional Activity (EPA) assessments should take place throughout the year, with constructive feedback aimed at fostering growth and improvement in clinical and cultural safety.

Q & A

What is the ultimate goal of clinical supervision in prevocational medical training?

The ultimate goal of clinical supervision is to improve patient outcomes by enhancing the way a prevocational doctor carries out their work, ensuring high-quality supervision, and supporting the doctor's clinical, cultural, and emotional development.

What are the main roles of clinical supervisors in the national framework for prevocational medical training?

The main roles include providing regular observation, offering meaningful feedback, conducting assessments, and supporting the social and emotional well-being of prevocational doctors, while ensuring clinical and cultural safety.

What are the differences between primary clinical supervisors and day-to-day clinical supervisors?

Primary clinical supervisors are typically senior medical practitioners or consultants responsible for overseeing a doctor's progression in their specialty, while day-to-day clinical supervisors offer regular feedback, observe performance, and contribute to assessments on a daily basis.

Why is cultural safety important in clinical supervision?

Cultural safety is critical in ensuring that medical practice is safe for all patients, particularly Indigenous communities. Supervisors must foster culturally safe practices, create an inclusive environment, and ensure a culturally safe workplace for both patients and healthcare professionals.

How does regular observation and feedback contribute to the development of a prevocational doctor?

Regular observation and feedback are essential for identifying areas of improvement, reinforcing positive practices, and fostering a growth mindset. These interactions help prevocational doctors develop both clinically and emotionally.

What is the role of the Director of Clinical Training (DCT) in prevocational medical training?

The DCT oversees the overall progress of prevocational doctors across their clinical year, supporting their clinical development, ensuring alignment with training goals, and advocating for their social and emotional well-being.

What does the term 'Entrustable Professional Activities' (EPA) refer to, and how are they used in clinical supervision?

EPA refers to specific tasks or activities that a prevocational doctor is entrusted to complete under supervision. Clinical supervisors assess these tasks throughout the year, providing feedback that is used to gauge the doctor’s progression toward independent practice.

How often should EPA assessments be conducted, and who is responsible for them?

At least 10 EPA assessments should occur over the year, with at least one assessment per term being completed by the primary clinical supervisor or an equivalent specialist.

What is the significance of midterm assessments for prevocational doctors?

Midterm assessments provide timely feedback on a doctor's performance, helping to identify specific learning needs and adjust the training plan accordingly. This ensures that any emerging issues are addressed promptly.

How can clinical supervisors contribute to the social and emotional well-being of a prevocational doctor?

Clinical supervisors contribute by ensuring regular and supportive interactions with the doctor, promoting psychological safety, encouraging an inclusive workplace, and fostering an environment free from harassment and discrimination.