The below resources have been created by trainees and supervisor, as well as children and young people, about the Leadership and team working domain in the Progress+ curriculum domain.
What children and young people say
Remember to coordinate between teams with an awareness of the impact on the life of the family with a long term condition having lots of appointments and tests
麻豆传媒 &Us have shared their voices and views with the Children and Young People's engagement team on this curriculum domain.
See more in our CYP flyer below
How to use this domain in your everyday practice
Dr Sonika Ravikumar, a paediatric ST1 trainee, reflects on the importance of this domain within 麻豆传媒 Progress+. She shares how leadership skills develop from the very start of training through everyday clinical experience.
Leadership is not about the position, it's about purpose.
Case studies
- Reflecting on multi-source feedback
Setting: General Paediatrics and Neonatal Medicine
How did the opportunity arise? As you approach the end of the training year you sent requests to your team members for multi-source feedback. After receiving 14 responses you close the round to read the comments.
What happened? The feedback from your colleagues is mostly positive with specific praise for your empathetic and professional manner with children and parents, your punctuality and your readiness to learn and develop.
The feedback from your colleagues is mostly positive with specific praise for your empathetic and professional manner with children and parents, your punctuality and your readiness to learn and develop.
However there are two comments that concern you, one says 鈥渁ppears obviously stressed and sometimes flustered when the ward is busy鈥 and another mentions you are 鈥渘ot always quick to respond to the bleep鈥.
You feel frustrated as no-one has mentioned these concerns to you in person.
How did this support your development? After taking some time to reflect upon and digest the comments, you arrange a meeting with your educational supervisor who has spoken to the wider consultant team and confirms you are performing at the expected level and reiterates some of the positive feedback you鈥檝e had.
You discuss your concerns with your supervisor and try to establish why your colleagues may have made observations about you appearing busy and stressed. You have at times felt stressed during busy periods and think about whether you could use delegation more or ask for help from seniors earlier at times of high workload. Your supervisor shares with you some strategies to help manage feelings and behaviours around stress and signposts you to some resources to support trainee wellbeing.
Any practical tips? Using tools such as a Johari Window to compare your own ideas about your individual characteristics versus the opinions of your colleagues can help you gain broader insight into your performance and areas for development. A Myers-Briggs type indicator can also help develop awareness of strengths and preferences in the workplace.
More resources can be found in this 麻豆传媒 document for trainees, Looking after yourself 鈥 good practice for trainee paediatricians.
- Reflection on rota gaps
Setting: Middle grade rota pressures
How did the opportunity arise? You attend a regional teaching day and notice that many of your colleagues have been unable to attend. Those that have been able to make it say that rota gaps have meant colleagues were not released from their training units to attend.
What happened? You gather some more information and find that low attendance is a recurring problem and trainees are also dissatisfied with the quality of the training days. You decide to undertake a more formal survey to quantify this problem and investigate some of the contributing factors. You also ask for examples of good practice where training units do routinely release trainees for training.
You share this information with your Head of School, Training Programme Directors and College Tutors in the region and they invite you to present your findings at the regional quality panel. Together with staff from the paediatric school you put together a guidance document advising training units of minimum expected attendance at training by trainees and good practice examples of how this can be facilitated. It also contains signposting for how trainees can escalate concerns if they are not facilitated to meet the minimum attendance standards and points to guidance contained in the Gold Guide 鈥 Guide to Postgraduate Specialty Training in the UK.
You share this document with trainees and trainers and ask for feedback, as well as some other trainee volunteers to assist you in contributing to the planning of future regional teaching days.
How did this support your development? This piece of work enabled you to undertake the process of assessing a need for change, consulting with stakeholders, gathering information and working collaboratively to implement a solution to a multi-factorial problem.
Following the implementation you reflected on what parts of the process worked well and what you might do differently in a similar situation next time.
Any practical tips? Try and be a part of the solution if you raise an issue in your workplace or training region as well as bringing attention to the problem.
One of the 9 domains of the NHS Healthcare Leadership Model is 鈥淓ngaging the team鈥, usually this involves a lot of listening, a highly important skill to develop when leading others.
- Reflections on managing a multi-disciplinary team
Setting: Emergency department
How did the opportunity arise? You and a tier 1 colleague (GPST1) are called to the A&E as an emergency. On your arrival the senior doctor (Emergency medicine ST3) tells you they have received a pre-alert to a 4 year old being brought in by ambulance following a road traffic collision. They say they have not done a paediatric job before and ask you to lead the team.
What happened? You ask an ED junior colleague to put out a trauma call, call in the ED consultant from home and alert blood bank.
On the arrival of the extended trauma team you introduce yourself and ask the team to do so, you could write names and grades on nearby whiteboard.You then recap the ATMIST (Age, Time, Mechanism, Injury, Signs, Treatment) information and allocate team roles for the primary survey.
You ask the ED nurses to prepare drugs, fluids and warming equipment. You ask your GPST1 colleague to prepare the WETFlAG (Weight, Energy, Tube, Fluids, Adrenaline, Glucose) and other emergency drug calculations. You encourage quiet in the room on arrival of the patient to enable the paramedics to give a clear handover.
On the patient鈥檚 arrival you ask the transferring team about catastrophic haemorrhage or injury before ascertaining it is safe to wait for a full handover. After receiving the handover you stand at the end of the bed whilst your team undertake the primary survey and ensuing resuscitation, you give direction whilst encouraging suggestions from the team and closed-loop communication.
Your consultant arrives during the stabilisation of the patient. You continue to lead the team until the patient is transferred to radiology for imaging. You then summarise the case for the consultant and arrange a debrief for your team.
How did this support your development? You can reflect upon this situation in order to evidence leadership of a multi-disciplinary team in this domain.
By leading the debrief you also support the development of your team members.
Any practical tips? Don鈥檛 forget to debrief yourself as well; this could be at the time or by arranging a meeting later.
GMC guidance on reflection
, produced by the General Medical Council, supports you in being reflective practitioners. It has been developed in partnership with the Academy of Medical Royal Colleges (AoMRC), the Conference of Postgraduate Medical Deans (COPMED), the General Medical Council (GMC) and the Medical Schools Council (MSC).
A range of stakeholders from all four countries of the UK have been involved in shaping the guidance, including doctors in training, medical students, appraisers, educators and trainers.
Previous 麻豆传媒 President, Professor Russell Viner CBE responded to this publication:
After a tumultuous time for the profession, I truly hope that today鈥檚 clarification will provide further reassurance to you and with the new guidance, I encourage you to use your reflective practice notes for honest, open reflection without the fear of negative repercussion for the benefit of patient safety and improved outcomes.
Special thanks and acknowledgement to Dr Emma Coombe and to all who contributed in providing the content for this domain.