SLO 8 – Lead the ED shift

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 5: Capabilities in leadership and team-working

Domain 6: Capabilities in patient safety and quality improvement

  • patient safety

Domain 7: capabilities in safeguarding vulnerable groups

Key EM capabilities

At completion of Intermediate training a trainee will: 

  • have an awareness of other’s workload and supports other staff members. 
  • be able to be function as senior clinician in the ED overnight.

with Supervisor ‘on call’ from home for queries, able to provide directions via phone and able to attend the bedside if required to provide direct supervision

At completion of higher training a trainee:

  • Will provide support to ED staff of all levels and disciplines on the ED shift
  • Will be able to liaise with the rest of the acute / urgent care team and wider hospital as shift leader
  • Will maintain situational awareness throughout the shift to ensure safety is optimised
  • Will anticipate challenges, generate options, make decisions and communicate these effectively to the team as lead clinician 

and would be able to manage with no supervisor involvement

  • Know how to safely deal with violent or threatening situations
  • Able to handle common but challenging situations:
    • self-discharge against advice
    • capacity assessment 
    • adult safeguarding issue 
    • Police/FME enquiries 
  • Aware of national legislation and legal responsibilities, including safeguarding vulnerable groups 
  • Behave in accordance with ethical and legal requirements
  • Demonstrate ability to offer apology or explanation when appropriate
  • Demonstrate ability to lead the clinical team in ensuring that medical legal factors are considered openly and consistently
  • Interact effectively with hospital colleagues when handing over the care of patients, in particular when this appears troublesome.
  • Liaise effectively with healthcare professionals outside the hospital about patient care.

RCEM learning/ FOAM content

Leadership training programme, including leadership style/ techniques

Simulation based training with feedback on leadership skills and attributes

Departmental/ regional teaching mapped to the key capabilities in this SLO

Simulation based training of challenging encounters in the ED

Leadership training materials including RCEM leadership programme

Departmental/ regional teaching mapped to the key capabilities in this SLO

Simulation based training of challenging encounters in the ED

Leadership training materials including RCEM leadership programme

Evidence to inform decisions include:

  • ESLE
  • RCEM App
  • MSF
  • FEG

Evidence to inform decisions include:

  • ESLE
  • RCEM App
  • MSF
  • FEG

Entrustment Decisions

End of intermediate training level 3: 

At the end of intermediate training a trainee will have an awareness of others workload and supports other staff members. They will be entrusted to be senior clinician in the ED overnight.

End of HST Level 4:

At the end of training an EM specialist will maintain situational awareness of the ED at all times when in the shift leader role. They will maintain communication with the nurse in charge and other team members

They will be able to give and receive a departmental handover,  manage the whole ED including appropriate delegation & prioritisation of tasks and optimise ED flow & has knowledge of escalation.

They will be entrusted to lead the shift.

RCEM examinations

FRCEM
SBA
MSO

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.