School of Surgery Annual Conference Dr Bret Claxton, APD Health Education Yorkshire and the Humber. April 2013. Revalidation + Trainer Recognition. What Revalidation means for Trainees What information the Deanery requires from YOU! 3. Trainer Recognition- What is it ?. Learning Objectives.
School of Surgery Annual Conference
Dr Bret Claxton, APD
Health Education Yorkshire and the Humber.
What Revalidation means for Trainees
What information the Deanery requires from YOU!
3. Trainer Recognition- What is it ?
Revalidation is about Fitness to Practice, not progression through training.
Outcome 3 or 4 in ARCP may not have any influence on Revalidation unless:
Concerns raised over conduct
Concerns raised over performance
Concerns raised over health
IF any of these would affect Fitness to Practice
Every 5 years
LTFT regardless of % is still 5 Years
All doctors in training have an annual assessment
Their practice throughout the year is already scrutinized and assessed. Deemed as currently robust
GMC are using the ARCP process as the means to assess Revalidation
The Postgraduate Dean is only responsible for Trainees in GMC approved Deanery training programs and posts.
This will include LATs and trainees who are currently out of programme.
The Postgraduate Dean is NOT responsible for any locums including LASs, Trust grade jobs, staff grade posts and other non-training grade posts.
Complete a Form R, sent to them by the deanery
Self-Declarations which will be cross-referenced.
Includes all work including locums
Investigations relating to conduct
Health – only that which impacts on work
Will be done prior to ARCP
Provided by Employing Trust
Most trainees will be signed off as ‘no issues’ in a list format
Exception report where there are on-going concerns
‘Failure of Employer to produce adequate information SHOULD not be detrimental to the trainee’
The GMC state that a significant event (also known as an untoward or critical incident) is any unintended or unexpected event, which could or did lead to harm of one or more patients. This includes one which did not cause harm but could have done, or where the event should have been prevented, which is significant enough to be investigated by the employing organisation.
Whether investigated or not, discussed with ES and reflected on the outcome in their portfolio
Only need to record this information on their form R if any formal investigations have not been completed and resolved, or if they have not been included in their portfolio.
THE EMPLOYER -will be asked to provide a brief summary (the Exception report).
Has this been resolved satisfactorily with no unresolved concerns about their fitness to practice?
If there are unresolved concerns, the employer will be asked to give a brief summary and the anticipated date of the outcome of any investigation
Only a Concern to the Deanery if it affects Progression in Training
Only a concern for Revalidation if it affects fitness to Practice e.g. Psychiatric Illnesses(some)
Normal process for educational progression
Issues that may require GMC discussion or affect revalidation to be documented and discussed with local APD/DD
Audit trail for RO to RO transfer
NO DECISIONS ON REVALIDATION, only information to Dean as RO to decide on recommendations
Bret Claxton, Health Education Yorkshire and The Humber 2013
Requirement to be in place by 31st July 2014
Deaneries and LEPs to co-operate
Evidence to be provided in Appraisal
7 Areas taken from Academy of Medical Educators (AoME) 2010 Document
Ensuring safe and effective patient care through training
Establishing and maintaining an environment for learning
Teaching and facilitating learning
Enhancing learning through assessment
Supporting and monitoring educational progress
Guiding personal and professional development
Continuing professional development as an educator.
Named educational supervisors in postgraduate training
Named clinical supervisors in postgraduate training
Lead coordinators of undergraduate training at each local education provider
Doctors responsible for overseeing students’ educational progress for each medical school.
‘Recognition will not be necessary for other doctors whose practice contributes to the teaching, training or supervision of students or trainee doctors.’ GMC 2013
LEPs will use the seven areas to show how they identify, train and appraise trainers in each of the four categories above.
‘Education Organisers’ (EO), ie postgraduate deans and medical schools, will then use that information to show us what local arrangements are in place to meet GMC standards.
‘Trainers must be supported in their role by a postgraduate medical education team and have a suitable job plan with an appropriate workload and time to develop trainees’ AoME 2010
‘Particularly at a time of resource constraint, we aim to protect and enhance the status of training’ GMC 2013
To submit to GMC a timeline for implementation for trainer recognition by 31st December 2012. DONE
To confirm that criteria and systems are in place and ready for data entry by 31st July 2013. ONGOING
To confirm that full information has been entered for all trainers in the four roles in light of the EO criteria and that the trainers have all been categorised as provisionally or fully recognised – by 31 July 2014.
To confirm that all trainers in the four roles, or entering any of the four roles, are fully recognised ie have met the EO criteria, without use of interim concessions – by 31 July 2016.
Courses attended or programs undertaken including face to face and online learning
GMC trainee survey results
Feedback from patients about care received
Details of measures put in place to ensure supervision appropriate to trainee’s competence and confidence
Trainee audits, examples of topics critically appraised by trainees
Examples of near miss/ critical incident analysis
Case studies of the management of a trainee in difficulty (anonymised)
Feedback from peers, e.g. relating to involvement in organisational/ professional activities
Records of other relevant activities undertaken, e.g. involvement in recruitment, training committees etc
Revised Educational Supervisor Training Package to meet requirements. 5 Modules - Roll out August 2013.
Working Group for Implementation and Standards - Quality
Working Group for creation and monitoring of ES Database - Data
LEPs to provide training for Equality and Bullying
Training Package to be on LEP mandatory training systems