Updates - Lead NCHD

1. NCHD Newsletter

The National Lead NCHD, Dr Jennifer Finnegan issues a newsletter on a quarterly basis. In it, you can expect to find an update from the National Lead, updates from NDTP including information on training supports, scholarship opportunities as well as other initiatives as they are launched.

Dr Finnegan’s first newsletter will issue in September. Throughout the year, Lead NCHDs will be encouraged to submit their local initiatives to be featured in the newsletter.

Recent NCHD Newsletters: 

June-2022-NCHD-Newsletter.pdf (size 1.8 MB)

March-2022-NCHD-Newsletter.pdf (size 1.9 MB)

 

2. Educational Webinars

NCHD Leads from around the country come together for monthly webinars arranged by the National Lead NCHD. These cover a variety of themes and Lead NCHDs will be encouraged to request speakers or topics they wish to be covered.

Eight virtual workshops were held in 2021/2022:

September 2021– Elaine Birkett, organisational development practitioner with the HSE spoke about the Change guide and People and Culture Change.

October 2021 – A virtual Schwartz Round was held. This was led by an excellent group of facilitators from the HSE’s National Quality Improvement team.

November 2021– Active Bystander Training was provided, empowering NCHDs with a framework to challenge inappropriate workplace behaviour.

December 2021 – NCHD Wellbeing. Three speakers engaged with the Lead NCHDs. Professor Des O’Neill spoke about strategies to address unsupportive trainers. Dr Niamh Humphries has published extensively as part of the Hospital Doctor Retention and Motivation Project https://www.rcpi.ie/hdrm/, and gave an overview of her work on the experiences of hospital doctors during the pandemic. Dr Grainne McNally is a specialist in Occupational Health Medicine and spoke about the challenges facing NCHDs around occupational health issues and where to seek support.

February 2022 – Jo Irwin of i4 training hosted an interactive interview skills session.

March 2022 –Dr Scheryll Alken, Consultant in Adolescent and Young Adult (AYA) Cancer based at CHI Crumlin and St James’s Hospital spoke about the transition from trainee to consultant.

April 2022 – Stephen Boyle from UCD Smurfit Institute spoke through negotiation strategies.

May 2022 – Dr Claire Ashley, host of ‘Do yourself no harm’ podcast spoke about burnout 

 session on Change Management via Zoom, September 2021

Here are the 2021-2022 Leads enjoying the session on Change Management via Zoom, September 2021

3. Increasing Awareness of NDTP’s work

In October 2021, Dr Kinirons and Dr Herron (National Lead NCHD 2021/2022) spoke at the Saolta group medical grand rounds. They gave a comprehensive overview of the many facets of NDTPs work. Dr Herron detailed the Lead NCHD programme, from inception to current status. She also spoke about the role of leads, their duties and responsibilities and the benefits of taking on the position. The second part of Dr Herron’s talk focused on her role as National Lead NCHD. She discussed her responsibility to oversee and embed the Lead Programme along with representing all NCHDs at a senior level in the HSE.

Dr Kinirons and Dr Herron have also spoken at Grand Rounds for the Ireland East Hospital Group, Tallaght University Hospital, Beaumont Hospital and CUH.

Dr Finnegan and Dr Kinirons have been invited to speak at CHI’s grand rounds in September. These talks are important as both Dr Kinirons and Dr Finnegan try to raise the profile of NDTP and keep doctors informed of the work being done to invest in their education and training.

4. Lead QI Project Updates

The three winning Lead NCHD projects from 2021/2022 will be presented at the QI awards ceremony at the first in person Lead NCHD workshop on 23rd of September. Following this, these projects will be featured on the website.

Previous Lead QI Project Updates

The UHL Leads and their committee organized a careers evening for NCHDs entitled “How I became a consultant”. The event was sponsored by RCPI. Obstetric, Paediatric and Neonatal NCHDs were educated on career progression. Various presentations from peers covered how to navigate the various options available to achieve their goals. The event was aimed at both scheme and parallel training NCHDs and was by all accounts a wonderful evening.

The event was organised by Dr Jill Mitchell, Dr Orla Keenan, Dr Sean Kelleher & Muire Graham (RCPI Coordinator ULHG).

Dr Sean Kelleher SpR in Paediatrics and Dr Jill Mitchell SpR in Obs 

Dr Sean Kelleher SpR in Paediatrics and Dr Jill Mitchell SpR in Obs & Gynae

Dr Orla Keenan BST in Obs

Dr Orla Keenan BST in Obs & Gynae

Dr Naro Imcha Consultant Obstetrician

Dr Naro Imcha Consultant Obstetrician & Gynaecologist UL Hospitals Group

In Situ Simulation Teaching: The Way Forward

A Simulation Teaching Programme was launched at South Tipperary University Hospital in September 2021. Dr. Shiraz Siddiq Ali tells us about his initiative.

After being appointed as the lead NCHD at South Tipperary University Hospital, I started to engage with the NCHDs in the hospital. Both formal and informal engagement showed that there was demand for more training and teaching.

‘You do not rise to the occasion in combat, you sink to the level of your training’ - Lt. Col. Dave Grassman, On Combat

With my experience of an in-situ simulation programme at the Mater University Hospital Emergency Department, I knew that Simulation is an exciting and modern way to train, especially with multidisciplinary engagement. This idea was approved and supported by the consultant body. In collaboration with our hospital resuscitation officer, we successfully launched this programme.

We do a Simulation session once a week. Each medical team e.g., Endocrine, Respiratory, Cardiology etc. participates based on the Simulation rota prepared. All members of the specialty team i.e., SpR, Registrar, SHOs and Interns are relieved of their duties to participate in a one-hour long session. The session comprises of pre-brief, clinical scenario, debrief and reflections. In addition to clinical knowledge, emphasis is on the use of available resuscitation equipment and skills including defibrillation, external pacing etc. These sessions are run by myself and our resuscitation officer.

The response from NCHDs across the hospital has been extremely positive. ‘I would not have been able to manage a difficult cardiac arrest on the ward if I had not done this session last week’ said one of the SpRs. ‘We should have these sessions every day’ was the feedback from one of our senior registrars.

These sessions are helpful in developing not only clinical skills but also leadership and human factors. This is providing a safe environment for the doctors to make mistakes and learn when put in simulated high-pressure situations.

We are now working towards involving surgical specialties, emergency medicine and our nursing colleagues to make it truly multidisciplinary. I hope that with the success of this programme, we will be able to inspire other hospitals nationally to adopt this model and make in-situ simulation teaching an integral part of their teaching programmes.

Dr. Shiraz Siddiq Ali and colleaguesDr. Shiraz Siddiq Ali and colleaguesDr. Shiraz Siddiq Ali and colleaguesDr. Shiraz Siddiq Ali and colleagues

Dr. Shiraz Siddiq Ali and colleagues in South Tipperary University Hospital, undertaking simulation based training