Abstract
Aims
To improve the Psychiatry induction for DiTs in Fife.
Methods
The purpose of induction is to provide Doctors in Training (DiT) with a smooth, supported transition between roles. Delivered well, it will promote confidence and also provide a thorough grounding in the key requirements of the role and clarity regarding sources of help.
A recent report, commissioned by the GMC, identified the key areas which should be covered in induction. The findings demonstrated a clear link between inadequate inductions to the impact on doctors’ well-being and patient safety issues.
A questionnaire was issued to DiTs completing Psychiatry inductions in August and December 2021. Questions focused on the following key areas highlighted in the GMC report:
Gaining access to workplace settings and systems
Physical orientation of workplace
Team inductions
Daytime role and out of hours working and rotas.
Familiarisation with common cases/procedures that doctors may deal with in this speciality: risk management, use of the MHA
Results
Questionnaire Results: Key Issues highlighted
August 2021
FY2 to ST6 inducted together: differing experience levels
Differences in site inductions (psychiatry is spread across 3 hospitals in Fife)
Issues obtaining swipe cards/keys
IT access for emails and various computer systems delayed
Computer systems training not done
December 2021
Lack of psychiatry experience of FY2s
Continued IT access issues initially
Conclusion
In September 2021, a working group was established comprising DiT representatives and those responsible for induction. The August 2021 results were disseminated and key improvements were identified in areas covered by the clinical induction:
An improved induction check list universal for all sites.
Induction documents for each role detailing responsibilities and useful information.
Integration of IT training.
The December results highlighted improvements in many areas but continued a theme of concerns for FY2s starting in Psychiatry. The transition to this speciality is a significant adjustment as it operates differently to most specialities, requiring different skills and knowledge.
Plans have been made to provide simulation events which would give DiTs practical experience in a safe environment of various topics e.g., risk management in psychiatry. Additionally, there are plans to revise induction for speciality trainees.