Veena Rodrigues

Veena Rodrigues

Emeritus Professor of Public Health & Medical Education, Norwich Medical School, UEA.
Lifelong Learner; Supervisor & Mentor; 'early adopter'; and advocate of pedagogy before technology.

Location University of East Anglia, Norwich, Norfolk, UK

Activity

  • How do you assess learning gain of your patients?

  • I'm not sure I understand what you mean. Could you explain this please?

  • Thank you for sharing that example. Has this change you made helped?

  • Have you identified any learning needs for your own PDP from thsi week's learning?

  • Thank you for your reflections. I am pleased that for many of you found the various reflective practice frameworks helpful. Why don't you give them a try and see how you get on. Or try a different framework from your current one and see if it is any different.

  • Welcome everybody and hope you find this course useful and engaging.

  • Thank you John. I will sahre this with the team.

  • Thanks Kathleen. It would be really tricky to enforce engagement in this way as MOOCs by their nature are completely open access and identified by learners. We believe that learners who particpate and engage with the discussion boards fully get much more out of the course.

  • There are four courses in this set and across these, we have tried to use various examples so that the principles could be extended to all healthcare professions.

  • I think the generic principles could be extended to all settings. Let us know how you get on.

  • Please see response to @sonalshah below. In addition, hopefully you reinforced your learning.

  • Perhaps you are an experienced supervisor? Maybe the newer supervisors would benefit from your experience shared in the discussion boards. This would also allow you to practice supporting/ advising others?

  • Thanks Ian. We have another course in this set (Clinical Supervision with Confidence) where we focus one week on the struggling learner and what you can do to support them. We have tried hard not to duplicate content across courses.

  • Thank you for taking the time to give us this constructive feedback. I will discuss with the course team to identify areas to work on for the next run (hopefully).

  • I am so pleased that you decided to join this course. It has been set up so that you can interact with each other and get more out of the course in this way. I hope you find the material useful.

  • Thank you so much for your kind comments and feedback. I will share this with the course team. We have three more Clinical Supervision courses in this set if you are interested in further training.

  • Yes, perhaps reflecting on your past experiences of being taught or teaching others in the light of new knowledge and skills would be helpful.

  • You might wish to join our Clinical Supervision with Confidence MOOC which is one of the four courses in this set. There are some general principles we cover there that you might find helpful.

  • Even though each of our contexts might be different the same prnciples would apply. Patient safety comes first. Then assess all available options and pick the one that is fair and accessible to all. Why not get the trainees themselves to come up with a workable solution? This would also get their commitment and full ownership.

  • I have read all your posts with interest. You have all made good points about things that need to be considered before making judgements about trainees (or students or junior colleagues for that matter). Always consider each trainee's learning needs after assessing their level of performance. If you think it is slightly lower than expected, make a concrete...

  • Very interesting posts, thank you! One thing COVID has taught us is how to deliver education differently. So where this might not have been possible previously, most organisations have now found ways to make this happen. So, if the training was recorded, it can be viewed later by those not able to attend. Obviously this might not possible for all types of...

  • So pleased to see you on this course. Do take time to work through it and read/ interact with other learner posts. Let me know if you have specific queries that are not addressed.

  • Thanks everybody. We have other courses in this set so do try them out if you wish. These were created in a pre-COVID world but still remain highly relevant.

  • I think that when you start trying to reflect on action, initially, it is really useful to write it up using a reflective practice framework. With practice, it is possible to make mental notes but of course there is no record to go back to if you want to review it. Try to pick things that made a positive or negative impact on you so you can work through what...

  • Thank you for your feedback - much appreciated. In today's busy world, it is easy to forget about the value of reflective practice for personal and professional development and quality improvement.

  • Why don't you share with us a SMART learning objective you have created for your PDP?

  • Hi everybody, I hope that irrespective of your current experience, you will all find something useful to take away from this course.

  • Is there any particular reason why you stopped using SWOT analysis?

  • Do you have a role teaching other educators? Then this course will be great for your CPD! :)

  • Do you have to get it agreed with your manager?

  • Can you choose what you include in your CPD & if so, how do you decide what to include each year?

  • How do you decide what you need to include in your CPD?

  • Welcome to the course everybody. I am excited about interacting with you all!

  • As you have all identified, good communication; formative assessment and constructive feedback; and early identification and management of any concerns, are the cornerstone of good supervision.

  • Our course team are really grateful for your feedback. It helps us when we evaluate each course run so we can check if need to tweak anything. I hope you are all able to apply the new knowledge gained and develop the skills needed by supervisors.

  • This is decided by HEE Faculty of Educators but to the best of my knowledge, you would need to attend the face to face/online course created specifically for clinical supervisors. We have delivered these face to face pre-COVID but hear that they are being offered online only for now.

  • I think what you are alluding to is when the questioner crosses that fine line between constructive and helpful to learning by humiliation. So, what you ask is as important as how you ask it. A tiny amount of stress is helpful and constructive but when the anxiety/stress created increases to high levels it can be destructive.

  • Trainee today, supervisor tomorrow. Use your new knowledge to make sure you get the best out of your current supervisors! They might also need refreshers from time to time? :)

  • On behalf of the course team, thank you for taking the time to give us feedback - we are delighted that you found the course useful and enjoyable.

  • Glad to hear this. Try to apply the knowledge in your workplace while it is fresh in your mind. Do tell others about the course if you found it useful.

  • This is very true but what about patient safety when we sign off a clinician as having achieved all learning outcomes when we actually know there is a problem? I do realise that it needs confidence building for supervisors to do this in a helpful and meaningful way so that the learner is given an opportunity to remediate.

  • Thanks for your feedback everybody. I am really pleased to hear that its going well for you. I hope the other two weeks content/discussions are also useful to you.

  • Veena Rodrigues made a comment

    I'm glad you all agree that this was not an ideal feedback encounter. Yet, its shocking to hear that this does often occur, sometimes because of lack of time when this is treated as a tick box exercise.

  • @DebLinsky Love it! Being proactive about the way these are conducted is definitely the way forward. Your idea about the journal is also good to develop their reflective practice skills, insight and ability to self-assess own progress.

  • If you are just starting this course or yet to finish it, please do carry on at your own pace. Due to annual leave, I have not been able to interact with you much in the second week but will keep an eye on the discussions and join you from time to time. Our course on assessment & feedback has started this week in case it is of any interest to you.

  • You will get some of this here but we also have another course in this set (just ended) which discusses models for giving feedback.

  • while some aspects of this course might be related, this course is not really about clinical management i.e. of patients. It is more about how you can assess and give feedback to your students or trainees (or junior colleagues maybe).

  • Sorry, this is confusing. I wonder if you've got the course mixed up with another one?

  • Do you have any tips to share with new supervisors on how to make WPBAs work for them?

  • How do you ensure that they lead to learning rather than as a tick box for proof?

  • Welcome to the course everybody and hope you find it interesting and enjoyable.

  • @KrisNeo Excellent! So you are getting them to develop insight but also to take ownership of their development needs.

  • @VictoriaLeather Let us know how it goes. If this is part of establishing the need for clinical supervision my other bit of advice to you would be that the restorative element is not forgotten in trying to get the normative and formative elements (Proctors model) embedded.

  • Agree. Remember that all HCPs have this as part of their roles after graduation and suddenly it gets very daunting! But you are here, so you have shown commitment and engagement - all bodes well for your learners!

  • Yes, I agree. Choose the model depending on your context.

  • Immediate (timely) feedback is ideal and if it is delivered constructively, it could help learning and prevent this occurring in future maybe.

  • Can you tell us a bit about the SNAPPS protocol please?

  • In addition to getting the training needed to provide the role, there is also a need for refresher training. Things change with time so as healthcare professionals, if you are delivering this role then you do need continuing professional development in relation to it.

  • Hi everybody, in case you have just joined the course, welcome! I look forward to interacting with you in the next 2 weeks.

  • Just to clarify - Miller's pyramid is about assessment of competence (at various levels) so they aren't really the same thing. Could you please explain the link you are suggesting?

  • Really pleased to have you all on the course. I hope you find it enjoyable and useful.

  • The courses are on 'Assessment & Feedback', 'Planning your professional development as an educator' as well as the flagship course 'Clinical Supervision with Confidence'.

  • You might enjoy the other courses in this set of four then.

  • Yes, this is exactly what we had in mind when creating these courses - bite-sized, learn at your own pace, from anywhere, using a smart phone, tablet, laptop or computer.

  • Good points everybody. I am so pleased that most of you recognise that they might need help and support to develop their confidence. And while trainees will no doubt learn from service work, we can all mentor and guide individuals to reach their full potential. The challenge, as always, is the time to do this...

  • You might want to look up the evidence on learning styles. While people may have preferences, there is no evidence to suggest that they do any better using that mode compared to another. However, in a teaching setting, its worth using a variety of techniques so that you cater to all audiences.

  • Could you please say what LLN is?

  • I think this is a great way for trainees to support each other!

  • Hi everybody, welcome to the course. Good to see you all here and hope to interact with you on the discussion boards.

  • If any of you are starting late or yet to start, don't worry. There is still time to work through the content. Read posts from your peers too so that you learn from each other as well as the course content.

  • I hope you are all able to put all these plans into practice. At your next appraisal, go prepared with a personal development plan with 1-2 SMART objectives you have already thought of so that you can discuss it with your line manager.

  • I joined Twitter some 6-7 years ago and now I find it is my lifeline to good CPD and I have built my own personal learning networks with educators around the world. Also, there are some really good educators I follow who are not health professionals and I have learned so much from them too. The generic principles of learning transcend disciplines and professions.

  • You and much of the rest of the world actually, so you are not alone. COVID has pushed people into grappling with online learning at a pace nobody could have imagined. Make the best of it - there are so many free resources out there that people are generously sharing.

  • @RosMcIntosh Totally agree. Develop your own networks and mentor and support each other.

  • If you already practice reflection regularly, try and use a different framework to see how it feels. If you don't yet do it, try to find time for reflection once a week or so. Just focus on any activity during the week where you found things difficult or where something went really well and think about what you could learn from it to apply to your future...

  • When I reflect back on my motivation in creating this course, it was because learners were telling us how difficult it was to find personal development opportunities for supervisors/educators. I am very passionate about mentoring and developing other educators so seeing your comments here makes all the hard work feel worthwhile. THANK YOU EVERYBODY! Best...

  • @MariaChristinaBernadetteAguba You might want to take a look at this video. I think one of the systematic reviews I looked at on this topic was from nursing education literature.
    https://youtu.be/CNW_ddoOl3Y

  • Everybody gets disheartened by negative feedback but if the students have good insight & receive constructive feedback, including what they could do to improve, then the outcome s likely to be better.

  • Great to see you all here & hope you enjoy the course.

  • Will have a look and see if this can be done.

  • While you can touch on the lower levels of Miller's pyramid in WPBAs, they are really best used for the 'does' level.

  • We cover this in another MOOC in this set - Clinical Supervision with Confidence. Perhaps you could enrol on that course?

  • Note that you might be at different stages of this model for different areas of expertise.

  • @ErnestoGuiraldes Gosh, that's depressing!

  • I would encourage you to try other models of giving feedback to see if they work better in your context. Once you've tried them you might even decide to use different models for different contexts in your on practice.

  • Thank you for your feedback. Do try and apply the learning from this course into your practice so that you can begin to supervise/teach and give feedback confidently.

  • That must be a very difficult situation for you.

  • But that is direct collusion, isn't it? What about professional integrity?

  • Why do you think that happens? What, if anything, could be done about it?

  • That is a real shame as the person on the ground is in a good place to give a more accurate report.

  • I think having a mental health issue requires signposting to the appropriate services to help them deal with it & maybe a supportive approach when needed. That being said, I don't think people should be using that as a reason to do nothing to help as well as explain away things. How is that going to help patients?

  • I am really pleased to hear this. I hope we have been able to give you enough so you can start to think about how to use this to enhance your own practice as a supervisor or tutor. Like everything else, you need to keep working on it and will get better with practice.

  • Welcome if you've just joined the course. Please do work your way through it and read & respond to posts from others.

  • I think if you are concerned about a students knowledge, skills or behaviour, do discuss with them but also help them by identifying what they can do specifically to remediate and improve.

  • I think the see one, do one, teach one model has probably been phased out by now with the realisation that everything is context-specific. Doing one of anything is not enough to know what to do in a completely different context.

  • I hope you get some ideas on how to progress this in your supervision after the course.

  • Would it be possible to create a personal development plan for your students/ trainees at the start of the placement? The objectives in this could be a combination of curricular learning needs as well as personal development needs. If at the initial meeting you discuss how these might be achieved then you can review at midpoint and end of place,ent to see if...

  • Not wanting to affect somebody’s career is often identified as a reason for failing to fail. I don’t think anybody wants to that for no good reason but do we not have a duty of care to our patients too? We need to keep them safe.

  • I think this is one of the reasons for all postgrad medical trainees having a named clinical and educational supervisor now. For undergrad students, this is slightly more tricky in the circumstances you describe & yes, opportunities to identify the struggling student can be limited. What do you think could be done in your setting to try to address this?

  • I’m not sure I understand - is there a different type of assessment & feedback you were expecting?