Courses and programs

Medical Portfolio Programs Review

UPDATE ON HETI’S IMPLEMENTATION OF THE MPPR

HETI RESPONSE TO THE MPPR - PROGRESS UPDATE:

Overview

The Health Education and Training Institute (HETI) is currently delivering a series of projects to implement the recommendations from the Medical Portfolio Programs Review (MPPR) and HETI’s response to the MPPR.

The MPPR contained 39 recommendations that HETI has condensed into the following six themes: Governance, Education, Faculty, The New Program, Networks and Collaboration.

HETI will implement the recommendations through 23 projects across the six themes. This will refocus the Medical Portfolio programs to ensure they are best placed to support the NSW Health system and better equip doctors for patient centred care.

Current Status:

20 of the 23 projects have commenced. Eight of the projects are complete, with three nearing completion.

Projects Completed:

  1. Rural Scholarships are no longer a grant in aid and are now linked to Continuing Professional Development.
  2. HETI has developed new neonatal resuscitation modules to increase interdisciplinary training in neonatal medicine.
  3. HETI has created training opportunities related to interprofessional team care in Oncology.
  4. Three Radiology training networks have been implemented across NSW, with Network Directors appointed.
  5. HETI worked with Medical Schools and Colleges to deliver the NSW Medical Education and Training (NSWMET) Forum. NSWMET will be a regular event on the medical training calendar.
  6. HETI has updated its position statement on Post Graduate Year (PGY) 2 to ensure that it encourages generalism, whilst managing the Local Health District (LHD)/ Specialty Health Network (SHN) workforce needs and PGY2 career preferences.
  7. HETI has collaborated with the other NSW Health Pillars to establish a cross pillar Junior Medical Officer (JMO) Quality & Safety strategy.
  8. HETI undertook a series of consultation roadshows in 2016. We visited 11 sites, gaining feedback from 233 people across 43 hospitals.

Projects nearing completion:

  1. HETI will develop a position on the courses and educational activities it currently organises that encompasses the merits of continuing the programs and explores the benefits of commercialising the programs.
  2. Development of a Medical Portfolio consumer engagement strategy (aligned to HETI strategy).
  3. Network Principles for all HETI medical education programs are available for consultation. The Principles will provide the HETI Medical Portfolio with a platform to ensure its Network Programs continue to be fit for the purpose of equipping NSW doctors for patient centred care. This platform will provide transparency to why and how HETI supports certain Network Programs, taking into account the core roles of HETI as per its statutory functions.

Key Priorities for 2017

2017 will see delivery of a number of the key MPPR projects.

Governance Themed Projects:

HETI will work in partnership with an external consultant to develop a funding model for HETI Medical Portfolio Network Programs. This work will provide a foundation for HETI to ensure programs are funded according to an equitable and sustainable model.

A series of performances indicators will be developed in consultation with the Ministry of Health and LHDs/SHNs that enable transparency in performance monitoring of training network and assists the Chief Executives of each LHDs/SHN to make a rapid determination of the performance of education and training programs.

HETI will implement a revised internal governance framework for the management of HETI medical programs. The revised framework will provide governance and management structures that give appropriate priority to fulfilling its functions as described in the service agreements with its funders. An effective governance framework will be established whereby authority and responsibility for decision making and performance is clear.

Vocational Programs:

Three year program plans for Emergency Medicine Network Training, Basic Physician Training and Psychiatry will be developed. The plans will assist the programs to prepare for and implement the Network Principles, new funding arrangements and performance indicators.

Faculty Support:

HETI will develop a framework and learning pathway to support the ongoing professional development of medical education faculty. The framework will identify a range of education and training opportunities and options for medical educators at four levels of experience.

A recommended Job Description for Education Support Officers (ESO)s will be developed that will enable those in these roles to focus on the delivery of educational outcomes for trainees.

The New Program:

HETI will refocus its support and educational expertise on the prevocational program, expanding the program to providing learning programs that assist in the general development of medical officers from Post Graduate Year (PGY) 1 to PGY3+. The Surgical Skills Program and the Hospital Skills Program will be evolved from their current form and be amalgamated with existing prevocational programs to provide basic generalist training to all trainees.

The Intern Guide, and support resources have been developed and are available for all NSW Health facilities.

Intern Guide Pilot implementation sites

Pilot sites have been determined with successful submissions from Nepean Hospital, Shellharbour/Bulli Hospitals and Orange Health Service. Site visits will begin week commencing 19 December 2016.  An implementation kit is being developed to support the pilot sites and will be available on the website to non-pilot sites. The pilot will be evaluated to usability of the Intern Guide and further develop supporting resources.

Intern Guide video

A short video has been developed to increase awareness and encourage uptake of the Intern Guide. The video will explain the purpose of the Intern Guide, where to find it on the HETI website and demonstrate how best to navigate the PDF version to assist self-directed learning. Once this has been approved for publication, it will be uploaded to the HETI website and a link will be emailed out to LHD’s. Requests have been sent to JMO Managers asking for the video to be shown during the Intern Orientation 2017 program at hospital sites. It is of approximately 3 minutes duration.

NSW Resident Guide

A NSW Resident Guide is now under development. It will build on the foundation provided by the Intern Guide. The aim of the NSW Resident Guide is to facilitate residents with the integration and consolidation of medical knowledge and skills for transition to more independent clinical practice, with an emphasis on teamwork and whole of hospital approach. There will be an emphasis on professionalism, interprofessional practice and working with more complex conditions in more complex environments.

An advisory group has been established to inform the development of the NSW Resident Guide. The draft Guide will be available for consultation in mid-2017 and it is anticipated that the NSW Resident Guide will be available by September 2017.

Amalgamation of the Prevocational, Hospital Skills and Surgical Skills Programs

A Project Panel has been formed with representation from across the Prevocational, Hospital Skills and Surgical Skills programs, as well as the HETI Rural Portfolio and wider Medical Portfolio.  The Project Panel is currently meeting on a monthly basis and will be responsible for governance of the amalgamation project work, with escalation of issues to the MPPR Implementation Steering Committee as required.

An initial analysis of the PGY3+ workforce across NSW is underway this work will inform the draft vision and concept for the new amalgamated program. It is hoped that the vision and concept will be available for wider consultation in March 2017. For the immediate future, it is business as usual for the existing programs.

Who do I contact if I have any questions or feedback?

Feedback requests and questions can be submitted to the MPPR Senior Implementation Coordinator, Kieren Purnell Kieren.purnell@health.nsw.gov.au or via telephone 02 9844 6596.