Suggested improvements to the supervised learning event process
| Level | Definition | Illustrative quotes |
|---|---|---|
| Individual | Suggestions included improving trainee/trainers’ understandings of SLEs and their engagement with SLEs. | “I think that we would very much like to have a clearer idea about what it is we should be doing rather than having to make up what it is that we actually are doing” (Trainer, Site 3) |
| Interpersonal | Suggestions included increased opportunities for trainers to receive feedback from trainees, more regular trainee-trainer meetings, and a developmental approach to the trainee-trainer relationship. | Trainee 1: the same way we have to get evidence that we've done these things, I think that they [trainers] should also have evidence… they have to show examples that they have given feedback…so I think they should be required to do it as well Trainee 2: I think that's a great idea that we give feedback on their feedback ((says laughingly))” (Trainees, Site 1) |
| Cultural | Suggestions included increased recognition for the roles of clinical/educational supervisors, increased diversity among trainers able to do SLEs, improved continuity in processes across the continuum of postgraduate medical education, increased clarity around the initiation of SLEs, shifting away from a tick-box culture and removing structures allowing for cheating. | “this is a tool…which is meant to be used in conjunction with the training that goes on and if the training that goes on isn't happening… if consultants aren't able to come and watch you in the clinic…for an hour an hour and a half to actually observe what you're doing if they're not in a position to be able to do that then it doesn't matter how good the tool is…I don't know how you make it better until you can actually release consultants and registrars and people to actually to give them time to say you know you're doing training” (Trainer, Site 1) |
| Technological | Suggestions included improving e-tools and platforms, and altering the system to reduce time spent chasing trainers to finalise the process. | “maybe if all the, all the feedback-ey things were right at the top of the form and the tickbox-ey things were further down… because the trouble with tick-boxes is, I've done it myself you know “yeah, yeah, yeah, yeah, yeah, fine, yeah, whatever”…you go into tick-box mode and and it's like “any further comment?” is “what, you want me to say MORE?!” ((laughs loudly))” (Trainee, Site 3) |