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Supervision for interns

Prevocational medical training for interns is based on the apprenticeship model of 'learning on the job’ as part of a team. Senior doctors supervise and assess the interns’ performance, providing ongoing feedback and gradually increasing the interns’ responsibilities according to their abilities.

Download Council’s latest report on the delivery of training for supervisors of interns 2015 (November 2015, PDF, 419 KB)

Prevocational educational supervisors

The Prevocational Educational Supervisors Guide provides further information about the roles and responsibilities supervisors.

Prevocational educational supervisors are Council appointed vocationally registered doctors who have oversight of the overall educational experience of a group of interns at their training provider. The Prevocational Educational Supervisors Guide provides a comprehensive understanding of the role and responsibilities of the prevocational educational supervisors.

Prevocational educational supervisors need to meet with each of their interns at the beginning of PGY1 to discuss the intern’s skills log, upcoming clinical attachments, learning outcomes and assist in developing goals in their PDP. They will also meet with their interns after each clinical attachment to discuss the attachment and record comments in the End of clinical attachment assessment; they will also meet with their intern towards the end of PGY1 to help the intern develop their PDP for PGY2.

Clinical Supervisor

The clinical supervisor is named by the training provider as part of the application for accreditation of clinical attachments. The relationship of the clinical supervisor with the intern is of primary importance. This person needs to be empathic, and a professional mentor and role model, setting the tone so that each member of the team takes responsibility for the education of less qualified members. The clinical supervisor must ensure adequate time and procedures are in place so that the education requirements for each intern are met.

The clinical supervisor must meet with the intern three times during the clinical attachment:

Beginning of the clinical attachment
Discuss the learning opportunities available on this attachment and to assist the intern develop goals in their PDP. The goals in the PDP should target areas for improvement identified through the previous End of Clinical Attachment Assessment.

Mid-attachment
Provide feedback on the intern’s progress and performance and review the goals in the PDP. This is a crucial meeting and the intern should receive feedback on areas for improvement which they need to focus on for the remainder of the attachment.

End of clinical attachment
Discuss the overall performance on the clinical attachment and progress with goals in the PDP and progress with learning outcomes from the NZCF on this attachment. This will all inform the End of Clinical Attachment Assessment.

The clinical supervisor may delegate day-to-day supervision to others in the clinical team and are required to seek feedback on the intern’s performance from the healthcare staff to inform the meetings with the intern.

The clinical supervisor and prevocational educational supervisor are encouraged to have regular contact. If the intern has any issues or poor reports the clinical supervisor should advise the prevocational educational supervisor. Should the clinical supervisor require and additional support in managing performance issues of interns they can contact the prevocational educational supervisor.

Please click here to view the guide for clinical supervisors.

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