Foundation Training Programme Educational Supervisors Pack Contents Section 1



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Foundation Training Programme - Educational Supervisors Pack

Contents

Section 1

Guidance Notes for Educational Supervisors


Section 2

Foundation Programme Organisational Structure

Foundation Programme Contact Details
Section 3 - Aug 2005 F1 House

Letter from Carol King RE: Aug 2005 House

Details of Posts

Details of Rotations/Allocations

Details of Induction & EPR Training

Details of Intermediate Life Support (ILS) Training

Details of Simulation Training

F1 Teaching programme

Details of Half-Day Teaching Workshops
Section 4

Teaching Guidance


Section 5

Job Description for F1 Trainee

Job Description for F2 Trainee - Draft

Job Description for Educational Supervisor

Job Description for Clinical Supervisor
Section 6

Careers Advice


Section 7

Curriculum for the Foundation Years in Postgraduate Education & Training


Section 8

Operational Framework for Foundation Training


Section 9

Foundation Learning Portfolio


Section 10

Foundation Programme Rough Guide



Section 1

Guidance Notes for Educational Supervisors
1. Roles & Responsibilities

Please refer to both the 'Educational & Clinical Supervisors' job descriptions for a comprehensive list of responsibilities and duties.


2. Assessments

Trainees need to undertake the following assessments, spread out over different posts:




Assessment Tool

No. During F1 Year

No. During F2 Year

Notes

Mini-PAT (TAB)


1 or 2 if concerns with the first

1 or 2 if concerns with the first

12 different healthcare professionals (for Mini PAT) and 10 different healthcare professionals (for TAB) including the Educational Supervisor

Mini-CEX


6

6

different clinicians for each

DOBS

6

6

different healthcare professionals for each

CBD

6

6

different clinicians for each



3. Meetings with Trainees

You need to meet with each trainee 3 times during a rotation, at the beginning, mid-point and at the end.


Initial Meeting (all page numbers refer to the learning portfolio)

    1. check the trainee has received a local induction, all documentation, including clinical competency checklists have been completed and induction recorded on STARS

    2. discuss the trainees self-appraisal form (p 9) career intentions, learning needs, how these will be developed and agree the personal development plan - PDP(p 11)

    3. Agree and sign the educational agreement (p17)

c) discuss the types of evidence the trainee might collect for their portfolio to demonstrate they have achieved competency. Agree what assessment methods will be used to evaluate whether the trainee is achieving the competencies (i.e. DOPS, Mimi-CEX, Mini-PAT, CBD) and write this up on the induction meeting form (p18).
Mid-Point Meeting

  1. provide support to the trainee.

  2. review the trainees progress and provide support to them for the development of

their portfolio.

  1. ensure trainees are engaging in the assessments process, have completed an appropriate number and range of assessments and they are achieving the competencies.

  2. Check attendance at educational opportunities

  3. complete the mid-point review form (p19)



Final Review Meeting

  1. examine the assessments undertaken and reflective practice recorded (p22) and compare against the PDP.

  2. Re-visit the self-appraisal form (p9), self-appraisal of learning form (p23) and discuss how competence has developed.

  3. Discuss any concerns and areas for further development .e. additional work and assessment to address shortcomings in performance in next placement, including any additional assessment required.

  4. Inform the FTP Director if any concerns have been highlighted.

e) Complete the end of placement final review form (p20)
4. 4. Doctors in Difficulty
If you have any concerns about trainees, please discuss these with the Foundation Training Programme Director(s).

Section 2 - Foundation Programme Organisational Structure



DIRECTOR of PGME CLINICAL TUTOR

Tunji Lasoye


Foundation Training Programme Director

Matthew Bowles



Deputy Director of PGME

Vacant

Manager of PGME

Jo Hiley

F1 Educational

Supervisors

(1 to approximately

5 trainees)

F2 Educational

Supervisors

(1 to approximately

5 trainees


Clinical Supervisors

(Several)


Clinical Supervisors

(Several)


FTP Co-ordinator

Sheinaz Mahomedally


FTP Clinical Facilitator

Carol King

Study Leave

Co-ordinator/PGME Administrator

Madeleine Carlisle


Foundation Training Programme Contacts


PGME Team

Name

Title

Foundation Role

Contact information

Jan Welch

Director of PGME/Clinical Tutor/PG Dean

Overall responsibility for the implementation, delivery and evaluation of the foundation training programmes at King's

e-mail: jan.welch@kingch.nhs.uk

Matthew Bowles

Deputy Director of PGME/ Foundation Training Programme Director - F1 Lead

Responsible for strategy & planning in relation to F1 programme

Ext: 4437

Sec. Ext 4801

Pager: KH4801

matthew.bowles@kingsch.nhs.uk



Tj Lasoye

Foundation Training Programme Director - F2 Lead

Responsible for strategy & planning in relation to F2 programme development

Ext:3518

Sec Ext 1584

KH3943

tj.lasoye@kingsch.nhs.uk



Steve Mowle

GP Postgraduate Sub Dean

Responsibility for strategy & planning in relation to training in General Practice

steve.mowle@kcl.ac.uk

Carol King

Clinical Facilitator

Clinical training & 1st point of contact regarding everyday problems/difficulties

72 5634

KH5642


carol.king@kingsch.nhs.uk

Joanne Hiley

Manager of PGME

Overseeing managerial and administrative aspects of foundation programme

72 5642

joanne.Hiley@kingsch.nhs.uk



Vacant

Foundation Training Programme Co-ordinator

Responsible for administration for the 2 year foundation programme




Madeleine Carlisle

PGME Administrator

Some admin support for the F1 year

Ext 72 5764

madeleine.carlisle@kingsch.nhs.uk



Educational Supervisors

Name

Specialty

Foundation Role

Contact information

Paul Baskerville

Surgery -

Firms 1 to5



Overall responsibility for the education and development of foundation trainees allocated to the specialty.

Ext 4370 / Sec. Ext 3519

paul.baskerville@kingsch.nhs.uk



Matthew Bowles

Surgery -

Firms 1 to5



As above

Ext 4437 / Sec Ext 4801

Pager: KH4801

matthew.bowles@kingsch.nhs.uk


Keith Jones

Surgery -

Firms 1 to5



As above

Ext 4428 / Sec Ext 3339

keith.jones@kingsch.nhs.uk



Sarah Phillips

Orthopaedics

As above

Sec Ext 1306

sarah.Phillips@kingsch.nhs.uk



Kilian Walsh

Urology

As above

Sec Ext 1728

KH4856


kilian.walsh@kingsch.nhs.uk

Stefanie Quast

ITU

As above

KH1697

Stefanie.quast@kingsch.nhs.uk



Prof. Anne Greenough

Paediatrics

As above

Sec Ext: 3037

anne.greenough@kingsch.nhs.uk



Catherine Bryant

Medicine Firm 1

As above

Ext 6142 / Sec Ext 6058

KH6142


catherine.byrant@kingsch.nhs.uk

Liam Cormican

Medicine Firm 1

As above

liam.cormican@kingsch.nhs.uk

Jane Evans

Medicine Firm 1

As above

Sec Ext 6085

jane.evans@kingsch.nhs.uk



Prof. A McGregor

Medicine Firm 2

As above

alison.langley@kcl.ac.uk

Simon Aylwin

Medicine Firm 2

As above

Ext 4585 / Sec Ext 2997

KH4585


simon.aylwin@kingsch.nhs.uk

Carol Gayle

Medicine Firm 2

As above

Ext 1352 / Sec Ext 1735

carol.gayle@kingsch.nhs.uk



Kate Hopkins-Jones

General Practice

As above

katiemars@yahoo.com

Yvonne Doyle

Public Health

As above

Tel No: 020 7716 7060

yvonne.doyle@selondon.nhs.uk

Muriel Buxton-Thomas

Nuclear Medicine

As above

Ext 3440

muriel.buxton-thomas@kcl.ac.uk


Modernising Medical Careers - Foundation Training Programme
Guidance for Speakers
Background

‘Modernising Medical Careers’ begins across the country in August this year. Doctors coming out of medical school will take part in a two year Foundation Programme; the first year, equivalent to the PRHO year, will to be called F1 and the second, F2.


The Foundation Programme has a Curriculum (www.mmc.nhs.uk) which has much to commend it and gives trainees and their trainers a pretty clear picture of what the trainees should know and be able to do by the end of F1 and then F2. Regular assessment of trainees’ competences is a key feature of the Foundation Programme.

Teaching for Foundation Year 1

The Tuesday lunchtime teaching programme for the coming year has been specifically drawn from the Foundation curriculum. The principal objectives of the F1 year are care of the acutely ill patient and generic skills. The focus of acute care is symptom based rather than disease based; this seems appropriate as on the whole PRHO’s are bleeped to “please see this patient with chest pain, confusion etc.” rather than “please manage this patient’s asthma, bowel obstruction etc.”.



Preparing your Teaching Session

We are very keen the teaching sessions should be as interactive as possible and not too lecture-like; in theory they should have had plenty of those at medical school.


We would tentatively suggest the use of real or imaginary scenarios that you could go through with the whole group (38 F1s in total) or ask them to discuss the scenarios in small groups initially and then open it up for whole group discussion.
Prescribing is a vital task for PRHO’s and we would ask you to include basic drugs and their doses whenever appropriate in your teaching session.
Include relevant bits of generic knowledge and skills from the curriculum which apply generally to acute care (see overleaf).


GENERIC KNOWLEDGE AND SKILLS FOR ACUTE CARE
(from section 7.1 of the Foundation Curriculum)
Knowledge

Common presenting symptoms and signs of acute illness including breathlessness, hypoxaemia, hypotension, oliguria, chest or abdominal pain, nausea, vomiting, headache, and confusion or coma.


Frequently occurring causes of the above.
Clinical interpretation of acutely abnormal physiology with a clear understanding of the boundaries of normality.

Skills

Identify, assess, and initiate treatment in critically ill patients appropriate to the site of care (e.g. hospital, home, GP surgery).


Promptly assess the airway, breathing and circulation in the collapsed patient.
Establish venous access with attention to infection control measures.
Deliver a fluid challenge safely to acutely ill patients to optimise cardiac output.
Document acutely abnormal physiology.
Reassess acutely ill patients within an appropriate period following initiation of treatment.
Undertake a focused history and examination to establish a differential diagnosis including difficult circumstances.
Select appropriate initial investigations to explore the differential diagnosis.
Request senior or more experienced help when appropriate.
Succinctly present the relevant clinical details of an acutely ill patient to a senior doctor.
Communicate effectively with other specialties when appropriate.
Ensure own safety and that of team members as well as the patient when dealing with disturbed patients.


JOB DESCRIPTION

Post Title: Pre-Registration House Officer (12 Month Rotation Post)
Grade: F1 Doctor
Rotations: 3 x 4 Month Rotation ( GP attachment only) or

4 x 3 Month Rotation


Departments: General Medicine (Firm M1 & M2)

General Surgery (Firms S1, S2, S3, S4 & S5)

Paediatrics

ICU


Urology

Orthopaedics

General Practice
Location: King's College Hospital NHS Trust
Hours/Rota: Banding as at start date of contract


King's College Hospital NHS Trust (www.kingsch.nhs.uk)

King's College Hospital NHS Trust provides healthcare and emergency services for a cosmopolitan and ethnically diverse community in South East London which accounts for 70% of its work. It is also a major academic centre with close links to King's College University of London under whose auspices the new Medical and Dental Schools, known as the Guy's King's and St. Thomas' Hospitals Schools of Medicine and Dentistry, came into being on 1st August 1998. This union has heralded the many changes which will take place over the next few years within education and research which in turn will have some effect upon the service. The opportunity is to create a world class medical centre between King's College and the two teaching hospital Trusts.


King's College Hospital is renowned for those specialties which attract referrals from all over the United Kingdom and abroad, and also supports leading edge research and an undergraduate medical school. Examples of such specialist work include liver (with the largest liver transplant programme in Europe), renal and cardiac services, and pioneering work in neonatal medicine and diabetes. King's College Hospital also encompasses the Neurosciences Centre for South East England. However King's provides vital and extensive acute hospital services to the residents of S.E. London and this element has always been the bedrock of teaching and research programmes.
King's College Hospital employs some 4,200 people and currently has two inpatient sites - at Denmark Hill and Mapother House.
The Trust's mission statement is: "Achieving Excellence in Patient Care"
Department of Postgraduate Medical & Dental Education

The Department of Postgraduate Medical & Dental Education has overall responsibility for ensuring the provision of education and training for postgraduate doctors and dentists within King’s meets the educational standards as prescribed by the SELWDC & London Deanery. The department delivers a wide range of generic courses which are popular and free to King's doctors and dentists, manages junior doctors study leave, organises protected teaching sessions for foundation programme doctors, manages the induction process for doctors & dentists as well as have responsibility for a number of other key educational functions.



KCL Library & Information Services Centre

The information service centre at King's is open Monday to Saturday and has study desks, photocopiers, TV/video players, microfilm reader/printer, scanner and a hot drinks machine. In addition, the ISC has subscription to 252 print journals, a further 4,850 full text electronic journals and holds approximately 20,500 books. There are also 67 computers linked to KCL network with Microsoft office packages, EMBASE, Medline and PsycINFO. Internet access is also available.



1. JOB SUMMARY

This approved training post provides a range of practical and educational opportunities for the first year of a two year foundation programme. The postholder will develop a variety of generic and acute care competencies that focus upon the appropriate skills, knowledge and attitudes required in order to ensure high quality & safe care is experienced by every patient. Achievement of these competencies will be further developed during the second year of the foundation programme.


The postholder will be required to attend medical induction on their first day of employment and receive a local induction and orientation on the first day to each attachment.
The postholder will rotate through 3 to 4 of the attachments listed below (please see appendix one for details of individual posts and rotations).

2. ATTACHMENTS AND CORE DUTIES & RESPONSIBILITIES
a) Medicine
The medical care group is currently undergoing organisational change and the existing 3 firm structure will move to 2 firms. It is hoped that all new arrangements are finalised by April 2005 but consultants will work in the following firms:
General Medicine Firm 1 (General Medicine, Healthcare of the Elderly, Rheumatology & Respiratory)

You will work with one or more of these consultants:

Dr Barker/Dr Gray/Dr Blackburn/Professor Moxham/Professor Jackson/Dr Lyall/Dr Bryant/Dr Cormican/Dr Gordon

(Posts 6, 7, 9, 10, 11, 12, 13, 15, 16, 17, 18, 24, 25, 28, 30, 32, 33, 34, 35& 37)


General Medicine Firm 2 (General Medicine, Endocrinology, Healthcare of the Elderly & Gastroenterology)

You will work with one or more of these consultants:

Professor McGregor/ Dr Alywin/ Dr Edmonds/ Dr Hopkins/ Professor Kalra/ Dr Pillay/ Dr Forgacs/ Dr Chung-Faye/Dr Gayle/Dr Pathansali

(Posts 1, 2, 3, 4, 5, 8, 14, 18, 19, 20, 21, 22, 23, 26, 27, 28, 29, 31, 33, 36& 38)


Duties: The postholder will be expected to clerk patients admitted on emergency take days, manage patients' medical illnesses under supervision, assess medical patients arriving in A&E under supervision, request investigations / treatments for patients, take patients' histories and carry out routine patient examinations, communicate with patients, attend and undertake ward rounds as required, provide cover for colleagues in an emergency and when on annual / study leave, participate in the training of medical students attached to the Firm, provide discharge summaries etc. to promote good liaison with General Practitioners, liaise with patients' relatives and provide on-call services as required.
Paediatrics

Professor Greenough

(Posts 4, 6, 10 & 13)
Duties: The postholder will be expected to assist the Paediatric SHOs, manage children attending A&E, present cases on ward rounds, organise investigations and treatment of children on wards, clerk children prior to elective surgery and prepare theatre lists, write discharge letters/prescriptions when children are discharged, communicate with parents on the ward, attend and contribute to ward meetings and provide some on-call.

Intensive Care Unit

Dr Ervine

(Posts 7, 8, 11 & 19)
Duties: The postholder will be expected to attend daily wards rounds, under close supervision carry out diagnosis and treatment planning, participate in data collection and processing, use electronic patient database and acquire the basic clinical skills for ICU.
General Practice

Dr Hopkin-Jones - Keston House Surgery, Purley (Posts 1, 2 & 3)


Duties: The postholder will be expected to take surgeries after appropriate induction, deal with patients who have chronic and terminal conditions, carry out home visits, provide out of hours care with a GP Principal, discuss cases following all consultations and experience all clinical work of the practice.

b) Surgery
Firm 1

Mr Roberts/Mr Schulte/Ms Marsden. - General Surgery with an interest in Breast & Endocrine Surgery

(Posts 23, 34, 36, 37 & 38)
Firm 2

Mr Jones/Mr Rashid/Mr Edmondson/Mr Baskerville - Vascular Surgery

(Posts 4, 5, 6, 7, 8, 9 & 10)
Firm 3

Mr Bowles/Mr Patel/Ms Psalia - General Surgery with an interest in Hepatobiliary, Pancreatic & Laparoscopic Surgery

(Posts 1, 2, 3, 11, 12, 14, 15, 16, 17, 19 & 20)
Firm 4

Mr Rennie/Mr Leather/Mr Papagrigoriades - General Surgery with an interest in Colorectal & Laparoscopic Surgery

(Posts 22, 24, 26, 27, 28, 30 & 32)
Firm 5

Mr Heaton/Mr Rela, Mr Muiesan.Mr Atkinson.Mr Patel/Mr Bowles - Hepato-Pancreatic-Biliary Surgery

(Posts 13,18,21,25,29,31,33& 35
Orthopaedics

Mr Wilkinson/Mr Varma - Knee

Mr Li/Mr Rajan - Foot

Mr Compson/Mr Sinha/Mr Philips - Upper Limb

Mr Groom/Ms Philips/Mr Lahoti - Limb Re-construction

(Posts 4, 6, 8, 12, 14, 15, 16, 17, 21, 22, 25, 27, 29, 30, 31, 22, 33, 34, 35 & 36)


Urology

Mr Walsh/Mr Muir

(Posts 5, 9, 20, 23, 24, 26, 37 & 38)
Duties: The postholder will be expected to take patients' histories and carry out routine patient examinations, communicate with patients', provide day to day medical care under supervision, clerk patients admitted on emergency take days, run pre-assessment clinics, prepare and submit theatre lists, participate in in-patient and day surgery operating lists, request investigations / treatments for patients, attend and undertake ward rounds as required, provide cover for colleagues in an emergency and when on annual / study leave, participate in the training of medical students attached to the Firm, provide discharge summaries etc. to promote good liaison with General Practitioners, liaise with patients' relatives, provide on-call services as required and participate in data collection and processing

3. LEARNING OBJECTIVES
During the year you will be given appropriate opportunities in order to develop and achieve each of the competencies identified below to F1 level (see foundation curriculum). This will be necessary in order to progress to Year 2 of the Foundation Programme


1.0 Good Clinical Care

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