KSS GP DEANERY First Application Guidance to the process for New Trainer Selection and PG Certification Overview of the Application Process Eligibility Criteria Doctors wishing to become accredited trainers in KSS must have MRCGP and Have undertaken a minimum of one 4/12 FY2 placement or Participated in supporting the FY2 CES role locally Where neither of the above criteria has been met a potential trainer must be able to demonstrate they have undertaken sufficient practical teaching, under the supervision of an established educator, to put into practice the learning on the GP educator pathway modules. This must include some reflections on their activity as an educator. KSS GP Trainers must also undertake a Postgraduate Certificate in Education which is incorporated within the modular training. Assessing Eligibility As a potential trainer you are advised to read the GMC Standards for GP Specialty Training, the First Application Self Evaluation Questionnaire (SEQ), the GP Educator Review and Appraisal Document and seek advice as appropriate if you have concerns over any aspect of your application with your patch Associate Dean. Associate Deans can be contacted through the Patch Manager. As a potential trainer you will need to contact the local KSS GP Deanery Patch Manager to initiate the application process. An Educational Experience Form will first need to be completed and returned to the Patch Manager. Where you have undertaken a FY2 placement or participated sufficiently in the FY2 CES role, eligibility to proceed will be granted by the Patch Associate Dean Where you have not undertaken either of the above FY2 educational activity the Patch Associate Dean will explore your experience with you and others as appropriate prior to a decision being made on eligibility. Once a decision has been made that you are eligible to continue you will then need to complete the Self Evaluation Questionnaire for New Trainers. Completing the Self Evaluation Form Guidance is provided on how to complete the Self Evaluation Questionnaire (SEQ) (Doc No 4). In summary you will be asked to draw on your experience of working with learners to demonstrate how you have been developing your skills. You will also be asked what you have planned to put into place in order to support the training of GP Specialty Registrars. You will need to compile a portfolio of evidence to support your application. The SEQ document and accompanying mandatory evidence sheet (Doc No 7) will assist you with this process. 533567002 1 of 8 Created by Dr Hilary Diack – April 2008 Revision Date: Feb 2010 You will need to submit all the mandatory and additional evidence required with your self evaluation questionnaire. This will include a completed reflective template on a video of a teaching session with a learner (Document 6 - New Trainer video instructions). The SEQ will also count towards attainment of the PG Cert and the areas are appropriately marked on the SEQ document. The SEQ will need to be returned to your appropriate patch manager. You are asked to submit these documents by email. The patch manager will also co-ordinate with your practice to arrange a practice visit. Reviewing the competencies of a GP Educator (GP Educator Review and Appraisal Document) In preparation for the visit, you should review the competencies of a GP educator in KSS, read the descriptors and make a self rating. Base this on critical reflection of your experience to date as an educator and by reviewing the portfolio of evidence you have collected to support your application. Please do not feel you need to be competent in all areas at this stage of your career as a GP educationalist, this would not necessarily be expected. Once you have thought about your current performance please consider how you might further develop your skills At the practice visit your patch Associate Dean will discuss your development and help you to generate a PDP for the coming year. Your development as a GP educator will be reviewed as part of subsequent re-accreditation processes The Practice Visit Accreditation as a trainer involves both the accreditation of the individual trainer and the learning environment. Accreditation visits for new trainers in existing training practices As an existing training practice, you would normally be visited solely by your Patch Associate Dean who will conduct an in depth interview based around the SEQ and the supporting portfolio. However, depending on the time lapse between the last visit to your practice and the nature of the recommendations from that visit, or if any major structural changes have occurred in the practice, your patch Associate Dean may wish to be accompanied by a Practice Manager. In both cases a report will be completed and submitted to the GP Trainer Selection Committee (TSC) Accreditation visits for new trainers in non training practices As a practice that is new to training, the visit will be: Undertaken by your patch Associate Dean and a Practice Manager from another Training Practice. A report will be completed and submitted to the GP Trainer Selection Committee (TSC) No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 2 of 8 Revision Date: August 2011 Proposed format of the visit by Associate Dean and a Practice manager The practice visit should last approximately 3 hours The mandatory information should have already been supplied ahead of the visit but you will need to provide supporting evidence detailed below for review at the time of the visit. The Associate Dean will conduct an in depth interview based around the SEQ and the supporting portfolio together with the evidence collected pertaining to your previous experience in general practice based education. He/she will review with you your video of teaching and your reflection on it. The Associate Dean will also undertake an educational review of your Self Evaluation of your competencies as an educator and help you to develop a PDP for the coming year. The Practice Manager will undertake a tour of the Practice premises using the opportunity to engage key members of the practice team in dialogue. These members must include the other doctors, the practice nurses(s), the reception and administrative staff, and other staff where possible. Please make sure members of clinical and administrative staff are available to talk to the Practice Manager. The Practice Manager may wish to review various administrative protocols so you should plan to have these available (details of the likely documents to be reviewed are summarized below) The visiting team will meet with you and your practice manager to discuss their findings and give you feedback and where appropriate recommendations for further development. Some of these recommendations will be mandatory, others, suggestions. Proposed format of the visit by Associate Dean alone The practice visit should last approximately 3 hours Some documentation will have already been supplied ahead of the visit but you will need to provide supporting evidence detailed below At the start of the visit the Associate Dean will hold a brief meeting with you and your practice manager. The format of the visit and roles will be discussed The Associate Dean will conduct an in depth interview based around the SEQ and the supporting portfolio together with the evidence collected pertaining to your previous experience in general practice based education. He/she will review with you your video on teaching and your reflection on it. The Associate Dean will also undertake an Educational Review (Doc 5 – GP Educator Review & Appraisal Document) which will include the review of your Self Evaluation of your competencies as an educator and help you to develop a PDP for the coming year. The Associate Dean will meet with you and your practice manager to discuss their findings and give you feedback and where appropriate recommendations for further development. Some of these recommendations will be mandatory others suggestions. No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 3 of 8 Revision Date: August 2011 Other Supporting documentation that may be required at the time of the visit:In addition to the evidence supporting the Self Evaluation form and PDP the visitors may wish to review: Administrative based protocols – for summarizing notes / data entry Administrative protocols relating to prescribing policies Evidence of staff appraisal and PDPs The practice Business Plan and Professional Development Plan Complaints procedures / SEA meetings Evidence to show how actions have been taken to address issues raised in Patient Satisfaction Questionnaires Clinical prescribing protocols / formulary Evidence from PCT on prescribing / Referrals In house Clinical Governance protocols Details of patient services provided in house or how services are commissioned by the practice for preventive care / child health promotion / child health surveillance and minor surgery Record of practice administrative and clinical meetings Review of workload / policies relating to use locums / cover for absent doctors Home visiting policy / how provision is made to try and ensure continuity of care Accreditation by the Trainer Selection Committee (TSC) A visit report will be completed and shared with you before onward submission to the TSC which discusses all applications for accreditation and re-accreditation. The TSC will make a recommendation as to your application to become a GP Trainer to ensure that you have met the trainer standard. This process takes place prior to being marked for the PG Certificate. Where the application is supported this decision will be shared with KSS GP School Board for final ratification and you will receive written notification of your appointment. Where the application is rejected the Associate Dean will provide feedback as to the reasons for this decision. Applicants can be supported in a further application process once areas of concern have been appropriately and adequately addressed. Applicants who are not selected have a right of appeal through the Deanery appeals procedure. New Trainers are initially accredited for two years. Within the two years following initial accreditation a trainer is visited by the Patch associate Dean on a “solo Visit” to meet both trainer and trainee to review your first experiences as a Trainer. Second and subsequent reaccreditations are for a five year period and would not normally involve a practice visit but involve the completion of the Trainer Re-accreditation SEQ together with submission of the required evidence. Guidance will be issued by your Patch Manager at the appropriate time. Postgraduate Certificate in Education As a separate exercise, the New Trainer SEQ will be marked by a Patch Associate Dean and Academic Mentor external to your area. The SEQ will then be sent to the University Board of the Univesity of Kent for approval. Final approval is ratified by the Unviersity of Kent Examining Board. No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 4 of 8 Revision Date: August 2011 Appendix 1 New Trainer Accreditation Requirements for supporting evidence In order to support your self assessment questionnaire, you are required to submit the following documentation. This evidence will then be used to support your application to become a trainer. Please return this form together with the undermentioned documentation to your appropriate Patch Manager electronically. This evidence needs to reach us 10 working days before your visit *** Please number and name your documents as listed below and clearly identify any supporting evidence *** Submitted? Yes / No / TBA Mandatory Documentation To assist those new to training, we offer guidance on the documents that need to be submitted with your application. It may assist you to set up a Training Folder for you and your Practice Manager in the future. We do however appreciate that the clinical systems vary. 1 Induction timetable for a GP registrar in your practice Suggestions for a timetable are given at the end of this document. 2 Planned normal working timetable for the registrar This will form Appendix 1 of the Contract of Employment. Please note that the timetable will be determined by whether on full or part time training, whether at multi sites and will include half day study leave. 3 Registrar Check List This is the list you will use as part of Induction to ensure all processes are covered including pre-employment checks 4 Absence management plan A suggested format is given at the end of this document 5 Significant event analysis involving a learner Please provide an example where a learner has had an opportunity to learn from either an error, an example of less than best management of a case or a complaint. 6 Your record of teaching and learning to date with other learners 7 o o 8 9 QOF visit report SUMMARY only confirming maximum administration points 90% point score achieved in clinical areas Practice QoF administrator advised to save/print points report as at 1 April for submission with accreditation documentation. Information available automatically via Population Manager QMAS. Your own Patient Satisfaction Questionnaire (PSQ) If you do not undertake an individual PSQ, this evidence could be provided by the practice complaints audit which is reviewed annually for learning outcomes for QoF purposes. Please also include the record of the learning outcomes arising from your/the practice PSQ as discussed with the PCT or patient representative.(as provided for QOF) Timetables, learning logs from any previous learners 10 Form 4 / PDP – NHS Appraisal 11 Personal reflection using the video reflection template of a video of teaching a learner (including peer review if obtained) 12 GP Educator Review & Appraisal Document – partially completed 13 Equal Opportunities and Diversity Course copy of certificate from the on-line provider provided or confirmed by Patch Manager 14 On line training module for Foundation work place based assessments – please log into: www.etft.co.uk. Copy certificate available on completion of all modules. No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 5 of 8 Revision Date: August 2011 15 Completed FY2 Exit Interview (if appropriate) – Document 13 GMC Survey Results, FY2 Feedback from on-line survey (supplied by the Deanery if available) Additional Documentation to be available at the visit In order to support your application to become a trainer you will also need to have other documentation to support your application which will be reviewed at the practice visit. below is a list of the type of documentation the Associate Dean and practice manager will wish to see. A copy of a report you have completed as a Foundation CS or for a medical student A selection of practice protocols An audit of a particular aspect of your work A personal significant event relating to your own medical practice Examples of feedback you have received from learners A copy of the educational contract you plan to use with GP Registrars Extracts from your Induction pack Minutes / summary of educational meetings undertaken in your practice Catalogue of library / IT resources A copy of an assessment you have undertaken A peer review of an observed assessment you have performed with a learner A copy of the GPR contract / for existing training practices a copy of a previously signed contract No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 6 of 8 Revision Date: August 2011 Additional Documentation to be available at the visit In order to support your application to become a trainer you may wish to supply examples of some of the documentation listed below. If NOT supplied PLEASE NOTE this paperwork will need to be seen during the trainer accreditation visit A copy of a report you have completed as a Foundation CS or for a medical student A selection of practice protocols An audit of a particular aspect of your work A personal significant event relating to your own medical practice Examples of feedback you have received from learners A copy of the educational contract you plan to use with GP Registrars Extracts from your Induction pack Minutes / summary of educational meetings undertaken in your practice Catalogue of library / IT resources A copy of an assessment you have undertaken A peer review of an observed assessment you have performed with a learner A copy of the GPR contract / for existing training practices a copy of a previously signed contract No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 7 of 8 Revision Date: August 2011 INDUCTION PROGRAMME FOR Date Day 1 AM 9.00am Practice Manager – the formalities of paperwork for the new trainee Lunchtime 3pm PM Surgery & Visits 10.30am GP Trainer Join am Surgery for face to face appointments, Telephone Consultations & Visits Day 2 etc An induction timetable should cover two weeks and it is suggested that this should include the following items: Employment paperwork– a check list for before training joins, first day documents and processes and last day procedure Meetings with Trainer and Partners Clinical computer systems / Choose and book system – an IT check list is suggested Secretarial staff – admin/referrals to include electronic referral forms and templates Reception staff Community Matron and District Nurses Finance secretary Study Leave Practice Meetings Specialised Clinics, internal and external eg palliative care, diabetes, asthma If your trainee has been at the practice as an ST1 or ST2, then the induction may be amended accordingly as he/she will have already been partially inducted into the practice. A suggestion would be to include a check list on the trainee’s files to indicate what has been covered during the previous rotation at the practice. SUGGESTED GPStR ABSENCE COVER PLAN Name(s) of other Trainers within practice Name(s) of any FY2 Community Educational Supervisor Name(s) of any FY2 Clinical Supervisors Names(s) OOH Clinical Supervisor Practice protocol on absence eg possibly maximum of one partner on holiday at any one time. There must be a named Supervisor at all times Provide timetable of cover during period of Trainer’s absence No 2 – Guidance to the process for new Trainers approval Created by Dr Hilary Diack – April 2008 8 of 8 Revision Date: August 2011