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IMG Supervision Explained Webinar
About GPSAGPSA is the national representative body that unites GP
Supervisors by promoting recognition for supervision work through open and accountable advocacy
“We are the voice of GP Supervision making the next generation of family doctors”
“We want to make GP Supervision rewarding, respected and recognised”
“We are working to recruit and retain quality supervisors”- Lobby and work with relevant health sector policy makers and
representatives- Work with and listen to our members and support members- Negotiate the National Terms and Conditions between Supervisors
and Registrars on behalf of Supervisors
Webinar Housekeeping
• Muting and Background
Noise
• How to ask a question
• We are recording this webinar to share with other supervisors
• Your continued attendance will be taken as permission given
Your PresenterDr George Zaharias• GP Since 1981
• Masters Degree in Family Medicine
• Medical Educator with VMA
• RACGP Examiner
• Previous work as an AHPRA assessor of IMGs
• 2007-12 Monash University Senior Lecturer
• Principle facilitator of AMC Bridging Course for overseas trained doctors
• Currently Employed as Education Enhancement Officer at VMA:
• Responsible for managing underperforming registrars
• Conducting formal assessments of clinical skills
• Providing focused educational programs for doctors found in breach of AHPRA regulations
Your Webinar Sponsor
GPSA – Supporting a sustainable future for GP Supervisors
What we will cover tonight
GPSA – Supporting a sustainable future for GP Supervisors
• Common challenges faced and how to navigate them
• Recognising and managing cultural barriers to learning vs overall
competency
• Avoiding burnout as a supervisor
• How to orientate and establish effective supervision regimen for your
IMG registrar
• Legal obligations of employers and colleagues
• What you need to understand about your registrar’s culture
• How a registrars culture may impact on your communications,
relationship and practice
IMGs : Disparate Group
GPSA – Supporting a sustainable future for GP Supervisors
• Past experiences
– Country of origin
– Australia
• Knowledge
• Skills
• Motivation
• Rigidity
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Language:
• Command of English
• Fluency
• “Thinking in their language”.
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Communication Skills:
• Nuances, cues, idiom, slang, humour
• Provision of information explanations
• Delivery of management plan
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Self-confidence, assertiveness:
• Medico-legal scenarios
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Boundaries:
• Inadequate language • Inappropriate touch
• Informed consent
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
The Australian Context:
• Patient centredness • Respect and the notion of “equality”
• Relationship to the Supervisor
• Shared decision making, negotiation
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Knowledge:
• Application of knowledge • Study resources and study methods
• Adult learning
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Clinical Skills:
• Physical examination • Clinical reasoning: jumping to conclusions;
managing uncertainty and “shades of grey”
• Investigations: over-reliance, difficulty interpreting and managing
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
Documentation
The Difficulties…
GPSA – Supporting a sustainable future for GP Supervisors
What are some of the difficulties that
you, as supervisors, experience?
Teaching Strategies…
GPSA – Supporting a sustainable future for GP Supervisors
• Direct observation
• Video-recording and feedback
• Role-playing and discussion of difficult
situations
• Sitting in with an experienced doctor
Teaching Strategies…
GPSA – Supporting a sustainable future for GP Supervisors
Improving:
• History taking
• Physical examination
• Overall structure of consultation
Teaching Strategies…
GPSA – Supporting a sustainable future for GP Supervisors
Case discussion with emphasis on:
• Clinical reasoning and
• Problem formulation
Teaching Strategies…
GPSA – Supporting a sustainable future for GP Supervisors
• Creating structured management plans
• Tailoring management plans to the individual,
including negotiation with the patient of
agreed outcomes
• Delivering management plans effectively and
confidently
Teaching Strategies…
GPSA – Supporting a sustainable future for GP Supervisors
• Developing self-confidence and taking control
of the consultation
Take Home Messages…
GPSA – Supporting a sustainable future for GP Supervisors
• Try to understand them
– Their background
– Personal and life issues
Take Home Messages…
GPSA – Supporting a sustainable future for GP Supervisors
• Engage them
–What do they perceive are the
issues/difficulties?
Take Home Messages…
GPSA – Supporting a sustainable future for GP Supervisors
• What are the fundamental issues?
– It’s not always “knowledge gaps” and
“cultural”
Take Home Messages…
GPSA – Supporting a sustainable future for GP Supervisors
• Direct observation and/or video with
feedback
Take Home Messages…
GPSA – Supporting a sustainable future for GP Supervisors
• Practical advice, role-plays
Thank You
GPSA – Supporting a sustainable future for GP Supervisors
Webinar Sponsor:Dr George Zaharias