FSRH 27 Sussex Place London NW1 4RG www.fsrh.org educationofficer@fsrh.org +44 (0)20 3198 3180 +44 (0)20 7724 5620 Application for recertification of Faculty Registered Trainer (FRT) status Interim arrangements - recertification of Faculty Registered Trainer status As of 1 January 2015 FRT recertification will be required through these revised regulations. The General Training Committee will continue to recognise GP Trainers that hold Faculty qualifications who have applied for an FRT number, provided they continue to be recognised by the RCGP as trainers. All other FRTs (who are LoC MEd and PGA holders or who have been recognised by the equivalency route) will continue to require recertification of FRT status on a 5 yearly cycle. This will replace the requirement to recertify LoC MEd. Full Name: Address: Email address: Name under which GMC registration held (if different from the above): GMC number: Recertification requirements: • • • • • Hold a current license to practice from GMC. Each yearly subscription paid when due. Recertification of primary qualification up-to-date. 50 credits in core SRH (in this total you may count the credits used to recertify your primary qualification). 10 credits for participation in approved training in adult educational techniques including those approved by other Colleges (RCOG/RCP/RCGP/RCN) Page 1 of 6 PLUS Evidence of at least 15 teaching activities over 5 years, to include: 1. At least 5 work based assessments, a minimum of 3 of which should be related to sexual and reproductive health. Work based assessments might include the following (list not exhaustive): • • • • An initial or final assessment for DFSRH. An ACP or COT assessment. An RDCP or DOP assessment. Making an assessment for LoC SDI or IUT or other practical skill, e.g. cytology sample taker. Evidence required for a work based assessment: Name of trainee, place and date of assessment, type of assessment. 2. At least 1 peer observed teaching session in the 5 year cycle. This may be from any teaching scenario (work based assessment, one–to-one or small group teach, presentation etc.) led by the FRT which has been observed by a colleague selected by the FRT as being someone who can give them appropriate feedback on their teaching. Evidence for a peer observed teaching session: Name and signature of observer, place, date and description of teaching scenario. The peer feedback may remain confidential between the observer and the observed. The purpose of the exercise is to look at ways to develop teaching skills, and it should not be seen as an assessment of teaching that must be passed. The FRT should discuss what aspects of their teaching they particularly wish feedback on before the observation, and time should be made available soon after the observation for a private discussion between the observer and the FRT. See Peer Observation of Teaching: Supporting Notes. Page 2 of 6 3. At least 3 examples of teaching a group of learners. This might be a small group (at least 2) or a formal presentation. Evidence of teaching a group: Date, place, brief description of teaching session, feedback from learners. This may be collected on Reflective Practice: Notes and Resources or a form devised by the teacher. 4. At least 3 written reflections on any teaching delivered during the 5 year cycle. (These may be in any category of teaching and should describe teaching undertaken in addition to those submitted under sections 1-3.) Evidence of reflection: Date, place, description of teaching session, feedback from learner(s). This may be written on Reflective Practice: Notes and Resources or in a format of the FRT’s choosing to cover the same areas. 5. At least 3 additional teaching activities which may include any of the following (list not exhaustive): • • • • • • • • • Teaching a practical skill – e.g. session with a LoC SDI/IUT trainee, teaching how to take a cervical cytology sample etc. Further work-based assessment as described in section 1. Giving a presentation on an SRH or medical education topic. Teaching or facilitating a small group or workshop on an SRH or medical education topic e.g. Course of 5, PGA Med Ed (SRH) course group session. Writing an assessment e.g. SBA or OSCE which is accepted for MFSRH or DFSRH. Making an assessment of a trainee as part of the formal CSRH specialty training programme or a Faulty Special Skills Module. Making an assessment as a clinical teacher or educational supervisor for a specialty trainee e.g. GP, O&G, GUM etc. A teaching session led by the FRT which has been observed by a peer and discussed afterwards. Observing a peer teaching and then giving feedback to the teacher. Evidence required: Date, place, description of teaching session, feedback from learner(s) and/or reflection by FRT. Page 3 of 6 Submission of evidence Evidence of teaching and education should be collected, but does not need to be submitted with your application. 10% of all applications will be randomly selected and required to submit their evidence. Please complete your record of activity below. Record of education: Please complete the table below to include 50 credits in core SRH and 10 credits for participation in approved training in adult educational techniques. If you are claiming 50 CPD credits from recertification of your FFSRH/MFSRH qualification, please tick here: Date: Type of activity: CPD credits claimed: TOTAL: Record of teaching activities: 1. At least 5 work based assessments (a minimum of 3 related to sexual and reproductive health): Name of trainee Type of assessment Place Page 4 of 6 Date 2. At least 1 peer observed teaching session in the 5 year cycle: Name of observer Signature Place Date Description of teaching scenario: 3. At least 3 examples of teaching a group of learners: Date Place Brief description of teaching session Feedback from learners: Reflective Practice: Notes and Resources 4. At least 3 written reflections on any teaching during the 5 year cycle: Date Place Description of teaching session Feedback from learners: Reflective Practice: Notes and Resources 5. At least 3 additional teaching activities: Date Place Description of teaching session Feedback from learner(s) and/or reflection by FRT: The FSRH reserves the right to validate the detail provided. Page 5 of 6 My main NHS employer is: GPs are requested to provide surgery address: Data Protection: The Data Protection Act (1998) requires organisations or agencies collecting personal data on individuals to gain their consent before collecting, storing, publishing or analysing their data. By completing and signing this application form you are giving your consent for your data to be stored on databases used by the Faculty of Sexual and Reproductive Healthcare (FSRH) of the RCOG for the purposes of administrating its membership database. All data will be treated with the strictest confidence and will only be used for legitimate FSRH purposes. SIGNED: DATED: Please return your completed application to: The Education and Training Officer FSRH 27 Sussex Place London, NW1 4RG. Page 6 of 6