Telesupervision in General Practice Training: A Case Study

Authors

  • Martin Brunet Binscombe Medical Centre 106 Binscombe Godalming GU7 3PR

DOI:

https://doi.org/10.22024/UniKent/03/ajpp.381

Keywords:

Telesupervision, General Practice, Training, Skype, Primary Care, Mentoring

Abstract

While recruitment to General Practice (GP) is a Government priority (NHS England, 2016), matching trainees to available trainers can be challenging. Remote supervision using Digital Video Conferencing (DVC) technology (telesupervision) has proven to be a workable solution to overcome this problem (Dudding, 2009; Brandoff and Lombardi, 2012) since supervisors can engage in effective supervision even when geographically distant from the supervisee. However, this has not been studied in GP training.

The use of telesupervision in GP training adds an extra dimension, since trainees require clinical supervision in their placement practice as well as educational supervision from a qualified GP trainer. Such a model therefore would depend upon a triad of relationships between the trainee and clinical supervisor in one location, and an educational supervisor operating remotely.

This Reflection on Practice paper presents a case study of Telesupervision, from the perspective of a GP educational supervisor (ES).  It is presented as a real world exploration of the issues that would be encountered in such a model, and explores both the technical aspects of setting up effective telesupervision and the experience of coaching across a DVC platform in the particular context of GP training. Fundamental to the effectiveness of such a model would be the clear demarcation of the roles and responsibilities of the clinical and educational supervisors and their working relationship with the trainee.

Author Biography

Martin Brunet, Binscombe Medical Centre 106 Binscombe Godalming GU7 3PR

MSc Student, Centre for Professional Practice, University of Kent

General Practitioner

Programme Director Health Education England, Kent, Surrey, Sussex

References

Atherton, H. and Ziebland, S. (2016) ‘What do we need to consider when planning, implementing and researching the use of alternatives to face-to-face consultations in primary healthcare?’, Digital Health, 2, pp. 1–13.

Brandoff, R. and Lombardi, R. (2012) ‘Miles Apart: Two Art Therapists’ Experience of Distance Supervision’, Art Therapy, 29(2), pp. 93–96.

Burgoon, J. and Jones, S. (1976) ‘Toward a Theory of Personal Space Expectations and Their Violations’, Human Communication Research, 2(2), pp. 131–146.

Burgoon, J. K. (1979) ‘A communicative model of violations of distancing expectations’, The Western Journal of Speech Communication, 43(Spring), pp. 153–167.

Carlin, C. H., Boarman, K., Carlin, E. and Inselmann, K. (2013) ‘The Use of E-supervision to Support Speech-Language Pathology Graduate Students during Student Teaching Practica’, International Journal of Telerehabilitation, 5(2), pp. 21–32.

Carruthers, J. (1993) ‘The Principles and Practice of Mentoring’, in Caldwell, B. J. and Carter, E. M. A. (eds) The Return of the Mentor: Strategies for Workplace Learning. London: The Falmer Press, pp. 9–25.

Cook, A. F., Arora, V. M., Rasinski, K. A., Curlin, F. A. and Yoon, J. D. (2014) ‘The prevalence of medical student mistreatment and its association with burnout.’, Academic medicine : journal of the Association of American Medical Colleges, 89(5), pp. 749–54.

Dudding, C. C. (2009) ‘Digital videoconferencing: applications across the disciplines.’, Communication Disorders Quarterly, 30(3), pp. 178–182.

Dudding, C. C. and Justice, L. M. (2004) ‘An E-Supervision Model: Videoconferencing as a Clinical Training Tool’, Communication Disorders Quarterly, 25(3), pp. 145–151.

Fong, B., Fong, A. C. M. and Li, C. K. (2011) Telemedicine Technologies: Information technologies in medicine and telehealth. Chichester: John Wiley & Sons, Ltd.

General Medical Council (2006) Curriculum for Specialty Training for General Practice The Learning and Teaching Guide. Available at: http://www.gmc-uk.org/Guide_for_Learners_and_Teachers_01.pdf_30449626.pdf (Accessed: 2 June 2017).

Hattie, J. and Timperley, H. (2007) ‘The Power of Feedback’, Review of Educational Research, 77(1), pp. 81–112.

Hawkins, P. and Shohet, R. (2006) Supervision in the Helping Porfessions. 3rd edn. Maidenhead: Open University Press.

Hebda, T. and Czar, P. (2005) Handbook of Informatics for Nurses and Healthcare Professionals. 5th edn. Upper Saddle River, New Jersey: Pearson Education Inc.

High, W. A., Aranda, J., Patel, S. B., Cockerell, C. J. and Costner, M. I. (2005) ‘The use of teledermatology to supervise dermatology residents’, Journal of the American Academy of Dermatology, 52(2), pp. 376–378.

Johnston, S., Macdougall, M. and Mckinstry, B. (2016) ‘The use of video consulting in general practice: semi-structured interviews examining acceptability to patients’, Journal of Innovation in Health Informatics, 23(2), pp. 493–500.

Kalman, Y. M. and Rafaeli, S. (2011) ‘Online Pauses and Silence: Chronemic Expectancy Violations in Written Computer-Mediated Communication’, Communication Research. SAGE PublicationsSage CA: Los Angeles, CA, 38(1), pp. 54–69.

Kurtz, S., Silverman, J. and Draper, J. (1998) Teaching and Learning Communication Skills in Medicine. Abingdon: Radcliffe Medical Press Ltd.

Landor, M. (2015) ‘How and Why Video Enhanced Reflective Practice (VERP) Works’, in Kennedy, H., Landor, M., and Todd, L. (eds) Video Enhanced Reflective Practice: Professional Development through Attuned Interactions. London: Jessica Kingsley Publishers, pp. 60–70.

Martin, P., Kumar, S., Lizarondo, L. and VanErp, A. (2015) ‘Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study.’, BMC health services research, 15(1), p. 413.

Nelson, E.-L. and Duncan, A. B. (2015) ‘Cognitive Behavioral Therapy Using Televideo’, Cognitive and Behavioral Practice. Elsevier B.V., 22(3), pp. 269–280.

NHS England (2016) General Practice Forward View. Available at: https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf (Accessed: 2 June 2017).

Parsloe, E. (1999) The Manager as Coach and Mentor. 2nd edn. London: Chartered Institute of Personnel and Development.

Royal College of General Practitioners (2009) The Learning and Teaching Guide.

Russell, T. (1994) Effective Feedback Skills. London: Kogan Page Limited.

Sedgwick, P. (2011) ‘The Hawthorne effect’, British Medical Journal, 344, p. d8262.

Shintani, N. (2016) ‘The effects of computer-mediated synchronous and asynchronous direct corrective feedback on writing: a case study’, Computer Assisted Language Learning. Routledge, 29(3), pp. 517–538.

Silverman, J., Kurtz, S. and Draper, J. (1998) Skills for Communicating with Patients. Abingdon: Radcliffe Medical Press Ltd.

Skype (2017). Available at: https://www.skype.com/en/ (Accessed: 2 June 2017).

Super Tintin (2017). Available at: http://www.supertintin.com/ (Accessed: 2 June 2017).

WhatsApp (2017). Available at: https://www.whatsapp.com/ (Accessed: 2 June 2017).

Wifi Music School (2017). Available at: https://www.wifimusicschool.com/ (Accessed: 23 March 2017).

Wood, J. A. V., Miller, T. W. and Hargrove, D. S. (2005) ‘Clinical Supervision in Rural Settings: A Telehealth Model.’, Professional Psychology: Research and Practice, 36(2), pp. 173–179.

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Published

2017-11-29

How to Cite

Brunet, M. (2017). Telesupervision in General Practice Training: A Case Study. Advanced Journal of Professional Practice, 1(1). https://doi.org/10.22024/UniKent/03/ajpp.381

Issue

Vol. 1 No. 1 (2017)

Section

Reflections on Practice

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