welcome to health education england, north west · • process: tpd signs off (must get permission...
TRANSCRIPT
Welcome to Health Education England,
North West
Alison Waghorn, Head of School of Surgery
Associate Dean
Joanne Rowell Head of SchoolAlison Waghorn
TPD
AES
Nadeem Khwaja
Associate Head of
School – trainee
education lead
Vijay Bhalaik
Associate
Head of
School –
educators lead
DME (Director of Medical Education)
Trust Specialty Training Lead (TSTL)
AES
HEE Offices
Manchester Office
Three Piccadilly Place,
Manchester, M1 3BN
Liverpool Office
Regatta Place, Brunswick
Business Park, Liverpool,
L3 4BL
Lead Employer
Occupational health
Health and wellbeing
Administrative Structure:
School of Surgery
Programme Support Manager:
Ashley Barrett: [email protected] / 0161 268 9520
Programme Support Coordinator:
Laura Griffiths: [email protected] / 0161 268 9614
Programme Support Officer for:
Core Surgery, Paediatric Surgery, Neurosurgery, Cardio-thoracic Surgery and Trauma &
Orthopaedic Surgery:
Angela McMahon: [email protected] / 0161 268 9513
Programme Support Administrator for:
General Surgery, OMFS, ENT, Urology, Plastic Surgery and Vascular Surgery:
Ian Griffiths: [email protected] / 0161 268 9575
Programme Support Assistant:
Abi Beech-Eccles: [email protected] / 0161 268 9705
https://www.nwpgmd.nhs.uk/Specialty_Schools/Surgery
Your training
PDP: Personal Development Plan
Every year
counts
PDP
1. SWOT analysis
2. Set your goals: ‘learning gap’
3. Short Term: 6 months: Improve general fitness (gym
regularly), Regular level 3/4 PBA – DHS (20), take on rota
manager, audit on burns treatment, find a research
project
Medium term: 2 years: Undertake a marathon, level 3
PBA – hip replacement, undertake leadership module,
have one peer reviewed paper submitted
Long term: >5 years: South African Ultra marathon
(89k), Consultant hip surgeon with an interest in redo
surgery, three peer reviewed papers
Original ideas from Vijay Bhalaik
JCST certification guidelines
JCST certification guidelines
Direct link: http://www.jcst.org/quality-assurance/certification-guidelines
ISCP: setting up an AES
• Learning agreement: within 4 weeks of starting
• Populate every area on ISCP
• Interim review within 3 months
• Final review and AES report (need CS report)
• EVERY 6 months
• Get the dates in the diaries at the beginning (3 dates)
• Bring your on-call rota / holidays to the meeting
Minimum ARCP Requirements
First 10 months then annually
• 13 Cex - ?Capabilities in Practice (CiP) – OPD, WR, ET, MDT,
OT
• 13 CBD – ?Critical Conditions
• 13 PBAs / DOPs (demonstrate: levels 2,3,4) – Index procedures
• 1 MSF
• 1 Audit
• 1 Piece of evidence of reflection
• 1 Observed Teaching
• PDP
• LA, interim review, final report, AES report every 6 months (twice
in a year)
• GMC survey(may vary slightly from specialty to speciality: see global objectives on ISCP)
New Curriculum
• New phases: 2-3 phases
• New Assessments:
• MCR – Multiple Consultant Reports
• Generic Professional Capabilities
• Capabilities in Practice
Generic Professional Capabilities
• Domain 1 – Professional values and behaviours
• Domain 2 – Professional skills: practical /
communication / complexity / uncertainty / clinical
• Domain 3 - Professional knowledge:
• Domain 4 – Capabilities in health promotion and illness
promotion
• Domain 5 – Capabilities in leadership and team working
• Domain 6 – Capabilities in patient safety and QI
• Domain 7 – Capabilities in safeguarding vulnerable groups
• Domain 8 – Capabilities in education and training
• Domain 9 – Capabilities in Research and Scholarship
Capabilities in Practice • Managing an outpatient clinic
• Managing in-patients and ward rounds
• Emergency care
• Managing an operating List
• Multi-Disciplinary Team working
• Level 1 - Able to observe only
• Level II a - Able and trusted to act with direct supervision:
• Level II b -
• Level III - Able and trusted to act with indirect supervision:
• Level IV - Perform at the level of a day 1 consultant
• Level V - Performs beyond the level expected of a day one
consultant
Personalise your education programme
• Met with TPD?
• Met with AES?
• Undertaken PDP?
• Study leave?
• Next year?
ARCP process (revalidation)
Revalidation
• For trainees the route to revalidation is through
the ARCP process
• The Postgraduate Dean is the Responsible Officer
• Form R as part of the ARCP every year – NO
FORM R – NO PROGRESSION – online
• Deferral of revalidation sometimes happens and it is
not detrimental (ARCP 2 and 3 OK)
ARCP
• At least one face to face a year (Interim Progress Review): usually
between Nov and March or (May and July)
• ARCP Assessment Panel: usually May / June / July: online (Dec / Jan)
• ARCP Feedback Panel: June / July: face to face to confirm ARCP
outcome if outcome 1 is not issued (Jan / Feb)
• ~10 months to get all WBAs etc.
• Need everything signed off by ARCP Assessment Panel (TPD may give
an earlier date)
• TPD / SAC rep often review everything online before the ARCP
Assessment Panel
• CCT guidelines: jcst.org.uk or through ISCP site: up load once a year:
where you are: miscellaneous
ARCP outcomes: Gold guide
• ARCP 1 –
• ARCP 2 –
• ARCP 3 –
• ARCP 4 –
• ARCP 6 –
• ARCP 8 –
• CST: ?How much extra time?
• ST1- 8: ?How much extra time?
ARCP outcomes: Gold guide
• ARCP 1 – satisfactory can progress to next level
• ARCP 2 – Specific development needs (no extra time)
• ARCP 3 – Development needs (extra time)
• ARCP 4 - released from the training programme
• ARCP 6 – CCT awarded
• ARCP 8 – when OOP
• CST: Extra 6 months (exam)
• ST1- 8: one extra 1 year
Form R?
Form R (online)Policies and procedures
• ONCE A YEAR and at time of ARCP
• PART B every year – (PART A is at the start)
1. Whole Scope of Practice
2. Declarations relating to Good Medical Practice
3. Update to previous Form R B (old declarations)
4. New declarations: significant event, complaints,
other investigations
5. Compliments (not in ISCP portfolio)
Whole Scope of
Practice?
Whole Scope of
Practice
• PROBITY: must declare
• Training posts
• OOP (out of programme), mat leave, OOP(T), OOP(E),
OOP(C), OOP(R) etc.
• Non-NHS bodies – related medical practice: ‘BoTox,’
your own company, creating medical videos or websites,
Sports events, Medical Blog, Teaching (outside allocated
hospital – (paid or on a specific course)
• Volunteering: medical officer at venture scouts, helping
as a doctor in the Syrian crisis
• Locum work: declare shifts (inside and outside
allocated hospital)
Declarations of Good Medical Practice
• Referral to GMC (can happen as a direct referral by patient
or relatives)
• Any conditions, warnings or undertakings placed on you
by GMC, employing trust, other organisation (e.g. University)
• E.g. unable to undertake on-call, bullying and harassment
• Health Statement:
• (must not allow their own health to endanger patients)
Physical restriction,
mental health condition etc. –
what you have done to counter
these and that OH knows.
No detail needed.
Declaration of
Significant Events etc??
Declaration of
Significant Events etc
• IF IN DOUBT DECLARE OR ASK AES / TPD • Significant event: e.g. asked to write a statement, CD involved,
• Complaints: patient written in to complain about a team
• Other investigations: Never events, SUI, if generated external publicity
• Any senior members of the trust (beyond your AES) are involved:
e.g. CD, DME, HR
• RESOLVED (2) or UNRESOLVED (3)
• EVIDENCE OF REFLECTION on
ISCP (A MUST)
When things do quite go to plan
MHPS?
MPHS (Maintaining High Professional
Standards) REFERRAL - (Trust to LE)
• Data Protection Breach: FAMILY, CELEBRITY
SOCIAL MEDIA
• Probity issues: Plagiarism, Inaccurate publication
claims
• Good Medical Practice: Patient care your first
concern, Team working, Infection control breaches
GMC Referral
Criminal offence or ‘caution’
Sectioned under Mental Health Act
PLEASE INFORM EVERYONE BELOW:
• AES
• TPD
• Lead Employer
• HR at trust
• Defence Union
• HEE NW administration/RMO (dean)
• GMC
Exception reporting?
Exception reporting
• Over Contracted hours: AES
• If asked to work over hours: Guardian of Safe working
• Educational contract not being delivered
• AES within first four weeks
• If significant problems let TPD know you are speaking
with AES
• Exception report to DME if no change (copy in AES
and TPD)
Bullying and Harassment
• Lead employer policies on website
• Talk to AES if possible
• Talk to TPD or DME if AES not possible etc.
• Informal resolution (AES / TPD facilitate)
• Informal Formal resolution (TPD / HOS facilitate)
• If you refer to lead employer – formal investigation
New Guidelines
Website
https://www.nwpgmd.nhs.uk/Specialty_
Schools/Surgery
New guidelines
• Reflection
• Time out of training
• Study leave
• LTFT
• Sick leave
• OOP
Reflection as a result of SUI / MPHS
investigation / GMC investigation
• Write your own reflection and have a detailed discussion of this written
reflection with your CS or AES on the topic.
• Do not upload a detailed reflection on the case or incident, but after your in
depth discussion, please upload a short piece on the ISCP site – saying:
• “In depth discussion was undertaken between ‘Y’ trainee and ‘Z’ supervisor on ‘X’
date on the significant case / SUI mentioned in Form R,” and then short piece on
your outcomes i.e. ‘What did you learn’ and ‘How did it change your practice.’
• Ask your AES or CS involved in the discussion to make some brief comment
about reflection process in their report at the end of the 6 months.
• Other pieces of compulsory reflection on cases that are not being investigated
e.g. on equality and diversity issues and examples of compulsory critical cases
can be done as before – please upload the whole reflection.
• You must ensure that all reflections in the portfolio and used as evidence for
appraisal and revalidation must have any personal information that can identify
individuals (including patient identifiers) or organisations removed prior to
loading. That does not include the declarations on assessments by AES / CS.
Other pieces of reflection
• Other pieces of compulsory reflection on cases that
are not being investigated e.g. on equality and
diversity issues and examples of compulsory critical
cases can be done as before – please upload the
whole reflection.
• You must ensure that all reflections in the portfolio
and used as evidence for appraisal and revalidation
must have any personal information that can
identify individuals (including patient identifiers) or
organisations removed prior to loading.
Time out of training
Maternity leave etc – stopping and starting the clock
GMC position statement – Nov 2012 – (Competence)
• More than total of 2 weeks sick: lead employer needs to be notified
• More than 4-6 weeks: consider return to work package
• All TOOT to be declared on Form R
• Exact CCT finish time to be decided at ARCP panel A
• You need to write to JCST with exact dates to change CCT (copy to
Ashley Barrett and TPD)
• Discussion at ARCP panel A or interim panel: How long to extend
• Usually extend anything over 6 weeks
• Return to work: form to fill in with AES before leave and before return
Study leave
• 30 days maximum: regional educational days count – 70%
attendance required
• FS1 – form - www.nwpgmd.nhs.uk/studyleave
• Process: TPD signs off (must get permission from hospital for
leave - you sign a disclaimer)
• TPD / Study leave administrator: Specialty schools information:
e.g. ENT
• You or study leave administrator send to study leave at HEE NW.
• Study Leave team: [email protected]
0161 625 7680 / 7670 / 7681
• Website: £764 a year – can go over in a year but may have to
cut back another year
• FS2 – fill in form within 3 months of course etc.
• PLAN
TPD role
• Courses that are compulsory for curriculum e.g.
ATLS, paediatric life support
• Compulsory courses - listed in JCST guidelines
• One relevant conference a year (HEE NW limited
travel and accommodation fees)
• Overseas applications – once through TPD – will go
to postgraduate dean – rigorous assessment
• Courses relevant to curriculum and not covered in
regional teaching e.g. management course, teaching
course (TPD discretion and likely to have price limit)
Other courses
• Simulation; Non–technical skills course and technical
skills course for all trainees
• Mentoring: Training trainees to be mentors
• ‘Buddying CT trainees’
• ST3 interview course – support
• Educators of the future – RCSEd – ST7/8 trainees
• Surgical Scousers: [email protected]
• SCAPEL: http://www.scalpelmanchester.com/new/
• NW research collaborative – Nick Heywood
Courses run by HEE NW
www.nwpgmd.nhs.uk/medical-leadershipPostgraduate module in medical leadership (one module HEE NW funded)
www.nwpgmd.nhs.uk/educator-developmentPG certificate in workbased postgraduate medical education (one module HEE NW funded)
LTFT
• Carer, illness (personal or family)
• Talk to TPD
• Apply
• 60 - 80%
• Supernumerary (60% only)
• Once agreed: HR in trust and lead employer have to agree
• Working pattern needs to be agreed with AES and Trust
• Need to write to JCST with exact dates and % calculation
Sick Leave
If you are sick you must inform:
• AES and CS and anyone else who is affected
• Senior member of Trust HR who links with lead
employer
• > 2 weeks (14 days) not necessarily consecutively
– refer to lead employer
• AES, CS, Trust HR
• TPD
• Lead employer: Occupational Health
OOP
• OOP(T) – TPD, AD, SAC, GMC
• OOP(R)
• OOP(E) – extraordinary circumstances only
• OOP(C) – extraordinary circumstances only
• Remember: Pensions scheme and National Insurance
• JCST
Added extras
www.nwpgmd.nhs.uk/careers
advice/careers
TPD or AES
(Head of School)
Research collaboratives www.nwpgmd.nhs.uk/research-north-western-deanery
(Lead Employer)
(Lead Employer)
School of Surgery
Excellence in training awards:
nominations in March