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Supported Return to Training (SuppoRTT)

HEE recognises that trainees take time out their training programme for a number of reasons, such as parental leave, OOP, carers leave and sickness. Returning to training, regardless of the reason can be a difficult and stressful time for trainees.

HEE is committed to supporting trainees to return to training after a period of extended absence (3 months or longer). The Supported Return to Training (SuppoRTT) initiative aims to support trainees with their confidence, skills and knowledge so that they can safely and confidently return to practice within their training programme.

HEE have created a short animated guide to SuppoRTT which can be viewed here.

 

Planned Absence (including Parental Leave and approved OOP)

If you are taking a planned period of absence of more than 3 months, you will need to have a discussion with your Educational Supervisor before your leave starts and complete a 'Return to Training Pre-absence' form.

 

Prior to Return to Training

Trainees that have taken a period of absence for 3 months or more will need to complete a return to training plan as follows:

  • We recommend that you discuss your return to training with your Educational Supervisor/Training Programme Director at least 8 weeks before your anticipated return date.
  • You can discuss a supervised return, your learning needs and any courses/activities that may help with your return to training.
  • Complete a ‘Return to Training Pre-Return form' with your Educational Supervisor detailing your plan for returning to training, including any courses you wish to attend, and your anticipated return date.
  • Return the forms to your Training Programme Director and to HEE Thames Valley (via srtt.tv@hee.nhs.uk). 
  • Once you have returned to your training post you should review your return period and progress with your Educational Supervisor.

 

Re-orientation Days

In order to provide more support to returning trainees, we are offering all returners three ‘re-orientation’ days, allowing trainees to be supernumerary, with no nights or on-calls, for their first three full days whilst they readjust to being back in a training/working environment.  This period could include activities such as shadowing a colleague; attending departmental meetings; familiarising themselves with departmental processes/protocols.

This is being offered to all trainees, with an opt-out being available following discussion with the relevant ES/TPD if it is felt it is not required (e.g. trainee has been OOPR but has maintained their clinical skills via locum shifts and attending courses etc).  Those opting out must state this on their pre-return to work forms, specifying how they have kept up-to-date, and ensuring it is signed off by their ES/TPD.  Completing the pre-return forms submitting them to us will enable us to see who is taking up the offer and arrange the transfer of funds accordingly.  Without the pre-return form, we cannot provide funding.

Please be aware that the three days will not count towards training.

 

Professional Development Coaching

All trainees returning after a break of three months or longer can access up to three sessions of professional development coaching to support their return.  These sessions can be arranged during the period of three months prior to return and up to six months after.  If you would like to book a coaching session, you must first complete your Return to Training Pre-Return form with your Educational Supervisor. After this meeting, and on submission of the form to srtt.tv@hee.nhs.uk, you can request coaching and we will forward this to one of the SuppoRTT coaches.

 

Documents and Forms**

SuppoRTT Guidance

Return to Training Flowchart

Return to Training Pre-Absence Form

Return to Training Pre-Return Form - please remember to state whether the trainee wishes to complete the three re-orientation days and/or have access to the Professional Development Coaching sessions.

SuppoRTT Funding Form

**Please use best judgment when completing the forms, e.g. a Foundation trainee will not have an NTN number, therefore please insert N/A

 

What courses are available?

Simulation Modules across the region

All regional simulation centres have recently developed, alongside HEETV, a suite of simulation programmes, aimed specifically at those trainees who are soon to return to training after a career break (for any reason).  The modules are free of charge to those who are eligible.  All of the modules will be provided in a friendly supportive environment with absolutely no assessment and the chance to address your specific questions/worries throughout the day.  If you are due to return to training and would like to book one of the courses below, please email srtt.tv@hee.nhs.uk for more information on how to do this.

 

Modules now available to book:

 

Cross-Specialty Day - Holiday Inn, Peartree Roundabout, Oxford

1st July 2019

This is a day aimed at a broad range of trainees – the morning will cover topics such as assertiveness, burnout and practical tips on handling the return to work. The afternoon will cover clinical updates appropriate to a range of specialties, such as paediatrics, medicine, perioperative and GP (the sessions offered are dependant on the range of trainees attending in order to make it as relevant as possible). We hope that these sessions will provide something appropriate to all trainees, but if you are unsure of the relevance to your specialty please email sarahmillette.rtt@gmail.com. We will have our popular 'break-out' room with video link for people to bring babies if they wish, and there are facilities available for expressing on request.

Please see the flyer for information.

FOR THIS COURSE WE ARE PROVIDING A LIMITED NUMBER OF FREE FUNDED CHILDCARE PLACES AVAILABLE ON SITE FOR UNDER 2’s. If you are having difficulty with childcare for older children please contact us and we may be able to help

 

Foundation doctors - Skills and Updates - Oxford University Hospitals NHS Foundation Trust

Thursday 25th July

This module is designed specifically for foundation (F1 and F2) doctors returning to training. 

The morning will focus on practical skills needed in foundation jobs including catheters, blood taking, ABGs and venflons. This will be followed by interactive sessions on topics such as fluid prescribing, managing on call bleeps, how to make a good referral, death certificates and cremation forms. There will also be a panel session with top tips on how to approach your return to work. All of this will be provided in a friendly supportive environment with absolutely no assessment and the opportunity to address your specific questions/worries throughout the day. 

Coffee and lunch will be provided free of charge during the workshop.

 

Critical Care Skills - Royal Berkshire NHS Foundation Trust

Friday 26th July, Tuesday 15th October 2019 & Monday 13th January 2020

This module aims to increase the confidence in trainees who are returning to work in the technical and non-technical skills relevant to the management of the critically ill patient.

It would be suitable for trainees in ICM or other relevant specialties such as Acute Medicine, Emergency Medicine or Anaesthetics. Specific modules in Medicine and Anaesthetics are available, this would complement those with regard to managing critically ill patients. Coffee and lunch will be provided FOC during the workshop

 

Paediatric and Newborn Critical Care Skills - Oxford University Hospitals NHS Foundation Trust

Monday 15th July 2019, Monday 16th September 2019 & Monday 9th December 2019

This module is designed to cover the essential practical skills you may want to build confidence in when returning to training as a Paediatric or Neonatal Registrar at a district general hospital in Thames Valley after a period of leave.

Including for example the management of the unexpected extreme premature infant, acute pneumothorax on SCBU and insertion of emergency access for drugs/fluids and other skills that may be required to stabilise the critically ill child.

 

OxSTaR Non-technical Skills - Oxford University Hospitals NHS Foundation Trust

Friday 21st June 2019, Friday 11th October 2019 & Tuesday 7thJanuary 2020

The human factors module is a day spent considering the theory and practice of clinical human factors, and includes various team working and leadership skills. The day incorporates taught sessions, small group discussion, and exercises designed to explore the skills in the taught sessions using practical methods.

 

OxSTaR High-fidelity Simulation Session - Oxford University Hospitals NHS Foundation Trust

Monday 22nd July 2019, Tuesday 23rd July 2019, Tuesday 29th October 2019 & Tuesday 21st January 2020

This session is designed to draw lessons from the skills and human factors modules together in as realistic a way as we can. The day is fully simulation-based, and we will make sure that you will have at least one simulation scenario specifically written for your particular specialty and level of experience. On the day, the faculty will ask if you have any particular areas you’d like to focus on, and we’ll do our best to build this in to your session.

Each scenario will be around 30 minutes long, and is followed by a debriefing tailored to your particular interests and learning needs.

It’s not mandatory to have attended any of the other modules before you come on the simulation day, but it would be helpful if you are comfortable with the practical skills relevant to your specialty, and are familiar with human factors terminology.

There are no tests or assessment; this day is 100% about teaching. We can offer a safe forum in which you can discuss any concerns or anxieties you have about getting back to the workplace, and give you a chance to draw on the experience of colleagues who are going through the same process.

 

Core Medical Skills - Buckinghamshire Healthcare NHS Trust

Tuesday 23rd July 2019** & Monday 11th November 2019

This skills and simulation workshop will provide an opportunity to refresh and update technical skills and knowledge relevant to your medical practice. There will be simulation scenarios to build your confidence dealing with acutely ill patients and familiarity with current guidelines. The scenarios will focus on communication skills and managing the medical take. Round robin skills station will cover various important medical procedures, e.g. Chest drain insertion, lumbar puncture, defibrillation/pacing, central line insertion, airway skills, abdominal paracentesis, IV cannulation and arterial blood gases. There will also be a refresher on radiology and investigations. All of this will be provided in a friendly supportive environment with absolutely no assessment and the opportunity to address your specific questions/worries throughout the day. Coffee and lunch will be provided FOC during the workshop

**Tuesday 23rd July: FOR THIS COURSE WE ARE PROVIDING A LIMITED AMOUNT OF FREE FUNDED CHILDCARE PLACES AVAILABLE ON SITE FOR UNDER 2’s. Please let the module lead know if you would like a place when booking.

 

Core Anaesthetics Module - Buckinghamshire Healthcare NHS Trust

Wednesday 3rd July 2019**, Wednesday 16th October 2019 & Wednesday 8th January 2020

This module is designed for anaesthetic trainees returning to clinical practice. It is a blend of simulation, including scenarios in paediatric, obstetric and general anaesthesia; and skills stations, covering airway rescue techniques, neuraxial blocks and ultrasound guided needling. 

The emphasis is on a supportive environment in which to refamiliarise yourself with key aspects of anaesthesia, with scenarios tailored to the experience level of those attending. Coffee and lunch will be provided free of charge.

**Wednesday 3rd July: WE ARE PROVIDING A LIMITED AMOUNT OF FREE FUNDED CHILDCARE PLACES AVAILABLE ON SITE FOR UNDER 2’s.  Please let the module lead know if you would like a place when booking.

 

Returning to Surgical Practice - Buckinghamshire Healthcare NHS Trust

Wednesday 31st July 2019

Ensure you are up to date with non-technical skills for surgeons to smooth your return to work. Simulations will focus on team building in theatre, on Call and on the ward. Surgical skills stations will also be Included and all stations will be tailored to delegates specialties. Coffee and lunch will be provided and there will be opportunity for developing support networks for any issues you encounter returning to work. 

 

Milton Keynes High fidelity Simulation Session – Milton Keynes University Hospitals NHS Foundation Trust

Monday 5th August 2019 & Wednesday 14th August 2019

This session is designed to draw lessons from the skills and human factors modules together in as realistic a way as we can. The day is fully simulation-based, and we will make sure that you will have at least one simulation scenario specifically written for your particular specialty and level of experience. On the day, the faculty will ask if you have any particular areas you’d like to focus on, and we’ll do our best to build this in to your session.

Each scenario will be around 30 minutes long, and is followed by a debriefing tailored to your particular interests and learning needs.

It’s not mandatory to have attended any of the other modules before you come on the simulation day, but it would be helpful if you are comfortable with the practical skills relevant to your specialty, and are familiar with human factors terminology.

There are no tests or assessment; this day is 100% about teaching. We can offer a safe forum in which you can discuss any concerns or anxieties you have about getting back to the workplace, and give you a chance to draw on the experience of colleagues who are going through the same process.

 

Useful Resources

HEE Supported Return to Training Report

HEE - Thames Valley: Study Leave Guidance

HEETV - Professional Support Unit

If you have any questions about SuppoRTT please contact srtt.tv@hee.nhs.uk

 

Page updated 17 June 2019

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