Professional Development Framework for Supervisors. Implementing the GMC’s Standards for Training. Excellence in educational supervision . There are clear links between the quality of supervision and: Patient safety Enhanced quality of care
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Implementing the GMC’s Standards for Training
Good Medical Practice
Trends in clinical education:
Pursuit of ‘excellence’
Compliance with standards for trainers from January 2010
High Quality Workforce
London Deanery developed the Professional Development Framework in response to the GMC’s (PMETB) Generic Standards for Training. But…
London Deanery has an aspiration to be ‘PMETB-plus’ aiming for quality enhancement, rather than simply quality control to a minimum threshold.
The Framework aims to support Trusts and other providers in meeting training requirements for supervisors and in particular, the development of educationalsupervisorsthrough a process of portfolio-based accreditation.
The London Deanery portfolio approach recognises all forms of prior training and accreditation
Each area of activity describes a set of minimum expectations as well as those which, if achieved, denote excellence.
Who does this framework apply to?
- clinical and educational supervisors working within Trusts in London
- general practice and dental trainers governed by separate regulation
What do we mean by clinical and educational supervision?
Safe clinical oversight of trainees during routine activity on wards, in outpatients, in the operating theatre or other clinical settings
Taking responsibility for overseeing the educational progress of a named trainee over a period of time.
Where a doctor’s educational role extends beyond supervision in the workplace e.g. training programme director, university lecturer s/he is encouraged to seek accreditation through the Academy of Medical Educators or Higher Education Academy
An educational supervisor is a trainer who is selected and appropriately trained to be responsible for the overall supervision and management of a specified trainee’s educational progress during a training placement or series of placements. The educational supervisor is responsible for the trainee’s educational agreement.
Aclinical supervisor is a trainer who is selected and appropriately trained to be responsible for overseeing a specified trainee’s clinical work and providing constructive feedback during a training placement. Some training schemes appoint an educational supervisor for each placement. The roles of clinical and educational supervisor may then be merged.
In the 2009 PMETB trainee survey 99% of (8800) London trainees were able to identify their educational supervisor
All trainees in London programmes will be required to have undertaken training in areas sufficient to equip to be an effective clinical supervisor (areas 1-4) below by the time they complete their specialty training.
The outcomes of local processes are expected to be as follows:
A database of all supervisors and their training is established and maintained at the Trust or local education provider
A system of portfolio-based accreditation of educational supervisors is implemented using the Professional Development Framework
Formal educational appraisals are conducted with all educational supervisors three-yearly
The process must be developmental and linked to the results of the PMETB trainee survey
All new educational supervisors must submit a portfolio to the DME (or nominated deputy) before taking on their role
The outcome of each review will be a formal statement of approval from the DME, and a recommendation to inform job planning
Existing supervisors may be permitted initial approval for up to 3 years on the basis of past experience, so spreading the appraisal load evenly
Trusts should provide an ongoing programme of faculty development to meet identified needs
Trusts must demonstrate that an effective processes are in place as part of the Deanery quality management requirements
The portfolio should demonstrate a professional, informed and coherent approach to the educational supervision of trainees. The documentation has been kept as brief as possible and aims primarily to support a developmental discussion. It contains the following sections:
Educational roles and activities
Prior accreditation or experience
Training courses undertaken
Evidence of good practice
Personal development plan
For convenience, the portfolio is available in hard copy, a pdf download or a simple Word version. The portfolio and all supporting documentation including FAQs, is available at www.faculty.londondeanery.ac.uk
By January 2010, within each provider, there should be:
A populated database of all supervisors and their training
A rolling programme of faculty development
An accreditation process for educational supervisors
The London Deanery Professional Development Framework derives from the GMC’s Generic Standards for Training, but has the broader aim of quality enhancement
The Framework aims to support Trusts and other providers in the provision or assurance of training for postgraduate medical supervisors
The Framework also provides a basis for development of educational supervisors through a process of portfolio-based accreditation.