STUDENT PLACEMENT

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STUDENT PLACEMENT MANAGING UNIVERSITY
EXPECTATIONS
Asra Ahmad Senior Podiatrist Placement Programme
Lead Southwark Foot Health Services
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Our Current Placement Universities
10 IN TOTAL

• SOUTHAMPTON
• UEL
• EASTBOURNE
• NORTHAMPTON
• SALFORD

• HUDDERSFIELD
• GLASGOW
• LA TROBE (Australia)
• CHARLES STURT (Australia)
• EDINBURGH

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• Placement Patterns
• All years from each university 1 3 /4
• 1 - 7 week blocks
• 1 day per week for 5 weeks
• Some universities send students back after a
  block can assess progress / change others vary
  their PCTs

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Our Placement Philosophy
4 ELEMENTS

• WHAT THE UNIVERSITY WANTS (LEARNING CONTRACT)
• WHAT WE THINK STUDENT WILL FIND INTERESTING
• WHAT THE STUDENT WANTS (SPECIAL INTEREST /
• DEVELOPMENT NEEDS)
• IS NOT A REPRESENTATIVE SNAPSHOT OF BAND 6 NHS
• WORK (WE TELL STUDENTS THIS)

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VARIATIONS BETWEEN UNIVERSITIES

• Placement expectations
• Timings of placement
• Days / weeks per placement
• Some universities give orientation days
• Learning contract
• Students contact with us
• Student experience
• Teaching variation (subjects covered)
• Geographical differences

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SOUTHWARK FACTORS

• Sessions Available / sessional mix
• Multi chair clinics
• Physical space constraints
• External agency time constraints
• Occupational health
• Podiatrist experience reduce variance

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Management of Placements

• All podiatrists are involved in supervision
• - Training is provided on managing students
• - leadership
• - setting good example
• - assessing performance
• - self-awareness
• - awareness of individual needs
• - All clinical roles covered
• Students spend time with placement programme
  leads
• Induction
• Mid-placement discussion
• End-placement feedback and evaluation
• At least 1 clinical session with each placement
  lead

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1 PODIATRIST OR SEVERAL?

• ADVANTAGES
• OF SEVERAL
• Variety of skills
• Different techniques
• Mixed sessions
• Variety of people
• Different clinical settings
• Burden shared
• Travelling

• DISADVANTEGES
• OF SEVERAL
• Limited understanding of students full
  capability
• Real understanding of working in the NHS
• Not used to 1 person
• Too much movement?

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TYPES OF PLACEMENT 1. Hands-on some
differences?

• Own session booked (2/3 patients) alongside
  Podiatrists reduced session
• Take over Podiatrists session in a 2 chair
  clinic
• 2 or more students have their own half speed
  session booked (3 chair or more)

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TYPES OF SESSION 2. Observational

• More than just looking
• Encouraged to take part in EVERYTHING except
  hands-on

- Preparing clinical area between patients -
Calling patients in - Watching communications
techniques of experienced podiatrists (dealing
with difficult situations) - Making padding and
dressings - Clinical reasoning around presenting
condition (aetiology, treatment options,
evidence/guidelines based practice) - Devising
short and long term treatment plans - Writing
notes and letters - Evaluating and learning use
of equipment
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TYPES OF SESSION
Both involve Specialist sessions

• Experience as many as possible
  - Pain management, acupuncture, laser,
  radiowave surgery, MSK (inc diagnostics video
  gait analysis, pedar, Winpod, EMG, U/S, nail
  surgery, wound management,
• Observe and learn from specialist assessment
  and practice techniques
• Attempt own diagnostics

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TIMETABLE CONTENTS

• Mixture of internal sessions (previous slides)
• External Podiatry Acute sector units, surgery
• MDT Pathology lab, physiotherapy, dermatology
• Problem Based Learning (larger cohorts, 3
  universities)

NB, Students not always with Podiatry department
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INDUCTION FEEDBACK

• 1. Induction
• Geographical orientation / Background to area
• Department structure
• Give placement packs maps, clinic contacts etc
• Check all paperwork is completed
• Go over timetables / Discuss timetable issues
• Learning contracts where required
• Learning opportunities
• Look at real NHS features

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Placement expectations

• Induction contd
• What we expect from the student/Ground
  rules/General advice
• -Dress code, behaviour in clinic, making most of
• placement, ask questions, feed back ve as well
  as ve,
• maintain communication with placement leads
• Examples
• - Preparing clinical area between patients
• - Calling patients in
• - Writing notes
• - Padding and dressing
• - Answering the phone
• - Drafting letters
• - Admin tasks photocopying, finding notes,
  stock cupboards etc

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INDUCTION FEEDBACK

• 2. Feedback
• Feedback from everyone who has been with the
  student
• Feedback from the student - their views on the
  placement
• Go over timetable and discuss sessions
• Feedback and evaluation of the students
  performance
• Evaluation paperwork them of us / us of them
• Analyse and summarise evaluations improve next
  time

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STAFF TRAINING

• How to manage students
• Overview of induction and feedback
• Other tasks to give students and Time Management

1) Book out patients before hand? 2) Keep full
speed do alternate patients? 3) Book slot out
at end of session
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FLURRY LINEAR MODEL
START
START
Podiatrist Student
5pm
FINISH
5pm
FINISH
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THANK YOU Questions? Contact asra.ahmad_at_southwa
rkpct.nhs.uk michael.wilding_at_southwarkpct.nhs.uk