2010/11 Enhanced Annual Return (EAR) Every year, each school must provide a return to the General Medical Council (GMC) that: Identifies significant changes to curricula, assessments or staffing. Highlights risks or issues of concern, proposed solutions and corrective actions taken. Identifies examples of innovation and good practice. Responds to issues of interest and debate in medical education, including promoting equality and valuing diversity. Identifies progress on any requirements or recommendations arising from the QABME visit process. In 2009/10 we requested an enhanced annual return, which requested a selfassessment of progress on the implementation of Tomorrow’s Doctors 2009. This was to ensure a continuing oversight of undergraduate medical education and to begin benchmarking all schools against the revised standards. The information schools returned in the 2009/10 EAR, has already proven very valuable and has been widely used to inform the Tomorrow’s Doctors workshops this Spring and a joint MSC-GMC student fitness to practise workshop in May. The EAR, along with the Tomorrow’s Doctors workshops, has shaped the 2010 Education Directorate work programme, which includes projects developing advice on patient and public involvement, assessment and student assistantships. All schools received a feedback report in August 2010 summarising the progress towards compliance with Tomorrow’s Doctors 2009 standards for delivery and outcomes for graduates, as reported in self-assessment returns from 31 schools received in January and March 2010. The report also included feedback specific to each school to assist schools to benchmark progress and prepare for the EAR progress update for 2010/11. The aim of the EAR 2010/11 is to enable you to revise your assessment of the status of your compliance, update cohort data (such as student demographics, fitness to practise and progression data) and to provide information on progress made in the last year, including examples of practice or continuing challenge. We are committed to: Supporting schools to implement the new Tomorrow’s Doctors 2009 standards by 2011/12. Quality assuring against the new standards in a way that acknowledges that schools will require time to adapt. GMC QABME Enhanced Annual Return 2010/11: UCL Medical School 1 of 26 Instructions: please read before completing the EAR Information security and data protection The GMC meets the requirements of the international security standard, ISO 27001. Any material you provide will be stored in a secure environment. Please note that the GMC is subject to the Freedom of Information Act 2000. If we receive a request, we may be required to disclose any information you provide to us unless a Freedom of Information exemption applies. The data returns for Section A on action on requirements and recommendations from previous QABME reports may be published on the Education pages of the GMC website. We will not publish the full primary returns for Sections B and C from schools. Please contact us if you have any queries, and complete the Consent Declaration in Basic Information to confirm that the GMC can share certain response data with the Medical Schools Council. Completing Section A & B (Word) document This document has been protected to prevent automatic formatting changes. Please enter answers in the text boxes and tables below each question, and only attach additional sheets (clearly identified with the Question number) if the Word form cannot accommodate your full response to each question. Questions include a suggested number of words for your response (for example 250 words). While this is the recommended text limit, it is not an absolute maximum. Please do keep your responses as concise as possible. If more information is required this will be followed up after submission. You are welcome to use bullet point format. Where there are tick boxes ( ) please double click on the box to enter a check-mark. The key Tomorrow’s Doctors 2009 paragraphs for each question have been included for your reference in square brackets [TD]. Some information has been pre-populated from the 2009/10 EAR, please update as needed. Section C (Worksheets) Section C is a separate Excel spreadsheet with instructions and 15 worksheets to update. For schools undergoing a rolling review: If you have previously submitted information as part of your QABME review that is unchanged please contact your Education Quality Analyst in the first instance. EAR 2010/11 submission Upload completed responses to the document folder named ‘2010/11_name of school Enhanced Annual Return’ in your school-specific GMC Connect account (account information will be provided by December 2010). Friday 14 January 2011 for: Section A - Requirements & Recommendations Section B (Word) - EAR Update Section C (Excel) – Worksheets Completed document register and any required additional documentation. 2 of 26 2010/11 Enhanced Annual Return (EAR): Basic Information Please amend the details below if incorrect. Name of Medical UCL Medical School School: Name of Professor Jane Dacre Dean/Head of School: Name of QABME contact: Ann Glasser Contact tel: Contact email: j.dacre@medsch.ucl.ac.uk Contact tel: 020 7830 2447 Contact email: a.glasser@medsch.ucl.ac.uk All please complete: Consent declaration – We have worked with the MSC to identify the information requested on student profile (Section C, Worksheet 5) and progression (Section C, Worksheet 14) and plan to share your response to this section, and to Tomorrow’s Doctors criteria 134 (in Section C Worksheet 8) with the MSC. Please confirm whether you are willing for your response to be shared with the MSC. Yes No Contact Alison Lightbourne or another member of the quality team on quality@gmcuk.org or 020 7189 5450 if you have any queries about completing the 2010/11 EAR update. 3 of 26 EAR 2010/11 – Section A Response to previous QABME requirements and recommendations For all schools except those reviewed in 2009/10 for submission by 14 January 2011 Please note that responses to this section may be published on the GMC’s website. The School’s previous report can be found at http://www.gmcuk.org/education/undergraduate/undergraduate_qa/medical_school_reports.asp. Please answer the following questions to provide an update. 4 of 26 1. For all requirements listed below please provide an update indicating how they have been addressed. If the School did not have any requirements in its last report or the requirements were fully met and reported in a previous annual return please check the box Tomorrow’s doctors 2003 area Action taken – If none, explain why Contact Supporting documents list Timeline Curricula content, structure and delivery Changes towards integration of the management Response too large for table: attached document no.1 (See Document Register) Professor Jane Dacre (Director of Medical Education); Dr Deborah Gill (Deputy) Organogram Ongoing Curricula content, structure and delivery Review teaching styles in Phase 1 to facilitate transition of students between Phases Response too large for table: attached document no.2 (See Document Register) Professor Michael Gilbey http://www.ucl.ac.uk/ Ongoing medicalschool/ staffstudents/ mbbs-review/ Curricula content, structure and delivery Further development of Quality Assurance activities including Quality Enhancement See Question 35 (as discussed with GMC team) Dr Ann Griffin Requirement 5 of 26 Curricula content, structure and delivery Adequacy of teaching space following the completion of the move to UCH 2. Following the progress reported last year, the situation appears adequate, with no complaints about the facilities from teachers of students. However we are monitoring closely as there may be a change in pressures with the introduction of a new curriculum in 2012. Dr Jean McEwan Minutes of UCLH/UCL Joint Undergraduate Teaching Committee 06-10 QA/SIFT UCLH Site Visit Reports 05-10 For all recommendations listed below please provide an update indicating how they have been addressed. If the School did not have any recommendations in its last report please check the box Tomorrow’s doctors 2003 area Recommendation Action taken – If none, explain why Contact Supporting documents list 6 of 26 Timeline Curricula content, structure and delivery The School needs Response too large for table: attached document no.3 (See Document Register) Curricula content, structure and delivery Some clinical staff Response are involved in too large for teaching of Phase I, table: but at present, no attached basic scientists are document involved with no.4 (See teaching in the later Document stages of the Register) course. This is an issue the School wishes to work towards and the visiting team would commend this approach to ensure sufficient teaching space and staff is available as the course develops Dr Jean McEwan Minutes of School Estates Strategy Committee Professor Michael Gilbey MMG minutes and Ongoing http://www.ucl.ac.uk/medicalschool/ staffstudents/mbbs-review/ 7 of 26 Curricula content, structure and delivery The School should consider providing the results of the Student Satisfaction Surveys back to students Feedback to the students about the results of the NSS is now provided in two ways. One as a summary and link to the whole NSS results on the QA website and a slightly longer document for the student (RUMS) bulletin. Ms Ann Glasser Completed 8 of 26 EAR 2010/11 – Section B EAR Update For submission by 14 January 2011 Domain 2 - Quality assurance, review and evaluation 3. Please update us on how has the School has engaged local education providers in course design, delivery and management, to support implementation of Tomorrow’s Doctors 2009 in the 2009/10 academic year. Please include detail on how successful engagement with local education providers has been and how any challenges have been overcome [TD 41, 48] (250 words) NHS staff are fully included in a number of module management groups and committees. We are working towards implementing a new curriculum in 2012. We engaged in a detailed consultation process of over 800 stakeholders, including many NHS staff. We are now in the implementation phase and NHS staff are involved in the design and management by joining the implementation working groups. We have a working group called the NHS/Workplace based learning group that consider how best to implement new curriculum teaching and learning in our NHS partner Trusts. 2011 will see a major communication exercise in the lead up to the new curriculum including a website, bulletins, road-shows and presentations at all partner Trust settings. Annual site visits are used to ensure Trust based staff have an opportunity to engage with the medical school. We run an annual final year tutors and an annual GP tutors workshop to ensure those in distant Trusts and practices are fully informed about changes to the curriculum and have an opportunity in a workshop setting to contribute to debates and a medical education conference, in June 2008, will act as a venue for further collaboration and training. 4. In the 2009/10 EAR some schools gave examples of projects that involve patients and the public, and others identified opportunities to work with partners to involve patients and the public. Some schools were experiencing challenges in this area. To assist us with sharing examples of practice please provide examples of patient and public involvement which have worked particularly well. Please use the tick boxes to classify the area of involvement, selecting as many that apply [TD43b, and D5 103-105]. 9 of 26 Governance and quality management Development of curriculum and assessment Assessment and feedback Area of patient and public involvement Teaching Example of patient and public involvement Simulated patients in comm. skills teaching Real patients in phase 1 PDS join groups to discuss experience of illness Disability workshops run by disabled facilitators in phase 1 Gynaecology teaching assistants in yr 4 We have a patient representative (nominated by the Patients' Association) on the External Governance Group of the Curriculum Review. Cancer patient journey Planned new patient pathways: 2011: cardiometabolic 2012: mother and baby and mental health One of our students has just completed an extended student project in patient involvement in the new curriculum. The recommendations are being considered in the implementation working groups. Involving patents in giving feedback about their participation in undergraduate education is currently in early developmental stages Domain 3 - Equality, diversity and opportunity 5. Please complete the following table to show: [TD 58] a. Training provided in equality and diversity for staff who teach students, including School/University, NHS and any other. b. The total number of staff in each category and the total number of staff who have completed the training. c. Whether the training is mandatory or voluntary. 10 of 26 d. How often training needs to be repeated, where appropriate. If a pre-populated cell is out of date, please check the box and complete the table with up to date information in all columns. Staff category Total number of staff in category Name of training Example: Staff involved in selection 30 All UCL teaching staff (academics) 808 DGHs We collected only limited data as other Trusts were either unable to provide figures or did not respond. 6. Mandatory or voluntary? Total number of staff who have completed training After how many years does training need to be repeated? Please check box if prepopulated row is out of date Equality and Mandatory diversity for selectors 30 2 X Equality & Diversity ? All, but no accurate figures available, especially as those who complete the on-line training may be omitted Mandatory To assist us with sharing examples of practice: a. Please confirm whether the School systematically collects data on the following categories (tick all that apply) Ethnicity collected) Disability Other (if ‘other’ please briefly describe the data Other = school type. 11 of 26 b. Has the School used this data to (tick all that apply): Launch or improve a widening participation programme or initiative Change or modify School policies or procedures Launch or improve a service, or change curriculum or assessments Change or modify School policies or procedures Other (if ‘other’ please briefly describe) The School collects the data but has not used it for any of these purposes c. Following on from b. please provide 1-2 brief examples. (500 words) [TD60-61] A scheme to provide "support cards" for students with disabilities - special provision for exams, and to make more reasonable adjustments to maximise their teaching experience. 7. Please complete the following table to show the type and number of reasonable adjustment requests in the 2009/10 academic year. Adjustment Category Physical environment Application process Teaching & learning Assessments Other support TOTAL Number approved Number refused Total requests 5 70 0 0 5 70 75 0 75 8. If any requests were refused, please briefly outline the reason for refusal. Please also include cases where student progression was refused on the grounds that a student would be unable to meet the outcomes required for graduation. (250 words) N/A Domain 4 - Student selection 9. If the selection tools or how and when tools are used in the selection process have changed since the 2009/10 EAR (Q43) submission please update the table below [TD71-76] 12 of 26 Selection tool 2009/10 UCAS application form UKCAT GAMSAT Interview 2010/11 UCAS application form UKCAT GAMSAT Interview Description of assessment (e.g. academic qualities, personal qualities, ethical and professional behaviours) How do you use this tool? Academic qualifications, personal qualities (including motivation for medicine, evidence of teamwork, leadership and communications skills, study skills and outside interests) Academic profile is screened to ensure that entry requirements are met; personal statements and references are scrutinised in order to assess previous experience (work, volunteering, personal), motivation, study skills and other personal qualities Not used Not used Assessment of scientific aptitude, critical thinking and written communication skills. BMAT allows us to identify potential in candidates irrespective of their background. The test includes an essay component, which is also used at interview. Comparison of candidates’ scores with the average for the cohort – high scores strengthen an application. Scrutiny of essay to assess written English and ability to construct an argument. Same as 2009/10 Same as 2009/10 UKCAT is not used - we use BMAT (Biomedical Admissions Test) rather than UKCAT. BMAT is used to assess scientific aptitude, critical thinking and written communication skills. BMAT allows us to idenify potential in candidates irrespective of their background. The test includes an essay component, which is also used at interview Please note these comments relate to BMAT rather than UKCAT: Comparison of candidates' scores with the average for the cohort - high scores strengthen an application. Scrutiny of essay to assess written English and ability to construct an argument. N/A Interviewers score candidates for a set of criteria and make recommendations to the Admissions Tutor as to whether the candidate should receive an offer. Not used - we use BMAT Personal qualities and ethical and professional behaviour (including intellectual ability, motivation, understanding of a career in medicine, ability to express and defend opinions, awareness of relevant issues, attitute - including integrity and flexibility individual strengths, communication skills). The BMAT essay is used to provide a discussion topic. 10. Please summarise how the School monitors and evaluates the effectiveness of its selection criteria and processes. Please include whether there are any specific triggers for review and when the last review occurred [250 words]. 13 of 26 The Admissions Tutor conducts an annual analysis of the performance of students admitted to the programme. This enables us to identify factors that appear to result in students performing well on the programme, and factors that result in students struggling and failing. Entry criteria are then adjusted accordingly to ensure that we select and admit students who are as well-prepared as possible for the programme. Examples in recent years include raising the entry A-level grades and requiring both Biology and Chemistry at A-level. Our use of the BMAT, including statistical analysis of the predictive validity of the test, is assessed on an ongoing basis by the examination board's statisticians. Feedback relating to our interview process is collected from interviewees via anonymous questionnaire. The admissions processes, including criteria-based selection, of the Medical School are evaluated and approved by UCL Admissions and meet the standards and deadlines set by UCL centrally and by UCAS. Additionally we hold an annual review via the MBBS Admissions Board. Monitoring and evaluation of admissions processes is therefore conducted on an ongoing basis, with any formal adjustments to entry requirements being triggered by the annual Admissions Board. Following the publication of Unleashing Aspiration: The Final Report of the Panel on Fair Access to the Professions, the GMC is involved in work to take forward its recommendations. We are aware that there are examples of innovation and good practice in medical schools (as highlighted in the State of Basic Medical Education) however we need to build a complete picture in order to fully reflect and report on the extent of progress being made. To assist in sharing examples of practice and innovation and inform the policy planning and development in the GMC Education Directorate please complete the following questions. 11. If the School has an alternative admissions route, which is specifically aimed at encouraging participation by students from diverse backgrounds please indicate how this differs from the standard admissions route (tick all that apply). NB: Please only include information that relates to the selection process, not activity that precedes this. Standard Adjusted Guaranteed Extended admission grade interviews degree route only requirements for specific intake groups If ‘other’, please provide a brief explanation. Not applicable 14 of 26 Ringfenced Other placed for specific intake groups 12. For the 2010/11 intake, please state how many applications were received for each alternative admissions route? Not applicable 13. And of these, how many were accepted? Not applicable Domain 5 - Design and delivery of curriculum including assessment 14. Describe any changes to the School’s overarching assessment strategy for the 2009/10 and 2010/11 academic years (250 words) [inc. TD 112, 113, 116-121]. Increasing use of single best answer questions in knowledge tests, increasing use of WPBA and formative e-assessment. 15. Please indicate in the table below the month of the School’s final summative examination. January February March April May June July 16. Please indicate in the table below the month during which students from the School graduate. May 17. June July For your final assessments: [TD 86, 89] a. Attach data of the statistical reliability of final clinical assessment/s in the 2009/10 academic year. b. Describe any specific changes to assessments that are planned or have been taken as a result of this statistical analysis. (250 words) No changes 15 of 26 18. If changes have been made to your assessment framework for the 2009/10 or 2010/11 academic years please attach the latest assessment blueprint/s for the final summative examinations for each programme. This should include the learning outcomes, assessment of knowledge, skills, and behaviour and the assessment methods (including the number and duration of stations/items for clinical assessments) [inc TD 86, 112-113]. Domain 5 supporting documents to attach - Please name and save submitted documents as in the bold text below, prefacing document titles with the document register number Statistical reliability scores data for the last academic years’ final clinical assessment/s. The current detailed assessment blueprint/s for the final summative examinations for each programme (if changes made in 2009/10 or 2010/11) 16 of 26 Document register no. Domain 6 - Support and development of students, teachers and the local faculty 19. If the School reported in the 2009/10 EAR (Q16) that all staff were not appraised for their education role, please provide an update on progress made to meet this standard. (250 words) [TD 128] 20. Please complete the following table to show: [TD 128] a. Training for staff members who teach students, including School/University, NHS and any other. b. The total number of staff in each category and the total number of staff members who have completed the training. c. Whether the training is mandatory or voluntary. d. How often training needs to be repeated, where appropriate. If a pre-populated cell is out of date, please check the box and complete the table with up to date information in all columns. Omit Equality & Diversity training as this is covered in Domain 3. Staff category Total number of staff in category Name of training Mandatory or voluntary? Total number of staff who have completed training After how many years does training need to be repeated? Please check box if prepopulated row is out of date Examiners 30 OSCE refresher Mandatory 30 1 (prior to each final exam period) X Too much data for table - not enough rows in table. Response in attached document no.7 (See Documents Register) 17 of 26 21. To assist us with sharing examples of practice please provide examples of good practice in the selection, support, training, and appraisal of teachers and trainers. We are particularly interested in examples of how teachers and trainers involved in educating students are i) selected and ii) appraised (250 words) [TD 128] The professional development spine uses small group teachers to run sessions with students weekly in years 1 and 2, and monthly in years 3 and 4. All tutors apply to become teachers: outlining their existing strengths as a teacher and their previous development as a teacher. They are also invited to ‘sit in’ in a PDS session to see if the style of teaching matches their abilities. All those selected from the application process are interviewed. The successful tutors under go an intensive training package. In the final session of this they are introduced to their buddy who is an existing teacher who acts as their informal mentor for the first year. All tutors are encouraged to attend further course specific and generic teacher raining during that first year. During their first year of teaching they also arrange an appraisal whereby a senior academic sits in on their teaching and then afterwards the teacher does a self assessment exercise and the two meet for a developmental conversation about the observed session and their teaching in general. All PDS tutors attend compulsory training 2-3 times per year and have a further appraisal every two years. This is a labour intensive activity but it has helped with both tutor retention and the quality of student feedback on their PDS tutors. Student Fitness to Practise Responses to the questions in this section will inform the policy planning and development in the GMC Education Directorate. [TD 27, 36-37 in D1; 127, 145-147 in D6]. 22. If changes have been made to your fitness to practise procedures for the 2009/10 or 2010/11 academic years please provide an update below. Please include a brief explanation of why the changes were made. (250 words) 2010/2011 - Our policy has been updated following the issuing of the 2010 Fitness to Practise guidelines. The number of people who consitute a full panel has been reduced in order to make it easier to convene panels whilst still keeping in line with the GMC requirements. The time line for submission of documents to the full panel has been lengthened in order to allow panel members more time to digest the information and request any additional clarification well in advance of the panel date. 23. What is the criteria, or what are the School’s arrangements for choosing external members of fitness to practise panels? (250 words) 18 of 26 We take recommendations from other medical schools and are selected on the basis of their experience of dealing with Fitness to Practise issues. 24. Do the University regulations: a. allow for a student to have legal representation at fitness to practise proceedings? Yes No b. at what stage of the process is this permissible? (250 words) It is permissible from the stage of an initial hearing through to completion of a full panel and also to an appeal if so desired. 25. In the 2009/10 EAR there were differences in the type of data recorded by schools about students’ professionalism and fitness to practise. We are interested in the range of different mechanisms and levels that exist to identify, record, monitor and respond to concerns that may ‘raise a serious or persistent cause for concern about their ability to continue on a medical course or to practise as a doctor after graduation’ [Medical students: professional values and fitness to practise 70-72; TD 146]. 26. Do the School’s arrangements and procedures include systematic recording and monitoring of informal concerns whether on academic or non-academic grounds, including ill-health or misconduct even if each specific concern does not itself trigger consideration by a fitness to practise committee or panel?[TD 145-146]. Yes No 27. Please use the flow-chart on the following page (Decision making chart for medical schools, from Medical students: professional values and fitness to practise 51) to answer the following: a. Please list the specific mechanisms that the School uses at the ‘student support and pastoral care’ stage (Box A), to consider and respond to concerns about student behaviour or health (for example meeting with teacher/tutor, meeting with student support lead, meeting with placement lead, consideration by university occupational health or School Health and Conduct Committee etc) Following the raising of concerns to the Medical School students will be required to meet with either a Welfare or Faculty Tutor to discuss the concerns raised. If it is felt necessary students with health concerns are referred onto Medical Student Occupational Health and they will report back if any adjustments are required. Where it is felt that students require further monitoring to ensure that the behaviours report don't become a pattern will be placed on close supervision, and this ensures that they are monitored on a regular basis. 19 of 26 b. At what stage (1, 2, or 3) are concerns about student behaviour or health recorded in writing? 1 2 3 c. At what stage (1, 2, or 3) are concerns about student behaviour or health held and monitored centrally by the medical school? 1 2 3 28. In reporting on student professionalism and fitness to practise concerns (such as in the EAR 2009/10) does the School report cases considered at Box A, or Box B in the following diagram? Box A Box B 20 of 26 21 of 26 29. Please indicate in the table below whether the School is involved in the consideration of the fitness to practise of foundation year one doctors. F1 doctors who graduated from your School Yes No F1 doctors in the local area who did not graduate from your School Yes No 30. If your School is involved in the consideration of the fitness to practise of foundation year one doctors, please explain what the role entails. (250 words) The Foundation School reports any Fitness to Practise issues to the Medical School and the Medical School follows the same procedures as for current medical students. 31. If the School does not consider the fitness to practise of foundation year one doctors, is the School informed of cases by deaneries and foundation schools? Local or linked deanery/foundation school Yes No Some cases Other deanery/foundation school Yes No Some cases 32. What trends, if any, has the School identified in student professionalism and fitness to practise concerns and cases? (250 words). Optional update from EAR 2009/10 (Q24). Not applicable Domain 7 - Management of teaching, learning and assessment 33. In the 2009/10 EAR some schools reported challenges in involving employers in curriculum planning and management. To assist us with sharing examples of practice please provide examples of employer involvement in the School’s structures for managing teaching, learning and assessment. Please also report any challenges that the School is experiencing with employer involvement. (250 words) [TD 151 – 153, and D8 165]. 22 of 26 We are developing good working relationships with all our partner NHS sites who employ 60-70% of our graduates. The final year team have worked closesly with the director of the local Foundation Programme in developing the new final year programme incorporating Assistanships. Through these initiatives we are increasingly focussing areas that will increase immediate preparedness for practice without compromising longer term educational goals. However it is not possible to consult with all employers as our graduates take up posts throughout the UK (and further afield). There is rational method for doing this however the Quality Assurance Unit is considering a "preparedness for practice" survey in colloboration with the Foundation School. Additional questions 34. Appendix 2 of Tomorrow’s Doctors 2009, paragraphs 5-7, explains what Article 24 of the European Directive 2005/36/EC says about basic medical education. Please list for each programme delivered by the School, how much of the requirement in Paragraph 6 is fulfilled in total and in each year or phase. NB: Separately list any ‘self-directed study’ in the Theoretical training column. Year/Phase 5-6 year programme Theoretical training (hours) Practical training (hours) Year 1 Year 2 Year 3 Year 4 Year 5 788 788 346.5 (Plus 31.5 SDL) 157.4 (Plus 31.5 SDL) 126 (Plus 157.5 SDL) 172 172 1039.5 1165.5 1039.5 Year/Phase 4 year programme Theoretical training (hours) Practical training (hours) 35. If in the School’s feedback from the GMC in August 2010, we specifically requested additional information or updates and this has not been explicitly addressed in Section B or Section C, please complete the relevant sections below: a. Outcomes for graduates b. Domain 1 23 of 26 c. Domain 2 Staffing changes: - Admin staff now 2.4FTE and academic staff 0.2FTE. New Sub Dean Quality started Sept 2010. Many processes are well established and internal reviews and audit (UCL IQR/SIFT site and annual monitoring are either in hand or have been completed. Developments include: - Upgrade of Opinio© database for quicker reports which allow greater intra-SEQ analysis - Redesign of all Phase 1 SEQs - Inclusion of core questions for all teaching to allow comparability of data and analysis of placement quality. - New certificate of merit for medical student teaching. - "No show" texting system for short notice teaching cancellations. Work in progress: - Review of whistleblowing policy and practices - Preparation for practice graduate survey - Patient engagement in QA. d. Domain 3 as above e. Domain 4 f. Domain 5 45. covered above 46. In the 2010/11 EAR please provide an update on: (a) The development of the curriculum plan (TD82). (b) The inclusion of diagnostic procedure 12 and therapeutic procedure 12 in the curriculum and assessment.(Question 44, outcomes for graduates, under diagnostic procedures and therapeutic procedures) ------(a) Please see attached document: 8 (See Document Register) (b) Please see Sec C (TAB 15. Outcomes compliance) g. Domain 6 24 of 26 63. UCL responded that legal representation was either ‘not applicable’ or had not occurred in its cases of fitness to practise. Please clarify whether students may have legal representation in proceedings but have declined to date or whether students are not permitted to have legal representation in proceedings ------Please see Domain 6 Qu 24. h. Domain 7 N/A i. Domain 8 j. Domain 9 N/A 84. In the 2010/11 EAR please provide an update on the development of a systematic approach to collecting information about the progression of graduates in relation to the Foundation Programme and postgraduate training (TD172). ------We have increased contact between the final year team and our local Foundation School with regular discussion regarding priorities. One of our partner Trusts (Basildon) recruits over 80% of its Foundation Doctors from UCL and is undertaking a two year comparison survey focussing on any changes in "perceived preparedness" resulting from the introduction the new final year curriculum in 201011. Ann Griffin, Sub Dean for QA, is discussing a systematic "exit" survey with the FS administrator for all our graduates at the END of their Foundation year. 36. Please identify any innovations the School is piloting or potential good practice that it would like to report, particularly successes or effective actions taken in implementing Tomorrow’s Doctors 2009 to potentially share with other schools. (500 words) 37. Please tell us about any risks or challenges related to the implementation of Tomorrow’s Doctors 2009 (500 words). You must also complete the worksheets in Section C to indicate your current compliance against the criteria and outcomes in Tomorrow’s Doctors 2009. The worksheets also ask for updates on student profiles, progression and fitness to practise cases, and placement data. Please follow the instructions on the worksheets. Thank you! 25 of 26 Please note that only your responses to Section A may be published on the GMC’s education website pages. Deadline: Friday 14 January 2011 for: Section A - Requirements & Recommendations - for all schools except those reviewed by QABME in 2009/10. Section B (Word) - EAR Update Section C (Excel) - Worksheets If you have any queries about any aspect of the EAR, please contact Alison Lightbourne or another member of the quality team in the first instance at quality@gmc-uk.org, 020 7189 5450. 26 of 26