GMC Training Requirements
Relevant excerpts from the Foundation Programme Operational Framework and GMC/PMETB Gold Guides that define the roles of Educational and Clinical Supervisors and indicate the training that is appropriate for undertaking these.
Operational Framework Requirements – excerpts 1
"…all doctors involved in clinical and educational supervision will have to meet the standards for training…" agreed by the GMC (para 174)
Educational and clinical supervisors will,have to demonstrate their competence in educational appraisal and feedback, and in assessment methods, including their ability to use the specific workplace-based assessment tools…(para 175)
All foundation doctors must have named educational and clinical supervisor for each foundation placement or part of a placement as appropriate…..relevant information about progress and performance is regularly exchanged between clinical and education supervisor. (para 178)
Educational supervisors must be trained for their role…should include equality and diversity training. Educational Supervisors must have time set aside in their contracts and job plans to allow for educational supervision… (para 179)
Operational Framework Requirements – excerpts 2
All educational supervisors should:
- Understand educational theory and practical educational techniques
- Be trained and accredited as competent to offer educational supervision and assess the competence of foundation doctors…
- (have) regular, planned reviews through educational appraisals
All clinical supervisors should:
- Be fully trained in clinical care and understand their responsibilities for patient safety
- Offer a level of clinical supervision appropriate for…competence and experience and appropriately tailored..
- Make sure that no foundation doctor is expected to take responsibility for, or perform, any clinical, surgical or other technique if they do not have the appropriate experience and expertise
- Make sure that foundation doctors only perform tasks unsupervised if if the supervisor is satisfied that they are competent to do so…..
- Be appropriately trained to teach, provide feedback and assess foundation doctors
Operational Framework Requirements – excerpts 3
Training for educational and clinical supervisors in appraisal, assessing competency, career management and equality, diversity and human rights is available…. (para 177)
...foundation doctors need advice and accurate information about current and future career opportunities. They will also need support, advice and coachiongto help them plan their careers. (para 185)
‘’It will not be enough for only educational supervisors to offer informal career advice, as has often happened in the past." (para 187)
Operational Framework Requirements – excerpts 4
The main principles of the assessment process are that it is:
- Based on the doctor's competence
- Led by the doctor's individual circumstances
- Based on the workplace-based assessment
- Open and fair
- Developmental…
- Can be used to confirm that a doctor has reached the required standard of competence (para 194)
Assessments:
- 6 DOPs per year
- 6 Mini-CEXs per year
- 6 CbDs per yesr
- 2 Mini-PATS
Operational Framework Requirements – excerpts 5
When a foundation doctor fails to make progress during foundation training…
Educational supervisors should look for these (reluctance or failure to take part in training or assessments, concerns raised and serious incidents) and other early signs of problems, and be ready to offer support to foundation doctors who are having difficulty adjusting to the role. It is essential that the educational; supervisor raises such concerns early and formally with the foundation doctor concerned…. (para 198)
The educational supervisor may need to arrange an in-depth assessment, looking at the foundation doctor's health, attitudes, skills and their training environment, so that they can take appropriate supportive action. All meetings, discussions, assessments and so on should be recorded in writing. (para 199)
GMC Requirements 1
Healthcare organisations should explicitly recognise that supervised training is a core responsibility, in order to ensure both patient safety and the development of the medical workforce to provide for future service needs (Gold Guide 2008, 4.15)
All of these individuals (training programme directors, educational and clinical supervisors, and any other Deanery or NHS agents) must receive training in equality, diversity and human rights legislation which is kept up to date (4.19)
There should be explicit and sufficient time in job plans for both clinical and educational supervision of trainees (4.20)
Educational supervisors are responsible for overseeing training to ensure that trainees are making the necessary clinical and educational progress. Where possible, it is desirable for the trainee to have the same educational supervisor for the whole of their training programme or for stages of training (4.23)
GMC Requirements 2
Educational supervisors also have responsibilities through their supervision of trainees to support the delivery of the educational contract which exists between employers which provide postgraduate training and Postgraduate Deaneries (4.23)
Employers of educational supervisors must have this role recognised within job planning arrangements (4.26)
Each trainee should have a named clinical supervisor for each placement, usually a senior doctor, who is responsible for ensuring that appropriate clinical supervision of the trainee’s day to day clinical performance occurs at all times, with regular feedback (must ensure patient safety, clinical care, tailored experiences for trainees and proper delegation for out of hours etc) (4.27)
GMC Requirements 3
Educational and clinical supervisors should demonstrate their competence in educational appraisal and feedback and in assessment methods, including the use of specific in-work assessment tools approved by the GMC for the specialty (Gold Guide 2008 4.17)
Educational supervisors are responsible for both the educational appraisal of trainees, and also for review of their performance based on Good Medical Practice. This links educational appraisal and performance review (workplace based NHS appraisal) of trainees. (4.24)
All clinical supervisors should:
- Be appropriately trained to teach, provide feedback and undertake competence assessment to trainees in the specialty (4.27)
Page owned by Alan Cook | Last update 2010-06-03 11:36:25