The Education Program is a key component of the EGCBI, and along with individual supervision and the range of clinical experience, is important in the program’s success. The EGCBI education program is a coordinated program involving all interns in the area (even those not specifically recruited to the EGCBI), and involves all sites.
Both BRHS and CGHS have extensive educational programs. You can be assured that at the end of your Internship, you will be competent in the domains of the Australian Curriculum Framework for Junior Doctors.
Dedicated teaching time
The Australian Medical Council National Standards for Intern Training (Nov 2013) note that intern training is “a mixed model of supervised practice and integrated training”. A balance between clinical practice and the learning of the intern is paramount. As is the case in teaching hospitals, an intern adds to the workforce capacity of the unit in which they are situated. The same applies for the East Gippsland Community Based Internship.
Every clinical practice activity is also a learning opportunity.
To further assist with this balance, the Community Based Internship is structured to allow the intern formal, dedicated education time per week. This formal education time may comprise a combination of:
- Formal teaching time at the site
- Individual self directed learning
- Education sessions with all CBI interns across the region.
One-on-one ‘teaching on the run’ moments and usual supervisory review are in addition to this dedicated ‘off-line’ time.
The CBI will enable interns to track patients through different sites of the health system and thereby gain a comprehensive understanding of the relationship between these different components of the system. This has already been undertaken in community settings with success. The South Australia demonstration project (Mugford & Martin 2001) introduced the activity of following a patient across health sites. “Interns reported that the process of following a patient from presentation at the general practice clinic, to hospital and back to the clinic had no equivalent for junior doctors in the (teaching hospital), where the clinical experience represents a fragment of the patient care process rather than the continuum”.
Group learning in the intern year is of utmost importance. The education approach for this CBI which emphasises the intern group (across BRHS and CGHS sites) along with formal and defined mechanisms for intern interaction will provide group learning opportunities. Group learning may be physical (face-to-face group work), teleconference, videoconference and web-based. Group learning may be among intern peers, may be vertically integrated learning and may be inter-professional.
Dedicated time for one-on-one learning with supervisors, colleagues and medical educators is equally as important. This is in addition to, and separate from, the ongoing supervisory role where the supervisor may meet the intern (including with the patient) to oversee the patient interaction. The latter scenario may be a ‘teaching moment’ however additional specific one-on-one education time will be included in the education structure, particularly for the provision of two-way feedback.
Time for individual self-directed learning is also important. Structuring the learning day so there are time periods for the intern to follow up on topics; research new learning; or formulate their own responses has been raised as an important component of the overall experience. Formalising this activity may assist the intern to both structure their own learning and to follow up on topics in a diligent manner. An aspect of this self-directed learning will be active involvement in reflection as a component of formative assessment.
This will also include time for the intern to complete their log books.
Simulation is a core component of existing intern education in both Bairnsdale and Sale. The Monash University Rural Clinical School simulation laboratories at both sites will be available to the CBI interns and sessions have been structured into the education program.