The Excellence Exchange team went virtually to GOSH on the 25th february 2022, at the third attempt, and without the normal buns! The previous two were made impossible by covid 19.
We were so impressed by the outstanding organisation and welcome. The professionalism of the PGME support and forward looking nature of the team deserves special mention. The engagement was amazing too, and this was easily the biggest excellence exchanges we have had the pleasure of being involved in.
The LSP survey data was presented, in special regard to GOSH. The trust has a high number of ‘excellent’ compared with peers, although there were also some ‘poor’ experiences too. Several trainees from renal and respiratory rated it as one of their very best trainees. Staffing seems to have subjectively improved, as had the rest and facilities domain. The details of this and the areas that are performing less well than other areas is to be found on the LSP website.
An internal survey run by the education and training team has identified strong areas within the trust – individualised training, MDT learning, supportive consultants, non-clinical education. The team were delighted to hear about the spotlights in nephrology and metabolic. We particularly liked the outward facing nature of some of the work presented, such as the webinars and clinical placements.
The trust told the group areas of challenge. The honesty shown reflects a mature culture of self-awareness and openness in the trust. The information has come from multiple sources – the survey, LFGs and soft intelligence. These were developing face to face training and sim; non-clinical skills; training off the ward – in labs, clinic and theatres; out of hours and its induction; and facilitating training in longitudinal care.
The breakout rooms looked at these five topics. Themes emerged in shaping rotas and work patterns to make the most of clinic opportunities, putting in specific times for teaching/training experiences and using microteaching at appropriate times. Prioritisation was also important, as, like many other sites, its busy! There is always a sense that there is a lot to do clinically, even if there are also a lot of other needs, such as training and learning. To make this happen ownership has to be taken by both the consultant group and the trainees.
One group looked at the complex clinical nature of the work, and the role this could have in more advanced training. However, this needs quite a bit of support and signposting at induction.
The education and training team at GOSH is on a rapid upward trajectory, we look forward to seeing how this continues over the next years.