Network principles for prevocational medical training - HETI

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Network model part 6: Network governance When constructing a network, network governance is the vital element in ensuring that prevocational training is effective and continuously improving. Essential elements of effective governance • z Cooperative relations between facilities within the network. A prevocational training network is a peer-to-peer network, not a hub-and-spoke network, irrespective of relative size. • z Cooperative planning for education and training. Trainees are trained at multiple sites, and there needs to be a network-level overview of what training they are receiving. Repeating the same lecture on rotation to a new training site is almost as significant a waste of critical training time as missing major, core topics. DETECT, Advanced Life Support and specific communication courses such as breaking bad news need to be coordinated by the network to ensure that no trainees miss out. • z Small sites may have gaps in local expertise required for education and training, and the network should work to overcome these difficulties. There are several possibilities: • z videoconferencing • z online learning • z travelling to a central location for lectures • z using small sites for specialised training, and ensuring that all trainees receive core training at large sites. • z Education and training resources need to be shared within the network in whatever manner maximises their effectiveness for trainees. • z Effective processes for allocation of trainees. The impact of a missing staff member is proportional to the size of the staff, and an effective network needs to have responsive procedures for managing staff allocation fairly. • z A shared commitment to the welfare of all trainees, requiring good communication and handover at all levels of prevocational support staff and a routine agenda item for close attention at network meetings. • z An effective network committee. The network committee for prevocational training must: • z meet regularly, with an appropriate agenda, minutes, chair and secretary • z have committed representation from all training sites within the network • z actively involve trainees. HETI has published recommended terms of reference for the network committee – see Appendices. • z Effective lines of reporting — both to HETI and to health service administration of each local health district and general practice regional training provider in the network. Without clear lines of reporting, problems identified within the network can remain unsolved. • z Executive sponsorship of the network. Senior administration has to grasp the importance of the prevocational training program to the effective delivery of patient care and continuous quality 26
HETI NETWORK PRINCIPLES improvement. Investment in education and training returns dividends to the health service in improved patient care, improved staff performance and morale, reduced staff turnover and absenteeism, and greater efficiency of work practices. Prevocational training networks deserve executive support, and they need this support to function. • z Effective procedures for dispute resolution. Network members will not always agree and a network needs to establish a mutually respected procedure for dispute resolution as part of its governance structure. • z Cooperative relations with HETI and other networks. HETI provides funding and other support to networks, as well as accrediting all prevocational training sites and terms. Cooperative relations with HETI are essential for the smooth running of the network. Cooperation with other networks is useful for: zz zz zz sharing the development costs of education and training, such as workshops, guidelines, lectures and online resources providing extra opportunities to trainees through term swaps or trainee swaps solving gaps in the network’s training capacity or workforce by negotiation with another network. • z Capacity to implement, evaluate and improve the prevocational program. • z Effective role definitions, staffing and resourcing for the network committee, hospital training committees, directors of training, JMO managers, supervisors, educators, and trainees. For example, each hospital’s General Clinical Training Committee needs to know how its role articulates with the role of the network committee. • z Further details of network governance are given in section three of this guide. 27
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Page 8 and 9: The learning cycle The learning mod
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Network principles for prevocational medical training - HETI

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