Clinical Supervision SEE ONE DO ONE TEACH ONE
![Clinical Supervision “SEE ONE, DO ONE, TEACH ONE” BRUCE COVELL GP Clinical Supervision “SEE ONE, DO ONE, TEACH ONE” BRUCE COVELL GP](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-1.jpg)
![The underlying philosophy Education of GPs to practice independently is experiential, and necessarily occurs The underlying philosophy Education of GPs to practice independently is experiential, and necessarily occurs](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-2.jpg)
![The concept is —graded and progressive responsibility The concept is —graded and progressive responsibility](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-3.jpg)
![Goals of Supervision assuring the provision of safe and effective care to the individual Goals of Supervision assuring the provision of safe and effective care to the individual](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-4.jpg)
![Provision of Supervision Who? GP trainer Associate trainer More advanced doctor How and by Provision of Supervision Who? GP trainer Associate trainer More advanced doctor How and by](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-5.jpg)
![Levels of Supervision Direct Indirect With direct supervision immediately available With direct supervision available Levels of Supervision Direct Indirect With direct supervision immediately available With direct supervision available](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-6.jpg)
![“Direct Supervision” The supervising GP is physically present with the trainee and patient. – “Direct Supervision” The supervising GP is physically present with the trainee and patient. –](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-7.jpg)
![“Indirect Supervision” with direct supervision immediately available the trainer is physically within the practice “Indirect Supervision” with direct supervision immediately available the trainer is physically within the practice](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-8.jpg)
![“Indirect Supervision” with direct supervision available – the supervising physician is not physically present “Indirect Supervision” with direct supervision available – the supervising physician is not physically present](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-9.jpg)
![“Debrief” Debrief - The supervising doctor is available to provide review of cases with “Debrief” Debrief - The supervising doctor is available to provide review of cases with](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-10.jpg)
![Initial Assessment of the Trainee What stage are they in the journey towards independent Initial Assessment of the Trainee What stage are they in the journey towards independent](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-11.jpg)
![](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-12.jpg)
![SUPERB-SAFETY MODEL Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52 SUPERB-SAFETY MODEL Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-13.jpg)
![For Supervisors… Set expectations Uncertainty is a time to contact Planned communication Easily available For Supervisors… Set expectations Uncertainty is a time to contact Planned communication Easily available](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-14.jpg)
![For Trainees… Seek supervisor input early Active clinical decisions Feeling uncertain about clinical decisions For Trainees… Seek supervisor input early Active clinical decisions Feeling uncertain about clinical decisions](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-15.jpg)
![Supervision CLEARLY MORE THAN JUST “SEE ONE, DO ONE, TEACH ONE” Supervision CLEARLY MORE THAN JUST “SEE ONE, DO ONE, TEACH ONE”](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-16.jpg)
![Questions to consider What milestones, competencies, or criteria will we use to evaluate trainees Questions to consider What milestones, competencies, or criteria will we use to evaluate trainees](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-17.jpg)
![Disclaimer Most of the text was directly quoted from the ACGME Common Program Requirements Disclaimer Most of the text was directly quoted from the ACGME Common Program Requirements](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-18.jpg)
- Slides: 18
![Clinical Supervision SEE ONE DO ONE TEACH ONE BRUCE COVELL GP Clinical Supervision “SEE ONE, DO ONE, TEACH ONE” BRUCE COVELL GP](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-1.jpg)
Clinical Supervision “SEE ONE, DO ONE, TEACH ONE” BRUCE COVELL GP
![The underlying philosophy Education of GPs to practice independently is experiential and necessarily occurs The underlying philosophy Education of GPs to practice independently is experiential, and necessarily occurs](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-2.jpg)
The underlying philosophy Education of GPs to practice independently is experiential, and necessarily occurs within the context of the delivery of health care requires the supervising doctor to assume personal responsibility for the care of individual patients the essential learning activity is interaction with patients under the guidance and supervision of trainers who give value, context, and meaning to those interactions
![The concept is graded and progressive responsibility The concept is —graded and progressive responsibility](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-3.jpg)
The concept is —graded and progressive responsibility
![Goals of Supervision assuring the provision of safe and effective care to the individual Goals of Supervision assuring the provision of safe and effective care to the individual](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-4.jpg)
Goals of Supervision assuring the provision of safe and effective care to the individual patient assuring each trainee’s development of the skills, knowledge, and attitudes required to enter the unsupervised practice of medicine establishing a foundation for continued professional growth
![Provision of Supervision Who GP trainer Associate trainer More advanced doctor How and by Provision of Supervision Who? GP trainer Associate trainer More advanced doctor How and by](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-5.jpg)
Provision of Supervision Who? GP trainer Associate trainer More advanced doctor How and by what means? Sitting in - Physically present Immediate availability (in the practice or by means of telephone) Debrief - Post-hoc review with feedback
![Levels of Supervision Direct Indirect With direct supervision immediately available With direct supervision available Levels of Supervision Direct Indirect With direct supervision immediately available With direct supervision available](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-6.jpg)
Levels of Supervision Direct Indirect With direct supervision immediately available With direct supervision available Debrief
![Direct Supervision The supervising GP is physically present with the trainee and patient “Direct Supervision” The supervising GP is physically present with the trainee and patient. –](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-7.jpg)
“Direct Supervision” The supervising GP is physically present with the trainee and patient. – sitting in Pros Cons
![Indirect Supervision with direct supervision immediately available the trainer is physically within the practice “Indirect Supervision” with direct supervision immediately available the trainer is physically within the practice](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-8.jpg)
“Indirect Supervision” with direct supervision immediately available the trainer is physically within the practice or OOH centre, and is immediately available to provide Direct Supervision.
![Indirect Supervision with direct supervision available the supervising physician is not physically present “Indirect Supervision” with direct supervision available – the supervising physician is not physically present](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-9.jpg)
“Indirect Supervision” with direct supervision available – the supervising physician is not physically present within the practice or OOH centre, but is immediately available by means of telephonic and/or electronic modalities, and is available to provide Direct Supervision. Pros Cons
![Debrief Debrief The supervising doctor is available to provide review of cases with “Debrief” Debrief - The supervising doctor is available to provide review of cases with](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-10.jpg)
“Debrief” Debrief - The supervising doctor is available to provide review of cases with feedback provided after care is delivered Pro Con
![Initial Assessment of the Trainee What stage are they in the journey towards independent Initial Assessment of the Trainee What stage are they in the journey towards independent](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-11.jpg)
Initial Assessment of the Trainee What stage are they in the journey towards independent practice? How do we assess this? What kind of a trainee are they?
![](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-12.jpg)
![SUPERBSAFETY MODEL Farnan et al J Grad Med Educ 2010 21 46 52 SUPERB-SAFETY MODEL Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-13.jpg)
SUPERB-SAFETY MODEL Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52
![For Supervisors Set expectations Uncertainty is a time to contact Planned communication Easily available For Supervisors… Set expectations Uncertainty is a time to contact Planned communication Easily available](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-14.jpg)
For Supervisors… Set expectations Uncertainty is a time to contact Planned communication Easily available Reassure fears Balance supervision and autonomy Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52
![For Trainees Seek supervisor input early Active clinical decisions Feeling uncertain about clinical decisions For Trainees… Seek supervisor input early Active clinical decisions Feeling uncertain about clinical decisions](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-15.jpg)
For Trainees… Seek supervisor input early Active clinical decisions Feeling uncertain about clinical decisions End-of-life care / legal issues – be aware Transitions of care You may need help with referrals/Computers Farnan et al. J Grad Med Educ 2010; 2(1): 46 -52
![Supervision CLEARLY MORE THAN JUST SEE ONE DO ONE TEACH ONE Supervision CLEARLY MORE THAN JUST “SEE ONE, DO ONE, TEACH ONE”](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-16.jpg)
Supervision CLEARLY MORE THAN JUST “SEE ONE, DO ONE, TEACH ONE”
![Questions to consider What milestones competencies or criteria will we use to evaluate trainees Questions to consider What milestones, competencies, or criteria will we use to evaluate trainees](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-17.jpg)
Questions to consider What milestones, competencies, or criteria will we use to evaluate trainees performance and subsequent ability to progress to a more independent mode of practice? To become supervisors themselves? How will we document this for each patient care setting? How will we monitor this?
![Disclaimer Most of the text was directly quoted from the ACGME Common Program Requirements Disclaimer Most of the text was directly quoted from the ACGME Common Program Requirements](https://slidetodoc.com/presentation_image/4d98f727928b285ef47a50d837618fa0/image-18.jpg)
Disclaimer Most of the text was directly quoted from the ACGME Common Program Requirements
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