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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.

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Revalidation trainer recognition

School of Surgery Annual Conference

Dr Bret Claxton, APD

Health Education Yorkshire and the Humber.

April 2013

Revalidation + Trainer Recognition

Learning objectives

What Revalidation means for Trainees

What information the Deanery requires from YOU!

3. Trainer Recognition- What is it ?

Learning Objectives

Arcp and revalidation

Revalidation is about Fitness to Practice, not progression through training.

Outcome 3 or 4 in ARCP may not have any influence on Revalidation unless:

ARCP and Revalidation

Arcp and revalidation1

Concerns raised over conduct through training.

Concerns raised over performance

Concerns raised over health

IF any of these would affect Fitness to Practice

ARCP and Revalidation

Trainee s revalidation

Every 5 years through training.

LTFT regardless of % is still 5 Years

Trainee’s Revalidation

Trainee s revalidation1

All doctors in training have an annual assessment through training.

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

Trainee’s Revalidation

The dean as ro

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.

The Dean as RO

Trainee requirements

Complete a Form R, sent to them by the deanery GMC approved Deanery training programs and posts.

Self-Declarations which will be cross-referenced.

Trainee Requirements

Form r

Includes all work including locums GMC approved Deanery training programs and posts.

Investigations relating to conduct


Significant events

Health – only that which impacts on work

Will be done prior to ARCP


Employer exit report

Provided by Employing Trust GMC approved Deanery training programs and posts.

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’

Employer Exit Report

What is a significant event

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.

What is a Significant Event?

Significant event or complaint

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

Significant Event or Complaint


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)


Arcp outcomes

Normal process for educational progression Training

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

ARCP Outcomes

Requirement to be in place by 31 Trainingst 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


Aome 2010

Ensuring safe and effective patient care through training 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.

AoME 2010

Who needs recognition

Named educational supervisors in postgraduate training 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.

Who Needs Recognition?

What about the rest

‘Recognition will not be Trainingnecessary for other doctors whose practice contributes to the teaching, training or supervision of students or trainee doctors.’ GMC 2013

What about the rest?


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.


Our benefit

‘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

Our Benefit


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.


What kind of evidence examples

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

What Kind of Evidence -Examples

Examples con t

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

Examples con’t

He yh deanery

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

HE YH - Deanery

QUESTIONS ? requirements. 5 Modules - Roll out August 2013.