Transcript Document

Pharmacy
The Pharmacy Vocational
Training Scheme
Stage 2
Induction presentation
Sept 2014
Quality Education for a Healthier Scotland
What is the Pharmacy Vocational
Training Scheme?
Pharmacy
Stage 4
Education and training, Leadership and Research
Advanced training
Stage 3
Specialist training – modules
Stage 2
General training/Foundation training
Quality Education for a Healthier Scotland
Lets get started....
• What do you wish more information about? (5 mins)
Quality Education for a Healthier Scotland
Pharmacy
What will we cover today?
•
•
•
•
•
•
•
the model of training
competency framework
resources available
forms for evidence
support for training
assessment process
e-Portfolio
Quality Education for a Healthier Scotland
Pharmacy
What is Stage 2
of The Pharmacy Vocational Training
Scheme?
Pharmacy
Competency based training framework
Meetings with tutor
Based on reflection of actual practice
in the workplace
Appraisal
ePortfolio for
evidence
Development of a wide range of
Foundation /Generalist skills
Guidance on what to do
when
Resources to help your learning
-web pages, ePortfolio
Quality Education for a Healthier Scotland
The competency
framework
Pharmacy
Quality Education for a Healthier Scotland
The competency
framework within
ePortfolio
Quality Education for a Healthier Scotland
Pharmacy
Resources within
ePortfolio
Pharmacy
Quality Education for a Healthier Scotland
Guidance for timelines
for activities
Pharmacy
Quality Education for a Healthier Scotland
Screen shot of the VT
web pages
Pharmacy
Quality Education for a Healthier Scotland
Advantages of
undertaking
training
It increases
confidence
Develops a
systematic
approach to
practice
It gives you
career
choices
Pharmacy
It enables
structured
training by
specialists
Development of
non professional
skills –
organisational,
communication,
team skills
Quality Education for a Healthier Scotland
Disadvantages...
Pharmacy
Takes time to
do the work...
Getting feedback
from people takes
time...
Often write
up done in
my own time
Often specialists
want different
things....
Getting feedback
from people takes
time...
Quality Education for a Healthier Scotland
Shows learning
through experience,
reflection,
discussion and
experimentation
before undertaking
the experience
again....
How do we learn?
Kolb’s learning cycle
Pharmacy
Concrete
Experience
Active
experimentation
Reflection
Conceptualising
Learning from experience and reflection
in the workplace.....
Source: Kolb, 1984
Quality Education for a Healthier Scotland
What is the key to success?
Pharmacy
The key to success with any vocational training
scheme is the ability to reflect on practice and learn
from the experience.
and to develop a portfolio of
‘..a collection of evidence that (demonstrates) learning has
taken place.’
(Source: Knowles et al. (1984)
Snadden and Thomas, Med Teach (1998 ))
Quality Education for a Healthier Scotland
What is our curriculum ?
Looking at the competency framework.....
Personal
competencies
Clinical Governance
Education and Training
• Communication
• Team working
• Equality and Diversity
• Personal involvement in risk
• Audit
• SEA
• SOP
• Development of plan for
training
• Feedback from training
• Different groups
Aseptic services
Cost Effective use of Medicines
Medical Gases
• Professional role
•SFIs pharmacy practice
• Clinical practice
• Webcast
Clinical services
Dispensing services
• Case studies
• Care plans
• mini CEX
• CbD
Medicines
Information
• Counsel patients
• Professional role when dealing
with a variety of different types of
prescription
• Range of enquiries
• Literature search
Quality Education for a Healthier Scotland
Pharmacy
The competency
framework
Quality Education for a Healthier Scotland
Pharmacy
The Competency framework
Pharmacy
A Personal competencies
Commitment to CPD [needs host of CPD records]
A23 equality and diversity
Interaction as a team member
B Aseptic services
Focus on pharmacist role
Knowledge of preparation process
B23 Use templates –no Rxs or worksheets to be included in portfolios
CPD webinar on NES website to help you develop CPD records… but
watch… there is a skill to develop CPD records for training….
Aseptic services modules to help you learn about aseptic services
Quality Education for a Healthier Scotland
Clinical pharmacy
C Clinical Pharmacy
Care plans
Full cases, ~2000 words, referenced.
Exec summary as front page, include learning
C24 Case for medical gases
mini – CEX
CbD
Care planning webinar……….to help you…
Quality Education for a Healthier Scotland
Pharmacy
D Clinical Governance
Pharmacy
Need to highlight own local process and involvement in
process, SEA , Audit , SOP [draft and action, i.e. link
theory and their
practice]
Ensure trainee understands what is
required when submitting an SEA and
also how to do an audit with criteria and
standards....
NES website for information about audit and SEA, risk
management webinar, patient safety webinar….
Quality Education for a Healthier Scotland
Portfolio
Pharmacy
Competency framework
Pharmacy
Quality Education for a Healthier Scotland
E Cost Effective Use of Medicines
Learning about procedures for out of hours, formulary process, relationship
between clinical practice and technical practice
F Dispensing services
Learning about the different dispensing processes. Link theory to practice,
templates to be used
G Education and training
Demonstration as teacher. Power Point presentations, feedback forms,
Reflection pages, 4 scenarios. Seek feedback from participants.
‘Develop your portfolio’ section of the VT pages of the NES website
..............has more information….
Quality Education for a Healthier Scotland
Competency framework
H Medical gases
Learning about oxygen saturation, how to store and the clinical use of
medical gases. Case study e.g. respiratory, presentation online +MCQs
Demonstrate knowledge of the clinical use of medical gases.
Webinar on NES website to help you
I Medicines information
Processes for the searching of information, critical appraisal of the literature and
delivery of a reply to a healthcare practitioner. Range of enquiries. No need to
submit MiCal booklet. Use templates instead of original enquiries.
Critical appraisal recordings on NES website + MCQs to help you…
Need a mix of Level 1,2 and 3 enquiries e.g. 6 of level 2 and 3...
Quality Education for a Healthier Scotland
Pharmacy
What should a good portfolio contain?
Pharmacy
A structured collection of your evidence that is clearly
referenced to the competency framework codes…
Examples of your own practice confirming your involvement in
the experience
Evidence that shows progression in your practice and
progression in your learning
Summaries of your personal reflection of your
learning for each task/piece of evidence.
Quality Education for a Healthier Scotland
What should a good portfolio contain?
Pharmacy
Feedback forms that contains information on progress from
the tutor, trainer and other healthcare professionals (out with
pharmacy)
Confirmation from your tutor that your evidence is at a suitable
level
Quality Education for a Healthier Scotland
Support for learning
Pharmacy
Consider the following scenario...
John, your VT2 trainee has been working on his training for about 6 weeks
now... He given you some evidence to review two days
before your meeting. The meeting was meant to be several weeks ago
but it had to be postponed as John had to deliver a peer review
session... The evidence that he has submitted is not reflective in
nature, is messy and doesn’t meet with the examples as specified in
the competency framework....
Quality Education for a Healthier Scotland
Consider the following....
• What is your role?
• What would you expect of your trainee?
• How will you provide feedback about the standard of their
evidence?
• How will you ensure agreed actions are undertaken?
• What are the benefits of written feedback vs verbal feedback?
• Would you expect to see any changes more than once?
• How would your communication style in the meeting change if
John continues to act in this way over the next few months...?
Quality Education for a Healthier Scotland
Pharmacy
What do we expect ?
Trainees
Pharmacy
Examples of their own personal experience
Various different forms of evidence developed over a period
of time to show progression....
e.g.
• CPD records , care plans, case studies,
• Mini-CEX, CbD, Audit, SEA, templates
Reflections and learning from undertaking the experience/task in practice
Attendance at training sessions, monthly meetings with tutor
Submission of ‘appraisal forms’ at intervals specified.
Quality Education for a Healthier Scotland
Portfolio
Pharmacy
Quality Education for a Healthier Scotland
Forms for recording
evidence
Pharmacy
Quality Education for a Healthier Scotland
Action record
Pharmacy
Quality Education for a Healthier Scotland
Dispensing services
reflection record
Pharmacy
Quality Education for a Healthier Scotland
Aseptic services log....
Pharmacy
Quality Education for a Healthier Scotland
The reflections from this experience...
Pharmacy
Quality Education for a Healthier Scotland
Example of care plan.... But use the one
on the VT web page and upload into your
personal library...
Pharmacy
Quality Education for a Healthier Scotland
Med info activity log
Pharmacy
Quality Education for a Healthier Scotland
Forms for assessment
of performance
Pharmacy
Quality Education for a Healthier Scotland
One type of
evidence
Record of completion of
section form....Complete
this at the end of each
section... Can be linked to
the very 1st competence in
each section of the
framework
Quality Education for a Healthier Scotland
Pharmacy
Mini- CEX form
Pharmacy
Quality Education for a Healthier Scotland
Case Based
Discussion form
Pharmacy
Quality Education for a Healthier Scotland
Appraisal form 6,9 15
months...
Pharmacy
Quality Education for a Healthier Scotland
Portfolio
Pharmacy
Quality Education for a Healthier Scotland
Evidence
Pharmacy
Using the Evidence Booklet ………..
Review each piece in turn…. look at the structure… don’t worry about the
content e.g. clinical content….
Take about 5 mins per piece and comment after each piece has been
reviewed….. This may take about 1 hour…..
Quality Education for a Healthier Scotland
Portfolio
Pharmacy
Quality Education for a Healthier Scotland
Assessment
Continuous assessment by tutor/specialists
Informal feedback from locality tutor prior to submission
Formal Portfolio assessment [Pass/fail]
Final face to face assessment [Pass/fail]
Quality Education for a Healthier Scotland
Pharmacy
Assessment
Portfolio assessment
Portfolios assessed in pairs, trained assessors, using scoring sheet
Evidence is sampled
Max 5 small pieces of remedial action
>5 small pieces or >2 larger pieces then defer to next assessment
Written feedback e mailed to trainee
Portfolio retained by NES, evidence can be requested if required
Quality Education for a Healthier Scotland
Pharmacy
Final assessment
Pharmacy
Final assessment
~2 weeks post portfolio assessment
Presentation on item within portfolio [reinforce reflections, learning points]
Problem solving scenarios [personal limitations, systematic approach,
response to questioning]
Discussion about portfolio
Quality Education for a Healthier Scotland
Portfolio
Pharmacy
Quality Education for a Healthier Scotland
How do we complete the ePortfolio?
E portfolio
List of forms and logs within
e portfolio
Log in page with links
to Audit, SEA pages
on NES website
Quality Education for a Healthier Scotland
Pharmacy
Pharmacy
List of forms and logs
within e portfolio
Quality Education for a Healthier Scotland
Pharmacy
Competencies linked to different
forms of evidence
Any piece of evidence when
complete for can be ‘linked’ to the
curriculum. There is a button at the
bottom of the screen when you
finish a log /form...
Case study
log
completed
for this
one…
Binoculars
indicate item
is linked to a
piece of
evidence
Quality Education for a Healthier Scotland
Pharmacy
The personal library for
storing of CPD records...
Only empty folders can be
deleted....
Quality Education for a Healthier Scotland
Pharmacy
Resources section
Links to the website,
PDFs… All info is here…
Quality Education for a Healthier Scotland
Pharmacy
This is how you select
evidence to share with
a specialist....
Select Down load
portfolio tab....
Quality Education for a Healthier Scotland
Pharmacy
After selecting the link…
You reach this page….
1. If you have done an e
Portfolio before you will
need to select your
current Year or post….
2. Any pieces of
evidence from your
current curriculum that
you have developed
…appear in this box
4.Once the items are over
this box you can sort the
using the ‘up’ and ‘down
buttons… so that the firs
item you wish the special
to see is at the top…. Sele
the ‘make a PDF’ button a
the evidence will be
Quality Education for a Healthier Scotland
presented as the one
Pharmacy
How do we add signatures to sign off
evidence?
The Links button is key to this…..
The trainee can link to the curriculum and it will
show in the competency listing as a piece of
evidence….
Quality
Education
for a Healthier
Scotland
The Tutor/specialist
can add
a comment
or a
There are several ways in which you can save a
CPD record into your Personal Library...
• Save as a web file using Internet Explorer (not supported by
Google Chrome)
• Copy and paste the info from the CPD page into a word
document, save as a word file
• Save the CPD page as a PDF file
and then upload the file into your
personal library..........
The following slides show how to save the CPD page as a web
archive
file page and then the process for uploading the file into your
ePortfolio.
Quality Education for a Healthier Scotland
Pharmacy
Pharmacy
This is the
CPD record
that I wish
to save in
my
personal
library
within my
ePortfolio
Quality Education for a Healthier Scotland
Pharmacy
This is in the
GPhC CPD
recording
pages
Select the CPD record that
you wish to upload, open it
and select to PRINT the
page.
Select the option SHOW
PRINTABLE PAGE
Quality Education for a Healthier Scotland
Pharmacy
Save this CPD page by
clicking on’ FILE’ and
‘SAVE AS ‘
as you would to save a
word document but
save it as a WEB PAGE
e.g. Web archive page.
USE the competency
framework code and the
topic e.g. A23 Equality
and Diversity and your
unique ref code.
Quality Education for a Healthier Scotland
Pharmacy
Save in one of your
files on your
computer and when
you are ready you
can upload several
CPD records into
your e portfolio at
the one time
Save as a web
archive file . This is
supported by
Internet Explorer
but not by Google
Chrome..........
Quality Education for a Healthier Scotland
Pharmacy
Example of
saved CPD
records in a
computer file.
Note the form
of file saved.
Quality Education for a Healthier Scotland
Pharmacy
Uploading to your personal
library .
Folders
that you
have
previously
created .
Ensure that your folders of
screen are set up correctly.
Ensure that the various
sections of the competency
framework have a folder
and that each is separate
and NOT a sub folder of
another one.
SELECT
BUTTON
Shared or
private
options
Description – be
specific use your
own personal ref
number based on
the CF codes
A23 E and D ref
A1.1
Quality Education for a Healthier Scotland
Pharmacy
To upload your file….
Highlight the correct folder
(previously created) e.g. A
PERSONAL COMPETENCIES
Click on the SELECT button, click
on the SHARED option or the
PRIVATE option if it is not ready to
share.
Put the file name as the
description- be specific and use a
personal ref number.
Press UPLOAD FILE.
The file will upload into the
chosen folder within your
personal library.
Quality Education for a Healthier Scotland
Conclusions
Pharmacy
Stage 2 , The Scottish Pharmacy Vocational Training Scheme - revised service redesign in Scotland.
Training scheme aims to develop pharmacists through learning by their
everyday experiences - not by underpinning knowledge alone.
Research informs that whilst Stage 2 Training Scheme is challenging, it is
viewed by the majority of trainees as being a way of receiving a broad
structured training and feedback from experienced senior pharmacists which
in turn, in their view, leads to increased confidence and a sense of improved
quality of the pharmaceutical care that they are able to provide to patients.
Quality Education for a Healthier Scotland
Advice from previous trainees…
Get on with
the work
Don’t ignore
it, it wont go
away…
To do lists
for each
section are
important.
Write it up as you
do it.
I felt my evidence
could have been
better if I had done
this…
Pharmacy
Set yourself
deadlines.
I set a target
month to
complete each
section.
Don’t leave
loads to write
up at one time..
You will forget the
detail.
Quality Education for a Healthier Scotland
What did we cover today?
•
•
•
•
•
•
•
the model of training
competency framework
resources available
forms for evidence
support for training
assessment process
e-Portfolio
Quality Education for a Healthier Scotland
Pharmacy