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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.
Cassidy et al. (Fri,) studied this question.