Onboarding IMGs - Guidance for Supervisors & Hospitals
Pre-UK Arrival
- Pre-allocation of Educational/Clinical Supervisor (ES/CS)
- Pre-consideration of ‘mentor/buddy’
- Access local enhanced induction programme (hospital/trust/region)
- Contact the doctor providing the above information and their ES/CS email details. It should be stressed that this information is to supplement support but not essential to complete prior to entry to the UK and can be targeted during their initial period of employment.
- Signpost to links to the GMC's: Welcome to UK practice online workshops
- Regulatory Health Education Links:
- Initial rota expectation – supernumerary period
Initial Supervisor Meeting
- Meet ES/CS and team
- Any challenges faced to date
- Available wellbeing resources
- Agree ‘shadowing’ ‘supernumary’ period. While this will vary according to individual doctors we would broadly recommend a period of 6-12 weeks.
- Ensure comprehensive Induction to the hospital and ICU has occurred/ is ongoing.
- Agree initial Personal Development Plan (PDP). This should be inclusive of appropriate clinical and portfolio targets (see suggestions below). A checklist can be used to facilitate this.
- Plan for facilitating airway experience, basic life support and simulation
- Rota discussion and targeted use of allocated time for Supporting Professional Activities (SPA) e.g. sign of airway skills / Initial Assessment of Competence
Subsequent meetings should be at regular intervals, dependent on progress. Timescales suggested below are for review of progression of targets rather than an absolute duration between meetings.
Consideration of the PDP which can be inclusive of the suggested targets below, but this is not exhaustive list. Some of these can be done within the supernumerary period, SPA time and initial period of working.
The templates in the IMG Induction Pack (which will be uploaded in due course) can be used to support formal documentation of these meetings and milestones.
Suggested targets:
Clinical:
- Equipment – ventilators, transfer equipment, ultrasound, monitoring, anaesthetic machines (if relevant)
- Central venous cannulation/ Arterial cannulation
- Nasogastric tube placement
- Airway equipment and insertion
- CT/MRI familiarisation
- Transfers
- Demonstration of airway skills competence.
- Resuscitation: (SIMS) Basic/Advanced life support/Displaced tracheostomy/Difficult Airway society guidance
- Clinical presentations
Portfolio:
- FICM website – ICM curriculum and capability descriptors
- FICM e-LfH ICM modules
- Consider their registration with the faculty
- Hospital mandatory training
- Transfer e-learning
- Logbooks, both clinical and teaching/governance etc.
- Reflective practice
- Appraisal registration
- Wellbeing resources
Continuation of above targets:
- Start supporting clinical experience with Supervised Learning Events (SLE’s)
- Review membership with faculty/access to FICM's Lifelong learning Platform (LLP) to record training and experience
- Gain feedback – Multi-source feedback (MSF)
- Rota placement and review
- Discussion of longer-term plans. Application for national training number, pursuit of portfolio pathway, specialty doctor etc.
- Review PDP and target specific areas of interests that the doctor has.
- Encourage spiral learning
- Consideration of further qualifications/skills
- Repeat MSF
- Ensure evidence collated for appraisal
