The
Surrey and Sussex
Foundation Training Programme Handbook
In association with
The Postgraduate Deanery for Kent, Surrey and Sussex
A Guide for Trainees and Staff
August 2014
Welcome to the Surrey and Sussex Foundation Training Programme. We hope you enjoy your time here.
We have compiled this handbook to help orientate you at the start of the programme and guide you during your
time here. This handbook contains useful information for staff and work colleagues who may come into contact
with you (as a foundation programme trainee) during your time here
This handbook has been divided into the following sections:
Section
The Foundation Training Programme
Your Education
E Learning Modules
Your Educational Supervisor: their role
Your Clinical Supervisor: their role
Your Role
Your Employment
Steps to success in the foundation years
If you need help…
Key Contacts
List of Appendices
Page
2
7
8
10
10
11
12
13
14
15
16
There is a lot of information in this handbook. You should read it before your first day on the training programme
and prepare any questions early on so that these can be addressed before you begin.
If you have any other queries during your time at Surrey and Sussex, please do not hesitate to ask any member of
the foundation training programme team (see section on Key Contacts)
Again, we hope you enjoy your time at Surrey and Sussex.
Dr Sarah Rafferty, Director of Medical Education
Dr Sunil Zachariah-FY1 Programme Director
Dr Hina Gandhi & Dr Sushil Niraula-FY2 Programme Directors
Surrey and Sussex Foundation Training Programme Leads
THE FOUNDATION TRAINING PROGRAMME
Programme aims
The Surrey and Sussex Foundation Training Programme (SASFTP) has been designed to provide comprehensive
education and training for doctors in the early stages of their medical career. As a SASFTP trainee, you will be part
of a structured programme which not only focuses on helping you gain the competences necessary to successfully
complete the programme but also provides you with education and training tailored to your individual needs. The
aims of the programme are to help you:
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Consolidate and develop your clinical skills, particularly in acute medicine so that you can identify and manage
sick patients in whatever setting they present (including adult and paediatric settings).
Embed modern professional attitudes and behaviours in every aspect of your clinical practice.
Demonstrate your acquisition of these competences through our reliable and robust system of assessment
and participate in annual ARCP process.
Explore a range of career opportunities in different settings and in different areas of medicine.
2
Programme structure, trainee supervision and support
The SASFTP consists of 30 F1 and 30 F2 individual foundation programmes. Each individual programme is made up
of three 4-month placements in specialties offering a wide range of training experiences and opportunities (these
are shown in appendix 1). During each 4 month placement you will be allocated a clinical supervisor who will
monitor your progress during your placement. At the start of the programme, you will also be allocated an
educational supervisor who will monitor your progress throughout the year. Further details regarding clinical and
educational supervisors are contained later in this handbook.
If you desire, you will also be assigned a mentor who will support you in a variety of ways. Your mentor may be
someone who you want to discuss professional issues or issues that are troubling you. They may also advise you
about issues such as your career or even act as a role model. If you are an F1 trainee, your mentor will be from
the F2 year. If you are an F2 trainee, your mentor will be an SHO or Registrar from a speciality of your choice.
You will be assigned a mentor within a few weeks of starting the programme. If you need further advice in regards
to your career you can approach Trust career adviser. We also have Speciality Champions if you need any help or
advice in regards to career advice in any speciality. As a part of Clinical Leadership role we encourage all the
trainees to participate in a Leadership project. You should discuss this with you supervisor or the Trust Lead for
clinical leadership, Miss Jean Arokiasamy.
The learning portfolio
As a foundation programme trainee, you will have an E-learning portfolio which must be kept up-to-date as a
record of your training whilst on the programme. This is a key document and must be read prior to
starting the foundation programme. Your learning portfolio contains a number of key documents. It is
essential that you read these documents and familiarise yourself with the portfolio as a whole as this will help you
plan your time here so that you successfully complete the programme which will then allow you to progress in
your career. Please note that it is your responsibility to organise and update your portfolio and
ensure that all appraisals and assessments are carried out and entered into this document.
The assessment process
Assessment is a key feature of the SASFTP. By assessing you at different intervals and by using a variety of
assessment methods, your clinical and educational supervisors will gain a clear indication of your progress
throughout the programme. The results of these assessments will also be considered when assessing whether you
have completed the programme successfully. During the SASFTP, you will be assessed using the following
supervised learning events (SLEs) descriptions:
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Team Assessment Behaviour (TAB)
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Direct Observation of Doctor-Patient Interaction: Mini Clinical Evaluation Exercise (mini-CEX) and
Direct Observation of Procedural Skills (DOPS)
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Case-Based Discussion (CBD).

Developing the Clinical Teacher F2 SLE
Team Assessment Behaviour (TAB)
This assessment method uses the views of a number of people with whom you have had contact to gauge your
abilities, your strengths and your weaknesses. As a SASFTP trainee, you must nominate 8 ‘raters’ (who could be
supervising consultants, GP principals, specialist registrars or experienced nursing or allied health professional
(AHP) colleagues) who will then complete the necessary assessment forms, the results of which will then be
collated and then fed back to you. You should complete two TABS during each foundation year, you should also
complete yourself assessment.
Direct Observation of Doctor-Patient Interaction
Two methods have been devised to assess your interactions with patients: The Mini Clinical Evaluation Exercise
(mini-CEX) and the Direct Observation of Procedural Skills (DOPS)
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Mini Clinical Evaluation Exercise (mini-CEX)
This assessment method involves an observer (who may be a consultant, GP principal or experienced SpR)
observing your performance during a clinical encounter with a patient after which you will be given feedback on
your performance. Each mini-CEX should represent a different clinical problem and should fall into one of the
‘acute care scenario’ conditions listed in appendix 2. It is your responsibility to choose the clinical encounter which
you want observed, the timing of the encounter and who you want as your observer.
Direct Observation of Procedural Skills (DOPS)
This is an example of another assessment method where you will be observed during a clinical encounter, but in
this instance, this will involve the performance of a practical procedure. Each DOPS should represent a different
acute care skill (these are also listed in appendix 2) and again you should choose the time, the procedure to be
observed and the observer for each encounter (observers may be consultants, GPs, SpRs, suitable nurses or allied
health professionals. You should choose a different observer for each encounter).
It has been agreed by the Executive Committee and cleared with the Deanery and Foundation School that all F1
and F2 trainees must undertake DOPS assessments in the following subjects within the first three months of them
starting the Trust, i.e. by the end of October 2013. The subjects are:
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Blood culture (peripheral)
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IV Cannulation

Urethral Catheterisation (male or female)
Case Based Discussion (CBD)
This assessment is based on a structured discussion which will take place between you and your clinical supervisor
about a case which you have managed. This will allow your supervisor to assess your decision making and clinical
reasoning skills. You should ensure that you take part in a minimum 6 CBDs per year.
You will be expected to coordinate all of the above assessments yourself so that by the end of your foundation
year you will have completed the required number and types of assessments. The information gained from these
assessments will form the basis for your final or end of year review. As a foundation programme trainee, you have
a key role in organising and carrying out the assessments which take place. A sample schedule for the timing of
assessments in the foundation years is shown in appendix 2.
You will be expected to have done 2 CbDs, 2 mini-CEX & 1 DOPS during your first four months to
support your application for further training.
Leadership
Effective clinical leadership is essential for good patient care and leadership is now part of the curriculum for
foundation as well as all core and higher specialty training. In response to this, STFS is piloting the addition of a
formative, specific leadership skills assessment form to the foundation ePortfolio. This form - LEADER – Clinical
Leadership for Work-based Assessment - is now available in the foundation ePortfolio. It can be found under
‘Forms > Work-Based Assessments > Add New Assessment’ within a trainee’s account (in the same way that you
would access a CbD, DOPS or Mini-CEX) and can be ticketed by the trainee. A blank version of the form is
available from ‘Home > Help > Blank Forms’. Please see below guidance for foundation doctors and for educational
supervisors on completing this assessment which includes suggestions of leadership activities which foundation
doctors could undertake.
Quality Management Processes
All Foundation trainees are expected to engage with quality management processes and any other activities that
contribute to the quality improvement of training e.g. by completing the on-line GMC Trainee Survey and STFS
training survey.
4
FY1- Core procedures
What are core procedures?
Core procedures are those 15 procedures set by the General Medical Council (GMC) for foundation year 1 (F1).
The GMC requires demonstration of competence in all 15 procedures in order for provisionally registered doctors
with a licence to practise to be eligible for full registration.
Further information on this can be found via the GMC website: http://www.gmcuk.org/Outcomes_to_be_demonstrated_by_provisionally_registered_doctors_F1.pdf_26990221.pdf
How does it work?
It is a requirement that foundation doctors provide evidence that they can satisfactorily perform each of the 15
procedures at least once during F1. Satisfactory completion should be recorded within the e-portfolio.
It is vital that patient confidentiality is maintained and patient identifiable details are not included when recording
these procedures.
The foundation doctor must record and should be able to competently perform and teach undergraduates the
following 15 procedures:
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Venepuncture
IV Cannulation
Prepare and administer IV medication and injections and fluids
Arterial puncture in an adult
Blood culture (peripheral)
IV infusion including the prescription of fluids
IV infusion of blood and blood products
Injection of local anaesthetic to skin
Subcutaneous injection
Intramuscular injection
Perform and interpret an ECG
Perform and interpret peak flow
Urethral catheterisation (male)
Urethral catheterisation (female)
Airway care including simple adjuncts.
What must foundation doctors demonstrate for satisfactory completion?
There are both generic requirements and specific procedure requirements for each procedure. Employers will also
typically have protocols for the safe performance of each procedure. The generic requirements are:
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
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introduce themselves
check the patient’s identity
confirm that the procedure is required
explain the procedure to the patient (including possible complications and risks) and gain informed
consent for the procedure (under direct supervision where appropriate)
5
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take all necessary steps to reduce the risk of infection, including washing hands, wearing gloves and
maintaining a sterile field if appropriate
dispose of all equipment in the appropriate receptacles
document the procedure in the notes; and arrange appropriate aftercare/monitoring.
REMEMBER: it is vital that foundation doctors recognise the limits of their competence and seek
advice and help where appropriate.
Assessments
Frequency
E-portfolio
Contemporaneous
Core procedures
Throughout F1
Team assessment of behaviour (TAB)
Once in first placement in both F1 and F2, optional repetition
Clinical supervisor end of placement report
Once per placement
Educational supervisor end of placement report
Once per placement
Educational Supervisor’s End of Year Report
Once per year
Completing the programme
We hope that during your time on the SASFTP, you will use the varied training experiences and numerous
educational opportunities available to you to ensure the successful completion of the programme. At the end of
the programme, you should have gained a wide range of generic skills, and skills in the management of acutely ill
patients which will then prepare you for your future career in either vocational training for General Practice or
specialist training for Hospital Practice. If you successfully complete all parts of the foundation programme, you will
receive the following:

Certificate of Experience for PRHOs – This will be signed at the end of the F1 year by your University
/Foundation School

F2 Achievement of Competence Document (FACD) – This will be signed off at the end of F2 if you complete
the F2 year satisfactorily as guided by ARCP process.
Feedback
We are always keen to receive feedback on the quality of the training and education we provide as this will help us
to develop the SASFTP in the future. If you have any comments or suggestions relating to the SASFTP, please
contact your educational supervisor.
6
BLOOD COMPETENCIES
All FY1 and FY2 doctors joining the Trust need to

be assessed as satisfactory on the following competencies in order to be involved in the process of
blood transfusion
o
Obtaining and sending off a blood sample for G&S or X match
o
Receiving and administering blood products
These competencies are valid for 3 years when they will need to be repeated and are transferable to
other Trusts. The assessments are co-ordinated by Dr Fiona J Lamb (Fiona.lamb@sash.nhs.uk).

Attend a lecture on blood transfusion which is usually incorporated in the Induction Day timetable.
Alternatively it can be attended on one of the Trust’s education afternoons.
Certificates of these competencies from other Trusts may be accepted after these have been presented for review
to Dr Lamb.
YOUR EDUCATION
Education which is provided during the SASFTP is embedded in clinical practice. This means that the majority of
education and training will take place whilst working in your clinical teams and providing clinical care for patients in
Surrey and Sussex.
Education and training in the clinical setting
As a SASFTP trainee, you will be working in a multi-professional clinical team alongside other doctors, nurses and
allied health professionals as well as other healthcare workers in providing clinical services for patients across
Surrey and Sussex. Working within these teams, you will be able to closely observe other professionals at work
and see them using both generic and acute care skills on a daily basis. The staff will also supervise you as your
knowledge and skills develop.
It is vital that you use the experience gained in these clinical settings to its maximum potential. Techniques which
may help you gain the maximum educational benefit from seeing and treating patients include reflecting on your
experiences at work and keeping a ‘reflective diary’. This can help you keep note of specific cases you see and
incidents which take place which can then act as learning opportunities. It is also useful if you use your professional
relationships with your colleagues to learn vital generic and acute care skills. Again this may be by observing your
colleagues during their clinical practice or by asking colleagues about the principles which underpin their clinical
practice.
Using educational resources
As well as the numerous training experiences and learning opportunities which you will be exposed to whilst
working in your specific clinical teams, you will be able to supplement your learning by making use of a variety of
educational resources at your disposal.
These include courses run by the various organisations involved in the SASFTP. Details of these courses are
available on the intranet sites of the various organisations. Examples of these are listed in appendix 3. Some of
these courses are considered essential (or ‘statutory’ or ‘mandatory’). You should seriously consider attending
these courses whilst on the SASFTP. Details of other courses and meetings (both internal and external) are
available in the postgraduate education centres (PGEC) at East Surrey and on staff training and education
noticeboards which you may find in individual departments when working in your 4-month placements. The PGEC
also host regular clinical meetings, life support courses and teaching for vocational trainees which you may also attend
(please see section on study leave on page 11).
The East Surrey Hospital Medical Library is also an invaluable resource. It has a superb range of educational
resources which you can access both in office hours and out of hours. These include a wide range of books and
periodicals covering a wide range of subjects. The staffs in the medical library are extremely helpful and will help
you access resources which are not available at either site through the system of interlibrary loans. East Surrey
7
Hospital Library also has a learning resource centre (with access to the internet and medical databases such as
MEDLINE), audio-visual facilities and CD-ROM, a local historical collection and subscriptions to over 200 current
journals.
It is vital that you make use of these resources during your time here. You will be expected to have made
excellent use of your educational time whilst on the programme. Your use of this time will be monitored and so
you must keep a personal log of educational activities completed during each post. These will then be reviewed by
your educational supervisor at your appraisal.
The SASFTP formal educational programme in generic professional training
The formal educational programme for foundation trainees has been designed to cover all aspects of good medical
practice, patient safety and accountability through clinical governance. This programme starts with an induction
which will help introduce you to some key aspects of patient care before starting work in your placement.
FY2- Teaching will alternate between Tuesdays and Thursdays once a month from 8.30-5pm, FY1
Teaching -Tuesday lunchtimes from 12-1pm. Please note that these teaching sessions are
compulsory. You must attend unless you are on annual, study, sick or special leave or if you have worked the
night shift before the session or are due to work the night shift after. Attendance registers will be kept and will be
reviewed by your educational supervisor. Provisional timetables are shown in appendix 4 and 5. Please inform
your Foundation Programme administrator if you are unable to attend. A minimum of 70% attendance is
required for sign off; there are a number of additional teaching opportunities available for you to attend, within
each specialty.
The sessions on this programme will not only be lecture based but will also give you the opportunity to put some
of the principles of good medical practice into action using interactive group discussions and scenario based
teaching. Please note, in addition to this formal programme, you will receive a specialty specific induction prior to
each placement which will provide you with the basic knowledge and skills necessary to provide care for the
patients you see during the placement.
E-learning modules
There are varieties of e-learning modules available on the internet for you to supplement your curriculum based
teaching and learning opportunities, evidence of these modules should be recorded on your e-portfolio.
You can access the e-LFH modules through the curriculum on your e-portfolio; the Programme Directors have
produced the following lists of suggested modules-
1.1
FY1
Professionalism
Behaviour in the workplace
2.2
2.5
Relationship and communication with patients
Communication with patients
Consent
3.0
Safety and clinical governance
Safety and clinical governance
7.5
Good clinical care
Safe prescribing
8.0
Recognition and management of the acutely ill patient
Recognition and management of the acutely ill patient
8
1.1
FY2
Professionalism
Behaviour in the workplace
01_09(Stress-Bullying)
11_20(Equality & Diversity: General Awareness)
11_21(Equality & Diversity: General Awareness Assessment)
2.5
Relationship and communication with patients
Consent
11_03(Mental Capacity)
11_04(Mental Capacity Assessment)
3.2
Safety and clinical governance
Quality & safety improvement
07_03(Quality and safety in the NHS)
4.0
Ethical and legal issues
11_06(DVLA)
*This is not an exhaustive list, and you should complete the modules that you feel will benefit and
supplement your training*
Simulation
All FY1 and FY2 trainees will be released from clinical duties to attend a mandatory Simulation training day.
Community Placements-FY1
FY1-ITU
1 FY1 in ITU will be in a community palliative care posting (2 weeks posting) from September 16-27th, January 2031st and May 19-30th. During these 2 weeks posting the other ITU FY1 is not allowed to take leave.
The second FY1 in ITU will be in community paediatrics posting (2 weeks posting) from September 30-Oct 11th,
February 3-14th and June 2-13th. During these 2 weeks the other ITU FY1 will not be allowed leave.
FY1-Vascular
1 FY1 in Vascular Surgery will be in community palliative care posting (2 weeks) from September 16-27, 2013 and
January 20-31st 2014 and May 19-30th, 2014. During these 2 weeks the other FY1 in vascular surgery will not be
allowed to take leave.
The second FY1in Vascular surgery will be in community paediatrics posting from October 14-25th, 2013, February
17-28th, 2014 and June 16-27th, 2014. Respectively the other FY1 cannot take leave during that time.
As a mandatory part of your foundation training you must register on the National Patient Safety Agency
(NPSA) educational website (web address: http://www.npsa.nhs.uk/health/resources/ipsel). The educational
material offered here is an integral part of the programme and will form part of your learning portfolio (please see
section on study leave on page 11).
As a foundation trainee, you will be expected to play an active role in your education. You will be expected to
prepare presentations which may be case, teaching, audit or research presentations or clinical topic reviews and
journal article reviews. This will help consolidate the learning which has taken place in the clinical setting and other
settings.
9
YOUR EDUCATIONAL SUPERVISOR: THEIR ROLE
At the beginning of your foundation training programme, you will be assigned an Educational Supervisor for the
year. Your Educational Supervisor will conduct your appraisals throughout the year, will guide you during your
time on the programme and will monitor your progress from an educational point of view.
At your appraisal meetings, you will be able to discuss your strengths and your educational needs and your
educational supervisor will be able to work with you to decide how you can best fulfil those needs and achieve
your objectives. They will also discuss areas of concern with you so that potential difficulties or problems can be
addressed early on during your year. To get the maximum benefit from your appraisals, you must ensure that your
E-learning portfolio is up to date and includes all the necessary documentation required for your appraisal. Your
educational supervisor may need access to your E-learning portfolio up to 2 weeks before your appraisal so that
the contents of your portfolio can be reviewed and inform the appraisal process.
If you have any comments or concerns about any aspect of your education whilst in the foundation programme,
you should contact your educational supervisor as soon as possible. If you have any difficulties with your
educational supervisor, you should contact your appropriate foundation programme director through the
foundation programme administrator.
YOUR CLINICAL SUPERVISOR: THEIR ROLE
During your time on the foundation programme, you will rotate through three different specialties each year to
gain experience in a variety of clinical settings. In each of these placements, you will be allocated a clinical
supervisor. Your clinical supervisors will in most cases, be the consultant of the clinical team to which you are
assigned. Their role will be to supervise you during your time in their specialty, monitor your work during your
time there and advise you on any specialty specific areas relating to your post.
They will also have a key role in performing your assessments whilst you are working in their clinical team. If you
have any comments or concerns about your placement, you should contact your clinical supervisor as soon as
possible. If you have any comments or concerns about your clinical supervisor, you should contact your
educational supervisor (or the appropriate foundation programme director if your clinical supervisor is also your
educational supervisor).
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YOUR ROLE
As a foundation programme trainee, it is essential that you play an active part in the programme and take an active
role in your education – Remember; you will only get as much out of the foundation programme as you put in!
Therefore you have a responsibility to ensure that you get as much out of your time in the programme as possible.
To ensure that your time is as productive as possible you must:

Meet with your educational supervisor and arrange your appraisals - It is important that you meet with
educational supervisor (ideally within the first 2 weeks of starting your first placement) to discuss your
educational needs and how you are going to achieve them. It is your responsibility to liaise with your
educational supervisor to arrange a date and time for your appraisal. It is also your responsibility to ensure
that all the necessary documentation has been completed /collated prior to your appraisal and that your
educational supervisor has this well in advance of each meeting. In addition to completing your E-learning
portfolio, please ensure that you have completed the self-appraisal tool in your E-learning portfolio. The
information contained in these forms will be used as a basis for discussion during your appraisal.

Take control of your education! – Of course we can’t force you to do this but we strongly believe that you
should use your time on the SASFTP to the max! This will mean that you get the most out of it and will be
more likely to complete the foundation programme successfully. We are keen for you to direct your own
education and learning. Therefore, use the educational opportunities and resources available during your
time here (It may not be available in your next job so, use it or lose it!). If there is something you really want
to learn, speak to your educational supervisor and they will try and arrange something for you (If you don’t
ask, you don’t get!). And lastly, we want you to play an active part in your own education. As we have said,
you only get out what you put in!

Coordinate your assessments well in advance – The assessments are a key component of the foundation
programme as they will decide if you complete the programme successfully or not. It is your responsibility to
arrange and coordinate these assessments. Make sure you do this well in advance and arrange these with
your clinical supervisors as soon as possible. Remember, failure to complete all your assessments means that
you will not successfully complete the programme.
The following section contains a summary of what you need to do as a foundation trainee to ensure that you
progress within the programme and increase your chances of successfully completing the programme.
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YOUR EMPLOYMENT
During your time here, you will be employed and paid by Surrey and Sussex Healthcare for the whole of your
programme including the period in general practice. You will be paid on the pay scale according to your previous
service, either in the UK or overseas, and will receive the banding for each leg of the rotation which is appropriate
to the rota that you are on. Consequently your banding may change from one specialty to another.
Annual leave
You will be entitled to 5 weeks and 2 days annual leave per year and you must give at least 6 weeks’ notice of your
proposed leave. Doctors on internal rotations are expected to take their holiday entitlement in each leg. As this
affects mainly FY1 and FY2 trainees’, entitlement for each leg would be 9 days. If you wish to take more or to
carry leave over to the next leg this must be agreed with the General Manager of the attachment concerned.
Study leave
If you are an F1 trainee, you will have protected generic professional training on Tuesday afternoons. You will also
be given time to attend an Immediate Life Support (ILS) course and an Acute Life-threatening Events Recognition
and Treatment (ALERT) course.
If you are an F2 trainee, you are entitled to a study leave allowance of 30 days per year. Your attendance at the
Tuesday/Thursday monthly generic professional training is automatically counted against this allowance. You may
use the remaining days to gain focussed experience (‘taster’ experience) in specialties outside your placement
specialty as long as this has been agreed with your educational supervisor. You may also use this time to attend
courses or other activities to acquire generic knowledge or skills necessary for you to successfully complete the
SASFTP which you cannot otherwise gain on the programme.
However, F2 doctors should only be granted study leave for additional courses once the following have been
attended or shown clear intention to do so:
a)
b)
c)
d)
ALS required for F2. ALS is a requirement for F2 sign-off.
Demonstration of regular attendance at internal training sessions (>70% attendance during
working shifts, excluding night shifts)
Intention to attend simulation training
Booked a taster week, or have good reason not to require a taster.
F2 trainees should not be given study leave for private study for preparation for examinations.
F2 trainees’ study leave allowance is the same as CT or ST trainees, however according to Deanery
recommendations we subtract a proportional amount for funding of generic training, this leaves a sum of up to a
maximum of £500.
Again you should plan attendance at such courses with your educational supervisor well in advance and submit a
completed study leave application form at least 6 weeks prior to the leave being taken. Retrospective applications
and applications for study leave at short notice will not be granted.
If you have any queries concerning your terms of employment please contact the medical staffing office on ext 6624
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STEPS TO SUCCESS IN THE FOUNDATION YEARS
Attend SASFTP induction, FY1-July and FY2-7th August 2013. Meet foundation programme team, Collect
relevant documentation including SASFTP handbook and learning portfolio
Meet Clinical Supervisor for first placement and attend specialty specific induction (if appropriate)
Read and prepare documents in learning portfolio and arrange to meet your educational supervisor within 2
weeks of starting your placement. Complete relevant self-assessment forms. Ensure your educational
supervisor has your learning portfolio up to 2 weeks prior to induction appraisal along with completed forms
and including relevant documentation
Register on the National Patient Safety Agency (NPSA) educational website (web address:
http://www.npsa.nhs.uk/health/resources/ipsel)
Prior to first appraisal think about your strengths and educational needs and how you think you can achieve
them. Think about accessing the various educational resources and educational opportunities on offer. Bring
this information to your first appraisal
Devise timetable /action plan for each of the educational objectives identified in your personal development
plan and ensure that they are achieved by mid-point appraisal or before. Complete study leave forms at least 6
weeks prior to course if planning to attend SASFTP or external course
Devise timetable of assessments for MSF, mini-CEX /DOPS and CBD and liaise with your clinical supervisor to
coordinate these. Select ‘raters’ and ‘observers’. Ensure appropriate documentation forwarded to SASFTP
administrator
Ensure maximum educational value is gained from each placement. Consider keeping a reflective diary. Attend
all formal educational sessions. Keep e-portfolio update and complete for ARCP process
At end of each placement, meet with clinical supervisor to obtain Certificate of Satisfactory Service
Arrange meeting with educational supervisor for mid-point appraisal (usually 6 months into foundation year) to
review progress and discuss any issues
Continue progress to meet all educational objectives, complete all relevant assessments, gain maximum
educational value from placements and educational activities outside placements. Keep up-to-date log of all
educational activities
Arrange meeting with educational supervisor to ensure all educational objectives are met and satisfactory
progress has been made throughout foundation year
Obtain Certificate of Experience for PRHOs (FI) or F2 Achievement of Competence Document (FACD) (F2) if
all of the above achieved
SUCCESSFUL COMPLETION OF FOUNDATION YEAR
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IF YOU NEED HELP…
Some foundation programme trainees may find this period of training difficult. This can be due to a number of
reasons which can involve issues outside work, personal health related issues and also issues related to ability to
perform and take part in the programme.
If you are starting to struggle, this may make you feel like not wanting to take part in the programme or any extra
educational activities or you may start to feel that you don’t want to carry out some of the essential parts of the
programme such as the assessments. Feeling like this may also make you focus less on your job and this in turn can
lead to incidents and complaints which in the worst case, may adversely affect patients. It may be that other people
notice these changes in you before you do (i.e. colleagues, mentors, clinical supervisors, educational supervisors).
If you realise that you are starting to feel like this, ask for help early!
Your work colleague, peers, mentors, clinical and educational supervisors are all there to support you during your
time here. Your educational supervisor in particular has a role in providing support to you as a SASFTP trainee
and should be able to provide a supportive environment in which you can discuss any difficulties or concerns.
In addition we have the support of Jane Armstrong who is available to all for confidential and impartial pastoral
support: p.armstrong@talk21.com
Your supervisors may also contact you if you show signs of stress and difficulty. Again this may manifest itself by a
worsening of your assessment results or attendance record or an increase in incidents relating to you or in
sickness absence. They will be keen to provide an opportunity for you to discuss your progress and provide any
assistance which may help you to manage better in the future.
Remember, all staff are here to help you as a SASFTP trainee, the earlier staff knows about
problems, the sooner they can help deal with them. So please contact them early
14
KEY CONTACTS
Role
SASFTP Administrator FY1
SASFTP Administrator FY2
Director of Medical
Education
SASFTP director
SASFTP lead (FY1)
SASFTP lead (FY2)
PGEC
South Thames Foundation
School (STFS)
Contact details
Victoria Bates
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail; victoria.bates@sash.nhs.uk
Caroline Pusey (Kari)
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: caroline.pusey@sash.nhs.uk
Dr Sarah Rafferty
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: sarah.rafferty@sash.nhs.uk
Dr Sunil Zachariah
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231761
Fax: 01737 231723
E-mail: sunil.zachariah@sash.nhs.uk
Dr Hina Gandhi & Dr Sushil Niraula
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722.
Fax: 01737 231723
E-mail: hina.gandhi@sash.nhs.uk
Email: sushil.niraula@sash.nhs.uk
Tina Suttle-Smith
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: tina.suttle-smith@sash.nhs.uk
Website: www.stfs.org.uk
FY1: 0208 725 5041
FY2: 01273 523357
15
LIST OF APPENDICES
Appendix
Page
Appendix 1: SASFTP Individual Foundation Programmes (IFPs) FY1 & FY2
17
Appendix 2: Acute care scenarios and acute care skills for mini-CEX
and DOPS assessments and sample assessment schedule for
F1 and F2 years
19
Appendix 3: SASFTP Courses
22
Appendix 4: SASFTP Formal education programme in generic
Professional training (Foundation Year 1)
23
Appendix 5: SASFTP Formal education programme in generic
Professional training (Foundation Year 2)
24
Appendix 6: Requirements for satisfactory completion of F1
25
Appendix 7: Requirements for satisfactory completion of F2
27
16
Appendix 1: SASFTP Individual Foundation Programmes (IFPs) - FOUNDATION YEAR 1
Foundation
School (Year 1)
Foundation School
rotation Number
SASH
First Name
No.
Surname
Educational
Supervisor
South Thames
14/KSS/RTP04/F1/001
ES01
Anneka
Rudra
South Thames
14/KSS/RTP04/F1/002
ES02
Robert
Goldsby-West
Niraula
South Thames
14/KSS/RTP04/F1/003
ES03
Nicola
Oldman
Prajapati
South Thames
14/KSS/RTP04/F1/004
ES04
Lorena
Chavez Pino
CampbellSmith
South Thames
14/KSS/RTP04/F1/005
ES05
Shyamal
Patel
Thorning
South Thames
14/KSS/RTP04/F1/006
ES06
James
Buxton
Ferrigan
South Thames
14/KSS/RTP04/F1/007
ES07
Natalie
Blundell
Nadjafi
South Thames
14/KSS/RTP04/F1/008
ES08
Katharine
Brockett
Zachariah
South Thames
14/KSS/RTP04/F1/009
ES09
Dana
Ali
Mackenzie
South Thames
14/KSS/RTP04/F1/010
ES10
James
Horn
Stenner
South Thames
14/KSS/RTP04/F1/011
ES11
Inji Wissa
Ibrahim
Abousleiman
South Thames
14/KSS/RTP04/F1/012
ES12
Emily
Thomas
Field
Monkhouse
06/8/14 - 02/12/14
(Clinical Supervisor)
03/12/14 - 31/3/15
(Clinical Supervisor)
Saha
GIM/Cardio
Cetti
GIM/Chest
Prajapati
CoE
Phongsathorn
CoE
Monkhouse
Surgery-Upper GI
Campbell-Smith
Surgery-Lower GI
Iqbal
GIM/Cardio
Zacharia
Abousleiman
CoE
Phongsathorn
CoE
Swinn
Urology
Campbell-Smith
Surgery-Lower GI
Allen
GIM/Cardio
Cetti
GIM/Chest
Prajapati
CoE
Phongsathorn
GIM/Endocrin
Mackenzie
South Thames
14/KSS/RTP04/F1/013
ES13
Peter
De Souza
Waheed
South Thames
14/KSS/RTP04/F1/014
ES14
Liam
Robinson
Makadsi
South Thames
14/KSS/RTP04/F1/015
ES15
John
Melville
Desikan
South Thames
14/KSS/RTP04/F1/016
ES16
Shane
Wilde
Morgan
South Thames
14/KSS/RTP04/F1/017
ES17
Ahkallya
Kuganolipava
Swinn
South Thames
14/KSS/RTP04/F1/018
ES18
Timothy
Bagnall
Loosemore
South Thames
14/KSS/RTP04/F1/019
ES19
Daniel
Christopher
Thorning
South Thames
14/KSS/RTP04/F1/020
ES20
Hina
Nayee
Cetti
South Thames
14/KSS/RTP04/F1/021
ES21
Kaveesh
Dissanayake
Davies
South Thames
14/KSS/RTP04/F1/022
ES22
Hooria
Cheema
Niraula
South Thames
14/KSS/RTP04/F1/023
ES23
Lucy
Wharton
Smith
South Thames
14/KSS/RTP04/F1/024
ES24
Keshika
Vishnuthevan
Shattles
South Thames
14/KSS/RTP04/F1/025
ES25
Isobel
Spring
Zachariah
South Thames
14/KSS/RTP04/F1/026
ES26
Ketan
Champaneri
Acharya
South Thames
14/KSS/RTP04/F1/027
ES27
Krishna
Sivakumaran
B Mearns
South Thames
14/KSS/RTP04/F1/028
ES28
Keval
Patel
Clark
GIM/Gastro
Stenner
GIM/Gastro
Abousleiman
CoE
Phongsathorn
CoE
01/4/15 - 04/8/15
(Clinical Supervisor)
Monkhouse
Surgery-Upper GI
Campbell-Smith
Surgery-Lower GI
Saha
GIM/Cardio
Cetti
GIM/Chest
Abousleiman
CoE
Phongsathorn
CoE
Swinn
Urology
Loosemore/Waheed
SurgeryCoE
Vascular/Breast(3)
Desikan
Loosemore/Waheed
SurgeryCritical Care(1)
Vascular/Breast
Morgan
James
Critical Care(2)
Surgery-Upper GI
Monkhouse
Allen
Surgery-Upper GI
GIM/Cardio
Loosemore/Waheed
Field
SurgeryGIM/Endocrin
Vascular/Breast(3)
Niraula
Shattles
AMU
GIM/Rheum
Loosemore/Waheed
SurgeryVascular/Breast(4)
Powell
James
CoE(Capel)
Surgery-Upper GI
Bray
Smith
Critical Care(1)
Surgery-Lower GI
Morton
Aslam
Critical Care(2)
Surgery-Lower GI
Swinn
Zachariah
Urology
GIM/Endocrin
Loosemore/Waheed
Saha
SurgeryGIM/Cardio
Vascular/Breast(3)
Loosemore/Waheed
Mackenzie
SurgeryGIM/Gastro
Vascular/Breast(4)
James
Stenner
Surgery-Upper GI
GIM/Gastro
Davies
GIM/Rheum
Makadsi
GIM/Rheum
Smith
Surgery-Lower GI
Aslam
Surgery-Lower GI)
James
Surgery-Upper GI
Acharya
GIM/Chest
B.Mearns
AMU
Clark
GIM (Diab/Endo)
Powell
CoE(Capel)
Niraula
AMU
Davies
GIM/Rheum
Shattles
GIM/Rheum
Acharya
GIM/Chest
Mearns
AMU
James
Surgery-Upper GI
Prajapati
CoE
Aslam
Surgery-Lower GI
Clark
Makadsi
GIM/Rheum
Mackenzie
GIM/Gastro
Stenner
GIM/Gastro
Prajapati
Phongsathorn
CoE
Niraula
AMU
Powell
CoE ( Capel)
Smith
Surgery-Lower GI
Aslam
Surgery-Lower GI
Morgan
Critical Care(1)
Sage
Critical Care(2)
B.Mearns
AMU
James
Surgery-Upper GI
Acharya
GIM/Chest
Aslam
Surgery-Lower GI
Clark
Prajapati
GIM ( Diab/Endo)
CoE
Aslam
Prajapati
South Thames 14/KSS/RTP04/F1/029 ES30
Abiola
Fatimilehin
Ahmed
Diab/Endo
Surgery-Lower GI
CoE
(1)1 FY1 in ITU will be in community palliative care posting (2 weeks posting) from 15th-26th September, 19th-30th January 2015, 18-29th May 2015. During
these 2 weeks posting the other ITU FY1 is not allowed to take leave.
(2)The second FY1 in ITU will be in Paediatrics/General Practice posting (2 weeks posting) from 29th September-10th October, 2nd-13th February 2015, 1st-12th
June 2015. During these 2 weeks the other ITU FY1 will not be allowed leave.
(3)1 FY1 in vascular/breast surgery will be in community palliative care posting (2 weeks posting) from 29th September-10th October, 2nd-13th February 2015,
1st-12th June 2015. During these 2 weeks the other Fy1 in vascular surgery will not be allowed to take leave.
(4)The second FY1 in vascular/breast surgery will be in Paediatrics/General Practice
17 posting (2 weeks posting) from 13th-24th October, 16th-27th February 2015,
15th-26th June 2015. Respectively the other FY1 cannot take leave during that time.
In the last rotation April-August 2014, only one Vascular/breast FY1 will go to Community Palliative
South Thames
14/KSS/RTP04/F1/029
ES29
Laura
Crocker
Prajapati
Appendix 1: SASFTP Individual Foundation Programmes (IFPs) – FOUNDATION YEAR 2
Foundation
School (Year 2)
Foundation School
rotation Num ber
Given Nam e
Surnam e
Educational
Supervisor
South Thames
13/KSS/03/RTP04/01/F2/001
James
Dusting
Mr Veeramuthu
South Thames
13/KSS/03/RTP04/01/F2/002
Kimmee
Khan
Mrs Gandhi
South Thames
13/KSS/03/RTP04/01/F2/003
Chisom
Emecheta
Dr Dioszeghy
South Thames
13/KSS/03/RTP04/01/F2/004
Gurveer
Sagu
Dr Pankhania
South Thames
13/KSS/03/RTP04/02/F2/005
Amar
Jessel
Dr Nadjafi
South Thames
13/KSS/03/RTP04/02/F2/006
Gregory
Trilling
Dr R Ahmed
South Thames
13/KSS/03/RTP04/02/F2/007
Unmesh
Bandyopadhyay
Dr Katy Davies
South Thames
13/KSS/03/RTP04/02/F2/008
Sanna-Noor
Khan
Dr Daneshmand
South Thames
13/KSS/03/RTP04/02/F2/009
Thomas
Koczlan
Dr Prajapati
South Thames
South Thames
13/KSS/03/RTP04/02/F2/010
Charlotte
Verrill
Pettit
6/8/14-2/12/14
3/12/14-31/3/15
1/4/15 - 4/8//15
(Clinical Supervisor) (Clinical Supervisor) (Clinical Supervisor)
Mr Veeramuthu
Emergency Medicine
Mrs Gandhi
Obs & Gynae
Dr Dioszeghy
Emergency Medicine
Dr Sercl
Emergency Medicine
Pramitkumar Patel
General Practice
Mr Selvan
Trauma /Orthopaedics
Chloe
Miss Babar-Craig
South Thames
13/KSS/03/RTP04/02/F2/012
Caroline
Gosson
Dr Makadsi
South Thames
13/KSS/03/RTP04/02/F2/013
Josh
King-Robson
Dr Pankhania
South Thames
13/KSS/03/RTP04/02/F2/014
Rachel
Crane
Dr Babu
South Thames
13/KSS/03/RTP04/02/F2/015
Lucy
Reeve
Mrs Gandhi
South Thames
13/KSS/03/RTP04/02/F2/016
Anna
Duffy
Dr Daneshmand
South Thames
13KSS/03/RTP04/02/F2/017
Samantha
Fernandes
Dr Ali
South Thames
13/KSS/03/RTP04/02/F2/018
Mohsin
Asharia
Dr Lew is
South Thames
13/KSS/03/RTP04/02/F2/019
James
Davis
Dr Suleiman
South Thames
13/KSS/03/RTP04/02/F2/020
Robert
Adams
Dr Dioszeghy
South Thames
13/KSS/03/RTP04/02/F2/021
Christopher
Peake
Miss Babar-Craig
South Thames
13/KSS/03/RTP04/02/F2/022
Rosalyn
Haw kes
Dr Niraula
South Thames
13/KSS/03/RTP04/02/F2/023
Kate
Markham
Dr Webb
South Thames
13KSS/03/RTP04/02/F2/024
Charlotte
Young
Dr Aggarw al
South Thames
13/KSS/03/RTP04/02/F2/025
Rakesh
Patel
Dr Phongsathorn
South Thames
13/KSS/03/RTP04/02/F2/026
Noel
Murphy
Dr Veerumuthu
South Thames
13/KSS/03/RTP04/02/F2/027
Matthew
Grant
Dr Cow an
South Thames
13/KSS/03/RTP04/02/F2/028
Holly
Poppe
Dr G Agarw al
South Thames
13/KSS/03/RTP04/02/F2/029
Rathy
Ramanathan
Miss Wykes
South Thames
13KSS/03/RTP04/02/F2/030
Andrew
Badcock
Dr Lew is
13KSS/03/RTP04/02/F2/031
Esha
Aggarw al
Miss Srivastrava
South Thames
13KSS/03/RTP04/02/F2/032
Robert
Gregory
Dr Simon
Parrington
South Thames
13KSS/03/RTP04/02/F2/033
Richard
Sennett
Dr Katy Davies
Mr Selvan
Dr Daneshmand
Trauma /Orthopaedics
Emergency Medicine
Dr Daneshmand
Emergency Medicine
Dr Prajapati
G(I)M /Geriatrics
Dr Prajapati
G(I)M /Geriatrics
Alan Clifford
General Practice
Rubey Dullo
General Practice
Dr Webb
Emergency Medicine
Dr Sercl
Dr Makadsi
Paul Spensley
Emergency Medicine
Elizabeth Moffett
General Practice
General Practice
Dr Makadsi
G(I)M - Rhemu
Dr Makadsi
G(I)M
Dr Martin
Emergency Medicine
Nila Sathananthan
G(I)M- Rhemu
Mr Veeramuthu
Emergency Medicine
General Practice
Mrs Gandhi
Obs & Gynae
Emergency Medicine
Mr Bhat
Trauma /Orthopaedics
Dr Babu
Psychiatry
Dr Bucur
Psychiatry
Dr Daneshmand
Emergency Medicine
Rubey Dullo
General Practice
Dr Lew is
Paediatrics
Peter Morley
Dr Dioszeghy
Emergency Medicine
Dr Daneshmand
Emergency Medicine
Dr Lew is
Paediatrics
Dr Sercl
Emergency Medicine
Gareth Bowen-Perkins
General Practice
Dr Sercl
Miss Wykes
Obs & Gynae
Dr Lew is
Paediatrics
Michael Bosch
General Practice
Dr Lew is
Paediatrics
Dr Peter Martin
Emergency Medicine
Miss Waheed/Mr Ball
South Thames
13KSS/03/RTP04/02/F2/034
Ayesha
Memon
Dr Fiona Lamb
South Thames
13KSS/03/RTP04/02/F2/035
Gregory
Horner
Dr Simon
Parrington
South Thames
13KSS/03/RTP04/02/F2/036
Anna
Coates
Dr Laura Ferrigan
Dr Dioszeghy
General Practice
Emergency Medicine
Surgery
Dr Dioszeghy
Miss Waheed/Mr Ball
Josie York
Emergency Medicine
Miss Waheed/Mr Ball
Surgery
Harminder Panesar
General Practice
Dr Sercl
Surgery
General Practice
Emergency Medicine
Gareth Bowen-Perkins
Mr Veeramuthu
B Mearns
General Practice
Emergency Medicine
Acute Medicine (AMU)
Dr Webb
Dr Agarw al
Asnita Drahaman
Emergency Medicine
Acute Medicine (MAU)
General Practice
Dr Agarw al / Asalieh
Anny Gilani
Dr Sercl
Acute Medicine (AMU)
General Practice
Emergency Medicine
Dr Phongsathorn
Hana Patel
Dr Peter Martin
G(I)M /Geriatrics
General Practice
Emergency Medicine
Mr Veeramuthu
Dr Katy Davies
Mr Selvan
Emergency Medicine
G(I)M /Geriatrics
Trauma /Orthopaedics
Hana Patel
General Practice
Mr Bhat
Dr Daneshmand
Emergency Medicine
Dr Webb
Dr Prajapati
G(I)M /Geriatrics
Mrs Gandhi
Trauma/Orthopaedics
Emergency Medicine
18
Obs & Gynae
Miss Wykes
Dr Babu
Dr C Dioszeghy
Obs & Gynae
Psychiatry
Emergency Medicine
Dr Bucur
Dr Daneshmand
Paediatrics
Psychiatry
Emergency Medicine
Miss Srivastrava
Dr Katy Davies
Dr Ranjan
Obs & Gynae
G(I)M /Geriatrics
Dr Ravi Kumar
Miss Srivastrava
Dr Katy Davies
ICU
Obs & Gynae
G(I)M /Geriatrics
Dr Ranjan
Miss Srivastrava
Dr Katy Davies
Wed AMU
Wed- AMU
G(I)M /Geriatrics
Dr Katy Davies
Dr Lew is
South Thames
Emergency Medicine
Elizabeth Moffett
General Practice
Mr Veeramuthu
Emergency Medicine
Dr Babu
Psychiatry
Dr Bucur
Psychiatry
Dr Phongsathorn
G(I)M /Geriatrics
Dr Katy Davies
G(I)M /Geriatrics
Dr Niraula
13/KSS/03/RTP04/02/F2/011
Dr Phongsathorn
G(I)M /Geriatrics
Mr Selvan
Trauma /Orthopaedics
Miss Wykes
Obs & Gynae
Dr Lew is
Paediatrics
Dr Martin
Emergency Medicine
Dr Dioszeghy
GPF2 trainee to w ork
in ED/AMU 3 - 7 PM
shift
ICU
G(I)M /Geriatrics
ICU
Obs & Gynae
Miss Srivastrava
Dr N Khan
Dr Fiona Lamb
Obs & Gynae
G(I)M /Geriatrics
Dr Ranjan
Miss Srivastrava
Dr N Khan
ICU
Obs & Gynae
G(I)M /Geriatrics
ICU
Dr N Khan
Dr Ravi Kumar
Miss Srivastrava
G(I)M /Geriatrics
ICU
Obs & Gynae
Tues-ED
Thurs-ED
Thurs-AMU
Tues-ED
Wed-AMU
Thurs-ED
Thurs-ED
Wed-ED
Wed-ED
Wed-ED
Thurs-AMU
Tues-AMU
Tues-AMU
Tues-ED
Tues-AMU
Thurs-AMU
FOUNDATION YEAR 2
Appendix 2: Acute care scenarios and acute care skills for mini-CEX and DOPS
assessments and sample assessment schedule for F1 and F2 years
Acute Care Scenarios
By the end of the F2 year, the foundation programme trainee should be able to recognise and
demonstrate their understanding of the management of the following.
Airway problems

be able to recognise situations where the airway may be compromised
o
perform simple airway manoeuvres (with adjuncts)
o
know the indications for tracheal intubation

be able to manage the core presentations of:
o
unconscious patient
o
anaphylaxis
o
stridor
Breathing problems

be able to assess breathing (rate, depth, symmetry, oxygen saturation)

recognise that a high respiratory rate needs further evaluation

be able to manage the core presentations of:
o
asthma
o
COPD
o
chest infection /pneumonia
o
pneumothorax
o
left ventricular failure
o
pulmonary embolism.
Circulation problems

be able to assess the circulation (heart rate, blood pressure, perfusion)

know when a fluid challenge is required

be able to manage the core presentations of :
o
bleeding
o
severe sepsis
o
tachyarrhythmias
o
bradyarrhythmias
o
volume and electrolyte depletion from diarrhoea/vomiting
o
hypotension in acute coronary syndromes
o
oliguria.
Neurological problems

in addition to the management of the unconscious patient (above), be able to manage the core
presentations of:
o
collapse – ? cause
o
seizures
o
meningism
o
hypoglycaemia
o
acute onset of focal neurological signs.
Continued over
Psychiatric/behavioural problems

demonstrate a basic understanding of the Mental Health Act
19


show awareness of situations where the safety of the patient, self or others may be at risk
be able to manage the core presentations of:
o
overdose/other self harm
o
violence/aggression
o
substance abuse
o
delirium
o
acute confusional state or psychosis.
Treating pain

understand the analgesic ladder

treat acute pain promptly, effectively and safely (using appropriate analgesia)

understand that acute pain may present as a new event or in a setting of chronic pain

e.g. palliative care patient

be able to manage the core presentations of
o
chest pain
o
abdominal pain/acute abdomen
o
severe acute head injury
o
large joint pain
o
back pain
o
injuries.
Acute Care Skills
Procedures that F1 trainee should be competent and confident to perform:
o
venepuncture and IV cannulation
o
use of local anaesthetics
o
arterial puncture in an adult
o
blood cultures from peripheral and central sites
o
injection – subcutaneous, intradermal, intramuscular and intravenous
o
prepare and administer IV medications
o
intravenous infusions including the prescription of fluids, blood and blood products
o
perform and interpret an ECG
o
perform and interpret spirometry and peak flow
o
urethral catheterisation
o
airway care including simple adjuncts
o
nasogastric tube insertion.
F2 Trainees
During the F2 year, trainees are expected to maintain and improve their skills in the procedures listed
above so that by the end of the F2 year they should be able to pass on their skills to others and assist
others when procedures are difficult.
There will also be opportunities for trainees to extend the range of practical procedures they can
perform. Each specialty will specify a range of procedures relevant to that specialty in which the
trainees will be expected to become proficient e.g.,
o
aspiration of pleural fluid or air
o
skin suturing
o
lumbar puncture
o
insertion of a central venous pressure line
o
aspiration of joint effusion.
20
F1
4
8
8
CbD x 2
CbD x 2
CbD x 2
Mini – CEX X 2
Mini – CEX X 2
Mini – CEX X 2
DOPS X 4
MSF
MSF
(Option to repeat if concerns at the first MSF)
F2
4
8
8
CbD x 2
CbD x 2
CbD x 2
Mini – CEX X 2
Mini – CEX X 2
Mini – CEX X 2
DOPS X 4
MSF
MSF
(Option to repeat if concerns at the first MSF)
21
Appendix 3: SASFTP Courses
ORGANISATION
Surrey and Sussex Healthcare
NHS Trust*
WEBPAGE
http://web/hr/learningzone/default.htm
Surrey and Borders
Partnership NHS Trust
Sussex Partnership Trust
Surrey Primary Care Trust
West Sussex Primary Care
Trust
Postgraduate Deanery for
Kent, Surrey and Sussex
http://www.sabp.nhs.uk/
COMMENTS
Training courses available for all
staff. List can be accessed from any
SASH network computer
http://nww.sussexpartnership.nhs.uk/
http://www.surreypct.nhs.uk/
http://www.westsussexpct.nhs.uk/
http://kssdeanery.ac.uk
*Details of Statutory and Mandatory Training requirements for Medical and dental Staff at Surrey and Sussex
Healthcare NHS Trust can be found on page 9 of the Trust Statutory and Mandatory Training Procedure available
at:
http://web/ed/staff/newstaff/Statutory%20and%20Mandatory%20Training%20Procedure.pdf
22
Appendix 4:
Week
Date
Time
Subject
Speakers
FY1 and FY2 Joint Teaching session 2014/2015
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
TUES
5th Aug
12th Aug
19th Aug
26th Aug
2nd Sept
9th Sept
16th Sept
23rd Sept
30th Sept
7th Oct
14th Oct
21st Oct
28th Oct
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
1-2pm
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
e-portfolio and career planning
How to Survive being an F1
IV Fluids
Assessment & treatment of the breathless patient
Appropriate use of antibiotics & Infection Control
Initial assessment of patient on medical take
Sepsis
Pre-Operative Assessment
Assessments of TIA'S
Dr Pat Morgan
Dr Fiona Lamb
Dr Stuart Jones
TUES
TUES
4th Nov
11th Nov
1-2pm
12-1pm
Leadership
Arterial blood gas and non invasive ventilation
TUES
18th Nov
12-1pm
Pulmonary Embolism
TUES
25th Nov
12-1pm
COPD Assessment
TUES
2nd Dec
12-1pm
Suturing
TUES
TUES
TUES
TUES
TUES
9th Dec
16th Dec
23rd Dec
30th Dec
6th Jan
1-2pm
Miss Jean
Dr Sushil Niraula
Mr Muhammad
Jawad
Dr Cetti
Mr Tim CampbellSmith
Mr Alan James
12-1pm
Post-operative fluid management
TUES
13th Jan
1-2pm
Assessment and Treatment of Shock
TUES
TUES
20th Jan
27th Jan
12-1pm
12-1pm
TUES
3rd Feb
12-1pm
Assessment and treatment of Diabetic Emergencies
Acute Management of Status Epiepticus
INTERIM ARCPs
TUES
10th Feb
1-2pm
Acute Renal Failure
TUES
TUES
17th Feb
24th Feb
12-1pm
12-1pm
Stroke
Prescribing - Pharmacy
TUES
3th Mar
12-1pm
GI bleeding assessment and management
TUES
TUES
TUES
TUES
TUES
TUES
TUES
10th Mar
17th Mar
24th Mar
31st Mar
7th April
14th Apr
21st Apr
12-1pm
12-1pm
12-1pm
1-2pm
12-1pm
12-1pm
12-1pm
Acute Eye Problems
Assessment & treatment of acute chest pain
Ethics as part of clinical practice
X-Ray Dept
Assessment and management of the painful/swollen limb
Careers Session
Blood transfusion/Approriate use of blood products
TUES
28th Apr
12-1pm
Stroke Thrombolysis
TUES
TUES
TUES
TUES
TUES
TUES
TUES
5th May
12th May
19th May
26th May
2nd June
9th June
16th June
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
12-1pm
Cardiopulmonary resuscitation - a refresher
Rheumatological emergencies
ATLS-No Teaching
TUES
TUES
TUES
23rd June
30th June
7th July
12-1pm
12-1pm
12-1pm
Liverpool Care Pathway
Joint Injections
Skills of a GP & Professionalisam
Insulin Types
e-portfolio-WHO, WHAT & WHEN
Mortality Review & Death Certification
ATLS-No Teaching
Assessment and management of the acute abdomen
Christmas Meal
Break
Break
Accident and Emergency: Assessment
Painful, swollen joints
Preparing for working in ED
Endocrine emergencies
23
Mr Neil Smith
Dr Natalie Powell
TBC
Dr Ed Cetti
Dr Karen Knox
Dr Asaleah
Dr James Clark
Dr Zachariah
Dr Natalie Powell
Dr Fiona Lamb
Dr Gaurav
Agarwal
Dr Ben Field
Dr Zhang
Dr Zachariah
Dr Caroline
Ming(CMT)
Dr Abousleiman
Mead Ali
Dr Gary
Mackenzie
Mr Umar Akbar
Dr Ansuman Saha
Naomi Collins
Dr Sonia Biswas
TBC
Lisa Stone
Simon Goodwin
Dr Youssif
Abousleiman
Bernadette Lee
Dr Makadsi
Dr Julian Webb
TBC
Dr Webb
Dr James Clark
Dr Laura Kelly
Dr Shattles
GP Tutor
TUES
TUES
14th July
21st July
12-1pm
Assessment and management of acute trauma
12-1pm
Pain Control in Advanced Cancer
**Please note that all dates and topics are subject to change**
Mr Bhat
Dr Laura Kelly
Appendix 5:
Week
THUR
Date
14/08
Time
Subject
08.00-09.30
FY2 Teaching sessions August 2014 - January 2015
Welcome to Foundation Year 2
Planning your education and self directed learning and STFS Induction
09.30-10.30
SLASH course - PRACTICAL (Saving Lives Aseptic Skills for Healthcare)
10.30-11.30
ITU Management
11.30-13.00
Blood Competencies
Using care pathways and care bundles: the sepsis care bundle
14.00-15.00
TUES
THUR
TUES
THUR
THUR
09/09
9/10
04/11
11/12
11/12
15.00-16.00
Safe prescribing and medication error, security issues in prescriptions, prescribing in special
circumstances and adverse drug reactions
08.00-08.50
Leadership & Risk Management
08.50-09.40
Diabetes and Ketoacidosis Management
09.40-10.30
Evidenced based management of Ischaemic Heart Disease
10.30-11.20
Advanced ECG Interpretation Skills
11.20-12.10
Case Based Discussions - Respiratory
12.10-13.00
Infection Prevention Control and Antibiotic stewardship (IPCAS)
LUNCH & CAREERS FAIR
13.50-14.40
Application Process
14.40-15.30
Careers Presentation
BREAK
15.45-17.00
Mock Interviews
08.00-08.50
Use of CT
08.50-09.40
MRI Spiral Imaging
09.40-10.30
Advanced X-Ray interpretation
10.30-11.20
Ultrasound Techniques
11.30-12.30
Interpreting Blood Results & Arterial Blood Gases
13.50-14.40
TIA & Stroke
14.40-15.30
Making the best of the microbiology lab
15.30-16.20
Assessing the Psychiatric patient in Acute Medical setting(SABP)
16.20-17.10
Assessing the Psychiatric patient-Self Harming(SABP)
08.00-08.50
Basic Surgical Skills-PRACTICAL
08.50-09.40
CbD-General Surgery
09.40-10.30
Patient Safety: Oral anticoagulation and how to use it safely-Joint with FY1
10.30-11.20
ED-Assessment
11.20-12.10
Fluid and Electrolyte Management
13.00-13.50
Complaints Procedure
13.50-14.40
Communication and Professionalism
14.40-15.30
15.30-16.20
Ethics & Legal Issues
Pain Control in Advanced Cancer
08.00-08.50
Management of Pleural Effusion
08.50-09.40
CbD-Orthopaedics
09.40-10.30
Post Mortem
10.30-11.20
Managing 3 way consultations with children and parents
11.20-12.10
CbD-Dermatology Quiz/Teaching
12.10-13.00
13.50-17.00
CbD-Cardiology
Management of patients with disabilities
24
TUES
06/01
08.00-09.00
Central venous access & Inserting a central venous catheter-PRACTICAL
09.00-10.00
Chest Drains-PRACTICAL
10.15-11.15
CbD-Obs & Gynae
11.15-12.15
CbD-Rheumatology
12.15-13.15
14.15-15.15
Joint aspiration and injections-PRACTICAL
CbD-CofE
15.15-16.15
Acute Oncology
***Please Note: All dates, timings and topics are subject to change. Subjects will be repeated Feb-July***
February 2015-July 2015
Thurs 5th Feb 2015
Tues 3rd March 2015
Thurs 14th April 2015
Tues 12th May 2015
Thurs 11th June 2015
Tues 7th July 2015
South Thames Foundation School
Appendix 6: Requirements for satisfactory completion of F1
See UKFPO Reference Guide 2012, p 42-43, Section 10, Table 1
1
2
3
Requirement
Notes
Provisional registration and a
licence to practise with the
GMC
Completion of 12 months of F1
training by August 2013 (taking
account of allowable absence)
The maximum permitted absence from training (other than annual leave) during
the F1 year is 4-weeks. (See GMC guidance on sick leave for provisionally
registered doctors).
A satisfactory educational
supervisor’s end of year
report.
Satisfactory educational
supervisor’s end of placement
reports.
The report should draw upon all required evidence listed below.
5
Satisfactory clinical
supervisor’s end of placement
reports
6
atisfactory completion of the
required
number
of
assessments:
If the F1 doctor has not satisfactorily completed one placement but has been
making good progress in other respects, it may still be appropriate to confirm that
the F1 doctor has met the requirements for satisfactory completion of F1. The last
end of placement review must be satisfactory
Continued over
Team assessment of behaviour (TAB)
4
An educational supervisor’s end of placement report is not required for the last
placement; the educational supervisor’s end of year report replaces this.
(minimum of one per year).
The minimum requirements are
set out in the Curriculum. The
Core procedures
(all 15 GMC mandated procedures)
25
deanery/foundation school may
set additional requirements.
7
8
9
A valid Immediate Life Support
(ILS)
or equivalent - certificate
Evidence of participation in
systems of quality assurance
and
quality
improvement
projects.
Completion of the required
number
of
Supervised
Learning Events.
The minimum requirements are
set out in the Curriculum. The
deanery/foundation school may
set additional requirements
If the certificate has expired, it may be appropriate to accept evidence that the
doctor has booked to attend a refresher course.
Foundation doctors should take part in systems of quality assurance and quality
improvement in their clinical work and training. This includes completion of the
national trainee survey and any end of placement surveys.
Direct observation of doctor/patient interaction:
• Mini CEX
• DOPS
(minimum of nine observations per year; at least six must be mini-CEX).
Case-based discussion (CBD)
(Minimum of six per year / two per placement)
Developing the clinical teacher
10
An
acceptable
attendance
record at generic foundation
teaching sessions
11
Attendance at the appropriate
level of Safeguarding Children
training
Attendance at an approved
simulation course
12
(Minimum of one per year).
It has been agreed that an acceptable attendance record should typically be 70%.
However, if the F1 doctor has not attended 70% of teaching sessions for good
reasons, it may still be appropriate to confirm that the F1 doctor has met the
required standard e.g. making up missed sessions by completion of appropriate
on-line learning modules. If there are concerns regarding engagement or if
attendance is below 50%, the FTPD should discuss this with the STFS Director.
STFS requirement
STFS requirement
13
F1 – F2 Transfer of Information
(TOI) form
STFS requirement
14
Signed probity
declarations
This is in addition to the Declaration of Fitness to Practise required by the GMC
when applying for full registration.
15
Leadership assessment
and
health
All STFS F1 doctors are strongly encouraged to have completed a leadership
assessment within the e-Portfolio (LEADER tool).
Continued over
26
South Thames Foundation School
Appendix 7: Requirements for satisfactory completion of F2
See UKFPO Reference Guide 2012, p 53-54, Section 11, Table 1
Requirement
1
2
3
Notes
Full registration and a license to practice with
the GMC
Completion of 12 months of F2 training by
August 2013 (taking account of allowable
absence)
A satisfactory educational supervisor’s end of
year report.
The maximum permitted absence from training (other than
annual leave) during the F2 year is 4-weeks.
The report should draw upon all required evidence listed
below.
4
Satisfactory educational supervisor’s end of
placement reports.
An educational supervisor’s end of placement report is not
required for the last placement; the educational supervisor’s
end of year report replaces this.
5
Satisfactory clinical
placement reports
6
Satisfactory completion of the required number
of assessments:
If the F2 doctor has not satisfactorily completed one
placement but has been making good progress in other
respects, it may still be appropriate to confirm that the F2
doctor has met the requirements for satisfactory completion
of F2. The last end of placement review must be satisfactory.
Team assessment of behavior (TAB)
supervisor’s
end
of
The minimum requirements are set out in the
Curriculum. The deanery/foundation school
may set additional requirements.
7
A valid Advanced Life Support (ALS)
equivalent - certificate
8
Evidence of participation in systems of quality
assurance and quality improvement projects.
9
Completion of the required
Supervised Learning Events.
number
or
of
The minimum requirements are set out in the
Curriculum. The deanery/foundation school
may set additional requirements
(minimum of one per year).
Evidence that the foundation doctor can carry out the
procedures required by the GMC.
If the certificate has expired, it may be appropriate to accept
evidence that the doctor has booked to attend a refresher
course.
Foundation doctors should take part in systems of quality
assurance and quality improvement in their clinical work
and training. The Curriculum requires that F2 doctors
manage, analyse and present at least one quality
improvement project (e.g. an audit) and use the results to
improve patient care.F2 doctors are also required to
complete the national trainee survey and any end of
placement surveys.
Direct observation of doctor/patient interaction:
• Mini CEX
• DOPS
(minimum of nine observations per year; at least six must be
mini-CEX).
Case-based discussion (CBD)
(Minimum of six per year / two per placement)
Developing the clinical teacher(Minimum of one per year).
Continued over
27
It has been agreed that an acceptable attendance record
should typically be 70%. However, if the F1 doctor has not
attended 70% of teaching sessions for good reasons, it may
still be appropriate to confirm that the F1 doctor has met the
required standard e.g. making up missed sessions by
completion of appropriate on-line learning modules. If there
are concerns regarding engagement or if attendance is
below 50%, the FTPD should discuss this with the STFS
Director.
STFS requirement
10
An acceptable attendance record at generic
foundation teaching sessions
11
Attendance at the appropriate
Safeguarding Children training
12
F2 Destination Questionnaire
Completion of the STFS questionnaire (separate guidance to
follow)
13
Signed probity and health declarations
A separate form should be signed for F2.
14
Leadership assessment
All STFS F2 doctors are strongly encouraged to have
completed a leadership assessment within the e-Portfolio
(LEADER tool).
level
of
28