SLO 8 – Lead the ED shift

The EM physician needs to be able to provide shop floor leadership (as the Emergency Physician in Charge [EPIC]) to the whole ED team and the ability to interact effectively with others, both inside the hospital and without, in providing safe care.

Leading the shift requires an array of clinical, non-technical, advanced communication and interpersonal skills. It brings together elements of the all other SLOs. It outlines the additional capabilities that are needed to develop EM clinicians into shop floor leaders.

Domain 1: Professional values and behaviours
Domain 2: Professional skills
Domain 3: Professional knowledge
Domain 4: Capabilities in health promotion and illness prevention
Domain 5: Capabilities in leadership and team-working
Domain 6: Capabilities in patient safety and quality improvement
Domain 7: Capabilities in safeguarding vulnerable groups

At completion of training an EM specialist will:

  • Provide support to ED staff of all levels and disciplines on the ED shift
  • Liaise with the rest of the acute / urgent care team
  • Maintain situational awareness throughout the shift to ensure safety is optimised
  • Be able to anticipate challenges, generate options, make decisions and communicate these effectively to the team as lead clinician

Knowledge:

  • Patient flow management & escalation
  • Clinical Governance:  Risk management across the ED. Corporate responsibilities.
  • Understanding of major incident plan

  Skills:

  • Problem solving
  • Management of workload (delegation, time management)
  • Task prioritisation
  • Management of staff & allocation of resources including staff
  • Situational awareness
  • Communication
  • Management of conflict
  • Able to effectively conduct a ‘board round’
  • Lead and receive handover or huddle
  • Able to liaise with the rest of the hospital w.r.t safety and performance
  • Contingency planning and risk mitigation to maximise departmental safety
  • Can alert seniors of potential flow or staffing issues
  • Provide a leadership role in a hospital major incident response

Attitude & Behaviour: 

  • Seeks to remain calm and professional at all times
  • Flexibility, responsiveness
  • Demonstrates assertiveness whilst maintaining professionalism
  • Provides an acceptable role model to others
  • Looks after staff well-being (management of breaks, fatigue etc)

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

Suitable WPBAs include MSF,ELSE, RCEM shift handover tool.

Suitable WPBAs include the MSF, ELSE, RCEM shift handover tool.

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.