“How many of these have you done?”

A recent opinion piece in the Journal of the American Medical Association drew attention to the issue of procedural experience in healthcare.

 

Titled “How many have you done?”, the piece described the experience of a doctor who required a procedure herself, in this case, an amniocentesis.

 

Of course, what the patient was really asking is, “How can I be reassured you know what you are doing?”

 

The thrust of the piece was that the training doctor who performed the procedure had felt compelled to misrepresent their experience with the technique, deftly deflecting questions by the patient and her partner that explored his competence.  The author calls for a more honest response to these types of questions, while acknowledging that this is often difficult to do.

 

But is it any wonder a young doctor has trouble answering this question?

 

Healthcare continues to battle with the issue of competency.  It is still rare for doctors to be formally certified to perform specific procedures.  In fact, the industry still does not have a shared understanding of what competency actually is!

 

Furthermore, because it is uncommon for doctors to assiduously record their activity and outcome data, and even more rare for them to benchmark against their peers, most clinicians are simply oblivious to performance level.

 

So when patients are searching for reassurance that they will be cared for as best they can be, most of us struggle to be clear and meaningful in our response.  Because most of the time, we just don’t know.

 

Wouldn’t it be much better for the junior doctor to answer with authority?

 

“Well, I’ve completed a recognized pathway and been certified to practice after a period of supervision by experts.  Furthermore, I continuously review my performance results and feel comfortable that I’m doing well.”

Osler Community Survey – Results

Thanks to all the respondents to our first Osler Community Survey!  The response rate we received was highly encouraging, and the feedback quite insightful in relation to professional development, clinical governance, credentialing, logbooks and desirable Osler product features.   We look forward to putting the input and feedback received to good use in the next versions of Osler and we will keep you apprised of the upcoming launch of Osler Community later this year via our newsletter and here on the blog.

 

Congratulations to N Kumta (Australia), M Hoops (Australia) and DP Bowles (UK), our three winners of the free 12 month subscription to Osler!

 

The infographic below provides a summary of your feedback and our findings.

Osler Clinical Performance

 

Or, you can download it from the link below:

Osler Survey (June 16) Results

Everyday heroes. Saving lives, one at a time…

I’m the COO here at Osler Technology.  I’ve had decades of experiences building businesses, developing software and helping clients achieve benefits through the use of that software.   But until I got involved at Osler, I was a complete novice in the inner workings of our health care system (still am!).  A recent event reminded me about why we are building Osler.

 

Earlier this week, one of our content editors (and a practicing nurse) witnessed a woman collapse on the steps to a supermarket across the road from our HQ in Noosa Heads, Queensland.  She immediately swung into action and commenced CPR and basic life support activities and called Todd, our founder (and a practicing intensivist), who was up the road having a coffee.   Between the two of them,  they kept this woman alive until transported to Noosa Hospital. 48 hours later, with a new stent in place, she was sitting up in bed, calling Jo & Todd her guardian angels.   Without the lucky coincidence of the timing and location, this woman probably would not have survived.

 

As our CEO remarked,  “Truly amazing to be involved in a software company where our team members actually go on to the street and resuscitate people who have had a heart attack.”

 

We’re building tools to help clinicians acquire new clinical skills and improve their clinical performance,   and to help providers be more efficient in developing and maintaining those skills among their workforce.  We know that these everyday heroes get it right 99% of the time.   But if Osler can help improve clinical governance, patient safety, and help those heroes get it right 99.1% of the time,  then it will be a huge win for public health,  patient safety,  and of course, our amazing team.

Osler Community Survey – Give us your views

We’re interested in your opinions about professional and clinical skills development, clinical governance and transparency in healthcare, and your feedback on our product ideas. Osler is developing a revolutionary new approach to professional development.

This survey shouldn’t take more than 8 minutes to complete & your feedback is incredibly valuable. We will distribute a summary of the aggregated results to all respondents at the conclusion of the research.

The best 3 answers to a question in the survey will also receive a free one-year subscription to Osler Community when it launches later this year.

LAUNCH SURVEY

 

Clinical Skills Development

Free Trial – Osler’s Clinical Governance application

Osler’s Clinical Performance Platform (CPP) is now available to trial on the AppExchange.

If you want to see how Osler CPP can:

 

  • improve your hospital’s approach to clinical governance
  • reduce costs of delivering mandatory training
  • help your staff improve their procedural skills by recording and measuring their procedural activity
  • provide immersive e-learning for a range of clinical procedures
  • give you at-a-glance views of your team’s clinical skills and procedural competence
  • improve patient safety

then go to the AppExchange Listing to sign up for a free 30 day trial with a fully configured application, including sample data.    Download the Osler TrialForce User Guide under the Details tab to help you get started,  and then click the [Get It Now] button.   You’ll be up and running in about 15 minutes!

 

osler-appexchange-banner-learning1

 

The science behind learning a skill and keeping it

Associate Professor Marcus Watson is the Executive Director of the Skills Development Centre for Queensland Health in Brisbane, Australia.

 

In this exclusive interview with Todd, Marcus discusses the research underpinning modern approaches to skills training, competency and maintenance of expertise.

 

 

Listen to the interview with Marcus Watson here