School of Surgery
Induction Day
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ISCP Session
Overview
• ISCP aims and benefits
• Roles and responsibilities
• ISCP website
• Learning Agreements
• Syllabus
• Assessment and logbook
• Reflective Practice
• The ARCP
ISCP Aims
• Structured and supervised framework
with definable endpoint
• Clear standards
• Fully integrated assessment system
• Approved by SACs and the GMC
• Promote professionalism
• Patient safety and improved care
Trainee benefits
Mandates:
• Consistent training experience
• Interaction with trainer
• Educational feedback from trainer
• Training of trainers
• Clearly defined syllabus
• Portfolio of evidence
Trainee responsibilities
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Engage with the ISCP
Takes responsibility for own learning
Triggers WBA frequently
Exploits learning opportunities
Attends educational programme
Undertakes the learning agreement with the AES
Raises issues and difficulties promptly
Conducts self-directed learning
Keeps an accurate and up to date portfolio
Trainer responsibilities
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Undertakes training and is qualified for the task
Engages with the ISCP
Provides induction and supervision
Ensures consent and patient safety in relation to
trainee performance
Provides appraisal to curriculum standards
Monitors progress, mentors and guides
Assesses, provide formative feedback, validates
assessments
Reports on progress
Identifies concerns and addresses issues
Supervision
Programme
Director
Assigned
Educational
Supervisor
Trainee
Clinical
Supervisor
ISCP Website
Dashboard prompts
Trainee profile
Placements
Learning Agreement
Learning Agreement
• Objective setting
• Interim Review
• Final Review
• AES Report
Syllabus
Syllabus skill levels
Core Knowledge Texts
Assessment system
Determines whether trainees are meeting the standards of competence
Learning Agreement
Assigned Educational Supervisor (AES) Report
Workplace-Based Assessment + Logbook
AoA CEX / CBD / DOPS / MSF / OoT / PBA
Courses: ATLS / APLS
Annual Review of Competence Progression (ARCP)
MRCS Examination
FRCS Examination
WBA methods
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Clinical Evaluation Exercise - CEX
Case Based Discussion – CBD
Direct Observation of Procedural Skills – DOPS
Multisource Feedback - MSF
Procedure Based Assessment – PBA
Observation of Teaching – OoT
Assessment of Audit – AoA
Non-Technical Skills for Surgeons - NOTSS
WBA principles
• Assessments for learning
• Trainee driven
• Also trainer guided: the number, type, setting, level etc.
should be agreed with your AES as part of the LA
• Standard is at the end point of a stage
• Mapped to the curriculum
• Forms prompt dialogue and capture feedback.
• At least 40 WBAs per year.
• The portfolio contributes to AES overall assessment for
the ARCP
• Assessment of professionalism
CBD
• Uses medical records as the basis for a structured discussion
to explore knowledge, judgement and clinical reasoning in the
management of challenging cases.
• Covers a range of clinical problems relevant to the stage of
training and the specialty.
• Includes reflective writing.
• Assessed by the AES, Clinical Supervisors, other consultants
and senior StRs
• Takes about 15-20 minutes for discussion of the case and 510 minutes for feedback
• Appropriate settings include case presentations, outpatient
clinics, A&E (especially if not admitted)
CEX
• Observed trainee-patient clinical encounter
• Evaluates the trainee’s ability to take a history, examine,
reason, organise and communicate
• Assessed by the trainee’s current AES, other consultants,
senior StRs and staff grades and other senior health care
professionals
• Takes about 15-20 minutes for the discussion and 5-10
minutes for feedback
• Appropriate settings include clinic, breaking bad news in
planned settings, ward, A&E, Dealing with a patient/relative
who has a complaint
DOPS
• Observed short, diagnostic and interventional procedures
during routine surgical practice
• Covers patient safety, preparation, operative technique,
communication and documentation
• Available for most index procedures in core training
• As training progresses DOPS are superseded by PBAs
• Assessed by the trainee’s current AES, other consultants,
senior StRs/staff grades and other senior HCP
• Takes about 15-20 minutes for the discussion and 5-10
minutes for feedback
• Settings include ward, out-patients, A&E, theatre
PBA
• Observed assessment of advanced index procedures.
Usually in theatre, scrubbed.
• Covers patient safety, consent, pre-operative planning
and preparation, exposure & closure, intraoperative
technique and post-operative management
• Assessed by the current AES, other consultants and in
some specialties, senior StRs depending upon level and
the complexity of the procedure.
• Takes about 10-15 minutes for the discussion and 5-10
minutes for completion of the form
MSF
• Uses the trainee’s self-assessment and the collated ratings from
a range of members of the multidisciplinary team from different
grades and settings
• Evaluates clinical care and professionalism in a team-working
environment, mapped to the standards of Good Medical Practice.
• One MSF in each year of surgical training.
• The current AES must be a rater.
• Trainee chooses at least 12 (minimum 8) from different grades
• Raters need to have read the guidance notes form.
• Takes approximately 5-10 minutes to complete the form.
• Trainee must meet with the AES to discuss the feedback and
complete the process.
Teaching & Audit
Observation of Teaching
• Assesses trainee’s formalised teaching
• Assessors can be any doctor with suitable experience
Assessment of Audit
• Provides feedback on trainee’s completed audits, when
submitted for review
• More than one assessor should take part
• Assessors can be any surgeon with appropriate expertise
WBA process
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Agree with the assessor in advance
Ensure assessor is trained in the tool and expert in the task
Draw on different assessors, settings and cases
Ensure patient safety and consent
Prepare and reflect in advance
Make sure your assessor gives you feedback
Upload ratings as soon as possible with your own comments
Reflect on your feedback and undertake any actions
Ensure your assessor validates your assessment
Surgical elogbook
https://www.elogbook.org/
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Registration required
Record of all operative procedures
Builds a record of operative experience
Records level of involvement and supervision level
Respect for confidentiality of colleagues and patients
Consolidated reports can be viewed within the ISCP
Logbook levels
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Observed (O)
Assisting (A)
Supervised – trainer scrubbed (S-TS)
Supervised – trainer unscrubbed (S-TU)
Performed (P)
Training more junior trainee (T)
Reflective practice
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Purposeful use of experience to improve practice
Requirement of the curriculum
Evidence section
WBA comments
MSF Self-assessment
Case-Based Discussion (CBD) reflective writing
Personal Development Plan
Journal
Must respect confidentiality of colleagues and patients
ARCP
• 40 WBAs of different types linked to Learning Agreement
• MSF
• Evidence section – exams, courses, projects,
publications, research etc.
• Audit / Quality Improvement project
• Surgical logbook
• Clinical Supervisor comments
• Learning Agreement
• AES Reports
• JCST trainee survey