Introduction: The positive influence of constructive formative feedback as a component of assessment of clinical competence is well documented.Methods: Five cohorts of IMGs (N = 90) with a mean age range of 25 – 34 years and one to three years clinical experience in their countries of origin (55%) participated in 212 High Fidelity Simulation (HFS) or Workplace Based Assessment (WBA) encounters during the testing and refinement of a Patient Safety mini-CEX (PSMC) WBA tool. All participants were recently employed or seeking employment in a Victorian metropolitan hospital. Interactive formative feedback and discussion followed each clinical assessment session. In addition,participants were invited to provide written feedback. HFS cases included diagnosis & management of Pneumothorax, Anaphylaxis, Unconscious Patient and VF Arrest. WBA presentations included medical, surgical and acute mental health encounters.Results: Simulation participants appreciated engagement in the ‘real-life’ common ED encounters and felt more prepared for working in Australian clinical environments. Common feedback themes included the opportunity to become familiar with complex routine and emergency procedures, equipment, and working in clinical teams. Further teaching and facilitated engagement in fully immersive patient safety PSMC simulation and formative WBA encounters were requested, together with pre-simulation opportunities to undertake prior theoretical and clinical revision. Specific requests included guidance in the treatment of acute asthma and animal bites. The rationale associated with these requests was to gain the confidence and competence to practice safely within the Australian health care system.Conclusion: Investment in HFS formative assessments of complex acute hospital presentations and facilitated supervised workplace experience provides prospective and newly employed IMGs with the knowledge, clinical management skills and confidence to practice competently and safely in a range of familiar and unfamiliar clinical environments.
|Publication status||Published - 2016|
|Event||OTTAWA Conference 2016 - Perth Convention and Exhibition Centre, Perth, Australia|
Duration: 19 Mar 2016 → 23 Mar 2016
Conference number: 17th
|Conference||OTTAWA Conference 2016|
|Abbreviated title||OTTAWA2016/ANZAHPE 2016|
|Period||19/03/16 → 23/03/16|
Bird, B., Holt, T., Jolly, B., Griffiths, D., & Williams, A. (2016). Lessons learned through patient safety focussed formative assessment feedback: The experience of five cohorts of IMGs. Abstract from OTTAWA Conference 2016, Perth, Australia.