SLO 12 – Manage, administer and lead

A key element of being a specialist in medical practice is the ability to lead and manage both within the Emergency Department and in partnership with other specialties and organisations. It is a GMC requirement that all those training to UK Royal College curricula develop such skills.

Domain 1: Professional values and behaviours

Domain 2: Professional skills

• practical skills
• communication and interpersonal skills
• dealing with complexity and uncertainty
• clinical skills (history taking, diagnosis and medical management; consent; humane interventions; prescribing medicines safely; using medical devices safely; infection control and communicable disease)

Domain 3: Professional knowledge

• professional requirements
• national legislative requirements
• the health service and healthcare systems in the four countries

Domain 4: Capabilities in health promotion and illness prevention

Domain 5: Capabilities in leadership and teamworking

Domain 6: Capabilities in patient safety and quality improvement

• patient safety
• quality improvement

At completion of Intermediate training a trainee will:

• be able to demonstrate their involvement in one or more core management activities and show an understanding of the relevant medicolegal directives
•  be able to describe the difference between leadership and management
• demonstrate an understanding of how the development of one’s own leadership abilities positively impacts upon one’s own wellbeing and ability to function as an individual and as a leader

At completion of higher training a trainee will:

• be able to demonstrate their involvement in a range of management activities and show an understanding of the relevant medicolegal directives have experience of handling a complaint, preparing a report, and be aware of the relevant medico-legal directives (elements not completed in intermediate)
• be able to investigate a patient safety incident critical incident, participate and contribute effectively to department clinical governance activities and risk reduction projects
• be able to manage the staff rota, being aware of relevant employment law and recruitment activities including interviews and involvement in induction
• be able to effectively represent the ED at inter specialty meetings
• demonstrate an understanding of how effective Emergency Medicine Leadership positively impacts on standards of patient care and patient safety whether through leading Resuscitation Teams, leading the Shift or leading in the Trust and wider Healthcare System
• demonstrate a positive impact on the culture of the Emergency Department through attitudes and behaviours that impact positively on colleagues, patients and their relatives

• Responds to complaints in a variety of formats including verbal response, written response and face to face meetings
• Constructs a report for the coroner/procurator fiscal and/or legal services using information available from clinical notes
• Effectively participates, and supports others involved, in a patient safety incident investigation and be familiar with some of the tools involved such as RCA/ 5 Whys/Fishbone analysis
• Represents the ED in divisional / inter specialty /hospital committee meeting meetings such as clinical governance, resuscitation, transfusion, trauma etc. and feed back to the ED team
• Participates in the rota management ensuring adequate skill mix and cover
• Participates in multidisciplinary recruitment for the ED
• Aware of the interplay of various agencies in the NHS and how they interrelate in the evolving NHS Landscape
• Demonstrates a high level of communication skills in all of the above
• Demonstrates the professional values expected of an Emergency Medicine Doctor including the demonstration of high levels of integrity and trust and the need to demonstrate good time management skills, engagement with lifelong learning and the principles and value of reflective practice
• Possesses self-awareness and how an understanding of one’s own core values and beliefs impacts one’s behaviour and interactions with others
• Demonstrates emotional intelligence and resilience alongside an awareness of how factors such as tiredness and stress impact on our behaviours and how to mitigate these
• Has an understanding of how teams work and what makes a team function effectively and why teams may not work
• Appreciates the importance of followership and how followership behaviours impact upon an individual’s ability to lead and the performance of teams
• Has a basic understanding of health care systems and how they interact with the Emergency Department and start to develop the ability to analyse and understand specific systems and how to influence throughout health care systems
• Demonstrates progression of leadership knowledge, skills and behaviours with understanding of areas of strengths and those needing development
• Appreciates the importance of a positive culture within the Emergency Department and wider health care systems, including civility and the principles of ED&I, and how an individual’s leadership behaviour impacts upon culture
• Understands modern (medical) leadership theory to include concepts of compassionate leadership and distributive leadership
• Able to demonstrate an understanding of the differences between feedback, debriefing, mentoring and coaching through an understanding of how to effectively communicate