Vision and Direction for CETI

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THis is a presenattion given to the Pyschiatry Training Network of the Medical Division of CETI


<ul><li><p>Supporting and Developing the Junior </p><p>Medical Workforce in Psychiatry</p><p>Professor Steven C. Boyages </p><p>November 2010</p></li><li><p>Challenges to the health system</p><p>Rising Demand Growing &amp; ageing population Chronic illness rising High levels smoking, obesity, </p><p>stress High consumer expectations</p><p>Constrained Capacity</p><p> Patient Safety</p><p> Workforce shortages and </p><p>attitudes</p><p> Manage demand within finite </p><p>resources</p><p> Cost vs investment</p><p> NSW spends about 28% of </p><p>budget on health care</p><p> 1.3 million dollars per hour</p><p>2</p></li><li><p>Medical Mistakes trigger major inquiry </p><p>into health system-2008</p></li><li><p>Clinical </p><p>Education </p><p>and Training </p><p>Institute</p><p>Clinical </p><p>Excellence </p><p>Commission</p><p>Agency for </p><p>Clinical </p><p>Innovation</p><p>Bureau of </p><p>Health </p><p>Information</p><p>The Four Pillars of Reform of the Public </p><p>Hospital System</p></li><li><p>Clinical Education and Training Institute</p><p>VISIONTo lead, facilitate and build sustainable capacity to improve health and achieve </p><p>better health through education, training and development of a clinical workforce that will meet the healthcare needs of the people of New South Wales.</p><p>MISSIONInvestment, Innovation and Influence</p><p>GOALS</p><p> To achieve inter-professional standards of competency for new graduates</p><p> To build better systems and models of clinical supervision</p><p> To develop and role a learning management system to facilitate e learning and blended learning opportunities</p></li><li><p>The Seven Cs to Success</p><p>Competency</p><p>Culture</p><p>Communication</p><p>CollaborationCapacity</p><p>Coordination</p><p>Context Care </p><p>Models</p><p>6</p></li><li><p>Success is 80% related to people</p><p>7</p></li><li><p>Understand the nature of the work</p><p> Workforce Mobile</p><p> Collaborative</p><p> Team based</p><p> Bee-hive mode</p><p> Disconnected</p><p> Malunga.C, 2000: The Beehive Model for Team Building, Footsteps Magazine no 43</p></li><li><p>Copyright Not for Reproduction 2008</p></li><li><p>Technology Paradox of Work vs Personal</p><p>10</p></li><li><p>Disconnect in School</p><p>11Slide Courtesy of Cisco, Australia</p></li><li><p>Drivers for change</p><p>12Slide Courtesy of Cisco, Australia</p></li><li><p>Technology Enabling</p><p> New Ways of Organising Learning</p><p> New pedagogy</p><p> New relationships</p><p> More sophisticated learning mix</p><p> Richer assessments and evaluations</p><p> Data at all levels</p><p>13</p></li><li><p>Technology (finally) ripe for education</p><p>14Slide Courtesy of Cisco, Australia</p></li><li><p>Content versus collaboration</p><p>15Slide Courtesy of Cisco, Australia</p></li><li><p>Learning Management Systems</p></li><li><p>Developing a common platform</p><p> eLearning by definition is any learning that can be delivered </p><p>(and undertaken) electronically. </p><p> There are 2 elements to eLearning:</p><p>o the technology, or learning experience, ie the electronic </p><p>media of formats</p><p>o the learning design, or the learning experience, ie the events, </p><p>activities and relationships that the learner is involved in</p><p> While the technology and the learning design are </p><p>intrinsically bound together, it is useful to be mindful of these </p><p>elements in isolation when considering eLearning.</p><p>17</p></li><li><p>eLearning is evolving</p><p> eLearning is an evolving format which has been </p><p>enabled through technology. Just as the landscape of </p><p>technology supported activities continues to evolve, so </p><p>does eLearning</p><p>18</p></li><li><p>Types of eLearning</p><p> Web-based or online tutorial</p><p> Podcast / Vodcast</p><p> Virtual or Simulated Reality</p><p> Webinar / Virtual Classroom Session</p><p> Blog</p><p> Threaded online discussion</p><p> Wiki</p><p> Yammer; Twitter (micro-blogs)</p><p> Mobile learning (mLearning)</p><p> Others e.g. Web sites, Video or Phone Conferencing</p><p>19</p></li><li><p>Investing In Health IT perceived as a </p><p>solution to some of the challenges</p><p>Benefits</p><p> Improved automation</p><p> Improved productivity</p><p> Reduced duplication</p><p> Improved safety</p><p> Improved patient and staff </p><p>experience</p><p> Improved reach of </p><p>information and service</p><p>Risks</p><p> Financial investment not realised</p><p> Poor connectivity</p><p> Lack of common standards</p><p> Increased risk to patients</p><p> Increased staff frustration and lower morale</p><p> Staff expectations not realised</p><p> Poor execution and implementation due to inadequate training</p><p>20</p></li><li><p>Execution is the key</p><p>Evolution as opposed to revolution</p><p>Engagement with key staff in design</p><p>Integration with key legacy systems</p><p>Understand complexity and complex systems</p><p>Manage expectations and scope</p><p>Understand nature of the workforce</p><p>Appropriate start up and sustainable training</p></li><li><p>Technology Enabling</p><p> New Ways of Organising Learning</p><p> New pedagogy</p><p> New relationships</p><p> More sophisticated learning mix</p><p> Richer assessments and evaluations</p><p> Data at all levels</p><p>22</p></li><li><p>Curriculum Alignment</p><p>Assessment</p><p>Learning </p><p>Materials</p><p>Learning </p><p>Objectives</p><p>23</p></li><li><p>Changing Learning</p><p>24Slide Courtesy of Cisco, Australia</p></li><li><p>Clinical Supervision</p><p>25</p></li><li><p>Roles and Responsibilities</p><p> Building and owning programs</p><p> Building and owning courses</p><p> Integrating with existing programs (eg colleges)</p><p> Commissioning others to build programs and courses</p><p> Managing and administering programs and courses</p><p> Acting as a clearing house of resources and programs </p><p>(portal)</p><p> Resource program/course development and maintenance</p><p> Running assessments</p><p> Evaluating programs/courses</p><p>26</p></li></ul>