Revalidation + Trainer Recognition

School of Surgery Annual Conference

Dr Bret Claxton, APD

Health Education Yorkshire and the Humber.

April 2013

Learning Objectives

1.What Revalidation means for Trainees

2.What information the Deanery requires

from YOU!

3. Trainer Recognition- What is it ?

ARCP and Revalidation

• Revalidation is about Fitness to Practice,

not progression through training.

• Outcome 3 or 4 in ARCP may not have

any influence on Revalidation unless:

ARCP and Revalidation

• Concerns raised over conduct

• Concerns raised over performance

• Concerns raised over health

• IF any of these would affect Fitness to

Practice

Trainee’s Revalidation

•Every 5 years

•LTFT regardless of % is still 5 Years

Trainee’s Revalidation

• All doctors in training have an annual assessment

• Their practice throughout the year is already

scrutinized and assessed. Deemed as currently robust

• GMC are using the ARCP process as the means to

assess Revalidation

The Dean as RO

• The Postgraduate Dean is only responsible for

Trainees in GMC approved Deanery training

programs and posts.

• This will include LATs and trainees who are currently

out of programme.

• The Postgraduate Dean is NOT responsible for any

locums including LASs, Trust grade jobs, staff grade

posts and other non-training grade posts.

Trainee Requirements

• Complete a Form R, sent to them by the

deanery

• Self-Declarations which will be cross-

referenced.

FORM R

• Includes all work including locums

• Investigations relating to conduct

• Complaints/compliments/probity

• Significant events

• Health – only that which impacts on work

• Will be done prior to ARCP

Employer Exit Report

•Provided by Employing Trust

•Most trainees will be signed off as ‘no issues’ in a list format

•Exception report where there are on-going concerns

•‘Failure of Employer to produce adequate information SHOULD not be detrimental to the trainee’

What is a Significant Event?

The GMC state that a significant event (also known

as an untoward or critical incident) is any unintended

or unexpected event, which could or did lead to harm

of one or more patients. This includes one which did

not cause harm but could have done, or where the

event should have been prevented, which is

significant enough to be investigated by the

employing organisation.

Significant Event or Complaint

Whether investigated or not, discussed with ES and reflected on the outcome in their portfolio

Only need to record this information on their form R if any formal investigations have not been completed and resolved, or if they have not been included in their portfolio.

THE EMPLOYER -will be asked to provide a brief summary (the Exception report).

Has this been resolved satisfactorily with no unresolved concerns about their fitness to practice?

If there are unresolved concerns, the employer will be asked to give a brief summary and the anticipated date of the outcome of any investigation

Health?

• Only a Concern to the Deanery if it affects Progression

in Training

• Only a concern for Revalidation if it affects fitness to

Practice e.g. Psychiatric Illnesses(some)

ARCP Outcomes

• Normal process for educational progression

• Issues that may require GMC discussion or affect revalidation to be documented and discussed with local APD/DD

• Audit trail for RO to RO transfer

• NO DECISIONS ON REVALIDATION, only information to Dean as RO to decide on recommendations

Almost finished……..

S

Trainer RecognitionBret Claxton, Health Education Yorkshire and The Humber 2013

GMC

Requirement to be in place by 31st July 2014

Deaneries and LEPs to co-operate

Evidence to be provided in Appraisal

7 Areas taken from Academy of Medical Educators (AoME) 2010 Document

AoME 2010

1.Ensuring safe and effective patient care through training

2.Establishing and maintaining an environment for learning

3.Teaching and facilitating learning

4.Enhancing learning through assessment

5.Supporting and monitoring educational progress

6.Guiding personal and professional development

7.Continuing professional development as an educator.

Who Needs Recognition?

Named educational supervisors in postgraduate training

Named clinical supervisors in postgraduate training

Lead coordinators of undergraduate training at each local education provider

Doctors responsible for overseeing students’ educational progress for each medical school.

What about the rest?

‘Recognition will not be necessary for other doctors whose practice contributes to the teaching, training or supervision of students or trainee doctors.’ GMC 2013

Responsibilities

LEPs will use the seven areas to show how they identify, train and appraise trainers in each of the four categories above.

‘Education Organisers’ (EO), ie postgraduate deans and medical schools, will then use that information to show us what local arrangements are in place to meet GMC standards.

Our Benefit

‘Trainers must be supported in their role by a postgraduate medical education team and have a suitable job plan with an

appropriate workload and time to develop trainees’ AoME 2010

‘Particularly at a time of resource constraint, we aim to protect and enhance the status of training’ GMC 2013

Milestones

To submit to GMC a timeline for implementation for trainer recognition by 31st December 2012. DONE

To confirm that criteria and systems are in place and ready for data entry by 31st July 2013. ONGOING

To confirm that full information has been entered for all trainers in the four roles in light of the EO criteria and that the trainers have all been categorised as provisionally or fully recognised – by 31 July 2014.

To confirm that all trainers in the four roles, or entering any of the four roles, are fully recognised ie have met the EO criteria, without use of interim concessions – by 31 July 2016.

What Kind of Evidence -Examples

Courses attended or programs undertaken including face to face and online learning

GMC trainee survey results

Feedback from patients about care received

Details of measures put in place to ensure supervision appropriate to trainee’s competence and confidence

Trainee audits, examples of topics critically appraised by trainees

Examples of near miss/ critical incident analysis

Examples con’t

Case studies of the management of a trainee in difficulty (anonymised)

Feedback from peers, e.g. relating to involvement in organisational/ professional activities

Records of other relevant activities undertaken, e.g. involvement in recruitment, training committees etc

HE YH - Deanery

Revised Educational Supervisor Training Package to meet requirements. 5 Modules - Roll out August 2013.

Working Group for Implementation and Standards - Quality

Working Group for creation and monitoring of ES Database - Data

LEPs to provide training for Equality and Bullying

Training Package to be on LEP mandatory training systems

QUESTIONS ?