When I was training, procedural skills were taught at the bedside by someone a touch more experienced (an SHO or Reg or SR) who would talk you through something like cannulation or siting a chest drain or lumbar puncture or whatever. You just had to crack on and do these things, they're practical tasks, you can't just read up on them. A skill you aquire through doing it, we got better at intubation at cardiac arrests and suprapubic aspiration of urine in kids and siting central lines through doing more and more of them.
As one SR quipped, placing a needle at the ready, "You just need to have a stab at it!"
The benefits of this system were that you got really immersed in the clinical work, your competence (and confidence) got better from aquisition of skills, it was you who were working intimately with patients so developed consultation/therapeutic skills and there was someone who knew what they were doing standing right next to you so if care wasn't right then they would do it (so there was no practising and playing, patients got the right care).
Nowadays, practical tasks can't be learnt "on the fly" like this.
No no no.
Our Deanery organises regular teaching on training, the current vogue for practical skills is of explanation, then showing someone the task talking it through for them, then you doing it silently, then showing them the task with them talking it through to you, then them doing it. Surely life's too short for this.
Worse, once a trainee has done something, it needs documenting. Not just documenting in clinical records what's been done, no, it needs documenting in the trainees logbook or portfolio that they've done whatever.
Worse still, it can't simply be a comment that the procedure was successfully undertaken and any positive/negative feedback noted, it has to also be documented online as a DoPS. DoPS, you don't know? It's unclear to you what a DoPS is?
Fear not, you're in good company.
The DoPS is undertaken on the Royal College of Psychiatrists own web site, entered online (since, of course, electronic information systems, especially online ones, are the safest and most robust methods of storing sensitive information on trainees successes and failures). The Royal College site describes DoPS as "DoPS Direct Observation of Procedural Procedures" one one page but then as "DOPS Directly Observed Procedural Skills" on another.
So, after a trainee successfully administered a depot antipsychotic injection under the auspices of a band 7 nurse, which was the work of moments, we then have to spend an age documenting it all for the trainee.
Is this better than when a nurse could toss the syringe over and say, "Have a stab at it!"