Transcript Revalidation + Trainer Recognition

Revalidation + Trainer
Recognition
School of Surgery Annual Conference
Dr Bret Claxton, APD
Health Education Yorkshire and the Humber.
April 2013
Learning Objectives
1.What Revalidation means for Trainees
2.What information the Deanery requires
from YOU!
3. Trainer Recognition- What is it ?
ARCP and Revalidation
• Revalidation is about Fitness to Practice,
not progression through training.
• Outcome 3 or 4 in ARCP may not have
any influence on Revalidation unless:
ARCP and Revalidation
• Concerns raised over conduct
• Concerns raised over performance
• Concerns raised over health
• IF any of these would affect Fitness to
Practice
Trainee’s Revalidation
• Every 5 years
• LTFT regardless of % is still 5 Years
Trainee’s Revalidation
• All doctors in training have an annual assessment
• Their practice throughout the year is already
scrutinized and assessed. Deemed as currently robust
• GMC are using the ARCP process as the means to
assess Revalidation
The Dean as RO
•
The Postgraduate Dean is only responsible for
Trainees in GMC approved Deanery training
programs and posts.
•
This will include LATs and trainees who are currently
out of programme.
•
The Postgraduate Dean is NOT responsible for any
locums including LASs, Trust grade jobs, staff grade
posts and other non-training grade posts.
Trainee Requirements
• Complete a Form R, sent to them by the
deanery
• Self-Declarations which will be crossreferenced.
FORM R
• Includes all work including locums
• Investigations relating to conduct
• Complaints/compliments/probity
• Significant events
• Health – only that which impacts on work
• Will be done prior to ARCP
Employer Exit Report
•Provided by Employing Trust
•Most trainees will be signed off as ‘no issues’ in a list
format
•Exception report where there are on-going concerns
•‘Failure of Employer to produce adequate information
SHOULD not be detrimental to the trainee’
What is a Significant Event?
The GMC state that a significant event (also known as
an untoward or critical incident) is any unintended or
unexpected event, which could or did lead to harm of
one or more patients. This includes one which did not
cause harm but could have done, or where the event
should have been prevented, which is significant
enough to be investigated by the employing
organisation.
Significant Event or Complaint
 Whether investigated or not, discussed with ES and reflected
on the outcome in their portfolio
 Only need to record this information on their form R if any
formal investigations have not been completed and resolved, or
if they have not been included in their portfolio.
 THE EMPLOYER -will be asked to provide a brief summary (the
Exception report).
 Has this been resolved satisfactorily with no unresolved
concerns about their fitness to practice?
 If there are unresolved concerns, the employer will be asked to
give a brief summary and the anticipated date of the outcome of
any investigation
Health?
• Only a Concern to the Deanery if it affects Progression
in Training
• Only a concern for Revalidation if it affects fitness to
Practice e.g. Psychiatric Illnesses(some)
ARCP Outcomes
• Normal process for educational progression
• Issues that may require GMC discussion or affect
revalidation to be documented and discussed with
local APD/DD
• Audit trail for RO to RO transfer
• NO DECISIONS ON REVALIDATION, only
information to Dean as RO to decide on
recommendations
Almost finished……..
Trainer Recognition
Bret Claxton, Health Education Yorkshire and The Humber 2013
S
GMC
Requirement to be in place by 31st July 2014
Deaneries and LEPs to co-operate
Evidence to be provided in Appraisal
7 Areas taken from Academy of Medical Educators (AoME)
2010 Document
AoME 2010
1.Ensuring safe and effective patient care through training
2.Establishing and maintaining an environment for learning
3.Teaching and facilitating learning
4.Enhancing learning through assessment
5.Supporting and monitoring educational progress
6.Guiding personal and professional development
7.Continuing professional development as an educator.
Who Needs Recognition?
Named educational supervisors in postgraduate training
Named clinical supervisors in postgraduate training
Lead coordinators of undergraduate training at each local
education provider
Doctors responsible for overseeing students’ educational
progress for each medical school.
What about the rest?
‘Recognition will not be necessary for other doctors whose
practice contributes to the teaching, training or supervision
of students or trainee doctors.’ GMC 2013
Responsibilities
LEPs will use the seven areas to show how they identify,
train and appraise trainers in each of the four categories
above.
‘Education Organisers’ (EO), ie postgraduate deans and
medical schools, will then use that information to show us
what local arrangements are in place to meet GMC
standards.
Our Benefit
‘Trainers must be supported in their role by a postgraduate
medical education team and have a suitable job plan with an
appropriate workload and time to develop trainees’ AoME
2010
‘Particularly at a time of resource constraint, we aim to
protect and enhance the status of training’ GMC 2013
Milestones
To submit to GMC a timeline for implementation for trainer recognition by 31st
December 2012. DONE
To confirm that criteria and systems are in place and ready for data entry by
31st July 2013. ONGOING
To confirm that full information has been entered for all trainers in the four
roles in light of the EO criteria and that the trainers have all been categorised
as provisionally or fully recognised – by 31 July 2014.
To confirm that all trainers in the four roles, or entering any of the four roles,
are fully recognised ie have met the EO criteria, without use of interim
concessions – by 31 July 2016.
What Kind of Evidence -Examples
Courses attended or programs undertaken including face to face and
online learning
GMC trainee survey results
Feedback from patients about care received
Details of measures put in place to ensure supervision appropriate to
trainee’s competence and confidence
Trainee audits, examples of topics critically appraised by trainees
Examples of near miss/ critical incident analysis
Examples con’t
Case studies of the management of a trainee in difficulty
(anonymised)
Feedback from peers, e.g. relating to involvement in
organisational/ professional activities
Records of other relevant activities undertaken, e.g.
involvement in recruitment, training committees etc
HE YH - Deanery
Revised Educational Supervisor Training Package to meet
requirements. 5 Modules - Roll out August 2013.
Working Group for Implementation and Standards - Quality
Working Group for creation and monitoring of ES Database -
Data
LEPs to provide training for Equality and Bullying
Training Package to be on LEP mandatory training systems
QUESTIONS ?