Setting Direction -Comparative Framework
Identifying the Contexts for Change
Undergraduate
- Takes part in opportunities to learn about the healthcare system
- Demonstrates an understanding of the healthcare system and the impact of the doctor's role on patients and their families
- Seeks role models to learn from about health organisations and settings
- Seeks opportuntities to learn about the NHS policy environment, organisation and structure
Postgraduate
- Takes part in departmental meetings with the local health community.
- Complies with clinical governance requirements of the organisation
- Attends multi-agency case conferences
- Shadows NHS senior managers
- Seeks opportunities to attend relevant national and regional events
Continuing Practice
- Undertakes analysis to systematically appraise the organisational environment.
- Attends and contributes to conferences, workshops etc to keep abreast of best practice relevant to future services
Applying Knowledge and Evidence
Undergraduate
- Uses appropriate sources of information, including patients, to support learning
- Critically analyses information and data
- Investigates an identified problem in small group work
- Applies principles and practices of evidence-based medicine
Postgraduate
- Uses and interprets departmental performance data and information to debate services within multidisciplinary team meetings
- Utilises external references (e.g. I.T based resources) to support analysis
- Presents information to clinical and service managers
Continuing Practice
- Uses audit outcomes to challenge current practice and develop consistent, reliable care
- Delegates responsibility to colleagues to act as service leads and supports them to innovate
Making Decisions
Undergraduate
- Contributes to discussion about future course developments
- Participates in multidisciplinary team meetings and listens to patient experience during clinical placements to appreciate the organisational contexts for decisions
- Seeks to learn how decisions have taken account of changes in evidence and policy
Postgraduate
- Contributes to decisions using evidence about the running of the service as part of a multidisciplinary team
- Contributes to relevant decisions about workload and arrangements for cover bsaed on clear and concise information and data
- Participate in clinical committee structures within the organisation
Continuing Practice
- Determines priorities for a service, incorporating them into departmental and trust business plans
- Advises management colleagues, providing a clinical perspective on service developments and implications for patients
Evaluating Impact
Undergraduate
- Takes part in student/staff committees eg. to review effecitveness of initiatives
- Seeks opprtunities to learn how effective service changes have been
- Reviews the effectiveness of alternative tratments and approaches following clinical attachment
Postgraduate
- Contributes to the evaluation of services and wider healthcare provision relevant to the speciality and their own work practice
- Presents the results of clinical audits to audiences outside their immediate specialty
- Takes part in organisational service review/planning with healthcare commissioners
Continuing Practice
- Evaluates change options in terms of their impact on services
- Facilitiates the introduction of new services and systems/ processes
- Identifies good practice and communicates this to a wider audience e.g. speaking at meetings/conferences, publishing articles and guidelines
