Good help: a model for providing in-consultation supervision of general practice trainees

Sturman, Nancy; Fitzmaurice, Liz; Lee, Cathy; Sheldrake, Michelle; Ingham, Gerard

doi:10.1080/14739879.2020.1864779

Cited by 3 publications

(23 citation statements)

References 19 publications

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“…In the practice community, the identity of the learner is continuously reproduced, and the learner moves from being a bystander to a participant and, finally, to a demonstrator of mature practice. In other words, they change from being a legitimate marginal participant as a novice to being a core member of the community as an expert step by step ( 20 , 21 ).…”

Section: Methodsmentioning

confidence: 99%

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Rao

Luo

et al. 2021

Front. Public Health

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Objective: The participation of general practice (GP) residents in COVID-19 prevention and control tasks touched workload participation in public health and disease prevention and control and was also a rare, valuable training experience for the residents and research material for medical education. This experience contributed to the understanding of three key points: First, was the content of the COVID-19 prevention task suited to them, or did it overload them in the present? Second, their competence in the COVID-19 prevention task reflected whether the early medical school training was sufficient or not. Third, what can be drawn from this study to promote public health training in the future? This study aimed to explore these issues by conducting a real epidemic situated training (REST) program.Methods: A situated cognition study was designed that included situational context design, legitimate peripheral participation, and the construction of a community of practice. The Task Cognitive Load Scale (NASA-TLX Scale) and self-developed questionnaires were adopted to conduct a questionnaire survey of resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. SPSS 23.0 statistical software was used for the statistical analysis of data.Results: The NASA scale showed that the intensity of field epidemic prevention and control (training) was tolerable. In particular, there was statistical difference in the cognitive load intensity of training before and after the epidemic occurred at different time points (P < 0.05). This shows that they were early trained and well-prepared before sudden outbreak of the COVID-19. Before the outbreak of the epidemic, the public health knowledge and training received came from undergraduate education (83.16%), early residents program training (69.47%), online self-study (49.16%), and continuing education (20.53%).Conclusion: Former medical school education and training at the regulatory training stage have a good effect and enable residents to master the skills required for epidemic prevention and control and to physically and mentally prepare for the task. After this stage, epidemic prevention and control training in real situations will make important contributions to the self-assessment and performance improvement of public health training.

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Section: Methodsmentioning

confidence: 99%

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Rao

Luo

et al. 2021

Front. Public Health

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“…Undergraduate student cohort Written in English A total of 11 articles met the inclusion criteria which described a specific clinical supervision model. [48][49][50][51][52][53][54][55][56][57][58] Within the 11 articles, six focused on general practitioners, four focused on practice nurses, and there was one article that focused on nurse practitioners. [48][49][50][51][52][53][54][55][56][57][58] All articles had a model that utilised a peer of the same profession for supervisor and supervisee; however, one of the models made use of general practitioners for clinical supervision of practice nurses.…”

Section: Exclusion Inclusionmentioning

confidence: 99%

“…[48][49][50][51][52][53][54][55][56][57][58] Within the 11 articles, six focused on general practitioners, four focused on practice nurses, and there was one article that focused on nurse practitioners. [48][49][50][51][52][53][54][55][56][57][58] All articles had a model that utilised a peer of the same profession for supervisor and supervisee; however, one of the models made use of general practitioners for clinical supervision of practice nurses. The clinical supervision models and/or cohorts were located in rural and metropolitan Australia, the United Kingdom and Denmark, and the USA.…”

Section: Exclusion Inclusionmentioning

confidence: 99%

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Models of clinical supervision of relevance to remote area nursing & primary health care: A scoping review

Hildebrand,

Gray,

McCullough

2023

Australian J Rural Health

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IntroductionNurses in remote primary health care settings work in difficult conditions, in isolated and disadvantaged communities, and often must work beyond their scope to provide advanced assessments and treatments to support the community. Therefore, remote area nurses require support to develop their skills and knowledge to work safely within their full scope of practice. Clinical supervision is widely used in health professions for this purpose; however, models of supervision for nursing have not been implemented or evaluated within remote primary health care settings.ObjectiveThe purpose of this study was to search the literature to source suitable clinical supervision models that could pertain to the remote area nursing context.DesignAn initial search of the literature found no clinical supervision models developed for remote or isolated practice nurses so a scoping review was conducted searching for publications related to advanced practice generalist health practitioners in primary health care, including practice nurses, nurse practitioners and general practitioners. This was seen as a suitable substitute because the phenomena of interest were the model of supervision rather than the specific skills or knowledge being developed.FindingsThe scoping review search yielded 251 articles from 5 journal databases of which 11 articles met the inclusion criteria. Each clinical supervision model was described and synthesised using qualitative description. The 11 models of clinical supervision had differing formats including; individual and group clinical supervision, in‐person, telephone, medical records review and video case study.DiscussionWhilst several models were described in the literature, none were directly transferrable to the remote area context. The absence of supervision for cultural safety was significant. There was a variety of modes including face‐to‐face, virtual, individual and group proposed. Cultural considerations were lacking in all of the models.ConclusionOur study recommends a hybrid clinical supervision model suitable for consultation and validation through pilot testing with remote area nurses. There is potential for this model to be used globally in isolated contexts due to the option of virtual participation.

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“…In other words, they change from being a legitimate marginal participant as a novice to being a core member of the community as an expert step by step. [21,22] As it is described above , the real situational design of REST program is drawn in Table 1 Participant Resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. The participants were described in Table 2.…”

Section: Construction Of a Community Of Practicementioning

confidence: 99%

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Rao

et al. 2021

Preprint

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Objective:The participation of general practice (GP) residents in COVID-19 prevention and control tasks touched workload participation in public health and disease prevention and control and was also a rare, valuable training experience for the residents and research material for medical education . This experience contributed to the understanding of three key points: First, was the content of the COVID-19 prevention task suited to them, or did it overload them in the present? Second, their competence in the COVID-19 prevention task reflected whether the early medical school training was sufficient or not .Third, what can be drawn from this study to promote public health training in the future? This study aimed to explore these issues by conducting a real epidemic situated training (REST) program.Methods: A situated cognition study was designed that included situational context design, legitimate peripheral participation, and the construction of a community of practice. The Task Cognitive Load Scale (NASA-TLX Scale) and self-developed questionnaires were adopted to conduct a questionnaire survey of resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. SPSS 23.0 statistical software was used for the statistical analysis of data.Results: The NASA scale showed that the intensity of field epidemic prevention and control (training) was tolerable. In particular, there was no statistical difference in the cognitive load intensity of training before and after the epidemic occurred at different time points (P<0.05). This shows that they were early trained and well prepared before sudden outbreak of the COVID-19.Before the outbreak of the epidemic, the public health knowledge and training received came from undergraduate education (83.16%), early residents program training (69.47%), online self-study (49.16%), and continuing education (20.53%). Conclusion:Former medical school education and training at the regulatory training stage have a good effect and enable residents to master the skills required for epidemic prevention and control and to physically and mentally prepare for the task. After this stage, epidemic prevention and control training in real situations will make important contributions to the self-assessment and performance improvement of public health training,and make participants more competent to face the epidemic task.

show abstract

Good help: a model for providing in-consultation supervision of general practice trainees

Cited by 3 publications

References 19 publications

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Models of clinical supervision of relevance to remote area nursing & primary health care: A scoping review

Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

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