What is the aim of the pilot?
The aim of the pilot is to implement a remote supervision model which strongly aligns to GP Synergy’s Remote Supervision Policy. These criteria are standards that have been endorsed by the RACGP. The purpose of the policy is to enhance supervision capacity. The objective is to provide existing accredited training facilities and GP Supervisors, safe and flexible solutions for clinical supervision and training of GP registrars.
What need does it address?
The need that this remote supervision model addresses is to alleviate significant strain on supervisors to meet supervision requirements in their current form.
The process that GP Synergy proposes to develop is a remote supervision model based on an endorsement which is added to existing accreditation certification. Participants and facilities who meet the criteria are inducted into the remote supervision program. The pilot aims to provide supervision flexibility without compromising safety and quality.
The processes are auditable for accreditation and compliance purposes. They are designed to ensure that registrars are well supported with one or more “go to persons” when they need clinical assistance or other.
How will it work?
The way in which the model works is for training facilities (posts) and supervisors that wish to provide remote supervision arrangements must obtain a “Remote Supervision Endorsement” to their existing certificate of accreditation as a general practice training facility or supervisor. Requirements of the remote supervision endorsement are:
- To have held continuous accreditation as a training facility or GP Supervisor for the past year, and remained free of any conditions of accreditation during that period
- To have accrued a minimum of 52 weeks full time general practice training in the past three years
- To have successfully completed the online “Remote Supervision” module of GP Synergy’s Clinical Teacher Training Program
- To have established an approved “remote supervision plan” in accordance with GP Synergy’s template
- As part of its plan for remote supervision, the training facility must demonstrate induction and orientation plans that link the registrar and resident family with professional support and the local community
The remote supervisor is responsible for:
- ensuring Clinical Support team arrangements are in place and provide the requisite amount of flexible supervision as prescribed by the approved remote supervision plan.
- delivering the in-practice teaching to the trainee as required by the applicable standard for the term type
- maintaining journal of weekly clinical support team meetings
- remaining contactable by phone or videoconference at all times when away from the training facility
- will as a minimum remain on-site for the first two days and for the rosters hours of the registrar of commencement of the placement.
General practice registrars are required to meet conditions before apply for remote supervision placements that are published within their delegated regional group. These conditions are:
- Agree to abide by the conditions of the remote supervision placement as published
- Has completed at least 6 months full time equivalent of community based training
- Has completed GP Synergy’s video conferencing and TeleHealth training module
- Has certification for paediatric and adult, basic and advanced life support which must remain current for the duration of the placement
- Is at or above the expected level of competence as assessed against GP Synergy’s “competency assessment grid” comprising three prior observations
- Has been confirmed as ready by the medical educator as part of GP Synergy’s Teaching Advisory contact section
GP registrars who do not meet all these conditions will not be permitted a placement under the remote supervision model.
To ensure the registrar has access to on-site support when the supervisor is absent, the facility may appoint a Clinical Support Team that includes at least two or more primary (first on-call remote supervisor) and secondary support (local hospital staff, practice nurse, paramedic or ambulatory staff, allied health workers).
What are the risks?
The risk in using this process is that the program may not be taken up by practices and supervisors as there is set up work required to meet the criteria for endorsement. This would hinder capacity targets as projected in the proposal, this should equate to a 16% increase in rural supervision capacity over three years.
How will the risks be managed?
The risks will be mitigated through existing compliance and accreditation processes.