G443(P)\u2005Understanding and usefulness of clinical governance activity among trainees

Abstract

Aim To find out understanding and usefulness of clinical governance among trainees in a NHS trust where clinical governance meeting is held each month and subsequently to implement measures to make the activity more educational. Methods Monthly clinical governance meetings are attended by trainees where various aspects of trust wide governance issues are discussed. Apart from discussing different clinical governance issues among stakeholders, the purpose of the meeting is to provide learning opportunity to trainees from observation and participation. Online survey was carried out over four weeks with six specific questions asking for current experience and ways to improve to make the activity more educational. Results Twenty trainees from FY1 to ST8 level, including both paediatrics and GP trainees responded to the survey. Out of twenty, eighteen had attended at least one meeting. 75% trainee correctly defined clinical governance whereas 15% incorrectly defined and 10% did not know the definition. 17% trainee did not find the meeting educational at all whereas 39% found some educational and 44% found very educational. Discussion on datix, gratex, serious incident and new guidelines were found important learning outcome by trainees. Some junior trainees felt that there are other important things to learn and develop as a priority than spending time in discussion of clinical governance issue at this stage. Conclusion One in four trainees did not have good understanding of clinical governance. Wide variations were observed between senior and junior trainees in terms of understanding and learning outcome from the activity. Senior trainee viewed that clinical governance is important aspect of their training whereas junior trainee felt that other educational aspects should take priority to clinical governance. Introduction of short teaching session on governance topic during the meeting and trainee participation on SI panel as an observer were the important changes being made following the survey.