Clinical Career 1 Clinical Career Issue 2 - Spring 2014
Total Page：16
File Type：pdf, Size：1020Kb
ISSN 2053-9649 CLINICAL CAREER 1 CLINICAL CAREER Issue 2 - Spring 2014 The Journal for Medical Professionals who are passionate about their career success www.ClinicalCareer.co.uk Quarterly in October, January, April & July THE EDItoRIAL EDItoR’S INTRODUCTION team Welcome to the second edition of the Clinical Career journal. Dr Sara Watkin Editor-in-Chief “Extremely useful.” “A great platform to share advice amongst E: [email protected] T: 01332 821260 colleagues.” “Fills a void that has been present for a long time.” These were just some of the comments we received following the publication of our inaugural edition late last year. They Fraser Tennant Operational Editor clearly demonstrate that Clinical Career has struck a chord E: [email protected] with its stated aim – to inform, educate, and assist in the T: 07941 502512 development of trainees throughout the course of their career. We have been delighted with the response to our call for FEEDBACK journal participants and many contributions are featured in Send us your feedback on the this edition. These include an overview of the Shape of Training journal, ideas, suggestions or Review, an examination of the pathway to leadership, the 2023 comments to: challenge to improve healthcare, and the merits of part-time [email protected] working for doctors. Additionally, our request for your overseas accomplishments has also been well answered with experiences in India, Cameroon, South Africa, and the Himalayas showcased. Now more than ever, it is vitally important that trainees at all stages have access to independent advice of the highest quality. Advice that will help them make informed choices as they navigate their way through a volatile healthcare environment. I hope you enjoy reading this edition and I welcome your feedback and suggestions. Sara Dr Sara L Watkin Editor-in-Chief, Clinical Career Partner, Insights Publishing Consultant Neonatologist & Clinical Service Lead University College London Hospitals NHS Foundation Trust CLINICAL CAREER 3 CoNTENTS THE BIG ARTICLE 4 The Future is Set 4 Relevant News 10 Taking Shape: the future of medical education and training 16 The Shape of Training Review: What’s the big deal? 19 ARTICLES & ADVICE 24 Health Education England: A Vision for Education 24 INNOVatION FeatURE 28 “A Tidal Wave of Energy and Creativity” 28 Healthcare innovation demands an exquisite balance 30 The story of Rowena - a Craniotomy Simulator 34 The Disruptive Innovation Expectation 38 CaREER STRateGIES 42 Investing in your Career Success Early 42 Ahead of the Surgical Pack 44 INTELLIGENT CHOICES, INTERESTING OPTIONS 48 All boxes ticked: In search of happiness 48 INSPIRatION, PASSION & PURSUITS 52 “You have to love your patients and you have to love what you do” 52 RotatION ZONE 56 Just One Thing - Planning on a CV-enhancing item per rotation 56 OVERSEAS FOCUS 60 Three Weeks in the Himalayas 60 Paediatrics in Cameroon 64 “In India it’s purely about gaining skills and not about tending your ego” 69 Out of Programme Surgical Training Experience in Zululand 73 WORK-LiFE BALANCE ZONE 76 Awesome and Audacious: The Audi Q5 76 INTERVIew & RECRUITMENT ZONE 78 Body Language 78 PROFESSIONAL DEVelopmeNT zoNE 82 Less Than Full Time (LTFT) Training 82 Leadership & Management Skills for Core Trainees a Delegate’s View 86 The Pathway to Leadership 90 Depth in Leadership Development 96 WORTH READING 99 ASK SARA 100 Whistle Blowing on Concerns 102 CoNFERENCES, EVENTS & ANNOUNCEMENT 107 LE C I T THE FUTURE IS SET THE BIG AR How NHS England is switching to 5 year planning and what this means for professionals The fact that the NHS landscape has and consequently care providers, would wish to join an employer who is likely to been changing will have escaped be approached. However, from this point stay around by making sensible strategic nobody. However, the implications forward commissioners are required to choices. of this changing landscape have far produce a strategic plan that covers the reaching consequences to the career next five years, with the next two years High Level Changes paths of those currently in training and being specified down to operational Wider use of primary care indeed for every service in the UK. It is detail. With an ageing and rapidly increasing imperative, therefore, that all doctors population, it is no surprise that NHS gain a top level grasp of the nature of This means that shortly we will be able England wants to see the use of primary changes that will occur at the provider to deduce far more clearly how the care beefed up. They describe this as end of the system so that they can make provider landscape is likely to change increasing the use of primary care at absolutely sure that they develop the over the next few years in the face of scale. This strategic agenda is driven not knowledge, skills and insight necessary huge austerity and an increased agenda only by an increasing population but by both to operate successfully in this new for integration across the secondary, the changing nature of that population environment and also to ensure their primary and social care arenas. It and its healthcare needs. With increased attractiveness to new types of potential is absolutely essential that anyone numbers of particularly aged patients, employer. I hope that this article will go intending to have the pick of jobs going the system has to respond to differing some way to providing a starting point forward takes the trouble to research and access requirements. An elderly, frail for just such a top level analysis. understand the true nature of healthcare patient who may also have dementia, provision and how it is changing over cannot be expected to undertake The Big Commissioning Change time. From the provider’s perspective, frequent, often physically brutal, In December 2013, NHS England issued it will mean actively monitoring these journeys simply for routine health care planning guidance for CCGs that had strategic plans for commissioning at a that can otherwise be delivered in a a fundamental change to approach local level to see just how the provider location much closer to them. Equally, contained within its pages. Until this landscape is likely to change and how these patients tend to carry an increase point, commissioners had only been this may affect them. Touching again on level of chronic disease, for which required to produce annual plans of the career implications, if I was applying hospitals are recognised as a less than their proposed activity, which would also for a job today I would want to know ideal location. have contained valuable information just how aware my employer was of this about how the pattern of care delivery, changing landscape, given that I would From a career perspective, this heralds CLINICAL CAREER 5 two distinct themes: at their portfolio of care and determine prime or support integration projects. • growth of the primary care/GP what aspects of care are likely to be I think this tells us that NHS England is infrastructure moved into community settings. To definitely serious about integration. • an increase in primary care located continue to expect to operate in the secondary care services traditional hospital-based mode and Again you might want to consider just enjoy the same level of funding, is to which types of long-term condition are The latter theme is an important one place the service at risk of obsolescence likely to be subject to changes in care to consider from a skills and working as community delivery models take hold. delivery as a result of integration. For environments perspective. Whereas The strategically intelligence service instance, are you developing a special many of the secondary care services may should be considering how to adapt interest in an aspect of care that is well be delivered by current secondary its delivery model to match up to this currently delivered in hospital but which care providers, such as hospitals, changing pattern and indeed whether may well switch to a more community although obviously in the community, it needs to partner with a community focused location as an integrated an increasing number will be delivered organisation, in a more integrated pathway approach is adopted? Equally, by new private providers or indeed NHS approach to care delivery. employers may well be seeking providers with a much more limited candidates whose experiences bridge scope, often choosing to address a very The integration agenda the gap between primary and secondary specific type of patient with very specific A consistent theme in the planning care, or perhaps more accurately needs. Going forward, there will be an guidance is the increase in integration between secondary care delivered in the increased need for doctors who are across patient pathways for the delivery community and that which is delivered prepared to work in these limited scope of care to people with long-term in hospitals. This type of approach environments, often independently of conditions. This is also interesting at two is often based around the principles the team and sometimes out of existing distinct levels – the increasing disease of case management, again a useful GP practices in a more integrated burden in certain long-term conditions, addition to a CV for someone wishing to manner. It is worth considering what especially those that are age-dependent, work in this type of environment. might make you attractive to these and having to work in an integrated types of employers that is different from or cross boundary manner. To support Currently clinical professionals within a traditional local hospital job. integration, NHS England is investing services find themselves with so some 3.8 billion in a fund called the much clinical load that the thought of Services need to take a strategic look Better Care Fund, which is specifically to networking and developing shared LE C I T THE BIG AR services with other providers across a models and an increased number of heightened sensitivity to delivering pathway seems an impossible task that private providers that bring those into surgery without complications, as this there is no time for.