Postgraduate Medical Education Meeting
Held on 14th October 2014
at 5.30 p.m in the CSB
Present
Marius Holmes
Maggie Allen
Ed Simmonds
Pijush Ray
Shabin Joshi
Giles Pattison
Ausama Alaani
Asad Ali
Dorothy Apakama
Atul Bansal
Christopher Bassford
Shabin Joshi
Krishna Ramachandran
Nihal Abosail
Louise Forrest
Apologies
Sailesh Sankar
Marie Midgley
Waqar Ayub
Kim Neuling
Shirish Dubey
Ilan Khan
Chair/Clinical Tutor
Associate Director Education, Research and Professional Development
Clinical Tutor
Deputy Clinical Tutor Foundation Year 1/GIM Training Committee
Lead Neurosurgery
Lead T&O
Lead Respiratory
Lead Emergency Medicine
Lead ITU
Lead Anaesthetics
Lead Acute Medicine
Lead Endocrinology/CMT
Secretary/Manager Medical Education
Lead Renal
lead Paediatrics
Lead Rheumatology
Lead Geriatrics
Minutes of previous meeting
Minutes of the previous meeting were approved
Matters Arising
Dr Bansal noted that he had attended the last meeting but his name had been missed off the list of
attendees.
HEWM Visit and Reports
Acute Medicine Action plan
The Acute Medicine department now have meetings every two weeks, this has had mixed results
due to clinical commitments. Acute Medicine has just taken four new appointments. Dr Simmonds
has created an action plan and is willing to attend one of the department meetings to go through the
plan. Acute Medicine has a QUIPS meting the first Tuesday of each month which junior doctors can
attend.
Action Ed Simmonds
CMT/GIM Deanery Visit
There will be a level two CMT/GIM Deanery visits on the 13th of November. All specialities relating
to CMT and GIM need to be made aware of this. Consultant, CMT trainees and SPR’s will need to
attend. Louise will need copies of each departments Induction packs, registers and a copy of the
minutes from departments Doctors Forums.
Emergency Medicine Deanery Visit
There will be an Emergency Medicine Deanery visit on the 26th November again all Consultants and
trainees need to be made aware of this visit and be available to attend. Induction packs, registers
and minutes from doctor’s forum will need to be collated.
Radiology Deanery Visit
There will be a radiology Deanery visit on the 16th of December again and all Consultants and
trainees need to be made aware of this visit and be available to attend. Induction packs, registers
and minutes from doctor’s forum will need to be collated.
There will also be an Ophthalmology visit on the 30th of June which will be discussed at the next
PMEC meeting.
Acute Medicine Level 4 Visit is likely to be in February 2015.
Action All
GMC Survey Results
The results of the GMC survey have been collated now. Ed, Marius and Bogdan have developed
individual breakdowns which they are sending around to the Educational Leads. As always the
results are mixed. Compared with previous years the Trust has maintained its numbers of green
flags. Some specialties have achieved a number of green flags and are to be commended for their
efforts. However, unfortunately for the first time the Trust has a red box in its overall results
showing that the Trust’s performance is in one of the lowest areas in the country. Looking at this
result in more detail, trainee dissatisfaction appears to be around the informal feedback that they
receive from senior clinicians on how they were doing in the post. On this question trainees rated
the Trust as ‘never’ or ‘rarely’ providing this type of feedback. On the other two questions relating
to this topic the results were not so bad. The questions being ‘Did you have a formal meeting with
your supervisor to talk about your progress in this post?’ and ‘did you have a formal assessment of
your performance in the workplace in this post?’. The main failure is to give clear recognised
informal feedback to trainees. Clearly this is an area that the Trust needs to address across the
board and Ed has asked Catherine Bennett from Warwick University to provide workshops to help
address this issue.
In general where red flags have occurred it has tended to be on the following topics - clinical
supervision, induction, overall satisfaction and adequate experience. A full breakdown of the
questions related to each of the topics can be found on the Medical Education website.
It was noted that a number of specialties had more than 3 red flags for their training. These are
likely to be picked up by HEWM for monitoring visits and the Clinical tutors will be working with the
Educational Leads in these areas as a matter of priority so that efforts can be made to address the
areas of concern.
A JEST and GMC Action Plan and progress report sheet has been forwarded to all departments which
Consultants should complete if a problem has been brought to their attention. This will indicate to
the Deanery that problems are being recognised and action plans are being put into place. The
questions which trainees are asked are on the web site and Dr Holmes will e-mail copies out to all.
The committee discussed that they should make time to give trainees recognised informal feedback
on a regular basis. The committee did recognise due to time and being understaffed this can
sometimes be a problem. Anaesthetics already have a list of questions they send around to their
trainee doctors. This could be done in each department and would pick up any problems and give
the trainees a chance to air their views.
Action All
Specialty Induction
The Trust needs to develop a more robust system for identifying who within each specialty is the
lead for organising the specialty induction and ensuring that all trainees are given a specialty
induction. This lead needs to ensure that all trainees sign a register and a copy of this is sent to Ruth
Cottrell in the Medical Education office so that the information can be put onto ESR.
Action ALL
Trainer Accreditation
Trainers have been registered on HEWMs database INTREPID. There is only one Educational
Supervisor that needs to be registered. If no clarification has been give to Bogdan in December the
trainer will no longer be able to be an Educational Supervisor. The Trust has two years to set up
systems which will ensure that all trainers achieve full accreditation status and this is clearly
documented and monitored. To achieve this all trainers will need is to have their roles formalised in
their job plans and be able to demonstrate at their appraisals that they have undertaken the training
and work required to retain their status as educational/clinical supervisors. It is thought that
Medical Education will input this information on INTREPID.
Grey Wednesday
Dr Simmonds explained to the committee the concept of Grey Wednesday. This was been piloted in
the UHCW NHS Trust last year and worked well. All Foundation level 1 trainees will spend one day in
their new post before rotating. This is to ensure the trainees are familiar with their duties, members
of staff and layout of the ward.
Dates for PMEC meetings in 2014
Wednesday December 10th
12.30 p.m. in CSB - LUNCH PROVIDED