IMG Supervision Explained Webinar. About GPSA GPSA is the national representative body that unites GP Supervisors by promoting recognition for supervision

IMG Supervision Explained Webinar

About GPSAGPSA is the national representative body that unites GP

Supervisors by promoting recognition for supervision work through open and accountable advocacy

“We are the voice of GP Supervision making the next generation of family doctors”

“We want to make GP Supervision rewarding, respected and recognised”

“We are working to recruit and retain quality supervisors”- Lobby and work with relevant health sector policy makers and

representatives- Work with and listen to our members and support members- Negotiate the National Terms and Conditions between Supervisors

and Registrars on behalf of Supervisors

Webinar Housekeeping

• Muting and Background

Noise

• How to ask a question

• We are recording this webinar to share with other supervisors

• Your continued attendance will be taken as permission given

Your PresenterDr George Zaharias• GP Since 1981

• Masters Degree in Family Medicine

• Medical Educator with VMA

• RACGP Examiner

• Previous work as an AHPRA assessor of IMGs

• 2007-12 Monash University Senior Lecturer

• Principle facilitator of AMC Bridging Course for overseas trained doctors

• Currently Employed as Education Enhancement Officer at VMA:

• Responsible for managing underperforming registrars

• Conducting formal assessments of clinical skills

• Providing focused educational programs for doctors found in breach of AHPRA regulations

Your Webinar Sponsor

GPSA – Supporting a sustainable future for GP Supervisors

What we will cover tonight


• Common challenges faced and how to navigate them

• Recognising and managing cultural barriers to learning vs overall

competency

• Avoiding burnout as a supervisor

• How to orientate and establish effective supervision regimen for your

IMG registrar

• Legal obligations of employers and colleagues

• What you need to understand about your registrar’s culture

• How a registrars culture may impact on your communications,

relationship and practice

IMGs : Disparate Group


• Past experiences

– Country of origin

– Australia

• Knowledge

• Skills

• Motivation

• Rigidity

The Difficulties…


Language:

• Command of English

• Fluency

• “Thinking in their language”.

The Difficulties…


Communication Skills:

• Nuances, cues, idiom, slang, humour

• Provision of information explanations

• Delivery of management plan

The Difficulties…


Self-confidence, assertiveness:

• Medico-legal scenarios

The Difficulties…


Boundaries:

• Inadequate language • Inappropriate touch

• Informed consent

The Difficulties…


The Australian Context:

• Patient centredness • Respect and the notion of “equality”

• Relationship to the Supervisor

• Shared decision making, negotiation

The Difficulties…


Knowledge:

• Application of knowledge • Study resources and study methods

• Adult learning

The Difficulties…


Clinical Skills:

• Physical examination • Clinical reasoning: jumping to conclusions;

managing uncertainty and “shades of grey”

• Investigations: over-reliance, difficulty interpreting and managing

The Difficulties…


Documentation

The Difficulties…


What are some of the difficulties that

you, as supervisors, experience?

Teaching Strategies…


• Direct observation

• Video-recording and feedback

• Role-playing and discussion of difficult

situations

• Sitting in with an experienced doctor



Improving:

• History taking

• Physical examination

• Overall structure of consultation



Case discussion with emphasis on:

• Clinical reasoning and

• Problem formulation



• Creating structured management plans

• Tailoring management plans to the individual,

including negotiation with the patient of

agreed outcomes

• Delivering management plans effectively and

confidently



• Developing self-confidence and taking control

of the consultation

Take Home Messages…


• Try to understand them

– Their background

– Personal and life issues



• Engage them

–What do they perceive are the

issues/difficulties?



• What are the fundamental issues?

– It’s not always “knowledge gaps” and

“cultural”



• Direct observation and/or video with

feedback



• Practical advice, role-plays

Thank You


Webinar Sponsor:Dr George Zaharias

Documents

IMG Supervision Explained Webinar. About GPSA GPSA is the national representative body that unites GP Supervisors by promoting recognition for supervision