The ATSP(Asked To See Patient)guide to delivering the ATSP 2016 local hospital session
We hope you enjoyed your ATSP “Teach the Teachers” training session. The following hints and tips below will help you to deliver your local hospital ATSP session successfully.
Overview of main events in the ATSP annual calendar:
Phase 1: Regional “Teach the Teachers” session is taught by ATSP committee members and attended by a selection of current FY1 doctors from all hospitals in your region. The current FY1 doctors are taught the ethos of ATSP and given ideas on how to run their own local sessions (i.e. Phase 2). N.B. This is the session that you attended in summer 2016 run by the national ATSP team.
Phase 2: Local ATSP Training session is taught by the current FY1 doctors who attended the “Teach the Teachers” day. It is attended by all newly qualified soon-to-be FY1 doctors.
Order of tasks:
April/May/June 2016
- ATSP committee deliver the ATSP “Teach the Teachers” training day to current FY1s from across the region.
May-July 2017
- All of the required teaching material is distributed to the newly trained FY1 teachers (see list of documents below).
- Each “Teacher” should ensure a local ATSP session is booked at their individual hospital. Meet with the other teachers from your local hospital and practice your ATSP session.
July 2017
- Local ATSP sessions take place at each hospital delivered by current FY1 “Teachers” to newly qualified FY1 doctors. This is a 2-3 hour session, based on the ATSP PowerPoint presentation. See further hints and tips below on how to organise this.
Below is a flowchart which summarises the order of tasks:
ATSP Documents List:
- PowerPoint Presentation – for trained FY1 “teachers” to deliver at their local hospital ATSP session. Includes introduction, scenario cases and conclusion.
- ATSP cases – for FY1 “teachers” to be used to simulate a scenario in the role play at their local hospital ATSP session.
- The ATSP guide – for FY1 “teachers” to aid smooth delivery at their local hospital ATSP session. (This document).
- ATSP booklet – for distribution to all newly qualified soon-to-be FY1 doctors electronically and/or printed.
How to make your session run smoothly:
Please remember back to when you first started as a junior doc in August last year and how daunting the whole prospect was. You’ve learnt a huge amount in a relatively short space of time, most of which has probably come from your time working out of hours shifts. Your job now is to sum all that up in the space of 2-3 hours to aid the transition from medical student to doctor for your new successors!
Arranging your session:
Liaise early with your foundation programme administrator to ensure your session is booked. Where possible, we advise small groups of new FY1s to enable interaction and role play. A ratio of 2 teachers to 10 students is ideal, but not always feasible. Tables and chairs arranged in a circle in a seminar room work better than forward facing chairs in a lecture theatre.
Introducing your session:
Please emphasise that the session is not about teaching medicine already covered, nor is it about finding gaps in people’s knowledge. It’s about being practical and doing the job. We don’t want anyone feeling stupid before they’ve even started!Make the teaching your own- use your own style, humour, wit etc. Keep it breezy and not like old school boring medic teaching!
Using the PowerPoint presentation:
We have added notes to most slides- please read them as they explain what the slide is about, points to emphasise and suggestions for additions you might want to include.
We’ve checked over the PowerPoint scenarios many times but there are still likely to be some mistakes that we just can’t see any more!! Please look over the cases yourselves in your groups and get to know them. You could practice to see how it will go if you like. From our experience things don’t always turn out the way you thought, as your audience doesn’t always react in the way you anticipated! Make sure your communication is rehearsed and easy to understand, particularly if there is a group of you.
You might want to add a couple of slides or visual props (e.g fluid chart in hyperkalaemia). It’s also worth showing how to access your local guidance.
Case scenario prompts (word document):
All care has been taken to ensure these are medically correct and realistic. It’s up to use whether you use these, but they may help to reduce the amount of improvising you have to do on the spot! They contain more info than is on the slides and you will have to provide this verbally to the group as they role play. It may be useful to use someone as a scribe with flip chart to write obs etc down.
The ATSP Booklet:
The booklet covers all the scenarios that are available to teach during the session. If you are going to give extra advice please ensure it is consistent with the info in the booklet! Remember to avoid giving the booklet out until the end of the session, or else people will end up reading it instead of listening to you!
There is a prescribing section towards the back. It includes a list of commonly prescribed drugs and their doses along with how to look at gent levels, prescribe warfarin to patients you don’t know, etc. You can cover this if you wish- ask your audience- but it’s pretty self explanatory to read.
Feel free to make extra handouts to supplement the booklet (e.g.references to intranet resources specific to your trust).
Role Play:
Role play is like marmite.. To increase the likelihood that people will love it, aim for a larger group situation where everyone chips in. Encourage quieter audience members to get involved, but avoid putting too much pressure on any individual. Split the scenarios into two sections- first being the nurse phone conversation with the bleep and the second being the action on arrival at the ward (further Hx, plan and documentation). Once you’ve been through the documentation example, there’s no need to repeat exactly what you would document for every scenario as this can get repetitive/boring! If there is anything specific for an individual case which is crucial to document then feel free to flag that up. Make sure the new FY1s are showing an awareness of their position as a part of a team – encourage them to ask (nicely) for nurses to undertake certain actions before they arrive at the ward if necessary, for example getting notes/cannula equipment ready, asking for O2 at 15L (e.g. in the case of the low GCS).
You will want to run through a whole demo example to begin with (e.g. use blood in catheter) to illustrate what is expected and get things going.
It’s really important to emphasise safe practice. Remind the FY1s to run anything they are unsure of past a senior.
Mid session break:
Advisable to include one for any session over an hour! You could even bake!
Feedback:
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Have fun and enjoy!!
ATSP Team 2016