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SuppoRTT - digital and online resources

Supporting doctors returning to training after time out

*NEW* Knowledge Refresher - What's new in obstetrics -  a recording of the SuppoRTT webinar held on Tuesday 7 April 2020.

 - What’s New in Obstetrics, presented by Mrs Rebecca Black, a Consultant in Obstetrics and Fetal Medicine at the John Radcliffe Hospital, Oxford.

Knowledge Refresher - Approaching the acutely unwell patient - recording of the webinar held on Tuesday 31 March 2020. 
 - Approach to a patient with a high warning score, presented by Dr Shefaly Patel
 - Approach to a patient with shortness of breath, presented by Dr Sunit Raja

Knowledge Refresher - Gynaecology: Approach to the survivor of domestic and sexual violence -  recording of the webinar held on Friday 10 April 2020.
 - Gynaecology: Approach to the survivor of domestic and sexual violence, presented by Ms Katherine Talbot, Specialist Registrar in Obstetrics & Gynaecology in Thames Valley.

Knowledge Refresher - Telemedicine - A recording of the webinar held on 10 April 2020.
 - Telemedicine Skills: how to communicate remotely, presented by Dr Tim Davis, a GP from South West England and South West’s GP SuppoRTT Champion. 

Knowledge Refresher -  COVID-19 in Children - A recording of the first half of the webinar recorded on 30 April 2020.
 - COVID 19 in Children: An Update, presented by Dr Prasad Nagakumar, Tertiary Paediatric Respiratory Consultant at Birmingham Children's Hospital.

Knowledge Refresher - Oncological Emergencies - A recording of the SuppoRTT webinar recorded on Thursday 23 April 2020
 - Oncological Emergencies, presented by Dr Rebecca Shakir, a Clinical Oncology Registrar, and Clinical Research Fellow at the University of Oxford.

Knowledge Refresher –APLS Plus - Waiting for the Paediatric Critical Care Retrieval Team - A recording of the second half of the webinar recorded on 30 April 2020. - - APLS Plus - Waiting for the Paediatric Critical Care Retrieval Team: An Interactive Session, presented by Dr Constantinos Kanaris, Consultant in Paediatric Intensive Care and Retrieval Medicine at University Hospital of North Midlands and North West and North Wales Transport Service.

Knowledge Refresher - Return to Clinical WorkA recording of the second half of the webinar recorded on Thursday 9 April 2020
- Day one on the ward, presented by Dr Nell Freeman-Romilly.

Knowledge Refresher - ECG - A recording of the first half of the webinar recorded on Thursday 26 March 2020
 - ECG, presented by Dr Jamie Kitt.

Knowledge Refresher - Oncological Emergencies and Update - A recording of the SuppoRTT webinar recorded on Thursday 23 April, 7pm
 - Oncological Emergencies, presented by Dr Rebecca Shakir, a Clinical Oncology Registrar, and Clinical Research Fellow at the University of Oxford. 

Knowledge Refresher - Management of Diabetes Mellitus - Part 1 of the webinar recorded on Thursday 16 April, 7pm
 - Management of Diabetes Mellitus, presented by Dr Ryan Goindoo, a Diabetes and Endocrinology Specialty Registrar. 

Knowledge Refresher - Prescribing - Part 2 of the webinar recorded on Thursday 16 April, 7pm.
 - Prescribing Refresher, presented by Dr Sarah Millette, a Specialty Registrar in Geriatric Medicine.

Knowledge Refresher - Resuscitation - Part 1 of the webinar recorded on Wednesday 15 April, 7pm
- Introduced by Professor Sheona MacLeod, Acting Director of Education and Quality and Executive Medical Director, Health Education England.
 - Advanced Life Support and Resuscitation for Covid-19 Patients, presented by Catriona Fleming

Knowledge Refresher - Advanced Life Support - Part 2 of the webinar recorded on Wednesday 15 April, 7pm
 - Advanced Life Support Management of Symptomatic Arrhythmias, delivered by Dr Jamie Kitt 

Knowledge Refresher - COVID-19 - Part 1 of the webinar recorded on Tuesday 14 April, 7pm
 - An Overview of the Clinical Management of COVID-19 - presented by Dr Maheshi Ramasamy
Please note; there are additional questions answered at the end of the recording.

Knowledge Refresher - Respiratory Failure - Part 2 of the webinar recorded on Tuesday 14 April, 7pm
 - Respiratory Failure, Ventilation and Oxygen Delivery Devices – presented by Dr Tom Nicholson and Dr Gareth Hynes.
Please note; there are additional questions answered at the end of the recording.

Knowledge Refresher - GI Emergency - Part 1 of the webinar recorded on Wednesday 8 April, 7pm
 - Emergencies in Gastroenterology and Hepatology, presented by Dr Tom Chapman.
Please note; there is a small break in recording within the first minute.

Knowledge Refresher - Arterial Blood Gas (ABG) Analysis - Part 2 of the webinar recorded on Wednesday 8 April, 7pm
 - Arterial Blood Gas (ABG) Analysis, presented by Dr Tandip Mann.

Wellbeing 02 - Take Care - recorded on Wednesday 8 April 2020, 2pm
 - Presented by Anneliese Guerin-LeTendre, a professional development coach and interpersonal/intercultural communications specialist.

Knowledge Refresher - Acute Respiratory Distress Syndrome (ARDS) and Transfusion - a recording held on Monday 6 April 2020, 7.45pm
- Acute Respiratory Distress Syndrome (ARDS) - Dr Samantha Jayaweera
- Blood products & Transfusion - Dr Kieran Burton

Knowledge Refresher - Neurological Emergencies - part 1 of the webinar recorded on Friday 3 April 2020, 7pm
 - Neurological Emergencies, presented by Dr Krishna Chintapalli a Consultant in Neurology at Frimley Health NHS Foundation Trust.

Knowledge Refresher - Management of Status Epilepticus - part 2 of the webinar recorded on Friday 3 April, 7pm
 - Management of Status Epilepticus, presented by Dr Krishna Chintapalli, a Consultant in Neurology at Frimley Health NHS Foundation Trust.

Knowledge Refresher - Radiology and Acute Confusion - recorded on Thursday 2 April at 7pm
 - Radiology - CXR and CT Interpretation – presented by Dr Sunit Raja 
 - Approach to acute agitation or confusion – presented by Dr Catherine Ashton

Knowledge Refresher - Approach to a pregnant woman with respiratory symptoms - recorded on Wednesday 1 April 2020
 - Presented by Dr Charlotte Frise

Knowledge Refresher – Death certification  - recorded on Friday 25 March 2020
 - DNA CPR and Advance Planning - presented by Dr Sarah Millette 
 - Recognising the Dying Patient & Palliation - presented by Dr Catherine Ashton
 - Verification, Certification and The Law - presented by Dr Catherine Ashton

Wellbeing - 01 
 - Presented by Dr Caroline Walker of The Joyful Doctor, an expert in doctors' wellbeing.
We'd love to know what you think - click here to leave your feedback for SuppoRTT for doctors returning to work in the pandemic - 01 Wellbeing

*NEW EPISODE 5 (Part 2): ​Human Factors in the Pandemic (Part 2)

Planning & Production Credits: Sarah Siddiqui, Jo Szram and Jane Gardner-Florence

Summary 

Human factors has been a crucial part of the clinical response during this pandemic for some departments and health professionals. In this supplementary episode, we are in conversation with senior theatre service manager Clair Mullins, ITU consultant Sunny Kaul and clinical educator Liz Allibone from the Royal Brompton and Harefield Hospital, exploring how their understanding of human factors prepared them during the pandemic response, with additional trainee perspectives from foundation doctor Kerry Fisher and OMFS (suggest you spell this out as lots of people don’t know what it is!)  surgeon Nabeel Bhatti.

If you would like to give us some feedback our Episode 5 (Part 2) of our Pandemic Podcast you can find a feedback form on our website here. 

Biographies

Clair Mullins is a senior theatre service manager at The Royal Brompton & Harefield NHS Foundation Trust.

Liz Allibone is head of clinical education and training at The Royal Brompton & Harefield NHS Foundation Trust and chair of the UK clinical nurse educator network.

Sundeep Kaul is a consultant in intensive care and respiratory medicine and head of the lung division at The Royal Brompton & Harefield NHS Foundation Trust.

Kerry Fisher is a foundation doctor at Frimley Hospital, RAF medical officer

Nabeel Bhatti is an oral and maxillofacial surgeon

*NEW EPISODE 5 (Part 1): Human Factors in the Pandemic 

Planning & Production Credits: Jo Szram (Lead), Sarah Siddiqui, Peter Brennan, Jane Gardner-Florence

Summary 

Human factors understanding focuses on optimising human performance through better understanding the behaviour of individuals, their interactions, with each other and with their environment. In health care, it underpins patient safety, offering an integrated approach to quality improvement and clinical excellence. In this episode, we are in conversation with HEE deputy dean and physician Jo Szram, surgeon Peter Brennan, BA pilot Graham Shaw and Obs & Gynae trainee Ruth-Anna Macqueen to explore what human factors are, their importance in the health care setting and how knowledge of human factors can help both trainees and supervisors.  

If you would like to give us some feedback our Episode 5 (Part 1) of our Pandemic Podcast you can find a feedback form on our website here. 

Biographies

Jo Szram is a consultant respiratory physician at the Royal Brompton Hospital, a deputy postgraduate dean in London, chair of NACT UK and sits on the Councils of the Royal College of Physicians and the RSM Patient Safety Section Council.

Peter Brennan is a consultant oral and maxillofacial surgeon and honorary professor of surgery with a PhD and 70+ publications on human factors and patient safety.

Ruth-Anna MacQueen is a Senior Registrar in Obstetrics and Gynaecology, having worked for Healthcare Safety Investigation Branch and is currently undertaking an MSc in Patient Safety and Clinical Human Factors

Graham Shaw is founder and director of Critical Factors and a 777 Captain for British Airways.

EPISODE 4: - Perspectives of Redeployed Trainees during the pandemic

Released on: 21st May 2020
Planning & Production Credits: Victoria Twigg (Lead), Kathleen Sullivan, Jane Garner-Florence & Sarah Siddiqui

Summary:
The COVID-19 pandemic has resulted in new ways of working for everyone in healthcare, with some healthcare professionals being redeployed to another speciality completely.  Redeployment can pose a host of practical difficulties and concerns to those being redeployed, such as; will I be out of my depth? Am I going to be putting myself and my family at risk? How will my training and career be affected? In this episode we are in conversation with two surgical trainees and a PSU coach, to discuss their experience of being redeployed, the highs and lows, and the approaches one may take in addressing the concerns that arise. We look also at some of the positives that can be drawn when in the face of uncertainty.

Biographies:
 - Abhinav Singh
is a Trauma & Orthopaedics Registrar in the Imperial Deanery and a part-time MSc student at the University of Oxford. He is interested in surgical research, focusing on clinical outcomes for paediatric patients. Outside of work, he enjoys playing cricket and running.
 - Peter Lion is a higher surgical trainee in ENT in North London. He studied medicine in Brighton and has subsequently worked in Scotland, Wales and England. He has an interest in medical education.
 - Kathleen Sullivan is a Senior Coach for the PSU and an Associate with Career Planning for Doctors and Dentists. Kathleen specialises in transformational coaching and satisfying career transitions for doctors. Her integrated approach draws on modalities including Solutions Focus, Constellations, and Thinking Partnerships.
 - Victoria Twigg is a higher surgical trainee in ENT in North London undertaking a fellowship at HEE looking at early-years surgical education across the region. She has an interest in leadership and management across the healthcare sector, with a focus on workforce policy.

EPISODE 3: Supervision in Primary Care during the Pandemic

Summary
The pandemic has altered work patternsso that in general practice most consultations are being done by telephone or video. Clinicians are sometimes working from home and trainees and supervisors may not always be in the same physical environment. The combination of different ways of consulting and this geographical separation can lead to challenge in terms of supervision. In this episode, we are in conversation with a GP trainee, a GP trainer and a GP educator about their experiences; and consider ways of overcoming the challenges they have faced.

Biographies:  
 - Dr Nirja Joshi is a GP trainee on the St George's GP training scheme
 - Dr Rupal Shah is a GP trainer and Associate Dean in Professional Development
 - Dr John Spicer is a GP and ethicist. He was Head of Primary Care in South London until his retirement in August 2019
 - Helen Foster is Education Lead in Faculty Development
 - Dr Naureen Bhatti is the GP Head of School for NCEL
 - Dr Meera Kumar is a GP trainee and is a host on the AIT podcast 'Somewhere in-between' from the RCGP

If you would like to give us some feedback our Episode 3 of our Pandemic Podcast you can find a feedback form on our website here

EPISODE 2: IN DISCUSSION - Training & workforce deployment in the face of a pandemic

Summary:
In the early stages of the pandemic, the medical workforce across trusts in London underwent many strategic changes, with trainees being deployed to different sites and disciplines causing disruption to normal working patterns and training pathways. In this episode, we are in conversation with the Director of Medical Education across different London trusts and the chair-elect of the NACT (National Association of Clinical Tutors) Council to explore the different strategies and approaches used, the role of the medical education departments and the challenges faces by trainees and supervisors and how they were overcome.

Bios:
Dr Jo Szram
 is a consultant respiratory physician at the Royal Brompton Hospital, chair-elect of the NACT council and a deputy dean in London.

Dr Dan Bailey is a consultant in geriatric and general medicine at King’s College Hospital, associate director of medical education, a champion for Supported Return to Training and training programme director IMT in South West London.

Dr Louise Schofield is a consultant in palliative care and director of medical education at Barnet Hospital.

Dr Karwai Tsang is the Chief Registrar at Kings College Hospital and ST7 in Acute Medicine

If you would like to give us some feedback our Episode 2 of our Pandemic Podcast you can find a feedback form on our website here.

PILOT EPISODE - Finding balance in the pandemic

Summary:

In a high-alert situation such as the Covid-19 pandemic, it can be very easy to become more function-driven and task-focused when everything is in crisis mode. There is the potential for 'heroic' overworking and burnout or struggling to find the capacity to address other areas of our lives. In these times, how can we support healthcare professionals to create more balance in their every day? In this episode, we are in conversation with coaches Dr Magdalena Bak-Maier and Kathleen Sullivan. Our discussion draws on neuroscience and coaching as we explore some practical approaches to finding balance amidst the ongoing crisis. 

Bios:
Dr Magdalena Bak-Maier is a neuroscientist, and productivity and wellbeing expert. She is the author and inventor of the GridTM work-life balance method. Magdalena joins up theory, research and practitioner insights, creating new practical approaches that optimise human health and performance.

Kathleen Sullivan is a Senior Coach for the PSU and an Associate with Career Planning for Doctors and Dentists. Kathleen specialises in transformational coaching and satisfying career transitions for doctors. Her integrated approach draws on modalities including Solutions Focus, Constellations, and Thinking Partnerships.

Dr Sarah Siddiqui is a National Supported Return to Training Fellow based in the London & KSS Professional Support Unit. She is dual-qualified in Medicine and Dentistry and on sabbatical from Core Surgical Training.

If you would like to give us some feedback our Episode 1 of our Pandemic Podcast you can find a feedback form on our website here.  

Simulation

A COVID-19 Simulation Community is now live on the Future NHS Collaboration Platform - to encourage experience and examples of education and learning sharing

Access the community here