Scientific research Buitengewoon Baanbrekend

Buitengewoon Baanbrekend

Project summary

In this project, GP and paediatric trainees examine sick children together in each others context and discuss their observations and experiences afterwards. The discussions afterwards are specifically focused on intraprofessional collaboration. What went well, what could be improved, how does another setting changes your perspective on the care or collaboration around an acutely ill child? Apart from these workplace based learning experiences, there are a range of seminars (we call them hot topics) and several meetings to monitor the progress of the project.

Aim of the project

The aim of our project Buitengewoon Baanbrekend is to train core trainees (GP and paediatric) intraprofessionally around the (acutely) ill child. Trainees will be trained together to work transmurally (through the walls of the hospital from primary and secondary care and back) so that the future doctors learn to practice integrated child care. Central in this project is that the learning is mutual. GP trainees will be able to improve their knowledge about paediatric care and improve their referrals skills and paediatric trainees will be trained to improve their consultation skills. Both parties will be better equipped with understanding eachothers working situation, improving future collaboration.

Agenda

• 21 juni 2022 - 17.00-18.00: kindertopic urologie (online)
• 12 juli 2022 - 17.15-18.15: DUO bijeenkomst CWZ groep (locatie CWZ)
• 19 juli 2022 - 17.15-18.15: DUO bijeenkomst Rijnstate groep (locatie Rijnstate)
• 20 september 2022: Introductiesessie nieuwe groep AIOS huisartsgeneeskunde (online)
• 18 oktober 2022 - 17.00-18.00: kindertopic neonatologie (online)
• … oktober 2022: DUO bijeenkomst
• 15 november 2022 - 17.15-18.15: kindercasuïstiekbespreking (online)
• 13 december 2022 - 17.00-18.00: kindertopic cardiologie (online)
• .. december 2022: DUO bijeenkomst 

GP and paediatric trainee DUOs

How does it work?

GP and paediatric trainees will be coupled up to form a trainee-duo. This duo will be partnered up for at least 6 months, so that they can plan exchanges to each others setting. The aim for the trainees is to examine children together both twice in their own setting as well as in their duo partners settings. A new group of trainees starts every March and September and new trainee-duo's will be matched. During the project there will be 2 DUO meetings, where participants have a chance to meet their partner for the first time, get to know eachother, get to know the goals for the project and also to monitor the progress of the project.

Assessing (acutely) ill patients together

The program parts

1. A shift at the out of hours GP post

Out of all the patients attending the GP post, children will be pre-selected by the doctors assistant for the GP-paediatrician trainee-duo to see. Other GP’s working that day will be seeing the other ‘regular’ patients. This is a shift in GP setting, so when the duo is in doubt and needs supervision, the GP mentor is responsible for this.

2. A shift in the hospital (A&E department and paediatrics inpatient ward)

The GP trainee works along the paediatrics trainee for a (part of the) day. Supervision is provided by the paediatrician.

3. In the general practitioner practice

The paediatric trainee works alongside the GP trainee in the GP practice where the GP trainee is situated for the year. Preferably, the doctors assistant clusters the paediatric patients for these consultation hours, but if this is not possible, the DUO sees adult patiens as well. The goal is to learn from eachothers setting and therefore, even seeing adult patients will provide a learning opportunity.

4. At the outpatient paediatrics ward

The GP trainee works alongside the paediatrics trainee at the outpatient ward.

5. Extra option: follow up of a referred child at the A&E department

For the GP trainee there is an option to follow a referred child as it is referred to the A&E department.

Talking through the learning experiences afterwards

To give meaning to the learning experiences with regards to their role as future GP’s and paediatricians, the duo’s are invited to discuss their learning experiences afterwards with the help of a ‘besprekingsformulier’ (i.e discussion form). This form will facilitate to explore how intraprofessional collaboration was used in seeing sick children. It stimulates to evaluate not only the medical points learned, but on the contrary, look closer to integrated care and take a closer look at both their role as consultant and referring specialist.

Education meetings

1. Introduction meeting

This is a general introduction for all core trainees interested in a possible participation of the project.

2. DUO meetings (three times)

Within a month after selecting the duo pairs, the first DUO meeting will be held as an informal meetup with eachother as well as with the project. A second DUO meeting will take place 3 months after the start of the project, to monitor the progression of each duo pair and exchange experiences.

3. Case meetings

Twice a year a facultative meeting will be held for all GP and paediatric trainees, as well as their supervisors. In this meeting, cases where integrated care played either a positive or less positive role will be discussed with both professions to explore the challenges regarding working intraprofessionally.

4. Hot topics

Five times a year we provide an online seminar for the GP trainees to gain knowledge on common paediatric topics. Apart from the medical point of view, the question whether a child can stay under GP care or should be referred to the pediatrician is important in these meetings. These meetings are also open to GP trainees who don’t participate in the project.