Looking to the future – An evidence-based programme to develop quality and safety reflection skills in urology trainees

South LondonRenal and Urogenital
Start Date: 1 Jan 2017 End Date: 31 Dec 2018

Training urologists to improve patient safety

A new course is being developed by researchers in the Centre for Implementation Science in collaboration with urologists from Barts Health NHS Foundation Trust tailored for trainee urologists. The course will equip them with the skills to analyse patient safety incidents and concerns around care quality, then to develop collaborative quality improvement work. Urologists who complete this training will then have the skills to share learning and best practice with their peers and urology departments in other NHS trusts.  This project was adopted by CLAHRC South London in November 2016.

Researchers from our Centre have previously collaborated with Health Education North West to develop a proven model to enable doctors to reflect on patient safety incidents and give junior doctors quality improvement skills in their foundation years – called the ‘Lessons Learnt’ programme. The ‘Lessons Learnt’ programme will now be used as a basis for the tailored development of a related programme specifically for urology trainees, initially within London, Kent, Surrey, Sussex, and Northwest England – later nationally. 

About the ‘Lessons Learnt’ programme
‘Lessons Learnt’ consists of a regular series of discussions about patient safety incidents facilitated by consultants. Patient safety incidents are defined as ‘unexpected or unintended incidents that could have or did lead to patient harm’. The sessions run typically for six months during the academic year and form part of the foundation training for junior doctors.

Consultant facilitators attend a half-day ‘train-the-trainers’ workshop, within which the scientific background is explored, the structure of the training explained and basic facilitation skills covered. The ‘Lessons Learnt’ programme has been thoroughly evaluated and has won multiple awards, including the BMJ Award for Excellence in Healthcare Education in 2012. 

How will the new programme differ from ‘Lessons Learnt’?

The ‘Lessons Learnt’ programme was developed with a learning rather than quality improvement focus and it was also tailored to more junior trainees. This new programme will build on the success of ‘Lessons Learnt’, but expand the programme to ensure urology trainees are equipped with skills that allow them to identify problems in the clinical environment, analyse them with their peers, and then introduce improvements which they can lead themselves.

Researchers from the Centre for Implementation Science and Barts Health, jointly with medical education leaders across the three regions mentioned above and the charitable Urology Foundation, will set up the new programme and evaluate its impact using a range of educational, patient safety and quality improvement validated outcome measures. They will work closely with the CLAHRC’s Patient and Public Involvement team and also a newly formed project steering group to ensure that patients, trainees, urologists and education and improvement experts are involved in the planning and delivery of the training. This work is being funded by the Urology Foundation and the training programme is expected to be developed and evaluated by December 2018.

Prof Nick Sevdalis