Towards effective on-the-job learning: the development of a paediatric training guide

Abstract

SUMMARY Current clinical service pressures often prevent the delivery of good postgraduate training for senior house officers. Learning on the job allows service and training to be combined. A pocket-sized training guide to support on-the-job learning was developed for senior house officers in paediatrics. The guide adopted a task-based approach, using common clinical problems (tasks) as the focus for learning. A combination of clinical information, practical management tips and suggestions for further learning opportunities was included. Some sections of the guide allowed individualization and users were encouraged to note local information, document progress and add personal comments. Guides were distributed to over one hundred senior house officers in paediatric units throughout Scotland, with the support of local tutors. Preliminary evaluation suggests such a guide may prove a useful tool in supporting on-the-job learning.