Quality improvement supervision comparison between training and non training posts

AIMS: To explore the level of supervision between training and non-training posts at LSCFT. BACKGROUND: Supervision is defined as ‘provision of guidance and feedback on matters of personal, professional and educational development in the context of a trainees' experience of providing safe and appropriate patient care’. Along with the trainees, doctors working in non-training posts such as staff grade, specialty doctors, trust grade doctors (TJD)and MTI (Medical training initiative) doctors form an integral part of patient care in the NHS. METHOD: A mixed method approach was adopted with both qualitative and quantitative data collected simultaneously in the form of an online questionnaire. An anonymous online questionnaire was sent to junior doctors currently in training and non-training posts at LSCFT in 2019 using Meridian software. RESULT: 1- Quantitative Data: - Participants included were doctors in training post such as Foundation Doctors (5), Psychiatry Core Trainees (6), GP STs (2) and doctors in non-training post such as TJD (4), Specialty Doctors (2) and MTI doctors (4). Based on the Meridian score, 84% of doctors were satisfied with the supervision. It was found that 72% of doctors received weekly supervisions, 10% monthly (1 TJD, 1 Foundation trainee) and16% bi-monthly (1 MTI, 1 SAS, 2 CTs). The data suggested that there was no difference in the frequency of supervisions between training and non-training posts at LSCFT. Positives – WPBAs, discussion on reflections, management of complex cases and medication, personal issues affecting work. Negatives – Limited discussion on QI, Audit, Research and Psychotherapy. - More specific help, need more support at times. CONCLUSION: 1. To prepare a checklist of contents to be discussed during supervision. 2. To prepare a timeline chart of supervision. 3. Preparing a ‘menu’ of QI projects that junior doctors can sign up to at the start of each post. 4. To formulate training packages available to support junior doctors with QI/Audits.