What is the aim of the project?
Medical schools are very poor at preparing students for out-of-hours decision-making. Best Evidence For Foundation Years is a web-based resource which will aim to fundamentally improve the decision-making of newly qualified doctors in the out-of-hours setting, by using the approach stipulated by Evidence-Based Medicine to answer commonly encountered clinical questions from this element of practice. This will allow trainees to have more confidence in their decisions, and reduce patient harm.
How would you develop & implement it?
At present, the plan is to regularly post blogs in the format of similar FOAMEd resources such as the articles of Mind The Bleep. I have established a series of common clinical scenarios that I wish to tackle first, as well as lifestyle elements of F1 (e.g. foundation job choice, managing sleep, commuting etc). I will also work with foundation doctors at my trust to refine and inform further useful content.
Following the publication of content in this initial "core syllabus", the best approach would be to create a living database of the most up-to-date research with categorisation into medical specialties, surgical specialties etc., as well as producing sections on evidence-based medicine skillsets/ literacy and metacognitive elements of clinical decision making (bias and noise). As well as online content, I think podcasts and YouTube/ social media videos would also be very helpful
There is also the potential to expand this to higher specialty trainees through my links with the local NIHR Allied Research Collaboration; I have already had a discussion about expansion to GPST.
How would you assess the benefit and/or improve the quality of your project?
Website and resource engagement can be automatically recorded via usual online metrics (clicks, visits, email subscribers etc.) on the platform that is currently in use (Ghost.org).
Feedback can be informally assessed through comments on the website, as well as by working with those at the Centre for Evidence-Based Medicine and the local NIHR group to inform the best possible approach to the interface.
I also plan to implement this during my work as a tutor at local universities to gain honest feedback from end users directly.
What skills and/or experience do you possess to help you develop it?
I am a current associate lecturer in Evidence-Based Medicine at local medical schools and have attended a short course on teaching this content at the Centre for Evidence-Based Medicine at Oxford University. I am also due to undertake an MSc in Epidemiology, so have the knowledge and skillset to quality-check the content.
I am currently leading a scoping review on the topic of Out Of Hours teaching in undergraduate curricula, so have a strong understanding of learner needs in this domain. I am also doing a postgraduate certificate in clinical education, during which I have done work on effective modes of online education.
What support would you need from the Mind the Bleep team to help implement your project?
I currently have the support of the local NIHR Allied Research Collaboration, and links with local medical schools to be able to implement it on a local level. I need the expertise of Mind The Bleep to help with the dissemination of the project via social media, as well as the team's expertise in website coding, streaming, and social media to have elements beyond simple blog posts.