MEM-EM: The Memorising Emergency Medicine Podcast12 Jan

Mastering RCEM SLO 9 "Support, supervise and educate"

Executive Summary

Specialist Learning Outcome (SLO) 9, "Support, supervise and educate," is a fundamental component of the 2021 Royal College of Emergency Medicine (RCEM) curriculum, marking the trainee's transition from a pure clinician to an integrated leader and educator [1]. Achieving competence in SLO 9 requires demonstrating the ability to safely delegate tasks, provide constructive feedback, facilitate learning within the clinical environment, and support the wellbeing of the multidisciplinary team. Excellence in this domain involves progressing to educational leadership, evidenced by activities such as evaluating teaching, championing multi-professional education, leading debriefs, and creating educational resources.

The core of SLO 9 is structured around three pillars: Support (pastoral care and team wellbeing), Supervise (maintaining patient safety through effective clinical oversight and delegation), and Educate (formal and informal teaching). Evidence for these competencies should be collected proactively and integrated into daily clinical shifts rather than waiting for formal teaching opportunities. Key strategies include using ACATs to assess leadership, conducting brief "sniper" teaching observations on the shop floor, and reflecting on the delivery of feedback. Trainees must meet specific, escalating expectations as they progress from ACCS to Higher Specialty Training (HST), with a focus shifting from basic teaching skills to leading the department and formal educational leadership.

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