Transcript Slide 1

FP Curriculum 2012:
summary of key changes
that will impact the
FP e-portfolio
Intended audience:
The educational faculty
(e.g. supervisors, FTPD/Ts,
FSDs, FSMs)
Miss Stacey Forde
UKFPO Project Manager
April 2012
Setting the scene

This presentation is not a substitute for reading the new Curriculum 2012!

A selection of the key changes will be explored. FULL details are available
within the FP Curriculum 2012, the UKFPO website & the ‘Key Changes’
handout.

Many key changes involve new administrative processes with revised forms
to support Curriculum delivery.

New forms and processes will largely be managed via the e-portfolio, hence
greater e-portfolio engagement is required (especially by supervisors).

There is a wealth of supporting guidance notes available on the UKFPO
website.
So why a new Curriculum?
 Prof. John Collins’ report ‘Foundation for Excellence’ highlighted
many positive aspects of the Curriculum but also these particular
areas of concern:
1) The purpose of foundation training
2) The value of F2 training
3) Long term condition management
4) Excessive assessments
 To align to the GMC Trainee Doctor (2011)
 The AoMRC were tasked to address these matters and as a result
produced the FP Curriculum 2012.
Summary of key changes to be explored:

New Curriculum syllabus headings

High level descriptors to distinguish between F1 and F2 outcomes

Supervised learning event (SLE) forms and guidance introduced

Changes to assessment

Detailed clinical supervisor’s end of placement report

Detailed educational supervisor’s end of placement & end of year report

Introduction of foundation-ARCP process and forms

Sign off documents reformatted into certificates
New Curriculum syllabus headings
The FP Curriculum syllabus headings have been rationalised from 16
(as listed below) to 12 overarching headings.
High level descriptors to distinguish F1/F2

High level descriptors separating the differences between the outcomes for
satisfactory completion of F1 and F2
1.2 Time management
F1 outcome
• Is punctual and organised
F2 outcome (in addition to F1)
• Delegates tasks and ensures that they are completed
Competences
• Is punctual for all duties, including handovers, clinical commitments and teaching
sessions
• Integrates Supervised Learning Events and other learning responsibilities into the
weekly programme of work
• Keeps a list of allocated tasks and ensures that all are completed
• Organises and prioritises workload regularly and appropriately
• Delegates or calls for help in a timely fashion when falling behind
• Demonstrates the ability to adjust decision-making in situations where staffing levels
and support are reduced (e.g. out of hours)
Supervised learning event (SLE):

A SLE is an interaction between a foundation doctor and a trainer which
leads to IMMEDIATE feedback and reflective learning.

They are designed to help foundation doctors develop and improve their
clinical and professional practice and to set targets for future achievements.

SLEs are based on workplace-based assessment tools but performance
descriptors have been removed and comment is via white box spaces for
immediate feedback and developmental action points.

SLE tools:
 Mini-clinical evaluation exercise (mini-CEX)
 Direct observation of procedural skills (DOPS)
 Case-based discussion (CBD)
 Developing the clinical teacher.
Supervised learning event (SLE):
 Recommended minimum number of SLEs as per FP Curriculum 2012 :
SLE tool
Direct observation of doctor-patient interaction:
Mini-CEX
DOPS
Recommended minimum number
(may increase/vary locally)
3 or more per placement*
Optional to supplement mini-CEX
(9 per year; at least 6 using mini-CEX)
Case-based discussion (CBD)
2 or more per placement*
Developing the clinical teacher
1 or more per year
* based on a clinical placement of 4 month duration (as per Collins recommendations)
Assessment tools:
 Assessment has changed. Revised forms and guidance introduced:
Assessment tool
Frequency
Core procedures
Throughout F1 (optional in F2)
Team assessment of behaviour (TAB)
Once in first placement* in both F1 and F2
(optional repetition)
(Self-TAB remains mandatory)
Clinical supervisor’s end of placement
report
Once per placement*
Educational supervisor’s end of
placement report
Once per placement*
Educational supervisor’s end of year
report
Once per year
* based on a clinical placement of 4 month duration (as per Collins recommendations)
 Clinical & Educational supervisor engagement with the e-portfolio is paramount.
Clinical supervisor’s end of placement report

Clinical supervisor’s end of placement report
The clinical supervisor (supported by a Placement Supervision Group)
takes responsibility for accurately describing the foundation doctor’s
performance in the workplace and highlighting any areas of excellence
or concern which may require educational support.

Placement Supervision Group
Consists of doctors more senior than F2, including at least one
consultant or GP principal, senior nurses (band 5 or above) and allied
health professionals.
Responsible for:
 observing the foundation doctor’s performance in the workplace
 providing feedback on practice to the foundation doctor
 providing structured feedback to the named clinical supervisor
 undertaking and facilitating supervised learning events (SLEs).
Clinical supervisor’s end of placement report

The CS’s end of placement report is a detailed assessment.

The CS will need to :




Complete names and job title/grade of PSG members who contributed
List evidence used to inform assessment
Assess the doctor’s performance using the overarching syllabus headings
Provide an overall assessment and comments on performance.
Professionalism
Excellent
□
No concern
□
Some concern
□
Major concern
□
Please comment on the foundation doctor’s areas of excellence or areas of any
concern under the following headings. Be as specific as possible.
Comments:
Behaviour in the workplace ...............
Time management ............................
Continuity of care...........................
Team working ........................
Leadership........................
N/A
□
Educational supervisor assessments:

There are two assessments that the ES will need to complete:

Educational supervisor’s end of placement report
The educational supervisor assesses the foundation doctor by
reviewing evidence and records if there are any areas of excellence or
concerns.

Educational supervisor’s end of year report
This review draws together all evidence gathered throughout the year
to enable a recommendation for satisfactory sign off to be made.
Educational supervisor’s end of placement report

The ES is required to assess the below:
Evidence considered and assessment
rating:
Excellent
No
concern
Some
concern
Major
concern
Unable to
comment
Please provide comment on any
areas of excellence or concern
Excellent
No
concern
Some concern
Assessments:
Clinical supervisor’s end of placement report*
TAB
Core Procedures
Engagement in learning:**
E-portfolio
Engagement in Supervised Learning Events
(SLEs)
Attendance at formal educational events
Overall judgement of placement performance compared to a
doctor ready to complete F1/F2

Major concern
There are also free text areas to comment on:
 other achievements made by the foundation doctor
 any areas that need to be prioritised in the foundation doctor’s next placement
 any other comments
Educational supervisor’s end of year report:
Educational supervisor’s end of year report

The end of year report draws upon all evidence and progression
demonstrated throughout the year.

The ES recommends if the foundation doctor HAS or HAS NOT met
the requirements for satisfactory completion of the F1/F2 year as laid
down by the GMC and set out in the Foundation Programme
Curriculum 2012 and the Foundation Programme Reference Guide
2012.

The e-portfolio will host optional documents to aid judgement of
meeting satisfactory requirements:
 checklist of requirements for satisfactory completion of F1/F2
(as per FP Reference Guide 2012)
 summary of outcomes achieved document.
Sign off / FP ARCP process 2013
Introduction of Foundation Programme ARCP (FP ARCP)

FP ARCP panel (FTPD/T and two others) will review if a doctor has
satisfactorily met the requirements for sign off.

IMPORTANT: All members of the panel will need read-only access to the
e-portfolio.

The information flow and FP ARCP process will be underpinned by use of
the e-portfolio.

‘Interim Review of Competence Progression’, ‘Checklist of satisfactory
requirements for F1/F2’ & ‘Summary of outcomes achieved’ forms are
OPTIONAL features to support sign off.

The F1 & F2 sign off documents (5.1 and 5.2/FACD) are now certificates
that can be printed onto local headed paper.
Sign off / FP ARCP process 2013
Throughout the F1/F2 year:
Assessments, SLEs, meetings, ES’s end of placement reports & CS’s end of placement reports completed.
Towards the end of the year:
ES’s end of year report recommends if requirements for satisfactory completion of F1/F2 have been met.
(Note: ES not required to complete end of placement report when completing end of year report)
End of year:
FP ARCP panel convened (FTPD/T & two others). Panel to review ES’s end of year report and e-portfolio evidence
(can be remote). Panel to assign outcome.
Recommended for sign off
Outcome 1: Satisfactory completion of F1
Outcome 6: Satisfactory completion of F2
NOT recommended for sign off
Outcome 3. Inadequate progress – additional training
time required
Outcome 4. Released from training programme
Outcome 5. Incomplete evidence presented –
additional training time may be required
Sign off form SIGNED/ISSUED
Sign off form NOT SIGNED/ISSUED.
Other action taken.
Sign off / FP ARCP process 2013

The FP ARCP process is designed to enhance the sign off process and
does not generate additional work for supervisors.

The existing principles of sign off have not been affected.
What has NOT changed?
What has changed?
The FTPD/T retains responsibility to
review the e-portfolio and confirm if a
doctor has met requirements for
satisfactory completion of F1/F2.
An additional person is recommended to form
part of the review panel i.e. the ARCP panel
consists of the FTPD/T (as chair) & 2 others.
The panel can conduct the review remotely.
A panel should review e-portfolio of any
doctor who is at risk of not meeting/has
not met the requirements for satisfactory
completion of F1/F2 and should make
recommendations for remedial/additional
action.
ARCP codes (as used for specialty) are now
used to better describe the outcome of the
panel.
E-portfolio access
Job Title
Access Level
Access Duration
Foundation doctor
All own data only
Indefinitely
Clinical supervisor
Shared e-portfolio content for specified
foundation doctors in a particular placement
of a particular foundation programme
During the period of supervision and
for a period of three months
following the end of the placement
Read-only: indefinitely
Educational supervisor
Shared e-portfolio content for specified
foundation doctors in a particular year of a
particular foundation programme
During the period of supervision and
for a period of three months
following the end of the year
Read-only: indefinitely
Foundation training programme
director/tutor (FPTD/T) and nominated
administrator
Shared e-portfolio content for specified
foundation doctors in a particular foundation
programme
During the Foundation Programme
and for a period of three months
following the end of the programme
Postgraduate dean, foundation school
director (FSD), foundation school manager
(FSM), and other nominated administrators
Shared e-portfolio content for all foundation
doctors in a particular foundation school
During the Foundation Programme
and for a period of three months
following the end of the programme
Read-only: Indefinitely. Information
should be archived
E-portfolio provider / system administrator
All data for all users subject to approval by
the postgraduate dean
For such periods as approved by
the postgraduate dean
Key messages:

Clinical & Educational supervisor engagement is paramount to the
success of delivering the FP Curriculum 2012.

The UKFPO hosts a wealth of guidance and information to support the
transition from FP Curriculum 2010 to 2012. We are here to support
you. If you require anything in particular, please contact:
[email protected]

The AoMRC, UKFPO, e-portfolio providers, FP Curriculum Delivery
Group and all other stakeholders continue to work hard to ensure that
the FP Curriculum, Reference Guide and supporting e-portfolio
products enhance the Foundation Programme experience.

If you have any good practice examples of Curriculum delivery; the
UKFPO would like to hear from you. Please contact:
[email protected]

Thank you.