In this edition: reflections on 2014
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SA MET Unit Newsletter
Issue 26 | December 2014
Latest News
Associate Professor Alison Jones, Manager, South Australian Medical Education and Training
(SA MET)
Unit
 
SA MET has had a very busy year and we’d like to thank our stakeholders for their partnership, collegiality and support during 2014. Unfortunately, funding for the successful Prevocational General Practice Placement Program (PGPPP) comes to an end this year. This valuable initiative around junior doctor training provided opportunities to work in General Practice in rural and remote areas. We are pleased to have been able to support the LHNs with this initiative. After successful pilot studies, we are very pleased that the Online Training and Information System (OTIS) has been endorsed and implemented at various Local Health Networks (LHNs).  The Accreditation team have been busy providing support to LHNs, visit teams and the Accreditation Committee. The team’s key achievements are outlined in the Accreditation article below. During this year, the Professional Development Program for Registrars (PDPR) held three successful sessions. Two new workshops have also been launched, Next Step and Cultural Safety for Doctors. Some SA MET Unit staff attended the Australian and New Zealand Medical Education and Training (ANZMET) Forum 2014, hosted by the New South Wales Health Education and Training Institute (HETI), staff will consider some of the topics that arose and how they link to work plans for 2015.
We would like to wish you all a very happy Christmas break and a prosperous New Year and thank you again for your continued support.
From the Chair
Professor Kevin Forsyth, Chair, SA MET Health Advisory Council


The end of 2014 marks one year since the revision of the Advisory Council.  This restructure has enabled further development and growth within the Advisory Council, streamlining the accreditation of prevocational posts in South Australia, and enhanced responsiveness to medical education and training matters affecting junior doctors.
 
The new structure of the Advisory Council has the primary benefit of integrating operational and advisory responsibilities for postgraduate medical training. It also has extended the ability for the Advisory Council to represent all phases of postgraduate medical education including, intern and subsequent prevocational, and vocational training. During this year, the Advisory Council has focused on strategic and administrative goals, including the accreditation by the Australian Medical Council (AMC) and the revision of the Accreditation Standards.  The Advisory Council has also worked towards improving the quality of education, training and welfare for trainee medical officers.
 
I would like to thank members of the Advisory Council, its Committees and accreditation visit teams for the commitment they have made to improving the quality of prevocational medical education and training in South Australia during 2014. The contributions of time, expertise and experience are valued and have had a positive impact on intern and other prevocational trainee medical officer training. I look forward to working with everyone in 2015. Wishing you all a safe and happy New Year.
Reflections on 2014
Prevocational General Practice Placement Program (PGPPP)
The Prevocational General Practice Placement Program (PGPPP) was an Australian government initiative that provided junior doctors the opportunity to experience working in General Practice (GP), in outer metropolitan, regional, rural and remote areas. The program offered high quality training in a wide range of clinical situations, enhanced junior doctors' understanding of primary health care and encouraged them to take up GP as a career. A study conducted by the SA MET Unit suggests that training in a rural general practice also provided junior doctors with invaluable emergency medicine experience with the opportunity to contribute to high acuity patient care.
 
After being in place for in excess of ten years, this program will come to an end on 31 December 2014, although junior doctors will be able to see out the clinical year, ending in January 2015. The SA MET Unit on behalf of SA Health has worked closely with the Regional Training Providers to administer this highly successful program in South Australia (SA). The PGPPP was introduced at a time when there was less demand for GP training places and attracting junior doctors into a career in GP was necessary.

Every Patient Every Service
2014 sees the end of another highly successful initiative. In 2010, the Every Patient Every Service ministerial election commitment was made, to fund 50 additional medical officer training positions in South Australia over four years. Over the four years SA Health has injected $9.7 million worth of funding into supporting the medical workforce through a progressive funding model.

 

The aim of this model was to support the medical training pipeline by increasing the number of prevocational training positions available at each stage of training, e.g. internship through to Postgraduate Year 4 (PGY4). The additional training positions were subject to an Expression of Interest process and positions were allocated according to strategic workforce need.
 
The four year development plan was overseen by the SA MET Unit and the Chief Medical Officer Professor Paddy Phillips. Under this scheme, SA now has 50 ongoing prevocational training positions with placements ranging from Immunology & Allergy at the Royal Adelaide Hospital to Surgery at Port Augusta.


Online Training and Information System (OTIS)
In 2014, the Online Services team within the SA MET Unit further enhanced the OTIS system. After initial pilot studies in 2013, OTIS was rolled out to more SA hospitals. OTIS is a custom built system, allowing SA hospitals to deliver online training, information and assessment. OTIS is not just an assessment tool but is also designed to link with medical education and training programs. Hospitals can provide orientation and roster information, show videos and presentations; deliver mandatory training and much more. The ability to complete online assessments for junior doctors is available through OTIS.  The Australian Medical Council (AMC) assessment form was developed into an online form and has been successfully trialled at two pilot sites. After an extensive consultation process, the final AMC assessment form has been implemented and is now available on OTIS. The SA MET Unit is pleased to report that all the SA teaching hospitals have embraced using this e-learning platform and will have online training and information available for 2015 interns. Most training sites will also commence using the online assessment feature for 2015 interns and some for PGY2 doctors. OTIS has also been used to deliver EPAS training across SA Health in 2014 and will be used more extensively in the future.

Professional Development and Education
During 2014 SA MET provided training workshops to over 90 doctors.  We continued to facilitate the Professional Development Program for Registrars (PDPR) and introduced two new workshops. 
Next Step is a full day workshop, aiming to build on participants’ skills in managing stress and conflict resolution.  Another program, Cultural Safety for Doctors, aims to assist participants to define cultural safety, discuss history as a social determinant of Aboriginal health, demonstrate culturally safe communication with Aboriginal patients and discuss implications for professional practice in understanding and delivering culturally appropriate care.  These workshops will be delivered again in 2015. In addition, three documents have been updated:
  • Trainee in Difficulty, a handbook for Directors of Clinical Training - available here.
  • Supporting safe transition from Intern to PGY2 - available here.
  • Core Terms in emergency medicine for interns in SA - available here.
Next year will be very exciting with new workshops being proposed and further online training being available.  We look forward to meeting you next year.

Accreditation
2014 has been a busy and productive year for the accreditation team within the SA MET Unit. The team has provided support to Local Health Networks (LHNs) and visit teams as well as the Accreditation Committee, in conducting its accreditation responsibilities and undertaking a review of its accreditation practices.

Achievements over the last 12 months include:
  • Revised SA MET Health Advisory Council Accreditation Standards endorsed by the Minister for Health and the Australian Medical Council (AMC), which become operational from
    1 January, 2015.
  • Development of an online training module for accreditation team members, providing interactive training on the accreditation standards and associated accreditation processes.
  • Introduction of a scenario-based training session for new accreditation team members, complementary to the online training module.
  • Undertaken nine new unit accreditations and 19 change of circumstance accreditations.
  • Medical Board of Australia approval for LHN accreditations to move to a four year cycle.
  • Revised accreditation process for PGY2+ positions.
  • Implementation of quality improvement recommendations from the 2013 accreditation appeal.
  • Commendation from the AMC for the progress report satisfying AMC accreditation conditions.  
The Accreditation team are looking forward to 2015, with accreditation of the Northern Adelaide Local Health Network and preparation for accreditation of the new Royal Adelaide Hospital.
 
Australian and New Zealand Medical Education and Training (ANZMET) Forum 2014
This Forum was hosted by the NSW Health Education and Training Institute (in November 2014).
The conference included presentations from junior doctors, national partners and from others with an interest in prevocational medical education. There was a well-balanced mix of established educators, scholars, researchers, prevocational doctors and some respected leaders from industries outside of medicine. The opening keynote address from Dr Cliff Reid, “Making it happen” invited robust, respectful and engaged exchange among the participants. The relatively intimate conference allowed for a seminar style discussion at each presentation. Overall, in comparison with other states and territories, South Australia and the SA MET Unit are keeping abreast of common issues relating to junior doctor needs. In some areas such as online assessment, the SA MET Unit is a leader. Key areas which could receive some focus in 2015 include:
  • Cultural Awareness and Safety Training.
  • Support of junior doctors.
  • Partnering with junior doctors in creation of training which addresses their needs.
  • Creation of further online education packages in partnership with the LHNs.
Read the full Forum report here.

UpToDate Anywhere (UTDA)
UpToDate (UTD) is used by clinicians all over the world, as a resource for medical knowledge.
This program is a support resource, providing subscribers with trusted evidence based recommendations. UTD provides subscribers with mobile access, tools, images, information articles and more. Mary Peterson, SA Health Library Service Knowledge Manager, has been working hard this year to obtain access to UpToDate Anywhere (UTDA). Obtaining access to UTDA is a huge achievement and from 1 December 2014, it is now available for all SA Health staff. UTDA provides access to UpToDate both on-site and off-site with a personal logon, including access on mobile devices. Set up your personal logon to access UTD off-site, with instructions through the SALUS website.
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