Postgraduate Diploma in General Pharmacy Practice Programme Handbook 2015/16 Disclaimer Every effort has been made to ensure that the information in this Handbook is correct at the time of going to press (September 2015). UCL reserves the right to make amendments to the information contained in this Handbook as a result of unforeseen events or circumstances beyond UCL's control or if deemed reasonably necessary by UCL. This handbook is deemed to be the definitive version of information for all students on this taught programme of study. In the event that amendments are made, UCL shall take reasonable steps to notify students as soon as possible. 1 Table of Contents Welcome from the Programme Team 3 1. General Information 4 1.1 Programme Handbook ...................................................... 4 1.2 Programme Staff ............................................................... 4 1.3 Academic Facilitators ........................................................ 5 1.4 Programme Administration ................................................ 5 2. Programme Information 6 2.1 Programme Details............................................................ 6 2.2 Programme Overview........................................................ 6 2.3 Master’s Level Descriptors ................................................ 7 2.4 Philosophy and aim of the programme .............................. 8 2.5 Programme Structure ........................................................ 9 2.6 Programme Assessment ................................................. 11 2.7 Programme Requirements .............................................. 13 2.8 Support and Guidance .................................................... 13 2.9 Pastoral care Scheme ..................................................... 13 2.10 Coursework and Examinations ........................................ 13 2.11 Moodle ............................................................................ 13 3. Modules 15 3.1 Module Selection ............................................................. 15 3.2 Module Outlines .............................................................. 15 Module 1 ......................................................................... 16 Modules 2-4 .................................................................... 24 4. Expectations of Practitioners 5. Assessment and Regulations 30 5.1 Programme Regulations .................................................. 30 5.2 Scheme of Award ............................................................ 31 28 2 Welcome from the Programme Team Welcome to University College London (UCL) School of Pharmacy and congratulations on gaining a place to study here on the Postgraduate Diploma in General Pharmacy Practice programme as part of their foundation training. The Postgraduate Diploma in General Pharmacy Practice is a popular programme and we have seen around 650 pharmacists graduate over the past 8 years. This innovative programme is designed to support pharmacists during their early years of practice, and was developed in response to the changing needs of the National Health Service (NHS) as well as changes occurring within the pharmacy profession. The modern NHS requires all practitioners working within it to be “fit for practice” so that high quality patient care is consistently provided. In addition, the pharmacy profession requires all pharmacists to engage with continuing professional development (CPD) as a means of demonstrating their commitment to patient care and the currency of their knowledge and skill base. The current provision of post-registration pharmacy education has evolved from the fundamental need for development of pharmacist skills and knowledge towards that of competence and performance evaluation. These changes have driven significant developments within the post-registration education of pharmacists working within the London, East and South East of England. The Joint Programmes Board, a collaborative between the NHS pharmacy services and the local Schools of Pharmacy in London, East and South East England, has established a workplace-based education model and infrastructure for Foundation Training that: integrates learning with service delivery adopts a varied approach to assessment which embraces competence and performance adopts the professional development framework for foundation pharmacists (the RPS Foundation Pharmacy Framework) to inform programme content and assessment integrates professional development requirements for pharmacists uses a trainee based approach based on the principles of lifelong learning This Foundation Training programme enables recently registered pharmacists to work and learn in tandem through access to structured and managed training, and offers a real opportunity to ensure that pharmacists are trained, early in their careers, to provide safe and effective patient care delivered in a confident and professional manner. Successful completion of this programme will result in the award a Postgraduate Diploma in General Pharmacy Practice. The programme in London is provided by the London partners of the JPB, London NHS pharmacy services and UCL and KCL, who form one of the first Foundation Schools to be accredited by the Royal Pharmaceutical Society (RPS). Do read this handbook carefully and keep it for reference throughout the programme. Your tutors at the School are here to mentor and to support you, so if you have any problems or queries do come and talk to one of us. We wish you good luck with your studies and look forward to getting to know you over the coming years. Alison Innes & Professor Graham Davies on behalf of the UCL programme Academic Team 3 1. General Information 1.1 PROGRAMME HANDBOOK This Programme Handbook provides an introduction to the programme and contains the key information practitioners need about the programme of study. Amongst other things, this handbook covers the curriculum, teaching and learning, administrative procedures, key personnel and assessment information. This handbook should be read in conjunction with the School of Pharmacy’s regulations and proceedures, which provides information about School staff, academic policies and administrative procedures. The Handbook is relevant to practitioners throughout their studies. There will inevitably be some changes during your time with us, possibly in relation to the teaching staff, programme content and assessment patterns and we will keep practitioners informed of any important changes. However, practitioners should make sure that they keep up to date by regularly reading their UCL emails, looking at Moodle and the visiting the School and UCL websites. More detailed information on regulations, examinations, and appeals procedures are available on the UCL website at the following link: http://www.ucl.ac.uk/current-students. Practitioners can also find important information on the School website here: http://www.ucl.ac.uk/pharmacy/current-students/student-information/regulations. Practitioners are expected to be fully aware of procedures and regulations but, if in any doubt, please enquire at the Student and Academic Support Office (SASO). We hope you find this handbook useful. It is revised every year to include new information and to make it easier to use. If you have any comments about the handbook or suggestions for improving the information provided, please forward your comments to the Student and Academic Support Office (SASO) (email sop.professionalcourses@ucl.ac.uk). 1.2 PROGRAMME ACADEMIC STAFF Name Role Alison Innes Programme Lead Lead for Assessments Deputy Programme Director Lead for Accreditation Deputy Programme Director Lead for Work-based learning support Associate Director Deputy Programme Director Lead for Foundation Stage 1 Associate Director Deputy Programme Director Lead for Foundation Stage 2 Associate Director Associate Director Prof Graham Davies Barry Jubraj Wendy Cossey Kai-Loke Chan Suparna Bali 4 Email alison.innes@ucl.ac.uk graham.davies@ucl.ac.uk b.jubraj@ucl.ac.uk kai-loke.chan@ucl.ac.uk w.cossey@ucl.ac.uk suparna.bali@ucl.ac.uk Meera Thacker 1.3 Associate Director m.thacker@ucl.ac.uk ACADEMIC FACILITATORS The Academic team and Learning Set facilitators can be contacted on email via Moodle or in person during Learning Sets. Practitioners may wish to contact the Leads for Foundations Stage 1 (Wendy Cossey) or Foundation Stage 2 (Kai-Loke Chan) depending on what stage of the programme they are on, or the member of the academic team who is the Associate Director for their Trust initially. 1.4 PROGRAMME ADMINISTRATION Programme Administration is provided by the Student and Academic Support Office (SASO). The principle administrative staff are located in Room G15, on the ground floor of the School of Pharmacy building. Name Mr Robin Stone Ms Akua Boakye Ms Helen Crane Address: Tel: Email : Web: Role Programmes Administrator Programmes Administrator Assessment and Programmes Manager Email sop.professionalcourses@ucl.ac.uk h.crane@ucl.ac.uk Student and Academic Support Office, Room G15, UCL School of Pharmacy, University of London 29-39 Brunswick Square, London, WC1N 1AX 020 7753 5567 sop.professionalcourses@ucl.ac.uk http://www.ucl.ac.uk/pharmacy/ END OF SECTION 1 5 2. Programme Information 2.1 PROGRAMME DETAILS Award: PG Dip General Pharmacy Practice Awarded by: University College London Department: Research Department of Practice and Policy Length and Mode: 3 – 5 years Flexible Part-time Maximum Registration Period: 5 years Credits: 120 credits at Level 7 (Masters level) ECTS: 48 ECTS Learning Hours: 1200 across the programme Programme Lead: Mrs Alison Innes Deputy Programme Director: Professor Graham Davies 2.2 PROGRAMME OVERVIEW The Postgraduate Diploma in General Pharmacy Practice (PG Dip GPP) is a flexible programme of study which should take a minimum of 3 years to complete and a maximum of 5 years. The aim of the Postgraduate Diploma is to equip practitioners with the core skills and competencies they require to provide pharmaceutical care in a practice setting. The programme works on a philosophy of student centred workplace learning. The ethos and culture of the programme is to enhance and develop self-reliance and an adult approach to learning in support of continuing professional development. This programme is a progressive approach to practitioner development, and the curriculum supports practitioners to develop knowledge, skills, behaviours and competence aligned to the Foundation Pharmacy Framework during Foundation Stage 1 (Certificate), and Foundation Stage 2 (Diploma), which will underpin advanced practice development later. The curriculum will develop pharmacists who are able to practice at a general level, and consequently embraces clinical, technical, medicines information and patient service elements. The curriculum fundamentally contributes to the practitioner development strategy. 6 The curriculum is delivered in London by the London partners of the Joint Programmes Board (JPB), which is a group of Higher Education Institutions (HEIs) working in collaboration with NHS pharmacy services in London, East and South East region of England (covering approximately 40% of the patient population of England). The eight Higher Education Institutions (HEIs) involved include: King’s College London (Department of Pharmacy) University College London (UCL School of Pharmacy) Universities of Greenwich and Kent (Medway School of Pharmacy) University of Brighton (School of Pharmacy and Biomolecular Sciences) University of East Anglia (School of Pharmacy) University of Hertfordshire (Department of Pharmacy) University of Portsmouth (School of Pharmacy and Biomedical Sciences) University of Reading (School of Pharmacy) The function of the JPB is to improve the quality of patient care by ensuring the supply of pharmacists who are educated, trained and motivated to play their part in a first class modern health service. The JPB has established an educational delivery infrastructure to allow delivery of a workplace education model centred around competence and performance for early year practitioners. In identifying the need for developing the post-registration foundation competence of pharmacists, the pan-London members of the JPB consortium, KCL and UCL Foundation Schools, and the NHS advocate the use of the Foundation Pharmacy Framework and a work-based learning programme. This foundation programme design is endorsed and accredited by the RPS and is adopted across England, Wales and Northern Ireland with analogous programmes now being used by many other countries (including EU and Australia). The JPB has spearheaded research into adapting the existing evidence-based competency frameworks for use across other sectors of practice, thus negating the need for separate, and different, post-registration education models. Practitioners contact with the JPB while completing the Diploma at UCL will be with supervisors at work and with the Academic and Administration teams at the UCL School of Pharmacy. 2.3 MASTER’S LEVEL DESCRIPTORS Master’s level awards are set at Level 7 of the Framework for Higher Education Qualifications in England, Wales and Northern Ireland (FHEQ) published by the Quality Assurance Agency for Higher Education (QAA). Descriptors for the Level 7 qualification are in two parts – (1) what each student must demonstrate in order to gain the award, and (2) the wider abilities that the typical student is expected to develop. 7 The Postgraduate Diploma degree is awarded to students who have demonstrated: 1. Systematic understanding of knowledge and skills required in the application of pharmaceutical care. 2. Critical awareness of current problems and/or new insights in pharmacy practice. 3. Comprehensive understanding of techniques applied to advanced scholarship in pharmaceutics, which include problem solving skills, evaluation, research methods and data analysis. 4. Originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in pharmaceutics. 5. Conceptual understanding that enables the student to: Evaluate critically current research and advanced scholarship in the discipline, and Evaluate methodologies and develop critiques of them and, where appropriate, to propose new hypotheses. Typically, holders of the Postgraduate Diploma degree will be able to: 1. Deal with complex issues both systemically and creatively, make sound judgments in the absence of complete data, and communicate their conclusions clearly to specialist and non-specialist audiences; 2. Demonstrate self-direction and originality in tackling and solving problems, and act autonomously in planning and implementing tasks at a professional or equivalent level; 3. Continue to advance their knowledge and understanding through continuing professional development, and 4. Develop new skills to an advanced level in pharmacy practice and will have: The qualities and transferable skills necessary for employment requiring: The exercise of initiative and personal responsibility; decision-making in complex and unpredictable situations, and The independent learning ability required for continuing professional development. 2.4 PHILOSOPHY AND AIM OF THE PROGRAMME The safe and effective use of medicines within primary and secondary care is paramount for effective acute and chronic disease management. Pharmacists have a clear role to play in medicines management, medicines optimisation and the prescribing agenda, which necessarily means a modern and effective post-registration training programme. This novel programme is a progressive approach to practitioner development and ensures that pharmacists acquire the competencies needed to practice in a safe and effective way. 8 The aim of the Postgraduate Diploma in General Pharmacy Practice is to equip practitioners with the core skills and competencies they require to provide pharmaceutical care in a practice setting. The programme is based on a philosophy of practitioner centred workplace learning. Practitioners are expected to take responsibility for managing their learning and achieving the course objectives. The ethos and culture of the programme is to enhance and develop self-reliance and an adult approach to learning in support of continuing professional development. The curriculum serves as the foundation for future pharmacist development and supports practitioners to develop knowledge, skills and behaviours during Foundation Stage 2 that will underpin advanced practice development later. 2.5 PROGRAMME STRUCTURE The PG Dip GPP programme comprises the following 4 modules: Module 1: PHAYG100 Foundation Stage 1 (60 credits) Module 2: PHAYG101 Foundation Stage 2 - Therapeutic Review (20 credits) Module 3: PHAYG102 Foundation Stage 2 - Audit or Service Evaluation (20 credits) Module 4: PHAYG103 Foundation Stage 2 - Service Improvement & Innovation (20 credits) Foundation Stage 1 (FS1) Module 1 (PHAYG100) Foundations of General Practice is designed to take place over an 18 month period, primarily of workplace learning. Should practitioners wish to exit the programme after successful completion of PHAYG100 they can be awarded the Postgraduate Certificate in General Pharmacy Practice. Foundation Stage 2 (FS2) Modules 2, 3 and 4 (PHAYG101, 102 and 103) are worth 20 credits each and are also known as Foundation Stage 2 (FS2). These are experiences that can be a specialty rotation or a service focus for a 6 month period. Completion of the three FS2 experiences in conjunction with Module 1 constitutes the full Postgraduate Diploma award. They can be done in any order, although it is recommended Service Improvement and Innovation is taken last. The first module sat is referred to as part A, the second part B and the third part C. The Postgraduate Diploma is a flexible programme which normally takes 3 years (36 months) to complete. However, some practitioners may require longer to complete the programme and a maximum period of 5 years is permitted. There are two entry points to the programme and the progression through the programme for both cohorts is set out on the following page. Although both cohorts will take 3 years to complete the programme, practitioners who start in September will enrol across three academic years and those who start in March enrol across 4 academic years: 9 Academic Year Academic Year 1 September Cohort Module 1 (12 months) Academic Year 2 March Cohort Module 1 (6 months) Module 1 (12 months) Module 1 (6 months) Module 2 (6 months) Module 3 (6 months) Module 4 (6 months) Academic Year 3 Module 2 (6 months) Module 3 (6 months) Module 4 (6 months) Academic Year 4 Structure of the PG Dip General Pharmacy Practice Intake SEP September Modules March Modules Year 1 PHAYG100 Module 1 (12 months) MAR Year 1 PHAYG100 Module 1 (12 months) SEP Year 2 PHAYG100 Module 1 (18 months) MAR SEP Year 2 Module 2 (6 months) PHAYG100 Module 1 (18 months) Module 3 (6 months) Module 2 (6 months) Year 3 MAR Year 3 Module 4 (6 months) SEP Module 3 (6 months) End Sep Module 4 (6 months) MAR End March 10 2.6 PROGRAMME ASSESSMENT The PG Dip GPP programme comprises the following 4 modules: Module 1 PHAYG100 Foundation Stage 1 (60 credits) Calendar Description & Aim Assessment Formative Summative Sept Cohort To critically evaluate RITA (@ induction) Sept cohort MCQ (Sept & Feb) October Year 1 the drug treatment of OSCE (Feb) to March Year 2 general medical and RITA (@ 4 months) Portfolio assessment surgical patients in (Sep &Feb) order to provide RITA (@ 8 months) competent advice on March Cohort the safe and effective FPF (@ 12 months) March cohort MCQ (Feb & Sept) April Year 1 to use of medicines. OSCE (Sept) Sept Year 2 RITA (@ 15 months) Portfolio assessment To achieve the (Feb &Sept) learning outcomes in FPF (@ 18 months) the FS1 Learning Outcomes Guides Note: for a more detailed list of assessments during FS1 see the Assessment Handbook At the end of Module 1, practitioners can either continue with the Postgraduate Diploma or leave the programme and be awarded the Postgraduate Certificate in General Pharmacy Practice. Progression Point Module 1 and FS2 part A (i.e. Module 1 and the first FS2 Module) have to be completed and passed before a practitioner can progress onto parts B and C (i.e. the second FS2 Module) Module 2 PHAYG101 Foundation Stage 2 – Therapeutic Review (20 credits) Calendar Description & Aim Assessment Formative Summative April to Sept To demonstrate RITA (@ 3months) Literature evaluation & review: written Year 2 systematic and critical FS2 appraisal report & oral understanding of the (@ 6 months) presentation knowledge and skills FPF review (Sept or March) required to work (@ 6 months) or independently within a Portfolio assessment October to specific area of (Sept or March) March Year 3 pharmacy practice. To achieve the relevant practice and professional development learning outcomes. 11 Module 3 PHAYG102 Foundation Stage 2 – Audit or Service Evaluation (20 credits) Calendar Description & Aim Oct to March Year 3 To demonstrate a systematic and critical understanding of the knowledge and skills required to work independently within a specific area of pharmacy practice or April to October Year 3 Assessment Formative RITA (@ 3 months) FS2 appraisal (@ 6 months) FPF (@ 6 months) Summative Audit or Service Evaluation: written report & poster presentation (Mar or Sept) Portfolio assessment (Mar or Sept) To achieve the relevant practice and professional development learning outcomes. Module 4 PHAYG103 Foundation Stage 2 – Service Improvement & Innovation (20 credits) Calendar Description & Aim Assessment Formative Summative April to Sept To demonstrate a RITA (@ 3 months) Service Improvement & Innovation project: Year 3 systematic and critical FS2 appraisal written report & oral understanding of the (@ 6 months) presentation knowledge and skills FPF (@ 6 months) (Sept or March) required to work or October to independently within a Portfolio assessment March Year 4 specific area of (Sept or March) pharmacy practice. To achieve the relevant practice and professional development learning outcomes. 12 2.7 PROGRAMME REQUIREMENTS Practitioners are required to access Moodle at regular intervals and at least twice each week as coursework and course notes will be made available on a regular basis throughout the course. Announcements to this effect will be posted to indicate the most current additions. 2.8 SUPPORT AND GUIDANCE Meeting the demands of the Postgraduate Diploma in addition to a busy full-time job is a challenge. Additional family responsibilities can occasionally leave even the most conscientious and organised practitioner feeling overwhelmed. Practitioners can often turn to their Educational Supervisor for support. If a practitioner feels uncomfortable raising an issue with their Educational Supervisor, there are various people at the School of Pharmacy who can provide support and guidance to practitioners experiencing problems, either academic or personal (though often the two are linked). 2.9 PASTORAL CARE SCHEME The School has an active Pastoral Care Scheme whereby members of staff, academic and administrative, are available to advise and support students who are experiencing academic or personal problems. 2.10 COURSEWORK AND EXAMINATIONS Practitioners must complete a number of formative and summative coursework assessments as set out in the Modules. Formative assessments give feedback to practitioners on their performance but do not count towards the final mark. The marks for summative assessments count towards the final mark. The format and use of Objective Structured Clinical Examinations (OSCEs) and Multiple Choice Exams and other summative assessments are set out in the individual Module Descriptors. 2.11 MOODLE During the induction to the programme, a tutorial will be given on using Moodle effectively. A password and username will be provided to allow individual access to the facility. A user’s guide is available on the Moodle contents page and is accessed by logging on. Moodle is an IT-based managed learning environment (MLE) platform and is an integral part of the e-learning strategy at UCL. The purpose of using Moodle is to aid e-learning amongst practitioners and to improve access to course material and communication amongst peers 13 and to support routine and regular self-directed learning. Coursework will be made available to practitioners in advance of the learning sets via Moodle. By using Moodle practitioners should be able to: 1. 2. Take responsibility for their learning Utilise e-learning as an active part of their Continuing Professional Development END OF SECTION 2 14 3. Modules 3.1 MODULE REGISTRATION Module registration takes place via the UCL Student Records system, known as PORTICO. Practitioners will automatically be enrolled for their first module which is PHAYG100 (unless they are APLing onto the programme, in which case they will need to register an FS2 module). Practitioners will then need to enrol for the FS2 Modules on PORTICO as they take them. This will add the module to their PORTICO record so marks can be entered following assessments and trusts can be invoiced correctly. There are two periods per academic year for practitioners to register modules – August/September and January. Practitioners will be emailed by UCL Student Records through PORTICO when each period opens. UCL ask for all modules a student is sitting over an academic year to be registered in August/September but we recommend registering no more than one module in each period to prevent trusts being invoiced for modules a practitioner ends up sitting elsewhere. If practitioners are unsure what to register, or do not know what module they will be starting, they should not register anything until they do. Adding multiple modules at the same time will result in trusts being invoiced for all modules at once and excess modules having to be removed and re-registered at a later date. Practitioners should contact the admin team before registering anything if they have any queries. 3.2 MODULE OUTLINES Detailed Module information is available on Moodle. Practitioners are expected to access programme materials via Moodle regularly throughout the programme as the content may be slightly different to the information published here. This is because staff are constantly updating their teaching in light of developments in current research and new thinking. The modules are listed in order of ascending module code. PHAYG100 PHAYG101 PHAYG102 PHAYG103 Foundation Stage 1 (60 credits) Foundation Stage 2 (Therapeutic Review) (20 credits) Foundation Stage 2 (Audit or Service Evaluation) (20 credits) Foundation Stage 2 (Service Improvement & Innovation) (20 credits) 15 PHAYG100 Foundations of General Practice (Foundation Stage 1, FS1) (60 credits) Introduction This module focuses on the principles of pharmaceutical care and the core knowledge and skills required of a general level pharmacy practitioner. The practitioner is required to apply these to a range of patients reflecting the scope of general pharmacy practice. In order to achieve this, practitioners will be required to apply a range of clinical and scientific knowledge to solve common, medication related, problems. Drug therapy for a number of common disease states and associated surgical conditions will have to be explored and evaluated. This will require an understanding of the current treatment options, including the current evidence base, available to manage these conditions. A particular emphasis will be placed on minimising the risk associated with medication use. Practitioners are expected to spend at least 600 learning hours on this module. This includes learning sets, assessment, work-based activities and private study. There are three elements to the programme: academic, work based and assessment. Further detail on these is provided in the following section. (a) Academic Element of Module 1 Learning sets are held every 4 – 5 weeks throughout Module 1. These serve as an information resource and to clarify difficult concepts. Practitioners have opportunities to apply principles and concepts to case studies and time is made available for discussion and clarification of these. This element of the programme promotes learning in small groups. Practitioners will learn to work as part of a team. Groups are given problems and must identify the knowledge and information needed to understand the nature of the problem and propose solutions where appropriate. Learning sets for Module 1 are themed in order to meet the Modular learning outcomes (programme available on Moodle). Depending on the theme, material may be provided on Moodle in advance of the learning set. Clinical learning sets (Masterclasses) focus on the management of patients in therapeutic areas such as cardiology, respiratory and surgery. Practitioners will also be supported to develop skills such as clinical decision-making and consultation skills, and explore wider issues around pharmacy practice e.g. current NHS issues. Learning sets also provide the opportunity for practitioners to discuss their portfolio of evidence as a means of sharing experience and receiving support. Learning and Teaching Methods Teaching methods are varied and include the concepts of self-directed and self-managed learning, IT and web-based learning methods, learning sets, small group work, problembased learning approaches and individual work. In addition to the learning sets, practitioners must undertake specific practice activities at their place of work. This helps develop a clinical 16 approach to identifying pharmaceutical care issues and preparing appropriate care plans to optimise the treatment of individual patients. An Educational Supervisor is assigned to support learning. Self-directed Learning Throughout the programme, practitioners are expected to take responsibility for their own learning. They are required to access a variety of sources in order to gain information to support their learning and to help complete practice activities. Practitioners will set their own learning goals and be responsible for meeting the requirements of the Diploma programme. Private Study Time The emphasis on the development of self-directed learning requires a realistically planned allocation of time for private study. Private study time will be required to carry out preparatory work in advance of the learning sets and to complete practice activities and other assignments. Work based Learning The coursework and learning methods are designed to ensure that the programme is fully integrated in the workplace. Coursework should tie into daily workplace activities in order for practitioners to develop their practice skills and ensure the application of pharmaceutical and practice knowledge and skills as they progress through the programme. Learning Outcomes Guides (Curriculum Guides) Learning Outcome Guides (Curriculum Guides) are available for Clinical Services, Medicines Information, Patient Services and Technical Pharmacy. These are the four core elements that comprise General Pharmacy Practice in the secondary care setting. The Learning Outcome Guides contain the learning outcomes associated with each service element and achievement of the learning outcomes is the practitioner’s responsibility. Practitioners are expected to use the Learning Outcome Guides to direct their learning and development in the appropriate rotation, and are expected to record this by signing against the appropriate section when they are satisfied they have achieved a learning. Practitioners may not be required to provide evidence for each learning outcome but should, when questioned, be able to demonstrate that they have achieved any learning outcomes that they have signed off. Where a specific rotation is not available e.g. Medicines Information or Technical Services, practitioners should work through the relevant learning outcomes across the 18 months of Module 1 using learning and experience from other rotations to meet the requirements of the Learning Outcomes Guides. The new FS1 Learning Outcomes Guide and Progress Record incorporates all the learning outcomes in the four Learning Outcomes Guides. This document can be used by practitioners to record their progress in place of the separate Learning Outcomes Guides, if their Training Centre and Educational Supervisor have agreed to this. Educational Supervisor All practitioners undertake their practice activities under the guidance of an accredited JPB Educational Supervisor (ES) or a Practice Supervisor (PS) in the workplace. Whilst 17 practitioners are responsible for setting their own learning objectives, the achievement of the objectives will be facilitated by the Educational Supervisor. An Educational Supervisor is normally assigned to a practitioner for the duration of the Diploma, and should be used as a source of support throughout the programme. Practitioners will meet with their Educational Supervisor at fixed intervals in the programme to discuss progress and to determine the timing of academic assessments. (b) Work Based Element of Module 1 Practice Supervisors Practice Supervisors are responsible for supporting practitioners’ in particular service elements of training. There may be more than one Practice Supervisor for Medicines Information, Patient Services, Technical Pharmacy and Clinical Services depending on the size and configuration of the Training Centre. Practice Supervisors are responsible for supporting practitioners’ development whilst they are working in their section but practitioners are responsible for achieving their learning outcomes and completing practice activities. Practice Supervisors will undertake workplace assessments with practitioners providing feedback to both the practitioner and their Educational Supervisor. Action Plan for Practice Activities and deadlines Practitioners should meet with their Educational Supervisor to discuss and agree on a suitable time frame for undertaking and feedback on assessments and other meetings in order to complete coursework on time. Practitioners are advised to sign a learning agreement (Form A) and develop an action plan for the time period between appraisals. Practitioners should also meet with their Practice Supervisor during each rotation to agree objectives, plan assessments and receive feedback on progress. Deadlines Practitioners must submit any required coursework by the announced deadline. If coursework does not meet the required standard, practitioners may be given an opportunity to resubmit the failed coursework. All resubmissions which meet the required standard are graded as a minimum pass of 50%. Learning Time The time needed to prepare for learning tasks will vary amongst practitioners depending on prior experience or exposure to the specific topic. Background reading may be required on the pathophysiology of the disease, tests required for diagnosis, monitoring of treatment efficacy and the evidence that supports the treatment regimen. Practitioners should discuss with their line manager and Educational Supervisor the availability of time during work hours in order to complete coursework. (c) Assessments The aim is to provide an assessment programme that samples the range of foundation-level pharmacy practice and facilitates quality improvement and professional development. 18 Practitioners undertake a variety of assessments designed to encompass a range of activities and facilitate their development. These are broadly divided into academic assessments (summative) and workplace-based assessments (WPBA) (formative). At present, video clips of the workplace-based assessments can be found on the JPB website. The Royal Pharmaceutical Society (RPS) is working on some updated clips that will be available to foundation trainees who are members of the RPS. The assessment programme detailed below is designed to measure a pharmacist’s performance in a variety of settings in the workplace. Workplace-based assessments (WPBAs) are designed around the Foundation Pharmacy Framework (FPF) and should occur at regular intervals throughout the Diploma in order to provide feedback to help practitioners improve performance and to help track progress. Records of these assessments must be kept in the practitioner’s Portfolio of Evidence which will be presented for review at 12 and 18 months. Further details of the assessments are set out below and in the PG Dip GPP Assessment Handbook. The following summative assessments are used: • MCQ exams • Objective Structured Clinical Exams (OSCEs) • Portfolio of Evidence • Record of In-service Training Assessment (RITA) (i) Progress Test The Progress Test is a Multiple Choice Question (MCQ) paper that practitioners undertake on induction then at regular intervals throughout the programme. The Progress Test comprises questions that assess the learning outcomes of Module 1. Practitioners receive feedback on their performance helping them to identify their knowledge gaps. The test is formative not summative which means its purpose is to aid development rather than assign a pass or fail. Practitioners are encouraged to discuss the feedback with their Educational Supervisor in order to develop an action plan that directs their learning to their knowledge gaps. (ii) Workplace Assessments Foundation Level Framework (FPF) The RPS Foundation Pharmacy Framework (FPF) is intended to be used as a developmental tool, allowing practitioners to identify areas for development, in addition to demonstrating competence. Practitioners are expected to demonstrate all competencies by the end of the programme. The programme Learning Outcomes and workplace-based assessments (WPBAs) are designed to enable this and are explicitly linked to the FPF for Foundation Stage 1 (FS1). Practitioners are therefore required to record their progress in meeting Learning Outcomes and completing WPBAs linked to the FPF during FS1. Assessment of progress with the FPF competencies is a central element of measuring a 19 practitioner’s progress throughout the programme, and practitioners are required self-assess, in addition to supervisors assessing progress. Practitioners and Educational Supervisors will review progress with the FPF at RITA assessments and the 12 and 18 month stages. The emphasis will be on the practitioner to produce evidence to demonstrate competence to the Educational Supervisor on the relevant aspects of the FPF. After each FPF review an action plan will be drawn up by the practitioner and Educational Supervisor to address specific developmental needs. The following tools can be used to help demonstrate competence on the FPF grids (see below for details of these tools): • • • • • Case-based Discussions (CbD) Direct Observation of Practical Skills (DOPS) Mini-Clinical Evaluation Exercise (mini-CEX) Medication Related Consultation Framework (MRCF) Mini Peer Assessment Tool - (mini-PAT) Case-based Discussion (CbD) The aim of CbD is to enable an assessor to provide systematic assessment and structured feedback. Practitioners should select three case records from patients they have recently seen or whom they are currently caring for. The assessor will select one of these for the case based discussion. The discussion will start from their contribution so far to the patient’s care. This is designed to assess clinical decision-making and the application or use of pharmaceutical knowledge in caring for the patient. It enables discussion of the ethical and legal framework of practice and allows practitioners to discuss why they acted as they did. Practitioners choose the timing, the cases and the assessors. Direct Observation of Practical Skills (DOPS) Direct Observation of Practical Skills (DOPS) is a method similar to the mini-CEX that has been designed specifically for the assessment of practical skills and activities. The aim of DOPS is to demonstrate competence in a range of defined practical activities. Each DOPS should involve a different practical activity. The practitioner chooses the activity to be assessed and the assessor should be experienced in the activity being assessed. Mini- Clinical Evaluation Exercise (mini-CEX) Mini-CEX is a 15-20 minute snapshot of a pharmacist / patient interaction. It is designed to assess clinical skills, attitudes and behaviours essential to the provision of high quality care. Each assessment should represent a different clinical problem and practitioners should sample from each of the core therapeutic areas identified in the Clinical Learning Outcome Guide (Curriculum Guide). Immediate feedback will be provided by the assessor after each encounter. Following the feedback, the assessor and practitioner need to identify and agree strengths, areas for development and an action plan for each encounter. 20 Mini- Peer Assessment Tool (mini-PAT) The mini-PAT questionnaire provides feedback from a range of co-workers (sometimes described as a 360º assessment). The practitioner will nominate assessors from amongst supervising pharmacists, senior medical and nursing colleagues to complete the online questionnaire every 6 months throughout the diploma. Practitioners will also complete a selfassessment using the same questionnaire. Feedback is collated electronically and will be presented on charts depicting self-ratings, the mean nominated assessor ratings and the peer groups’ mean ratings. Comments will be anonymised, but produced verbatim. The Educational Supervisor will then review the collated feedback with the practitioner, and agree key areas for development. For those practitioners unable to access the on-line mini-PAT system a paper system will be available. Feedback using this system will not be automatically collated so the practitioner and Educational Supervisor will need to collate the feedback in order to review the it and agree key areas for development. Medication Related Consultation Framework (MRCF) The MRCF is designed to assess practitioners’ ability to consult with patients in a structured manner and can be used in a variety of settings including the ward, Medicines Information and Patient Services. The chosen assessor will observe the practitioner consulting with a patient chosen by the practitioner but who is new to the practitioner i.e. their first interaction with the patient. Interventions Practitioners should regularly record significant interventions they have made. There may be a mechanism already in place in their Trust for recording interventions as this is an important aspect of Clinical Governance. A log of significant interventions should be collated in the practitioner’s portfolio of evidence. Significant interventions will include those that have prevented patient harm. Extended Intervention In addition to the log of significant interventions practitioners are asked to document Extended Interventions (using the Analysis of Clinical Decision Making proforma). These should illustrate a number of related pharmaceutical contributions that they have made to the care of individual patients. Each intervention presented should provide a patient summary, description and critical appraisal of the pharmaceutical problem, documentation and outcome(s) of the intervention, reflections and evaluations of the outcome(s) and a list of references. Each intervention should be discussed with the Educational Supervisor, who will probe the practitioner through questioning, for clinical understanding, as well as any legal and ethical issues associated with the case recorded. These discussions may form the basis of a CbD. It is envisaged that the majority of these interventions will result from clinical ward activities. However, interventions made in other rotations or whilst on call can be documented and used, as appropriate. 21 Social Intervention In order to begin to appreciate the fact that drug treatment might be a small part of what a patient’s needs might be, practitioners are required to investigate and document the “social needs” of a patient who they have cared for. For example, practitioners might look into the “activity of daily living” (ADL) score in an elderly patient they are looking after and then investigate how problems identified are addressed by the multi-disciplinary team before the patient is discharged. Practitioners should focus on the patient’s drug therapy and how that will be managed by the patient when discharged. The case should then be discussed with their Educational Supervisor, to probe the issues raised. The Analysis of Clinical Decision Making proforma should also be used to record these interventions. CPD records As a registered pharmacist of the General Pharmaceutical Council (GPhC) practitioners are expected to undertake Continuing Professional Development (CPD) and this should be recorded using the GPhC documentation either on line or as hard copy. Copies of CPD records made during the diploma should be collated in the portfolio of evidence. Record of In-service Training Assessment (RITA) A RITA is a meeting held between the practitioner and Educational Supervisor that occurs at regular intervals throughout the programme (see Assessment Handbook for timings). This is an opportunity for the ES to review progress to date and provide feedback on performance. The ES will look at assessments undertaken, review progress with the FPF and ask Practice Supervisors for feedback on the practitioner’s performance in rotations. The RITA also provides an opportunity for the practitioner and their Educational Supervisor to determine which areas require further work before the next review. The Educational Supervisor will complete the appropriate form with the agreement of the practitioner: Form B if progress is satisfactory or Form C if targeted training is required i.e. progress is not satisfactory. An Academic Tutor may take part in a RITA if a practitioner is not making satisfactory progress consistently. Completion of Form B at specific RITAs determines practitioner entry to End of Module Assessments. (iii) End of Module Assessments Objective Structured Clinical Exam (OSCE) These examinations will be held at 18 months, with the principal aim of assessing professional skills, problem solving ability and application of knowledge. 8 stations (6 manned stations and 2 unmanned) will test the foundation skills required by all pharmacy practitioners, as well as areas of clinical practice likely to have encountered during the first 18 months of the programme. The core knowledge aspects associated with these therapeutic areas, e.g. pathophysiology and pharmacology, will be tested in part through OSCEs and in part through MCQs. Details of the therapeutic areas covered during Module 1 can be found in the Clinical Learning Outcomes Guide (Curriculum Guide). 22 Multiple Choice Questions (MCQ) These examinations assess a practitioner’s underpinning scientific knowledge (e.g. pharmacology, pharmacokinetics etc.), as well as assessing information that all pharmacy practitioners should know, e.g. legal aspects associated with pharmacy, and core knowledge from the four Learning Outcome Guides (Curriculum Guides) in the first 12 – 18 months. Two MCQ tests will be set: one assessing general clinical and patient services learning outcomes which will be undertaken at 12 months and one assessing the MI, technical pharmacy and specific clinical therapeutic learning outcomes which will be undertaken at 18 months. (iv) Portfolio of Evidence at 12 & 18 Months Practitioner-led learning in this programme is underpinned by a formal process of meetings and reviews, each of which should be documented. This formal and documented process ensures adequate supervision and training and provides continuity between placements and supervisors. A copy of all the forms should be retained in the portfolio (Form A, B/C). Practitioners are required to compile a portfolio, which demonstrates competence to practice pharmacy as a general level pharmacist. The portfolio will contain a number of assessments: mini-CEX, CbD, DOPS, MRCF, mini-PAT, extended and social interventions, CPD entries, FPF assessments and a log of significant interventions. The PG Dip GPP Assessment Handbook contains details of the portfolio requirements at 12 and 18 months. END OF MODULE 1 23 MODULES 2 – 4 – Foundation Stage 2 (FS2) PHAYG101 PHAYG102 PHAYG103 Foundation Stage 2 (Therapeutic Review) (20 credits) Foundation Stage 2 (Audit or Service Evaluation) (20 credits) Foundation Stage 2 (Service Improvement &Innovation) (20 credits) Introduction The final 18 months of the programme comprises three 6 month modules which may involve placements in a specific therapeutic specialty or service area. Practitioners are expected to spend at least 200 learning hours each of the three FS2s (600 in total). This includes learning sets, assessment, practice-based activities and private study. Practitioners are expected to demonstrate a higher level of practice during FS2, and to access primary literature regularly to support higher level clinical decision-making. The learning outcomes for each module are defined in the FS2 Learning Outcomes document which is available on Moodle. The learning outcomes are split into two main types: practice learning outcomes and professional development learning outcomes. Practice learning outcomes may be met in one or more therapeutic areas or in patient services, technical services or medicines information. There are specific practice learning outcomes for technical services and MI. The practitioner and FS2 Supervisor agree at the start of the FS2 module where the learning outcomes will be met. Professional development learning outcomes can be met anywhere. FS2s may be chosen by the practitioner depending on the circumstances of the Training Centre. There may be opportunities for practitioners to undertake FS2s in other Training Centres or other sectors of the NHS e.g. CCG depending on the circumstances of the practitioner’s Training Centre. In order to achieve a higher level of practice practitioners will actively contribute to the planning and delivery of pharmaceutical care across the patient population seen within the placement. (a) Academic Element of Modules 2 – 4 Learning sets are held every 4 – 5 weeks during the final 18 months of the programme (Modules 2 – 4). A number of the learning sets will focus on preparing practitioners for the FS2 tasks (see below) for example: literature searching skills, critical appraisal skills, managing change. Practitioners will build on the teamwork developed in Module 1, carrying out research and presenting findings in both oral and written formats to the group. (b) Work Based Element of Modules 2 – 4 Workplace Learning As with Module 1, the coursework and learning methods are designed to ensure that the programme is fully integrated in the workplace. Coursework should tie into daily workplace activities in order for practitioners to develop their practice skills and ensure the application of pharmaceutical knowledge and skills as they progress through the programme. Responsibility for FS2 design lies with the Training Centre in order to ensure integration of the programme to the services of the individual Training Centre. A variety of activities may be 24 undertaken during each FS2 such as attendance at Multidisciplinary Team meetings, Consultant ward rounds, participating in clinics, analysing PACT data for GP surgeries, undertaking directorate reporting, and managing rotas. FS2 activities must be appropriate to the specialty/practice area. A degree of flexibility is allowed in FS2 design in order to incorporate the variety of pharmaceutical services provided by the Training Centres. FS2 Supervisor The FS2 Supervisor (a specified Practice Supervisor) is responsible for supporting and supervising practitioners whilst they are undertaking a specific FS2 but practitioners are responsible for achieving their learning outcomes and completing assessments. They will provide some guidance on the choice of FS2 task. Educational Supervisor All practitioners undertake their practice activities under the guidance of an accredited Educational Supervisor or Practice Supervisor. While practitioners are responsible for setting their own learning goals and submission details for practice activities, the achievement of the goals will be facilitated by the Educational Supervisor. The Educational Supervisor is normally assigned to a practitioner for the duration of the Diploma. Action Plan for FS2 Activities Practitioners should meet with their FS2 Supervisor and Educational Supervisor to discuss and agree on a suitable time frame for undertaking FS2 activities and for feedback on assessments and other meetings in order to complete coursework on time. Practitioners are advised to sign a learning agreement (Form A) and develop an action plan for each FS2. Deadlines Practitioners must submit any required coursework by the announced deadline. If coursework does not meet the required standard, practitioners may be given an opportunity to resubmit the failed coursework. All resubmissions which meet the required standard are graded as a minimum pass of 50% only. Learning Time The time needed to prepare for learning tasks will vary amongst practitioners depending on prior experience or exposure to the specific topic. Background reading may be required on the pathophysiology of the disease, tests required for diagnosis, monitoring of treatment efficacy and the evidence that support the treatment regimen, or other areas relating to professional pharmacy practice. Tasks and Assessments To ensure practitioners develop particular skills during the course of this programme, assessments (in the form of tasks) for FS2 will have these elements incorporated: • • • • Literature searching Critical appraisal and evaluation Audit and evaluation Managing change 25 • • • Service improvement Writing Oral Presentation These tasks will constitute the module mark, reflecting the effort that will be required for their successful completion. The portfolio of evidence will continue to provide a central core for the assessment process (see below for portfolio requirements). Practitioners will continue collecting evidence to demonstrate competency mapped onto the FPF and the FS2 learning outcomes. At this stage of the programme it is recognised that practitioners can identify their own learning needs therefore they are responsible for determining some of the evidence for the portfolio to demonstrate competency in a particular FS2. Completion of an FPF assessment by their Educational Supervisor will be required at the end of each FS2. The PG Dip GPP Assessment Handbook contains details of the assessment programme for Foundation Stage 2. Assessment Tasks 3 tasks will be completed (one for each FS2 module). All projects should be useful to the practitioner’s Trust, approved by the supervisor and Educational Programme Director, and relevant Trust staff/departments/groups or committees if relevant, and discussed with a member of the academic team. Therapeutic review Critical appraisal and evaluation skills are important because, although many large trials are appraised by MI centres and specialists, often patients treated in hospital do not fit into the “pigeon hole” of a large clinical trial (due to co-morbidities or concurrent drug therapy). Therefore smaller trials and case reports have to be used or reviewed to help inform how a particular patient might be treated. This task will be based around the practitioner undertaking a review of the literature of a chosen therapeutic area based on the care of a particular patient- after consultation with their FS2 Supervisor. Alternatively, practitioners may undertake a review of the literature in an area of pharmacy practice or service provision. In all cases practitioners will be required to choose a topic where the evidence in the literature is limited, inconclusive or conflicting. The review will be written up as a report and will be presented orally to a peer group and an academic assessor. Audit or Service Evaluation This skill is important for changing practice (usually prescribing), and it is important that all practitioners are well versed in audit. As part of FS2, practitioners will be required to complete an audit in the placement (in liaison with their FS2 Supervisor) or if a focus for audit cannot be identified then practitioners may undertake a service evaluation project instead. The audit or service evaluation will be written up as a poster and short written report. Practitioners present the poster at a diploma audit session (usually an afternoon). The poster can also be presented at the Trust’s research and audit day, as well as national conferences, e.g. UKCPA. 26 Service Improvement & Innovation By the end of the programme, practitioners should have an insight about how to improve services, innovate and manage change; this task will require practitioners to complete an assignment which proposes and innovative service improvement, based on an analysis of the current service, stakeholders and options appraisal, and additionally illustrating how the change would be managed and implemented in practice, using the FS2 therapeutic or service area as the context. This will help practitioners to begin to think about the “bigger picture” and the experience gained through completing this task will have generalisability for the future. This task will be written up as an Executive Summary and presented orally to a panel of senior pharmacists. Portfolio of Evidence for each FS2 Practitioners are required to compile a portfolio of evidence that demonstrates all practice and professional development learning outcomes have been. The portfolio will contain a number of assessments that demonstrate fulfilment of the FS2 learning outcomes. The assessments will include mini-CEX,CbD, DOPS, MRCF, mini-PAT, extended and social interventions, GPhC CPD entries, FPF assessments and a log of significant interventions (see Chapter 3 for descriptions of individual assessment tools). Practitioners are encouraged to be creative and also use other types of evidence to demonstrate that learning outcomes have been met. The FS2 Handbook has details of the FS2 portfolio requirements and suggestions for evidence. END OF SECTION 3 27 4. Expectations of Practitioners Practitioners must: • Adhere to the UCL Code of Conduct at all times in a manner that does not bring UCL into disrepute, this includes conduct whilst not on UCL premises http://www.ucl.ac.uk/current-students/guidelines/code_of_conduct • Identify, manage and meet their own learning needs • Regularly read the School’s communications on Moodle and the website and check their UCL email account on a regular basis. • Attend all Learning Sets (Please note that practitioners that do not attend Learning Sets may not be permitted to sit assessments) • Arrive at all learning sets on time and sign the attendance register • Inform the admin team if they are absent and arrange to attend the learning set on an alternative date • Complete pre-learning set activities, and provide evidence of having done so • Actively participate in all learning sets • Turn off mobile telephones during learning sets • Contribute to peer review assessment and feedback in a constructive and courteous manner • Be polite, courteous and respectful of other cultures and beliefs. The University does not tolerate any form of harassment, bullying or rudeness to fellow students or lecturers • Ensure coursework is presented in the required format and submitted on time • Adhere to the University’s policy on plagiarism by ensuring that all work submitted is their own and that all source material is appropriately referenced • Update personal details in line with the procedure outlined in the Student Handbook 28 • Inform the Student Academic Support Office (SASO) if they change their practice base and/or Educational Supervisor during the programme by email at sop.professionalcourses@ucl.ac.uk. • Inform the Student Academic Support Office (SASO) if they are ill or have any other reason why their performance during assessments may be affected. If practitioners miss assessments due to extenuating circumstances they must follow the procedure on the UCL School of Pharmacy website at http://www.ucl.ac.uk/pharmacy/currentstudents/student-information/regulations • Inform the Programme Director, via their Trust’s Educational Programme Director, if they wish to withdraw from the programme or interrupt studies for any reason, explaining the reason. The maximum time limit for completion of the programme is five years so it is important for practitioners to discuss plans in order to ensure they have enough time left to complete the programme END OF SECTION 4 29 5. Assessment and Regulations 5.1 PROGRAMME REGULATIONS A brief summary of the main academic regulations for the programme is provided below, however practitioners are required to read the full Programme Regulations for Taught Postgraduate Programmes on the UCL website at http://www.ucl.ac.uk/srs/academicmanual/overview. Students are also required to read the information contained in the School Student Handbook. Assessment Practitioners must complete a number of formative and summative assessments as detailed in the Module Outline. Formative assignments give feedback to practitioners on their performance but do not count towards the final mark; however, it may still be a requirement to complete these in order to progress. The marks for summative assignments count towards the final mark for the degree. The minimum pass mark is 50%. Final Degree Mark The overall pass mark for the award of the Postgraduate Diploma in General Pharmacy Practice is 50%. Criteria for the Award of Pass, Merit and Distinction Please refer to the Academic Manual, Chapter 4 http://www.ucl.ac.uk/srs/academicmanual/overview The above regulations regarding awards of merit and distinction also apply to the award of Postgraduate Certificate in General Pharmacy Practice for practitioners who exit the programme following completion of Module 1. 30 5.2 SCHEME OF AWARD Scheme of Award Postgraduate Diploma in General Pharmacy Practice 1. Programme of Study 1.3 The Diploma in General Practice Pharmacy (PG Dip GPP) comprises 4 modules at Level: PHAYG100 PHAYG101 PHAYG102 PHAYG104 Foundations of General Practice Therapeutic Review Audit Service Improvement & Innovation 60 credits 20 credits 20 credits 20 credits 1.2 On successful completion of all assessments for Module 1 (PHAYG100), practitioners who leave the programme will be awarded an exit award of a Postgraduate Certificate in General Pharmacy Practice worth 60 credits. 3 Conditions of entry to Assessments 3.1 All practitioners are required to obtain a RITA B assessment confirmed by their Educational Supervisors to be entered for assessments 3.2 Practitioners who receive a RITA C assessment from their Educational Supervisor will be expected to sit their assessments at the next available opportunity provided they meet condition 3.1 3.4 Practitioners who fail their FS2 Portfolio Appraisal discussion with their FS2 Supervisor and are not expected to pass by the end of the FS2, will not be assessed by the academic team during the expected assessment period. Practitioners are required to submit their FS2 written assessment by the original submission deadline. The FS2 Oral, Written and Portfolio components will be assessed at the next available opportunity. The assessment dates can be found on Moodle. 31 4. Assessment and Marking Scheme 4.1 The programme will be assessed by a number of elements as listed below: Assessment Component PHAYG100 months) Marks Credits FOUNDATIONS OF GENERAL PRACTICE (18 12 month assessment MCQ (12 months) 33% Portfolio Assessment (12 months) P/F 60 18 month assessment OSCE (18 month mark) P/F MCQ (18 months) 67% Portfolio Assessment (18 months) P/F 600 PHAYG101 Review) FOUNDATION STAGE 2 Module 1 (Therapeutic 20 FS2 Oral 50% FS2 Written Summary 50% FS2 Portfolio Assessment (Pass/Fail) P/F 200 PHAYG102 FOUNDATION STAGE 2 Module 2 (Audit) 20 FS2 Oral 50% FS2 Written 50% FS2 Portfolio Assessment (Pass/Fail) P/F 200 32 PHAYG103 FOUNDATION STAGE 2 Module 3 (Service Improvement & Innovation) 20 FS2 Oral 50% FS2 Written 50% FS2 Portfolio Assessment (Pass/Fail) P/F 200 TOTAL MARKS 1200 120 4.3 The pass mark is 50% for each assessment component that is awarded marks. Some assessment components are marked on a pass/fail basis. In order to pass the OSCEs practitioners must pass a minimum of 5 out of 8 stations. 5. Progression 5.1 The programme has one progression point. It is not possible to progress to Part 2 of the programme until all assessment components for Part 1 have been completed and passed. 5.2 The two parts of the programme are as follows: Part 1 Practitioners must have completed PHAYG100 Foundations of General Practice and one of the FS2 modules (PHAYG101, PHAYG102 or PHAYG103) before they can progress to Part 2 of the programme. Part 2 Part 2 comprises the two remaining FS2 modules. 5.3 Practitioners who fail their FS2 Portfolio Appraisal with their FS2 Supervisor but are expected to pass by the end of the FS2 are required to provide evidence that they have completed all required elements by the deadline set by SASO. 5.4 Practitioners who fail their FS2 Portfolio Assessment with the academic team (due to outstanding portfolio contents or activities) but are expected to pass by the end of the FS2 are required to provide evidence that they have completed all required elements by the deadline set by SASO. 5.5 Practitioners who are completing the programme are required to have a Final Signoff completed by their Educational Supervisor. Those that unable to provide this in time for the portfolio assessment are required to submit the sign-off by the deadline set by SASO. 6. Compensation 6.1 At the discretion of the Board of Examiners, compensation may be permitted in the MCQ examination for PHAYG100 across each section of an individual paper as long 33 as the minimum mark of 35% is achieved in each section and the overall mark for that paper is 50%. END OF SECTION 5 34