Welcome to the South Thames Foundation School

1. Welcome to the South Thames Foundation School Information for F1 Trainees August 2012

2. STFS • 1 school, 3 offices • 1 advice e mail – enquiries@stfs.org.uk • Enquiries checked daily and relevant staff will respond • Policies on STFS website www.stfs.org.uk

3. The role of STFS • Brighton – quality • London Bridge – policy and communications • Tooting – F1 and F2 allocation and sign-off • Doctors needing to meet STFS staff can attend local office • Offices based in / linked to each medical school

5. e mail addresses • STFS currently recommends Doctors.net.uk as available in all trusts – if you use another inform STFS and ensure functioning (avoid hotmail etc as spam filters block STFS mails) • Important to separate social and professional e mails and identity – eg if you use facebook link it to an e mail address to which patients do not have access

6. STFS communications • You must maintain the notified e mail address and check it weekly – do not auto-forward as original e mail service may close • Enables information about GMC registration, careers etc to be sent out - to help you • STFS bulletins sent regularly – also available on website • All new information also on stfs website

8. National informationwww.foundationprogramme.nhs.uk • Curriculum • Reference guide (national policies) • Other information

9. gmc-uk.org • Guidance on good practice • Good Medical Practice (http://www.gmc-uk.org/guidance/good_medical_practice.asp) • Education outcomes • The Trainee Doctor (http://www.gmc-uk.org/education/postgraduate/standards_and_guidance.asp)

10. E-portfolio – an educational tool Important that you learn how to use this early on to benefit your training • Educational planning • Reinforce your learning • Record of achievements Not just a tick box exercise . . . .

11. e-LFHe-lfh.org.uk • e learning modules for foundation • useful to support your experiential learning, eg Safe Prescribing • to catch up if you miss a teaching session • user names / passwords will be sent to you

12. Who will supervise you*? Educational supervisor* • supervises you for full year • will meet you formally at start and end of placements and other times as necessary Clinical supervisor* • supervises you for one placement • meets you at beginning and end of placement and other times as necessary Placement Supervision Group • Led by consultant / GP and including senior colleagues in your team • Liaises with clinical supervisor *NB names and contact details will be provided by Trust

13. PATIENT SAFETY AND YOUR SUPERVISION • As a Foundation Doctor you should know: • Who is supervising your clinical practice at all times (usually a consultant or experienced middle grade doctor) • The clinician supervising you must be sufficiently competent to do so • You should be able to contact your supervisor if you are concerned about a patient • You should never be forced to work beyond your competence IF YOU ARE CONCERNED THAT YOUR FIRM IS REGULARLY NOT ADHERING TO THESE PRINCIPLES, PLEASE CONTACT YOUR EDUCATIONAL SUPERVISOR OR FOUNDATION TRAINING PROGRAMME DIRECTOR

14. Your trust should provide you with: • Appropriate learning experience • 3 hours+/ week education eg teaching sessions, teaching ward rounds, clinics etc • Training compliant with European working time regulations (EWTR) • Access to careers advice / guidance • Representation at local faculty group via elected F1 representative

15. Raising concerns / ‘whistle-blowing’– GMC guidance • You must protect patients from risk of harm posed by another colleague's conduct, performance or health. The safety of patients must come first at all times • If you have concerns that a colleague may not be fit to practise, you must take appropriate steps without delay, so that the concerns are investigated and patients protected where necessary More information on STFS website / local trust policy

16. Protecting patients (and you)F1 doctors must NOT • Site mark (except under direct supervision by the operator) • Prescribe or administer cytotoxic or immunosuppressant drugs (except corticosteroids) • Inject contrast unless trained to do so

17. Consent • Taking consent is the responsibility of the doctor performing the procedure • If a FD is not capable of carrying out a procedure, s/he may only obtain consent for it when trained to do so, directly supervised, and under delegation from the experienced doctor carrying out that procedure

18. Protecting yourself (and patients) Flu vaccine • Reduces sick leave (and pressure on colleagues) • Will be available via Occupational Health • Is much less unpleasant than genuine influenza

19. F1 sign-off (1) in order to achieve GMC registration you must: • Have no more than 4 weeks non-statutory leave in the year (if more is likely, contact STFS) • Attend at least 70% of your F1 teaching sessions • Attend a day of simulation training • Possess a valid intermediate life support (ILS or equivalent) certificate or record of attendance

20. F1 sign-off (2)Supervised learning events (SLEs) Purpose of SLEs is to: • Provide immediate feedback and suggest areas of further development • Highlight achievements Only approved assessors can assess you (not F2) • SLEs should be spread throughout the year, with 4+ in each 4/12 rotation and 7 to be done by January • 6+ mini-CEX • 6+ CBDs • 1-3 DOPS • 1-2 developing the clinical teacher • Plus team assessment of behaviour (TAB - 360 degree feedback) • STFS videos about these are on www.stfs.org.uk

21. F1 sign-off (3)you must: Maintain your e-learning portfolio, and include evidence: • core procedures required by the GMC (part of e portfolio) • end of placement reports from clinical & educational supervisors • end of year report from educational supervisor • meet other curriculum and statutory requirements such as child protection training

22. F1 sign-off (4) You must: • Do the mandatory national online trainee survey • Plus any other surveys required by STFS • These assess the quality of your training • Feedback is essential to monitor and improve medical training • It is also strongly recommended that you carry out a leadership project – documentation on e-portfolio

23. F1 sign-offlist of skills to perform competently and teach undergraduates • Venepuncture /IV cannulation • Use of local anaesthetics • Arterial puncture (adult) • Blood cultures • Injections (SC/ID/IM/IV) • Prepare and give IV meds, blood and blood products • IV infusions inc. fluids, blood and blood products • Perform and interpret ECG, spirometry and peak flow • Urethral catheterisation (male and female) • Airway care • NG tube insertion

24. And if I am not signed off? Arrangements will depend on circumstances • Remedial training • Repeat entire year • Repeat part of year • Spend 2-4 weeks at start of F2 as an F1

25. Revalidation • Every doctor who is fully registered with a licence to practise will need to revalidate. • STFS will provide all relevant information during the course of the year. • For all STFS trainees (inc those in south London trusts) • Designated body = KSS Deanery • Responsible officer = Professor David Black • For further information see - http://www.stfs.org.uk/doctor/revalidation-foundation-doctors-stfs • Any queries please contact – revalidation@stfs.org.uk

26. Asking for advice about your training • Usually ask locally first, eg your educational supervisor or FTPD • STFS must know if it may affect your training programme: • You have been or need to be away, for example for illness for > 2 weeks or maternity leave • You wish to work abroad / take time out / work less than full time • Special circumstances which may affect your placement • You are having problems with your training • Raising concerns which you feel have been inadequately dealt with locally • If so please check the policy and deadlines on www.stfs.org.uk and contact enquiries@stfs.org.uk

27. Support available Local in trust • Educational / clinical supervisors • Postgraduate Team • Occupational Health • Medical Staffing Outside trust http://www.stfs.org.uk/doctor/trainees-difficulty

28. Feedback to STFS • Foundation programme trainee representative at all trusts – can raise issues locally • Trainee representatives at STFS committees – inform and influence future directions • Online (via e-portfolio) questionnaires – please contribute as your views are valued!

29. Careers “An extensive choice of information relating to medical careers is now available…” Collins 2010. • Careers support and resources available in your trust • ROADS book – and four stage approach to career management • Informal short one-2-one career sessions • Group teaching introducing career planning • Virtual STFS career fair • Up to 5 days of your F2 study leave entitlement can be taken towards the end of F1 for a ‘taster’ to explore career options • www.medicalcareers.nhs.uk for further ideas

30. Careers • Referral to STFS careers team:

31. Enjoy your foundation training – and let us know if we can help you plan your future career • www.medicalcareers.nhs.uk • www.stfs.org.uk • enquiries@stfs.org.uk