Competency-based education: be careful out there!
Pim Teunissen is an obstetrician/gynaecologist in Amsterdam and was recently also appointed as Professor of Workplace Learning at Maastricht University. He spoke about the increasing adoption of competency-based education frameworks in postgraduate and undergraduate training. He was keen to highlight some of its anomalies and certainties and in particular emphasised its emphasis on individual rather than collective competence. His work has demonstrated that clinical workplaces are complex networks of relationships and as such CBE needs to be adapted from its simplistic outcomes driven base toward a more complex and fluid curriculum design that incorporates the interpersonal nature of healthcare, the politics of the workplace and the customisation of care necessary for individual patients. Dr Teunissen’s presentation to INMED is available here.
A new clinical teachers charter!
Doctor Helen Hynes from UCC facilitated an excellent student led one hour session delivered to the entire conference in which the students presented us with a students and clinical teacher charter for clinical education. The charter contains many useful and important suggestions for student and supervisor behaviour in clinical settings. Helen is working with the students to develop the charter further and when ready, INMED plans to send the charter to the heads of School of all health professional undergraduate programs. We will also place the charter on our website.
Bullying in Irish hospitals
Jan Illing, Professor of medical education research at Newcastle University, UK, presented a comparative synthesis of data from bullying surveys in UK and Irish hospital settings. Whilst some of the metrics were different, there is still a clear impression that bullying is more prevalent in Irish hospital settings than in the UK. Bullying occurs at all levels, i.e. within teams, between different health professional disciplines and at an institutional level. Surprisingly most of the bullying is been carried out by senior junior doctors on more junior colleagues. Jan argued that much of this could be conceptualised as an indication of very junior doctors being ill-prepared for the rigours of the clinical workplace. She encouraged us to think hard about designing better preparatory strategies for undergraduates. She also noted that bullying is more common in disciplines characterised by interventional activities, e.g. surgery, obstetrics interventional radiology et cetera. Bullying is very much a product of the leadership style team, organisation or institutional level. To this end she has undertaken to work with Dr Eva Doherty at RCSI to produce a short document that we can share with the National College of Deans, the heads of undergraduate schools, the heads of postgraduate colleges and regulatory bodies such as the Medical Council. In facilitating the dissemination of this document, INMED would position itself as sharing ideas about best practice rather than attempting to influence practice more political perspective. Prof Illing’s presentation to INMED is available here.