Being an ES
Andrew Skinner
James Cook University Hospital
STC chair
Being an ES
• Good supervision is essential
• Support
• Advice
• Revalidation
• Not Friendship
So we need good ESs
• Trained
• Approved by your DME - the GMC is keen on
this
• E&D - and selector training, ARCP training,
appraisal training and so on would help us a
lot
• Something else, ideally the deanery approved
course
• Good practice in Educational Supervision you may even see me there.
The basics
• Arrange to meet them
• Meet them!
• Cover the essentials
• Get them to document it
• You check it
• They upload it to their E-portfolio
• Meet them within 2 weeks
• Somewhere safe
• Plan all aspects of their training over the
attachment
• What can they sign off in this attachment?
• What assessments do they need?
• MSF every year plus for every ICM attachment
- BOTH!
• Audit or something equivalent
What else?
• Basically are they OK?
• Look at their appraisal, ARCP and anything
from their last place
• Ask them
• Are their plans and ideas realistic?
• Where are they heading in the next few years?
• Do you need to make changes and
adaptations to support them?
• Be kind
• Be supportive
• There is no need to make friends
• Actually it might be better not to BUT
• You must be trustworthy and honest for them
• You need to be available always and meet
from time to time - documented meetings
• You need to actively make certain they are OK
• You need to be a conduit for any events and
opinions in the department
• You don't need support for routine meetings
but both parties might consider it…
• The school is there to help – honestly
•Especially if there is anything at all amiss
•We need to know
•Progress, health, stress – anything – esp. time off
• All of the curriculum needs WPBAs mapped to
key learning outcomes in the curriculum
• ICM Annex F needs a large number of
competencies but now can use evidence from
anaesthetics
• Make sure they've read the Gold Guide and
the relevant bits of the curriculum - it is their
training after all
• The rules on time and non AL / SL have
changed
•
There are four bits:
•
Basic
•
Intermediate
•
Higher
•
Advanced
They are all separate
Finally
• At the end of an attachment there is an end of
attachment form (paper and a pilot)
• Unless it is pre ARCP, when it is the ESSR and
electronic
• The trust will send to the PSU any significant events
• You should already know about these and it is worth
commenting on the forms, especially if they are
closed, because the PSU isn't full of anaesthetists
CT1
• Are they registered with the college?
• In an MDO?
• In a trades union (IMHO)
• Plans for the IAC or if they've done that do
they have a certificate? Have the school and
the RCoA got copies?
CT1
• Are their plans for the primary sound?
• The college suggests not taking the MCQ
before the IAC
• Have they any idea how much time a
postgraduate exam takes?
CT1 & 2 - Will they get an ST job?
• BLTC and the whole CT curriculum - without this they
simply lose the job. Obs is essential. They cannot finish it
off in ST3
• Google Anaesthetics Portfolio 2013 Self Assessment
Criteria
• Audit? Managed a big project, closed the loop? Read the
guidance. More than one a year scores
• Presentations other than audit? Ideally regional meetings
or better, more than one a year
• Teaching - consistent and at a high level. Feedback or
evidenced?
• ALS plus two more (this is a change)
• Primary before 12/12 (this is a change)
Actually of course they will!
But there are popular UoAs
ST3 & 4
• All the above but
• Are they going to get the final?
• Will they get it early so they can move on to
their CV?
• S/L if they've not done neuro and cardiac to
see it done, probably paeds too
• Tons of work - really. Do they have a plan?
Courses? The right books?
ST3 & 4
• Have they got a BLTC? Do the college and
the school both have a copy?
• Are they registered as an intermediate trainee
with the college?
• Do they have a good plan to do all the
curriculum?
• What can they sign off in your unit?
ST5, 6 & 7
• They must have the hang of it now but
• Make sure the college and the school have a
copy of their ILTC
• They must have had a projected CCT date
from the college, in writing and the deanery
and the school must each have a copy
• Make sure they have realistic plans for the
curriculum
• and for their CV
Essential units ST5, 6 & 7
Anaesthesia for neurosurgery, neuroradiology and neurocritical care
Cardiothoracic anaesthesia and cardiothoracic critical care
General duties
Airway management*
Day surgery
ENT, Maxillo-facial and dental
General, urological and gynaecological surgery
Management of respiratory and cardiac arrest*
Non-theatre
Obstetrics
Orthopaedic
Regional
Sedation
Transfer medicine
Trauma and stabilisation
Vascular surgery
Intensive care medicine
Paediatrics
8 of the 13 General duties units need to be completed
* Means essential so these two and six more
Optional units ST5, 6 & 7
• Pain medicine
• Ophthalmic
• Plastics/Burns
• Anaesthesia in developing countries
• Conscious sedation in dentistry
• Military anaesthesia
• Remote and rural anaesthesia
•
•
•
•
•
Do they know what they want to do?
Where?
Look at consultant job adverts on NHS jobs
What will they put in the boxes?
Tell them to write an ideal application and
spend the rest of their time making their CV fit
it
• Make sure they don’t click on “send”!
• Will they get a job and will it be one they want
• Management course
• Current ALS, perhaps others
• Attended a research methods course
• Sign off the professionalism bits of the
curriculum
Advanced year
• This is new (well newish)
• 12/12 of advanced training
• ST6 & 7
• Few new clinical skills
• It is for the CV not the curriculum
• Emphatically it is not to catch up
• It really needs to be done by end of ST6 so
the work done is coming to fruition by job
applications
• It means good projects not simply gassing
• You can do most things with the school's
support
• It isn't simply the old fellowships, most of these
are simply part of a general duties module
Advanced year
•Domain 1 – Clinical practice
•Domain 2 – Team working
•Domain 3 – Leadership
•Domain 4 – Innovation
•Domain 5 – Management
•Domain 6 – Education
Advanced options
•Anaesthesia for neurosurgery, neuroradiology and neurocritical care
•Cardiothoracic anaesthesia and cardiothoracic critical care
•Intensive care medicine
•Obstetrics
•Paediatrics
•Paeds ICM (they need urgent help!)
•Pain medicine
•Plastics/Burns
Everything else is in general duties
General duties
•Airway management
•ENT, maxillo-facial and dental surgery
•General, urological and gynaecological surgery
•Hepatobiliary surgery
•Vascular
•Day surgery
•Sedation and conscious sedation in dentistry
•Orthopaedics
•Regional
•Trauma and stabilisation
•Transfer medicine
“Several” “at least two”
ARCPs
• Trudie will talk about them in detail
• Outcomes 1-6, 7 and 8
• The bad outcomes are 6 and 1 unless you are
really really ready
• All on evidence and only evidence - you
cannot come and plead
• They are the formal assessments of progress
to a tenured job with a good salary
• So they will be formal and searching
• We dress properly and I think they should
• They cannot be a stranger to the curriculum
but neither should they be a stranger to ironed
shirts and tidy dress.
• They are all face to face now
• We can clarify and advise
• We do not need to reconvene if we've seen
them
• If you have any doubts at all contact us - the
surprise bad outcome is really bad
• Evidence of remediation is not taken as read
• We need to know about any leave that isn't
annual leave or study and professional leave it all tots up now
ARCPs - your job
• Is to verify that the evidence is correct
• Summarised on the ESSR form
• Confirm as far as you know the revalidation
questions
• Which you will know if you and your dept are
working properly
It sounds worse than it is!
• But the standard of ES supervision and
support, especially the honesty and integrity, is
key to attracting both trainees and new
colleagues