Document Detail


Clinical supervision in the emergency department: a critical incident study.
MedLine Citation:
PMID:  16439737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To identify the key features of effective clinical supervision in the emergency department (ED) from the perspectives of enthusiastic consultants and specialist registrars. To highlight the importance of clinical supervision within emergency medicine, and identify obstructions to its occurrence in everyday practice. METHODS: A critical incident study was undertaken consisting of structured interviews, conducted by telephone or in person, with 18 consultants and higher level trainees selected for their interest in supervision. RESULTS: Direct clinical supervision of key practical skills and patient management steps was considered to be of paramount importance in providing quality patient care and significantly enhancing professional confidence. The adequacy of supervision varied depending upon patient presentation. Trainees were concerned with the competence and skills of their supervisor; consultants were concerned with wider systemic constraints upon the provision of adequate supervision to juniors. CONCLUSIONS: The value of supervision extends to all patient presentations in the ED. The study raised questions concerning the appropriate attitudes and qualifications for supervisors. Protected supervisory time for those with trainees is mandatory, and must be incorporated within ED consultant job planning.
Authors:
D A Kilroy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-27     Completed Date:  2006-03-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  105-8     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Stockport NHS Foundation Trust, Poplar Grove, Stockport, SK2 7JE, UK. darren.kilroy@stockport-tr.nwest.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel
Clinical Competence / standards
Consultants
Emergency Medicine / education,  standards*
Emergency Service, Hospital / organization & administration,  standards*
Employee Performance Appraisal / standards*
England
Humans
Interprofessional Relations
Job Satisfaction
Medical Staff, Hospital / standards*
Task Performance and Analysis*
Comments/Corrections

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