Transcript Document

Welcome to the South Thames
Foundation School
Information for F1 Trainees
August 2013
South Thames Foundation School
www.stfs.org.uk
STFS
• 1 school, 3 offices
• 1 advice e mail –
[email protected]
• Enquiries checked daily and relevant
staff will respond
• Policies on STFS website
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
The role of STFS
DIRECTOR
Dr Jan Welch
• Brighton – quality
• London Bridge – policy and
communications
• Tooting – F1 and F2
allocation and sign-off
• Doctors needing to meet
STFS staff can attend local
office
• Offices based in / linked to
each medical school
London Bridge
ASSOCIATE
DIRECTOR
Dr Martin Parry
Tooting
Brighton
HFW
Marc Terry
HFW/FSM
London
Bridge
Marc Terry
FSM
Beverley
Osbourne
FSM
Beverley
Administration Osbourne
Officer
Janet Benjamin
FSM
Christine
Hutchings
Administration
Officer
London Bridge
Michelle Palfrey
Tooting
Administration
Officer
Janet Benjamin
Admin Assistant
Jan Cook
FSM
Christine Bridge
Data and
Programme
Projects Officer
Kata Varnai
Tooting
Admin Assistant
Jan Cook
South Thames Foundation School
ASSOCIATE
DIRECTOR
Dr Mark Cottee
Administration
Officer
Team
Jocelyn Krajewska
Administrator/
Personal Assistant
Stephanie Eborall
Admin Assistant
Chevonne
Blackwood
Administration
Officer
Brighton Lana Buckley
Administrative
Administration
Officer
Officer
Kata VarnaiAdmin Assistant
Lana Sargent
Admin Assistant
Admin Assistant
Nida Zehra
Admin Assistant
Tammy Harman
Brighton
Admin Assistant
Hazel Williams
Chevonne
Blackwood
Leigh Cardonna
Britton
Admin Assistant
Leigh Britton
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
e mail addresses
• STFS currently recommends Doctors.net.uk as available in
all trusts – if you use another inform STFS and ensure
functioning (avoid hotmail etc as spam filters block STFS
mails)
• Important to separate social and professional e mails and
identity – eg if you use facebook link it to an e mail
address to which patients do not have access
South Thames Foundation School
www.stfs.org.uk
STFS communications
• Please maintain the notified e mail address and check it
weekly – do not auto-forward as original e mail service
may close
• Enables information about GMC registration, careers etc to
be sent out - to help you
• STFS bulletins sent weekly – also available on website
• All new information also on stfs website
South Thames Foundation School
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
National information
www.foundationprogramme.nhs.uk
• Curriculum
• Reference guide
(national policies)
• Other information
South Thames Foundation School
www.stfs.org.uk
gmc-uk.org
• Guidance on good practice
• Education outcomes
South Thames Foundation School
www.stfs.org.uk
E-portfolio – an educational tool
Important that you learn how to use this early on to benefit
your training – now and in the future
• Educational planning
• Reinforce your learning
• Record of achievements
Not just a tick box exercise . . . .
South Thames Foundation School
www.stfs.org.uk
e-LFH
e-lfh.org.uk
•e learning modules for
foundation
•useful to support your
experiential learning, eg
Safe Prescribing
• to catch up if you miss a
teaching session
•user names / passwords
will be sent to you
South Thames Foundation School
www.stfs.org.uk
Who will supervise you*?
Educational supervisor*
• supervises you for full year
• will meet you formally at start and end of placements and other
times as necessary
Clinical supervisor*
• supervises you for one placement
• meets you at beginning and end of placement and other times as
necessary
Placement Supervision Group
• Led by consultant / GP and including senior colleagues in your
team
• Liaises with clinical supervisor
*NB names and contact details will be provided by Trust
South Thames Foundation School
www.stfs.org.uk
PATIENT SAFETY AND YOUR SUPERVISION
• As a Foundation Doctor you should know:
• Who is supervising your clinical practice at all times (usually a
consultant or experienced middle grade doctor)
• The clinician supervising you must be sufficiently competent to do so
• You should be able to contact your supervisor if you are concerned
about a patient
• You should never be forced to work beyond your competence
IF YOU ARE CONCERNED THAT YOUR FIRM IS REGULARLY NOT
ADHERING TO THESE PRINCIPLES, PLEASE CONTACT YOUR
EDUCATIONAL SUPERVISOR OR FOUNDATION TRAINING PROGRAMME
DIRECTOR
South Thames Foundation School
www.stfs.org.uk
Your trust should provide you with:
• Appropriate learning experience
• 3 hours+/ week education eg teaching sessions, teaching
ward rounds, clinics etc
• Training compliant with European working time
regulations (EWTR)
• Access to careers advice / guidance
• Representation at local faculty group via elected F1
representative
South Thames Foundation School
www.stfs.org.uk
Raising concerns / ‘whistle-blowing’
– GMC guidance
• You must protect patients from risk of harm posed by
another colleague's conduct, performance or health. The
safety of patients must come first at all times
• If you have concerns that a colleague may not be fit to
practise, you must take appropriate steps without delay,
so that the concerns are investigated and patients
protected where necessary
More information on STFS website / local trust policy
South Thames Foundation School
www.stfs.org.uk
Protecting patients (and you)
F1 doctors must NOT
• Site mark (except under direct supervision by the
operator)
• Prescribe or administer cytotoxic or
immunosuppressant drugs (except
corticosteroids)
• Inject contrast unless trained to do so
South Thames Foundation School
www.stfs.org.uk
Consent
• Taking consent is the responsibility of the doctor
performing the procedure
• If a FD is not capable of carrying out a procedure,
s/he may only obtain consent for it when trained to do
so, directly supervised, and under delegation from
the experienced doctor carrying out that procedure
South Thames Foundation School
www.stfs.org.uk
Protecting yourself (and patients)
Flu vaccine
• Reduces sick leave (and pressure on colleagues)
• Will be available via Occupational Health
• Is much less unpleasant than genuine influenza
South Thames Foundation School
www.stfs.org.uk
F1 sign-off (1)
in order to achieve GMC registration you must:
• Have no more than 4 weeks sick leave in the year
(if more is likely, contact STFS)
• Attend at least 70% of your F1 teaching sessions
• Attend a day of simulation training
• Possess a valid intermediate life support (ILS or
equivalent) certificate or record of attendance
South Thames Foundation School
www.stfs.org.uk
F1 sign-off (2)
Supervised learning events (SLEs)
Purpose of SLEs is to:
• Provide immediate feedback and suggest areas of further
development
• Highlight achievements
Only approved assessors can assess you (not F2)
• SLEs should be spread throughout the year, with 4+ in each 4/12
rotation and 7 to be done by January
– 6+ mini-CEX
– 6+ CBDs
– 1-3 DOPS
– 1-2 developing the clinical teacher
• Plus team assessment of behaviour (TAB - 360 degree feedback)
• STFS videos about these are on www.etft.co.uk
South Thames Foundation School
www.stfs.org.uk
F1 sign-off (3)
you must:
Maintain your e-learning portfolio, and include
evidence:
• core procedures required by the GMC (part of e
portfolio)
• end of placement reports from clinical &
educational supervisors
• end of year report from educational supervisor
• meet other curriculum and statutory requirements
such as child protection training
South Thames Foundation School
www.stfs.org.uk
F1 sign-off (4)
You must:
• Do the mandatory national online trainee survey
• Plus any other surveys required by STFS
• These assess the quality of your training
• Feedback is essential to monitor and improve
medical training
• It is also strongly recommended that you carry
out a leadership project – documentation on eportfolio
South Thames Foundation School
www.stfs.org.uk
F1 sign-off
list of skills to perform competently and teach
undergraduates
• IV infusions inc. fluids,
• Venepuncture /IV
blood and blood products
cannulation
• Use of local anaesthetics • Perform and interpret
ECG, spirometry and peak
• Arterial puncture (adult)
flow
• Blood cultures
• Urethral catheterisation
(male and female)
• Injections (SC/ID/IM/IV)
• Prepare and give IV meds, • Airway care
blood and blood products • NG tube insertion
South Thames Foundation School
www.stfs.org.uk
ARCP
Annual Review of Competence Progression
• Process to ensure that you have met foundation
requirements (similar applies in specialty training)
• All requirements must be met and e portfolio ready for
review by May (date to be advised)
• Meet your ES in April to review
• Also complete Form R in e Portfolio – self declaration of
fitness to practise
• Further details will be sent to you by STFS nearer the time
South Thames Foundation School
www.stfs.org.uk
Leaving early
• If you wish to leave before the official end date of your F1
programme in order to take other employment
opportunities (eg in N America) you will not be signed off
as having met foundation training requirements (as the FP
is time limited)
• If you leave early you will be required to complete a
withdrawal form
South Thames Foundation School
www.stfs.org.uk
And if I am not signed off?
Arrangements will depend on circumstances eg
• Remedial training
– Repeat entire year
– Repeat part of year
• Spend 2-4 weeks at start of F2 as an F1
South Thames Foundation School
www.stfs.org.uk
Revalidation
• Every doctor who is fully registered with a licence to practise will need
to revalidate.
• STFS will provide all relevant information during the course of the
year.
• For all STFS trainees (inc those in south London trusts)
– Designated body = KSS Deanery
– Responsible officer = Professor David Black
• For further information see http://www.stfs.org.uk/doctor/revalidation-foundation-doctors-stfs
• Any queries please contact – [email protected]
South Thames Foundation School
www.stfs.org.uk
Asking for advice about your training
• Usually ask locally first, eg your educational supervisor or
FTPD
• STFS must know if it may affect your training programme:
– You have been or need to be away, for example for illness for > 2
weeks or maternity leave
– You wish to work abroad / take time out / work less than full time
– Special circumstances which may affect your placement
– You are having problems with your training
– Raising concerns which you feel have been inadequately dealt with
locally
• If so please check the policy and deadlines on
www.stfs.org.uk and contact [email protected]
South Thames Foundation School
www.stfs.org.uk
Support available
Local in trust
• Educational / clinical supervisors
• Postgraduate Team
• Occupational Health
• Medical Staffing
Outside trust
• kssdeanery.org/trainee-support
South Thames Foundation School
www.stfs.org.uk
Feedback to STFS
• Foundation programme trainee representative at
all trusts – can raise issues locally
• Trainee representatives at STFS committees –
inform and influence future directions
• Online (via e-portfolio) questionnaires – please
contribute as your views are valued!
South Thames Foundation School
www.stfs.org.uk
Careers
• Careers support and resources available in your trust
• ROADS book and shorter e-book – and four stage approach to career
management
• Informal short one-2-one career sessions
• Group teaching introducing career planning
• Up to 5 days of your F2 study leave entitlement can be taken towards
the end of F1 for a ‘taster’ to explore career options
• www.medicalcareers.nhs.uk for further ideas
South Thames Foundation School
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
Enjoy your foundation training – and let us
know if we can help you plan your future
career
• www.medicalcareers.nhs.uk
• www.stfs.org.uk
• [email protected]
South Thames Foundation School
www.stfs.org.uk