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Activity for Alex Trompeter

Showing: 8 Results
Horizon 3

Annual Appraisal - move it to biennial appraisal

Annual appraisal has stopped for a year. The world has carried on turning despite what we have previously been led to believe. 

3 Points
3
Horizon 1

Unnecessary layers of bureaucracy and paperwork

COVID has allowed for many innovations and new ways of working to be introduced rapidly and without significant levels of management intervention. For example, changes to rotas, delivering clinics virtually, using mini c-arms in fracture clinic, providing new policies on certain injuries and so on. There is clearly a need to have some governance structure and rules of engagement to follow when it comes to new innovation, but at the same time we have clearly demonstrated that as clinicians we...

0 Score
Voting closed
4
Horizon 2

Mandatory Training

I am not sure that there is any benefit to me spending several hours a year updating my knowledge of the use of a fire extinguisher, or how to move a patient safely.  Certain mandatory training like prescribing and similar, which might be of use, should be compiled into a sensible course, akin to GCP for research, that a consultant can do once every 3 years. The rest of it should be ditched. 

4.5 Points
4
Horizon 1

Triage of fracture clinic and identifying those needing F2F visits, phone consults, other imaging, or specialist clinic.

Similar model to Trauma Triage Clinic / VFC but works slightly differently. This is looking at the following day's clinic template in advance - i.e. these patients have already been 'booked' into a fracture clinic. This final layer of screening allows for example patients at their follow up clinic points (not necessarily new patients) being advised they should attend for an xray but should expect a phone consult etc. This further reduces the burden on fracture clinic, especially with the...

6.5 Points
4

Mini C-arm in fracture clinic

We have introduced a mini C-arm into the fracture clinic. Fully supported by our radiology department, IRMER compliant set up, and all users had training sessions. This has allowed us to perform simple manipulations, assessments for stability (elbows etc) and basic check xrays (wrists) in the clinic area. It has been hugely beneficial and reduced the burden and wait time on our main x-ray department. Massively informative for the patient too to have their real time imaging explained to them...

0 Score
Voting closed
0
Horizon 1

Local and regional education moved to online

Not completely novel to the COVID era, but the use of ZOOM / MS teams and other web platforms has allowed us to continue to deliver high quality teaching and training during an era where operating experience has dropped. Furthermore, even things like journal club, which historically have run Face to Face have now been delivered remotely. It is a great way to keep current and up to date within a department, and something along the lines of monthly revalidation / education seminars within a...

8 Points
6
Horizon 2

Daily consultant 'debrief' meeting via MS teams

This has been an excellent way of keeping our department updated as to the changes and developments within the hospital, the NHS (guidance releases and so forth) and with respect to national issues such as training and so forth. It has enhanced our collegiate atmosphere and quality of communications between our orthopaedic body. I would be inclined to suggest post-COVID that weekly or fortnightly remote departmental meetings could be something to strengthen our working practice. 

5.5 Points
5
Horizon 3

Trauma network meeting via MS teams on a daily basis. Allowing discussion of orthopaedic and major trauma cases between hospitals within network

Rapid exchange of info. Fostering relationships within the network. Allowing expeditious transfers in and repatriation out of MTC. Timely advice for surgeons in TU. avoiding need to chase calls via junior grades to facilitate referrals

6.5 Points
6

Alex Trompeter

London, United Kingdom

Joined this community on May 12, 2020

Bio Orthopaedic Surgeon (Trauma and Limb reconstruction) BOA Trauma committee NHS change challenge champion

Which organisation are you from?

St George's University Hospitals NHS Foundation Trust

Reputation ranking

Ranking
4
Points
365

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