Patient Pathway —
Training activity: 11

Details

Appraise the evidence base for a new model of service delivery or practice to improve the effectiveness of the patient pathway

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

• Impact on whole patient pathway
• Evidence base, considering service data and published research
• National/local strategic initiatives
• Current service delivery models – service location, patient groups, and professional boundaries
• Continuous improvement

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What new model of service delivery or practice will you focus on?
  • What evidence base will you need to identify and appraise?
  • What criteria will you use to evaluate the evidence (e.g., quality, relevance, strength)?
  • What skills in critical appraisal of research are required?
• What do you hope to learn about critically appraising evidence for service improvement?
  • What insights do you expect to gain about the specific new model and its potential impact on the patient pathway?
  • What prior experience do you have with evidence-based practice and literature searching?
• How will you define the scope of your appraisal?
  • What search strategies will you use to find relevant evidence?
  • What critical appraisal tools or frameworks will you employ?
  • How will you synthesise your findings?
  • What potential challenges might you face in finding and appraising the evidence, and how will you prepare for them?
  • How do you feel about critically evaluating new service models?

In action

• When presenting your findings, how are you structuring your presentation to effectively communicate the key learning points and highlight differing approaches?
• What decisions are you making about which aspects of your observations to emphasise based on the interests and roles of the multidisciplinary team members?
• As you discuss differing approaches, how are you facilitating a constructive dialogue and encouraging reflection within the team?

On action

• Summarise the key findings you presented from your service visits and the team’s responses.
  • What aspects of differing approaches and key learning did you highlight?
• What did you learn about presenting findings from observational experiences to a multidisciplinary team?
  • How effective were you in reflecting on differing approaches and conveying key learning?
  • Were there any surprising reactions or insights from the team during the presentation?
  • What did you learn from their perspectives?
  • How did you structure your presentation to facilitate discussion and reflection among the team?
  • How does sharing findings and reflecting on practice with the multidisciplinary team contribute to shared learning and service improvement?
• What aspects of your presentation skills or ability to facilitate team reflection could be improved?
  • What further synthesis of your observations would be beneficial?
  • How will you approach similar presentations in the future?
  • What specific steps will you take to enhance your presentation and facilitation skills?
  • What feedback from the team would be valuable?

Beyond action

• Have you appraised other evidence bases for service delivery models since this DTA?
  • How has your ability to critically evaluate different types of evidence evolved?
  • Have you compared the strengths and limitations of the evidence you appraised in different situations?
• How has this experience influenced your approach to staying informed about new developments and research in your field?
  • Has your ability to critically assess the potential impact of new models of care on patient pathways improved?
  • Has your understanding of evidence-based practice deepened?
• What skills in critical appraisal, research methodology, and understanding of evidence hierarchies did you develop that will be essential for future service development or leadership roles?
  • How has this experience shaped your ability to advocate for evidence-informed changes in practice?
  • What actions will you take to further develop your skills in evidence appraisal?

Relevant learning outcomes

#	Outcome
# 6	Outcome Manipulate, visualise, analyse and interpret clinical and clinical service derived data.
# 7	Outcome Critically appraise developments and map implementation in a clinical service, considering the financial and operational factors alongside clinical need.