15 Improving the Junior Doctor clinical induction process at Marie Curie Hospices

Introduction Induction for doctors rotating into new posts is a GMC mandated requirement; guidance for change-over periods aims to improve patient safety, efficiency and trainee satisfaction.¹ ² Identified barriers to effective induction include staff availability and frequent rotations.³ Methods In August 2023 we piloted an online clinical induction resource with the aim of improving the efficiency of clinical induction. We developed a programme of tailored online e-learning modules and knowledge check quizzes on common palliative care clinical topics. This was accessed in advance by users in a 'flipped classroom'5 model. Resource users completed a feedback survey, self-assessed confidence ratings pre- and post-course, and post-course knowledge check quizzes. We also surveyed 9 Marie Curie hospices on their induction processes before and after introduction of the resource. Results Before introduction of the resource, hospices identified challenges to clinical induction including: resources, repeated sessions and information volume. Most spent 6 hours or more on clinical induction and were interested in an online resource. 7 hospices enrolled 22 new starters in the resource. 50% of users completed the course and completed a feedback survey. 100% of user respondents rated the resource good or excellent and agreed it met their learning needs. Post-course knowledge check average scores ranged from 85–93% for all topics on first attempts. Bowel obstruction management was an outlier to this with a lower than average score and was also the worst rated topic on pre-course confidence scores. Conclusion An online e-learning resource can improve efficiency of clinical induction and is a re-usable resource which can be shared across multiple hospice sites. The introduction of our resource has received positive feedback and expanded to a pilot national programme on the Marie Curie Learn and Develop platform. We have further results pending from post-course confidence scores and hospice post-resource introduction survey.