Transcript Review of Trainees Progression

Modernising Medical Careers
for GPs
Education Supervision and
Review of Progression
Modernising Medical Careers
The Principles of MMC
• Trainees enter run through training on
completion of foundation programme
• Training throughout the programme to
meet requirements of the curriculum
• Completion of the programme is
competency based (though minimum time
set)
• Certification of completion of training
(CCT) awarded on completion
Principles of WPBA
• Longitudinal assessment of each trainee’s
progress over 3 years
• Multiple sampling using workplace based
assessment tools
• Tools look at developmental progression
• Links to RCGP Curriculum
• Learner led
• Competencies demonstrated when ready
Implementation of WPBA
• All learning and assessments recorded in
e-portfolio
• Regular educational supervision
– GP based
• Annual review of progression
– Deanery panel
Workplace Based Assessment
• Externally and locally assessed
components
• Assessed by clinical supervisor in hospital
or general practice setting
• Demonstrate progression rather than pass
or fail for individual assessments
Locally Assessed Components
•
•
•
•
Case based discussion CbD
Consultation observation tool COT
Mini CEX (Clinical evaluation exercise)
Directly observed procedure (DOPs)
Externally Assessed Components
• Multi-source feedback (MSF)
– 2 domain questionnaire using both clinical and
non-clinical colleagues
• Patient satisfaction questionnaire (PSQ)
– Empathy questionnaire (CARE)
– assessed components
Educational Supervision
• 6 monthly review
– Done at end of posts 1 and 3 or mid ST3
– WPB Assessments and results
– Coverage of curriculum
– Clinical supervisors report
– Review PDP
– Produce PDP for next 6 months
– Complete report on e-portfolio
Educational Supervision
• Annual Review
– For ST1&2 done at month 10 or 11 of year
– Educational supervisor meeting and report as 6
month review
– Annual NHS appraisal – documentation automatically
produced by e-portfolio
– Put Trainee forward for Deanery Panel with
recommendation
• Satisfactory progress
• Panel review requested e.g. some ill defined concerns,
• Unsatisfactory progress
Annual Review of Competency
Progression
• Done by a panel convened by the Deanery
• 5 panel members with representatives of
educators, employers, lay and RCGP
• Panel members not involved in trainees
programme
• Quality management of assessment and
review processes
Annual Review of Competency
Progression
•
For trainees progressing satisfactorily
– Review of e-portfolio summary only
•
For trainees with development needs
– Full review of e-portfolio
– Decision on further education plan
– Interview with trainee
1. Learning agreement:
aims & intended learning outcomes
based on specialty curriculum
2. Advice on portfolio
3. Regular feedback (2 way)
4. Personal Development Plan
5. Trainer’s structured report
6. Workplace based (NHS) appraisal
ARCP
A. Evidence
1. Assessment of performance e.g.
workplace based assessments and
observational methods
E.g. mini-CEX, DOPS, video,
CBD
examinations
structured report
2. Assessment of experience, e.g.
portfolio/log book
audit
research
critical incidents
B. Annual Competence Review
Appropriately constituted panel
considers evidence
Outcome
Review of evidence of progress
Outcome of review
Educational Planning
Educational supervisor and/or TPD meet
with trainee to
review competence outcome with
trainee
plan next part of training
Educational
Appraisal
Workplace
based (NHS)
appraisal
Annual
Review of
Competence
Progression
Outcome
Annual
Planning
Based on a paper from PMETB’s Workplace Assessment Group (2005)
Completion of Training
• Demonstrate competency through WPBA.
• Pass AKT and CSA
• Experience prior to Aug 07 certified by
VTR forms
• Deanery Panel recommends eligibility for
Certificate of Completion of Training (CCT)
• Recommendation confirmed by RCGP
certification unit to PMETB
• PMETB issues CCT
Certification
•
•
Article 10 – Certificate of Completion of
Training (CCT)
Article 11 – Certificate of Eligibility for GP
Registration (CEGPR)
– Posts not approved for GP training
– More than 7 years prior to completion date
– Overseas experience
The Principles of MMC
• Trainees enter run through training on
completion of foundation programme
• Training throughout the programme to
meet requirements of the curriculum
• Completion of the programme is
competency based (though minimum time
set)
• Certification of completion of training
(CCT) awarded on completion
Terminology
Old
GP Registrar……….
SHO…………………
Course Organiser…
Scheme Organiser..
Day Release Course
GP Trainer………….
New
GP Specialty Registrar (GP StR3)
GP Specialty Registrar (GP StR1 or 2)
Primary care medical educator
Programme Director
Structured Teaching Programme
GP Trainer
Educational Supervisor
Clinical Supervisor
Implications for General
Practice
• All trainees on 3 year programme
• Self construct schemes and stand-alone
registrar posts ended July 2007
• GP training programmes have expanded
and need to expand further by absorbing
current posts
• Programmes approved by PMETB
Implications for General
Practice
• 50% of trainees completing F2 will enter
GP training
• Acquisition of hospital posts for GP
programmes
• All trainees starting 2008 should have 18
months in GP
– Integrated training posts (ITP)
– Full GP posts
Projected numbers
Year
2006-7
2 yr
progs
37
3 year
progs
75
ST 1 & 2 Trainers
posts
needed
195
167
2007-8
73
197
343
2008-9
0
210
425
2009-10
0
250?
510
200 ST3
24 ITP
160 ST3
95 ST2
230 ST3
105 ST2
Summary
• GP Curriculum
• GP Specialty training
in 3 year integrated
programmes
• Ongoing assessment,
appraisal and
education supervision
• Expansion of numbers
and time in GP