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825 The trainee charter audit, a quality improvement project in the yorkshire and humber school of paediatrics
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825 The trainee charter audit, a quality improvement project in the yorkshire and humber school of paediatrics
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Journal Article
825 The trainee charter audit, a quality improvement project in the yorkshire and humber school of paediatrics
2022
Overview
AimsThe RCPCH has published the Trainee Charter1 and the Training Toolkit2 outlining the standards of training, trainees can expect of their training units. The aim of this audit was to conduct a quality improvement project by surveying adherence of regional units with training guidance as perceived by trainees and college tutors and to sample examples of good practice in the School of Paediatrics in Yorkshire and the Humber.MethodsA survey questionnaire was designed using recommendations from the above guidance. Additional questions in relation to training and requesting examples of good practice were added. There were 47 questions, which were distributed to college tutors in three separate phases (college tutor group). The questions (apart from those relating to trainers only) were also circulated in a single phase to volunteer trainees at each hospital in the region (trainee group). The questions mapped across 7 domains: educational supervision (only for college tutors), staffing issues, teaching, rotas, patient safety, fatigue, rest facilities and breaks as well as training environment. Data was collected in the period between January and October 2021.ResultsA total of 45 responses were collected across the trainee group and the three phases of the college tutor surveys. Figure 1 details the percentage of the trusts in the region from which responses were received. More than one trainee responded in some trusts with at least one response (a trainee or a college tutor) collected from each trust. Fourteen of fifteen trusts had at least one college tutor response.Main findings with highest response rate:Educational supervisionLess than 40% of college tutors said that their job plan included 0.25 PAs per trainee for educational and clinical supervision. Examples of good practice focused on trainee feedback and quality of supervision.StaffingMore than 70% of both groups stated that their trust had a plan for dealing with emergency gaps with over 55% of both groups also having a plan for long term gaps as shown in figure 2. Examples of good practice in addressing gaps were ensuring good communication and flexibility, particularly in consultant working patterns.Abstract 825 Figure 1Percentage of Trust Responses of all trustsAbstract 825 Figure 2Main Audit FindingsConclusionResponse rates varied between college tutors and trainees and demonstrated a difference in perception between the two groups but the audit gave a good overall picture of compliance in local units with trainee charter guidance. We have collected many examples of excellent practice and our next step will be to publish these more widely to all stakeholders to drive further improvement in our training units.Thank you to everyone that helped.ReferencesTrainee Charter, Royal College of Paediatrics and Child HealthTrainee Toolkit, Royal College of Paediatrics and Child Health
