The MoLIE project: Enhancing capacity for intern training in the Emergency Department

Brazil, V., Brown, A. F. and Markwell, A. (2009). The MoLIE project: Enhancing capacity for intern training in the Emergency Department. In: Special Issue: Annual Scientific Meeting of the Australasian College for Emergency Medicine. 25th Annual Scientific Meeting of the Australasian College of Emergency Medicine (ACEM 08), Wellington, New Zealand, (A25-A25). 23-27 November 2008. doi:10.1111/j.1742-6732.2009.01161.x


Author Brazil, V.
Brown, A. F.
Markwell, A.
Title of paper The MoLIE project: Enhancing capacity for intern training in the Emergency Department
Conference name 25th Annual Scientific Meeting of the Australasian College of Emergency Medicine (ACEM 08)
Conference location Wellington, New Zealand
Conference dates 23-27 November 2008
Proceedings title Special Issue: Annual Scientific Meeting of the Australasian College for Emergency Medicine   Check publisher's open access policy
Journal name Emergency Medicine Australasia   Check publisher's open access policy
Place of Publication Richmond, Vic. Australia
Publisher Wiley-Blackwell Publishing Asia
Publication Year 2009
Sub-type Poster
DOI 10.1111/j.1742-6732.2009.01161.x
ISSN 1742-6731
1742-6723
Volume 21
Issue S1
Start page A25
End page A25
Total pages 1
Language eng
Formatted Abstract/Summary
Introduction: Increasing the number of medical graduates has
created a challenge for early postgraduate training capacity. An
Emergency Department (ED) term is a core requirement to complete
the intern year in Queensland. There is concern that increasing
intern numbers in the ED will result in a dilution of their learning
experience, plus a decrease in ED efficiency and safety.

Aim: To redesign the emergency medicine learning model for
interns with increased numbers, while maintaining safe clinical
supervision and an improved educational quality.

Methods: A structured learning component comprising
approximately 20% of rostered intern work hours was included in
the ED term. Sessions covered a case-based curriculum developed
and delivered by FACEMs in a small-group learning format. Senior
and junior staff rosters were modified to minimise fluctuations in
junior staff numbers ‘on the floor’ from participation in structured
teaching sessions. Participating interns completed feedback surveys
at the end of each ED term.

Results: Intern numbers were able to be increased 38% from 65 in
2007 to 90 in 2008, whilst maintaining unchanged junior staff
supervision ratios in the ED clinical area. Interns reported that the
More Learning in Emergency (MoLIE) teaching sessions were
relevant to their work, and covered the right balance of clinical and
professional skills. There were high levels of satisfaction with
facilitators’ knowledge and teaching skills. After MoLIE a majority
of interns felt they were more likely to choose emergency medicine
as a career.

Conclusion: Increased intern numbers represents an opportunity to
redesign and improve junior doctor education.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Conference theme: Leadership in Emergency Medicine. Published in section: Poster Program Abstracts.

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Mon, 08 Aug 2011, 06:28:40 EST by Dr Victoria Brazil on behalf of Anaesthesiology and Critical Care - RBWH