Becoming a trainee advanced clinical practitoner - Darran Miller
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Transcript of Becoming a trainee advanced clinical practitoner - Darran Miller
My Journey into becoming a Trainee Advanced Clinical Practitioner
(ACP)
Darran MillerHarrogate District Hospital
Aims
• What is an Advanced Clinical Practitioner?
• What positives do the ACP roles bring to an NHS setting?
• What led me to apply for and become successful in gaining this role?
• Why physiotherapists should be applying for these roles?
In all seriousness….
• HIGHLY SKILLED health care professionals
• Well established core competencies
• Essentially we are being trained to become a hybrid between an AHP and a doctor
What positives do the ACP roles bring to an NHS setting?
• ↑ Patient & staff satisfaction
• ↓ Length of stay
• ↑ Patient care
• ↓ Costs
• ↑ Efficiency of services – waiting times
(Shapiro 2009, Neville and Swift 2012, Millar et al 2009, Skills for Health 2012)
Why me?
• Qualified in 2004 and reached a band 6 at 18/12
• Completed junior rotations - MSK physio
• London to the North – career stagnated
• Despite ambition the job opportunities weren’t available and I hit my glass ceiling early on
Ambition & Drive
• Avid sports fan
• Exciting and dynamic atmosphere
• Keep progressing
• External courses
What made me want to apply?
• Drew upon parallels with my existing skill set• excellent clinical reasoning skills• highly skilled
• Drew upon my love of developing and learning
• A&E exciting environment
What the training post involves?
• 2 years on the ground, hands on and an MSc in Advanced Clinical Practice
• Completing a portfolio (Clinical Supervision Framework)
• Unpredictable environment
• I am supernumerary
Where will the role lead me?• Independent ACP in A&E
• Assessing, diagnosing and managing patients appropriately
• Managing acute ill patient
• Independent prescriber
• Multitude of clinical skills
• MSc
• 8a post + future opportunities…
Challenges• Heavy workload
• Initially felt a bit useless
• Initial resistance from drs
• Nurses who already have a solid foundation of clinical skills e.g. ECG’s, ABG taking etc..
• Remember old rotational skills
• Having to identify courses that I needed to undertake
• Time managment
Why you should apply as an AHP
• So few ACPs are AHPs • 2 AHP out of 7 HDFT• 1 AHP out of ? 12York
• 8% applicants at HDFT AHP
• 3% of AHP’s applicants considered
• You ALL have the skill set – DO NOT hesitate to apply
Contacts
Project lead: