An electronic induction programme with integrated assessment

This page is aimed at people who work in medical education and training. It gives information about an electronic induction programme to overcome common challenges in induction at Royal United Hospital, Royal United Hospital Bath NHS Trust.

What is the electronic induction programme?

It can be challenging to give doctors adequate induction and medical training. Annual August Trust induction requires many doctors to be absent for a significant period, which has implications on patient safety.

The Royal United Hospital Bath NHS Trust has therefore developed a comprehensive electronic induction (e-induction) and electronic- medical training (eMT) package. This gives doctors in training a trust induction which is fully compliant with medical training and verification of learning using multiple choice questions-style summative assessment. The e-induction and eMT are supported on the Moodle learning platform.

What does the induction programme include?

Many regions have successfully implemented online e-induction. But this is one of the first few to incorporate medical training with assessment of learning. 13 eMT components were integrated into a modified, interactive, multimedia, scenario-based e-induction programme. Subject matter experts defined the content and learning objectives for each topic.

The package is highly interactive and requires users to work through a series of six cases, contextualised in the setting of an emergency department during a major incident. Information from each of the 13 eMT components is integrated throughout the six cases and punctuated by assessment questions.

All new doctors in training are invited to complete the e-induction by email two weeks before their start date. They were also asked to complete the package before starting work in the trust, with the compensatory lieu day only being given to those who completed it before their first day of work.

Detailed information

Significant increase of completion of induction

The package was introduced in August 2013, By the end of August 2014, all doctors in training had completed it. By giving all medical training in a single format, the trust demonstrated an improvement from 0% to 100% of doctors in training completing induction and all of medical training.

Considerable time saving

By reducing the time spent on face-to-face induction and medical training, the trust can now give comprehensive induction and medical training in just 6.5 hours – 23 hours shorter than the old programme.

Overall, when comparing the number of hours that would have been spent if all doctors in training had completed the old programme versus eMT, even accounting for a lieu day for each doctor in training, there is still a saving of 15 hours. This equates to roughly two working days per doctor.

Content coverage may be challenging

Feedback was more positive from junior doctors in training and became less positive as training level of experience increased – a few of the more senior doctors in training said that they found the package pitched at the wrong level.

It is challenging to devise a package that is concise, yet covers material in sufficient depth to meet medical training requirements. Moreover, the users completing the package ranged from F1 to ST8 level, therefore represented a vast range of experience levels, which posed a further challenge to the design.

I want to learn more

For further information, contact Dr Adam Malin, Royal United Hospitals Bath at