Trainer-trainee relationships

The development of the trainee

Safety (child) | Competency (parent) | Self-development (adult)

An example: diabetes

Stage Curriculum Method
New
(safety)
  • Diagnosis
  • Initial management
    • Prescribing
    • Investigation
    • Referral
  • Learner assessment
    • Confidence rating
    • MCQ
  • RCA
  • PCA
  • Resource pack
  • Tutorial
Practising
(competence)
  • Structured care
  • Chronic disease management
  • Teamwork
  • Audit
  • Protocols
  • Knock-on effects
    • Work
    • Family
    • Psychological
  • Counselling
  • Skills
  • “Specialist” clinic
  • Video/sitting in
  • Tutorial
  • Audit review
  • PCA
  • Skills assessment
Practitioner
(self-development)
  • CME
  • Audit review
  • Practice philosophy
    • Screening
    • EBM
    • Financial
    • Resources
  • Critical reading
  • Medline
  • Need > resource awareness
  • Research
  • In-depth case analysis

An example: evidence-based medicine

Stage Curriculum Method
New
(safety)
Aim: demonstrate the evidence base of GP.
Objective: to understand the concept of evidence based assessment.
  • Joint surgeries
  • Library (journals)
  • Case discussion
  • Practice meetings
  • Prescribing issues
  • Protocols
Practising
(competence)
Aim: to develop critical skills in evidence based GP. Objective: to develop appropriate skills.

  • PROJECT
  • Search
  • Appraise
  • Present
  • Effect change
  • Journal clubs
  • Treatment review
  • Protocol review
Practitioner
(self-development)
Aim: to continue to apply the skills in practice.
Objective: to develop continual critical appraisal in practice.
  • Case work
  • New developments/ideas

Addressing problems

eg teamwork

  • Define the core together: “what is a good team?”
  • Look at the good points: “what are they doing well in that area?”
  • Areas for improvement with specific examples: feelings: behaviour not attitude.

Source: group work with Peter Havelock 1997

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