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   Table of Contents      
SHORT COMMUNICATION
Year : 2021  |  Volume : 7  |  Issue : 1  |  Page : 95-96

Ensuring Effective Clinical Supervision of Medical Students and Residents During Their Training Period


1 Medical Education Unit Coordinator and Member of the Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India

Date of Submission13-Feb-2021
Date of Decision02-Mar-2021
Date of Acceptance17-Mar-2021
Date of Web Publication28-Apr-2021

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Medical Education Unit Coordinator and Member of the Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_15_21

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  Abstract 


In order to accomplish the vision to produce a competent medical graduate, a number of strategies have been proposed. In that regard, effective clinical supervision of the teachers is an exclusive requirement, which plays an important role in the learning and the professional growth of the students. In broad terms, the act of clinical supervision helps to ensure patient safety, educate the student, sustain the set standards of quality of care, identify the problems encountered by the student, support them to accomplish learning outcomes, and by doing all this monitor the learning progression. In conclusion, clinical supervision of students and residents during medical training is an effective approach to ensure attainment of the learning outcomes. However, clinical supervision has been more often than not ignored, and thus there is an indispensable need to establish a supervision framework in each of the medical colleges for the benefit of the students and the society at large.

Keywords: Clinical supervision, medical education, student


How to cite this article:
Shrivastava SR, Shrivastava PS. Ensuring Effective Clinical Supervision of Medical Students and Residents During Their Training Period. MAMC J Med Sci 2021;7:95-6

How to cite this URL:
Shrivastava SR, Shrivastava PS. Ensuring Effective Clinical Supervision of Medical Students and Residents During Their Training Period. MAMC J Med Sci [serial online] 2021 [cited 2021 Jun 12];7:95-6. Available from: https://www.mamcjms.in/text.asp?2021/7/1/95/314880




  Introduction Top


In order to accomplish the vision to produce a competent medical graduate, a number of strategies like shifting to competency-based curriculum, strengthening of assessment, introduction of elective courses, and various other curricular reforms have been proposed. In that regard, effective clinical supervision of the teachers is an exclusive requirement, which not only plays an important role in the learning and the professional growth of the students, but also in maintaining patient safety.[1] However, we cannot ignore the fact that the supervision mechanism in any medical college or between medical colleges is not uniform and thus some of the aspiring students receive excellent supervision, while others are deprived of the same.[1]


  Clinical supervision in medical training Top


Supervision during medical training refers to the process of giving guidance and feedback to the student/resident on personal, professional, and educational domains, so that the student can provide safe and appropriate clinical care.[2] In broad terms, the act of clinical supervision helps to ensure patient safety, educate the student, sustain the set standards of quality of care, identify the problems encountered by the student, support them to accomplish learning outcomes, and by doing all this monitor the learning progression.[2],[3]


  Role of supervisor/teacher Top


In order to achieve these broad goals, a supervisor has to discuss individual patient, provide both formal and informal feedback, discuss the line of management of specific conditions, ensure adequate exposure to all types of cases through planning, and offer tips and support for the personal and professional growth.[2],[3],[4] Further, the supervisor has to appreciate the positive aspects and devise strategies for the challenges encountered by the student, offer advice for their career development, develop teamwork, presentation, and interpersonal skills, teach specific procedures or techniques during the act of supervision, and strengthen communication skills.[2],[4]

The effective discharge of these roles by the supervisor will make the students more accountable and thereby the quality of patient care and their safety can be improved.[2] The absence of clinical supervision is bound to increase iatrogenic errors and thus supervision of medical students has to be strengthened. It also helps in ensuring the safety of students by reducing the workload stress or psychological distress and even significantly minimizes the incidence of abuse from patients or their relatives.[3],[4]

A supervisor has to decide whether they should be present in the same room as the student being supervised or within the same workplace or some other department and can come to the aid of the student or is available on call via distant supervision.[2] The students can be instructed to maintain a logbook to document all their activities, which then can be used to ascertain the nature of clinical supervision.[2],[3] Under ideal circumstances, direct clinical supervision is expected to benefit students the most, while the quality of the relationship between the supervisor (teacher) and the student is a key factor to determine the outcome.[2]

A good supervisor should possess good interpersonal skills, listening skills, possess a positive outlook, demonstrate empathy and respect to others, and should be knowledgeable and clinically competent in their field.[2] They should observe and reflect on the performance, provide constructive feedback, identify opportunities to teach, develop problem-solving skills, motivate the students, create a supportive environment in the workplace, encourage autonomy, reassure the trainees, and teach the skills of organizing the work and time management.[3],[4] Moreover, it is always encouraging to have a multi-source kind of supervision, which will help us to enhance the overall effectiveness of the supervision.[2]


  Framework for clinical supervision Top


The need of the hour is to establish a framework for effective clinical supervision in each of the medical colleges through which students can be optimally trained. Moreover, we have to acknowledge that the entire process of training is more of a partnership between the teacher and the student, and both have to discharge their duties in a dedicated manner to accomplish encouraging results.[1],[2],[3] This calls for the need to have periodic meetings, formulation of the intended learning objectives, identification of the mode of training, and periodical assessment of the progress of the students.[4],[5]

At Shri Sathya Sai Medical College and Research Institute, a constituent unit of Sri Balaji Vidyapeeth, Deemed-to-be-University, Puducherry, a specific framework of clinical posting and supervision is being formulated within the norms prescribed by the regulatory body. The coordinator for each clinical year takes into consideration the views of the concerned head of the departments and eventually comes up with a schedule that is beneficial to the medical students. However, the success of these strategies will depend on the involved supervisor and they have to be trained about their role. At the same time, we have to take steps to manage the workload of the teachers and motivate them to be more dedicated toward guiding students.[4],[5]


  Conclusion Top


In conclusion, clinical supervision of students and residents during medical training is an effective approach to ensure attainment of the learning outcomes. However, clinical supervision has been more often than not ignored, and thus there is an indispensable need to establish a supervision framework in each of the medical colleges for the benefit of the students and the society at large.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Falender CA. Clinical supervision: the missing ingredient. Am Psychol 2018;73:1240-50.  Back to cited text no. 1
    
2.
Kilminster S, Cottrell D, Grant J, Jolly B. AMEE Guide No. 27: effective educational and clinical supervision. Med Teach 2007;29:2-19.  Back to cited text no. 2
    
3.
White E. Measuring clinical supervision; how beneficial is yours and how do you know? J Adv Nurs 2018;74:1437-9.  Back to cited text no. 3
    
4.
Kamphinda S, Chilemba EB. Clinical supervision and support: perspectives of undergraduate nursing students on their clinical learning environment in Malawi. Curationis 2019;42:e1-10.  Back to cited text no. 4
    
5.
Martin P, Sen Gupta T, Douyere JM. Clinical supervision in rural Australia: challenges and opportunities. Med J Aust 2018;209:382-3.  Back to cited text no. 5
    




 

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  In this article
Abstract
Introduction
Clinical supervi...
Role of supervis...
Framework for cl...
Conclusion
References

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