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.
Dr Bret Claxton, APD
Health Education Yorkshire and the Humber.
April 2013Revalidation + Trainer Recognition
What information the Deanery requires from YOU!
3. Trainer Recognition- What is it ?Learning Objectives
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
Concerns raised over conduct through training.
Concerns raised over performance
Concerns raised over health
IF any of these would affect Fitness to PracticeARCP and Revalidation
Every 5 years through training.
LTFT regardless of % is still 5 YearsTrainee’s Revalidation
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 RevalidationTrainee’s 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.The Dean as RO
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
Includes all work including locums GMC approved Deanery training programs and posts.
Investigations relating to conduct
Health – only that which impacts on work
Will be done prior to ARCPFORM R
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
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?
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 investigationSignificant Event or Complaint
Only a concern for Revalidation if it affects fitness to Practice e.g. Psychiatric Illnesses(some)Health?
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 recommendationsARCP 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 DocumentGMC
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
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?
‘Recognition will not be Trainingnecessary for other doctors whose practice contributes to the teaching, training or supervision of students or trainee doctors.’ GMC 2013What 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.Responsibilities
‘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 2013Our 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.Milestones
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 analysisWhat Kind of Evidence -Examples
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 etcExamples con’t
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 systemsHE YH - Deanery