The Role of the Educational Supervisor

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The Role of the Educational Supervisor
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www.mmc.nhs.uk
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JR FOUNDATION PROGRAMME
Educational Supervisors
Clinical Supervisors
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The current situation

• Pre-registration House Officers officially
  extinct
• All pre-registration doctors appointed to a 2
  year foundation programme from August 2005
• All F1s became F2s this year of in this region
• Run through specialist grade will start in August
  2007

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UK MMC Career Framework Proposal
Continuing Professional Development
Senior Medical Appointments
Specialist and GP Registers
Article 14/11 route
CCT route
Postgraduate Medical Training
Continuing Professional Development
Specialty training inSpecialty/GP training
schools
Career posts
Specialist and GP training programmes (Run-through
training)
Fixed term specialist training
Foundation training in foundation schools
F2
F1
Undergraduate medical training in medical school
Arrows indicate competitive
entry
Medical school 4-6 years
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Whats changed in Medical Education?

• The shift in postgraduate medical education away
  from apprentice-style training to working and
  learning in teams, with shared responsibilities
  and accountabilities for patient safety and
  clinical governance is the hallmark of recent
  changes in medical education
• Curriculum for the foundation years in
  postgraduate education training

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www.mmc.nhs.uk
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The early years (1998) GMC

• Learners must
• receive educational and clinical supervision
  which is appropriate to their experience
• never be expected to undertake a task for which
  the have insufficient experience and expertise
• always have direct access to a senior colleague
  who can advise them in any clinical situation

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Good Medical Practice 2006

• Teaching and training
• You should be willing to contribute to the
  education of students or colleagues.
• If you have responsibilities for teaching you
  must develop the skills, attitudes and practices
  of a competent teacher. You must also make sure
  that students and junior colleagues are properly
  supervised.

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Making assessments and providing references

• You must be honest and objective when appraising
  or assessing the performance of any doctor
  including those you have supervised or trained.
  Patients may be put at risk if you describe as
  competent someone who has not reached or
  maintained a satisfactory standard of practice.

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Postgraduate Medical Education and Training Board

• is the competent authority for approving the
  specialist training of doctors and certifying
  that doctors have reached a level of competence
  to be included in the Specialist Register and
  Register of General Practitioners maintained by
  the General Medical Council.
• PMETB has taken over these functions from the
  Specialist Training Authority (STA) and the Joint
  Committee on Postgraduate Training for General
  Practice (JCPTGP).

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every trainee must have a named educational
supervisor, a consultant in the specialty or a
principal in general practice. The trainee should
be informed in writing of this formal
arrangement
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• A named and appropriately trained Educational
  Supervisor will be appointed for each trainee in
  foundation training.
• The Educational Supervisor will have
  responsibility for
• regular formative appraisal
• providing support to the trainee for the
  development of their Learning Portfolio
• - ensuring that the trainee understands and
  engages in the assessment process
• - being the first point of contact for the
  trainee who has concerns/issues about their
  training
• - ensuring that appropriate training
  opportunities are made available to learn and
  gain the required competences

Operational framework for foundation training
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• The educational supervisor will also be
  responsible for
• ensuring that trainees whom they supervise
  maintain appropriate records of assessment
• contacting the relevant Foundation Training
  Programme Directors (FTPD) should the level of
  performance of any foundation trainee give rise
  for concern

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Supervisors

• Educational
• Covers whole year
• Normally doesnt work with trainee
• May not do any of the assessments with the
  trainee

• Clinical
• Works with trainee for 4 or 6 months(F1)
• Works with trainee for 4 months(F1, F2)
• Will be involved with assessments

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What foundations doctors are told

• The educational supervisor is the consultant or
  GP supervisor who will have overall
  responsibility for supervising all your
  placements during foundation training

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What they expect

• Meeting with ES at start of each hospital
  placement
• Induction meeting with clinical supervisor within
  one week
• The mid-point review not compulsory but
  strongly advised (ES/CS)
• The final review of each hospital placement
  (ES/CS)

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Educational supervisors

• 3 meetings in 1 year (F2), 2 meetings in 6
  months(F1)
• Attend training for Educational supervisors in
  assessment
• Attend RITAs
• Be required to assist in selection of F1
  candidates/ scoring for F1 applications
• More intensive involvement with certain trainees

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What are they told first?

• Doctors in the Programme will take responsibility
  for their own learning will take advantage of
  all learning opportunities presented within the
  day-to-day work of each attachment.
• Competence performance will be objectively
  assessed throughout the Programme
• The Programme will instill the need for CPD
  lifelong learning
• Successful completion of F1 fulfills criteria for
  full registration with GMC
• Successful completion of F2 indicates that the
  Doctor is professionally accountable for patient
  safety ready to start a programme of further
  specialist training

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Programme timetable documents
The mid-point review is not mandatory but
strongly encouraged, particularly if you or your
supervisor has concerns.
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Who does the assessments?
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DOPS 05-06 ORH
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Mini- CEX ORH 05-06
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CBD ORH 05-06
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SPA

• Educational supervision of a FY doc is recognised
  as 0.25PA (funded through SPAs) MMC website.
• With a clear mandate by Trusts to attempt to
  reduce Consultant PAs (at no reduction of
  clinical activity), the SPA allowance is clearly
  the most vulnerable area of most Consultant job
  plans

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www.mmc.nhs.uk
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The end