What is clinical supervision?What is clinical supervision?There are many ways to define clinical supervision. For the purpose of this guide, we define clinical supervisionas “The provision of guidance and feedback on matters of personal, professional and educational development inthe context of (the) experience of providing safe and appropriate patient care.” 1In oral health, most formal clinical supervision is governed by regulations and occurs during the training periodfor students and for new or returning practitioners. However, informal clinical supervision is also important and canbe part of the ongoing development of the clinical practitioner.Why clinical supervision?Clinical supervision is considered a vital part of modern,effective health care systems. 2Providing effective clinical supervisory support to healthprofessionals enhances patient outcomes and positivelyaffects trainee development, while inadequate supervisionhas been linked to poorer patient outcomes and lowerstandards of care. 3The Special Commission of Inquiry into the <strong>NSW</strong> AcutePublic Health System highlighted the link between patientsafety and the availability of supervision for junior clinicalstaff. 4Supervision of clinicians has been identified as a nationalpriority by Health Workforce Australia (HWA) as evidencedthrough the development of a National Clinical SupervisionSupport Framework and the Clinical Supervision SupportProgram. 5Voices fromthe fieldI remember one time early on when I hadto administer anaesthetic to a very anxious12 year old boy. I think I was even morenervous than the patient! I knew my handswere visibly shaking and I was really worriedabout what my supervisor would think.I needn’t have worried though.She calmly talked me through the procedureand debriefed it afterwards. She told methat lots of new therapists get nervous at firstbut the nerves soon settle down.That’s how it turned out for me.I think that the way a supervisor handlesthat sort of situation can really make or breakyou. Luckily my supervisor helpedbuild my confidence and skills.That’s the sort of supervisor I want to be!1 Kilminster, S., Cottrell, D., Grant, J. & Jolly, B. (2007). AMEE Guide No. 27: Effective educational and clinical supervision, Medical Teacher, 29 (1), 2-19.2 Milne, D. (2007). An empirical definition of clinical supervision, British Journal of Clinical Psychology, 46, 437-447.3 Kilminster, Cottrell, Grant & Jolly, above n 1.4 Garling, P. (2008). Final report of the special commission of inquiry: Acute care in <strong>NSW</strong> public hospitals, State of <strong>NSW</strong>, 27 November 2008.5 Health Workforce Australia (HWA) 2011a, National Clinical Supervision Support Framework – Consultation Draft, April 2011; Health Workforce Australia(HWA) 2011b, Clinical Supervision Support Program – Directions Paper, April 2011.14 <strong>HETI</strong> The Superguide FIRST EDITION
Clinical supervision facilitates:• delivery of high quality patient care and treatmentthrough accountable decision making and clinicalpractice;Voices fromthe fieldWhat is clinical supervision?• acquisition of skills and knowledge;• learning and professional development;• staff wellbeing, by provision of support;• reflective practice;• confidence and competence in clinical practice;• development of professionalism (a professionalidentity and ethical practice);• professional growth and development.Contributing to the professional development of oralhealth professionals can be one of the most rewardingparts of a senior clinician’s job.The importance of active clinical supervision cannot beunderestimated, yet many supervisors feel that they donot always have the time or the skills to provide it.This guide is focused on highlighting the importanceof effective clinical supervision and making it easier foryou to improve your supervisory skills.When I first started supervising, I really struggledto balance my supervisory duties with the needto keep up with my own clinical workload.I remember one day feeling really frustratedthat my supervisee was taking too long to completea task. I was tempted to take over and do it myselfbecause I knew I could do it a lot quicker.However, I remembered what it was likewhen I was starting out. I took a deep breathand let her finish what she was doing.She actually did a really good job!Later in her very successful career, I was fortunateto be present for a talk she gave in which shementioned the importance of the support andpatience I showed her in the early stages.I am so proud that I was able to make sucha positive impact through my role as a supervisor.Voices fromthe fieldAs a student only part way down the road ofbecoming an oral health therapist, I have alreadyrealised the value of an approachable supervisor –someone you are able to admit a mistake to and beconfident that they will help you get back on trackrather than just criticise or demean you.FIRST EDITION<strong>HETI</strong> The Superguide15