Foundation Programme 2018 - 2020 Handbook & Guidance
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CONTENTS Introduction Welcome 2 Contact Details 3 Key Personnel 4 Rotas & Departmental Induction 5 The Training Programme 7 The Training Programme ePortfolio 8 The Curriculum and Personal 8 Development Plan Supervised Learning Events, 9 Assessments & ARCP Teaching and Education 13 Study Leave 16 Support What to do if you need help or support 17 Other Further Information and Reading 19 Online Resources 24 1
Welcome to County Durham and Darlington NHS Foundation Trust, we hope you enjoy your time with us and find it a valuable training experience! This handbook aims to provide you with useful education and training information and act as a reference guide for your Foundation Programme training within the Trust and the Northern Foundation School. It will be supplemented by additional information throughout your training. In addition to this, as a Trust employee you will be expected to become familiar with Trust policies relevant to you and your work. These are available on every department in the Trust Policy and Procedure files and on the Trust Intranet. Foundation programme training reflects a new era in medical education that should be trainee centred, competency assessed, service based, quality assured, flexible, coached, and structured & streamlined. If you have any concerns, please do not hesitate to contact any of the key contacts listed in this document. Good luck with the programme. The Medical Education Team 2
CONTACT DETAILS The Foundation Programme Team Cdda-tr.cddftfpteam@nhs.net Dr Srikanth Mada Dr Hilary Workman Lead Foundation Programme Tutor Foundation Programme Tutor Miss Kath Grant Mr Suresh Thomas Foundation Programme Tutor Foundation Programme Tutor Mr Ian Braithwaite Clinical Nurse Teaching Fellow - Foundation Programme Mrs Anne Sewell Mrs Angela Murray Medical Education Manager Deputy Medical Education Manager 3
KEY PERSONNEL Director of Medical Education, Mrs Leigh Simmonds The Director of Medical Education manages postgraduate medical and dental education for the County Durham and Darlington NHS Foundation Trust. In relation to Foundation Training she will support the Foundation Tutors, Educational and Clinical supervisors. Foundation Programme Tutors These individuals will be responsible for the overall management and quality assurance of the Foundation Programme consisting of 119 placements. The Programme Tutors will ensure that each placement of the Foundation Programme meets HEENE standard for training and that each foundation doctor is able to access a comprehensive range of experiences which will enable them to gain the competencies necessary for full registration and completion of the Programme. SUPERVISORS Educational Supervisors This named individual will act as your educational supervisor for the duration of your Foundation training at CDDFT and will take a special interest in your training and professional development. The educational supervisor will meet with you throughout the year. You should make arrangements to meet with your educational supervisor within a couple of weeks of starting each post, at the middle and towards the end of each post. You should set out and agree your educational and training needs and goals for the post and how you are going to achieve them. Meetings must be recorded on the ePortfolio using the appropriate forms. The name and contact details of your Educational Supervisor will be emailed to you by the Medical Education Team before your 1st working day. Clinical Supervisors Every foundation doctor will have a named clinical supervisor for each placement. The clinical supervisor is responsible for overseeing your clinical work during the placement, providing constructive feedback and completing the clinical supervisor’s initial and end of placement reports. The doctor responsible for direct clinical supervision may change on a daily basis, but the clinical supervisor will remain the same throughout each placement. You should meet with your clinical supervisor at the beginning of each placement to discuss what is expected in the placement, learning opportunities available and your learning needs and at the end for an assessment discussion. Meetings must be recorded on the ePortfolio using the appropriate forms. The Clinical Supervisor is allocated by your Department. 4
ROTAS Exception Reporting and Rota Monitoring Medical Education Rota Team consists of Michelle Todd and Stephanie Court and can be contacted via email at: cddft.med-edrotateam@nhs.net The team are available to help with all of your queries in relation to your rota template, rota monitoring and exception reporting. Trainees on the 2016 T&C’s will have access to Exception Reporting – Reports should be submitted when trainees day-to-day work varies significantly and/or regularly from the agreed work schedule. Primarily these variations will be: a. differences in the total hours of work (including opportunities for rest breaks) b. differences in the pattern of hours worked c. differences in the educational opportunities and support available to the doctor, and/or d. differences in the support available to the doctor during service commitments Trainees on the 2002 T&C’s will be monitored twice yearly as per the annual schedule below: Integrated Adult Care March & September Family Heath May & November Surgery and Clinical Specialist Services January & July Trainees will be given notice of the exact dates via email to your nhs.net address along with a full user guide to the system. Your user name and passwords for e- Monitor will be also be issued to your nhs.net email address There is a mutual obligation for the Trust and the Junior Doctors to monitor their working hours and to contribute to the Trust’s continuing commitment to improving the working lives of Junior Doctors. Full information can be found on the Trusts Intranet by search for the “Junior Doctor Contract - Exception Reporting & Monitoring Policy” DEPARTMENTAL INDUCTIONS Each time you rotate into a new placement you will be required to attend a mandatory local departmental induction, details of which will be forwarded to you approximately two weeks before rotation date. The local departmental induction is designed to ensure you have received appropriate information about your working environment and the expectations/limitations placed upon you, so enabling you to undertake your duties effectively. The signed departmental induction form must be returned to cdda- tr.CDDFTFPTeam@nhs.net within 14 days of changeover. 5
Annual Leave Request forms are available from your department. You should not book holidays until you have obtained permission to take annual leave. Leave is centrally co-ordinated within each department, this includes annual leave, study leave and sick leave, this ensures that the service is covered at all times. Please plan leave well in advance, and make sure that if you are on 4 monthly rotations or 6 monthly rotations, that you divide your annual leave accordingly within each rotation. Sickness If you need to ring in due to illness, please follow the procedure below: Contact your rota coordinator (list included in this handbook) and remember to let them know if you are due to do an on-call or night shift. Contact your clinical supervisor, if they are not available leave a message with a senior team member in your department. Inform the FP Team on cdda-tr.cddftfpteam@nhs.net of your sickness and complete the self-certification form which is emailed to you monthly. This procedure should be followed whether you are calling in sick from home or leaving work ill. Rota Enquiries should be sent to the responsible person listed below; Responsible Care Group Department Hospital person A&EC Medicine DMH Giridhar Tarigopula A&EC/IAC Medicine UHND Deepak Kejariwal A&EC/IAC Medicine UHND Edith Sutherland A&EC/IAC Medicine DMH/BAH Elaine Newman A&EC/IAC Medicine BAH Richard Prescott Clinical Specialist Services Radiology UHND Dr Sarath Bethadpudi Family Health O&G UHND/DMH Velur Sindhu - LEAD Family Health O&G DMH/BAH Emmanouil Damigos Family Health O&G DMH Steve Knights Family Health O&G DMH Poornima Ranka Family Health Paediatrics UHND Dr Prudon Family Health Paediatrics DMH Dr Banerjee IAC Dermatology UHND Dr Vatve Surgery Anaesthetics DMH/BAH Sheshank Jajur Surgery Anaesthetics DMH/BAH Dr Jothika Thimappa Surgery Anaesthetics UHND Hannah Whinn Surgery ENT DMH Mr Shanker Surgery ENT DMH Lisa Gill Surgery General Surgery UHND Mr Liam John OHare Surgery General Surgery DMH Mr Grant Kane Surgery General Surgery DMH Mr Andrew Mitchell Surgery General Surgery DMH Matt Toward Christine Cann (Svs Surgery General Surgery DMH Support officer) 6
Surgery Ophthalmology DMH Mr Thomas Surgery Ophthalmology DMH Miss Komla Vadivelu Surgery Orthopaedics UHND Mr Gower Surgery Orthopaedics UHND Jane Fisher Surgery Orthopaedics DMH Mr Fourie Caroline Teasdale Surgery Orthopaedics DMH (secretary) Surgery Plastic Surgery UHND Mr Sugden IAC Dermatology Dr Wahie CSS Histopathology UHND Dr Mitul Sharma Surgery General Surgery UHND Claire Haigh Psychiatry Psychiatry Dimitra Papakosta Personnel enquiries such as contracts, travel expenses, job descriptions, working hours etc. should be addressed to the Foundation Programme admin support team in the first instance cdda-tr.CDDFTFPTeam@nhs.net Salaries and Payroll Call 01388 455455 and choose from the options for your query: Payroll =1 Payroll: cdda-tr.payroll-eforms@nhs.net Pensions =2 Pensions: cdda-tr.Pensions@nhs.net Expenses =3 Expenses: cddft.travel@nhs.net THE TRAINING PROGRAMME Educational Approval of Programmes The General Medical Council (GMC) is responsible for ensuring that the placements within the Foundation Programme meet the required standards of training, education, appraisal and assessment. Sometimes this responsibility is delegated to the Postgraduate Dean who will inspect the posts and programmes on a regular basis and will wish to talk to you about your experiences. Attendance at these inspections is therefore mandatory and you will be informed in advance of the date of any inspection. Responsibilities of the Foundation Doctor As outlined by the Director of Medical Education and Foundation Programme Tutors, with respect to the in-work assessment programme, the responsibilities of the foundation doctor are that they: Abide by the conditions of taking up a training post Demonstrate professional behaviour in line with Good Medical Practice Work within CDDFT policies and procedures as outlined by the local education provider during induction Become familiar with the requirements for satisfactory completion of F1/F2 and the Foundation Programme 7
Become fully involved in the educational, supervised learning and assessment processes, including attending mantatory training sessions, meeting regularly with your educational and clinical supervisors and maintaining an up-to-date ePortfolio Take part in systems of quality assurance and quality improvement in your clinical work and training. In particular, foundation doctors should complete the YSYS trainee survey, the GMC trainee survey, the F2 outcome survey, and end of placement or end of year surveys required by the deanery/foundation school. ePortfolio The Northern Foundation School uses the Horus ePortfolio. https://horus.hee.nhs.uk/login All foundation doctors in a recognised training programme must maintain an ePortfolio and use it to support their educational and professional development and career planning. The ePortfolio is a record of a foundation doctor’s progress and development through the foundation years. Successful completion of the Curriculum requires the achievement of competence in a variety of domains based on Good Medical Practice. Evidence of achievement of outcomes and increasingly improving performance will be recorded in the ePortfolio. The completed ePortfolio will contribute to the end of year report. Elements of the ePortfolio may also be used in specialty interviews by the foundation doctor to demonstrate competence and highlight achievements. This means that the ePortfolio may be used to help the foundation doctor gain future employment. Engaging with the ePortfolio is mandatory. Usernames and passwords for the ePortfolio will be issued by the Foundation School. Support for the ePortfolio is provided by the Education Centres. For technical issues please contact servicedesk.horus@hee.nhs.uk at Horus. The Curriculum The Foundation Programme Curriculum 2016 will be used to set out the framework for educational progression for both foundation years one and two doctors. The Curriculum and Reference Guide can be can be downloaded from the Foundation Programme website: www.foundationprogramme.nhs.uk Foundation Professional Capabilities Each section of the Curriculum contains several ‘foundation professional capabilities. The 20 foundation professional capabilities describe the key clinical or professional aspects of medical practice expected of a Foundation Doctor. Foundation doctors must provide evidence of how their achievements related to each foundation professional capability meet or exceed the expected minimum standard of performance for their year of Foundation training. In order to progress to the next stage of training Foundation doctors will be assessed at the end of each year of 8
training. Progression will be dependent on having met or exceeded the minimum expected standard of performance in each of the 20 foundation professional capabilities. Personal Development Plan Foundation doctors must have a personal development plan for each placement within each foundation year. This should be agreed with your educational supervisor and recorded in your ePortfolio at the beginning of each placement. The PDP should set out the specific aims and learning objectives and be based on the requirements for satisfactory completion of the Foundation Programme. It should also be mapped to the Curriculum. The PDP should form the basis of all appraisal discussions. SUPERVISED LEARNING EVENTS, ASSESSMENTS AND ARCP The key principles of the assessment and supervised learning events (SLEs) process is to: Provide immediate feedback Highlight achievements and areas of excellence Promote regular feedback Supply and demonstrate evidence of progression linked to the Curriculum Suggest areas for further development Identify doctors who may need additional help SLEs are not assessments, you cannot pass nor fail an SLE, but you can fail to engage with the learning process. You, with the support of your supervisors, are responsible for arranging SLEs. SLEs use the following tools: Mini-clinical evaluation exercise (Mini-CEX) Direct Observation of Procedural Skills (DOPS) Case Based Discussion (CBD) Developing the Clinical Teacher Each type of SLE must cover a spread of different acute and long-term aspects of patients’ conditions. A different teacher/trainer should be used for each SLE wherever possible, including at least one at consultant or GP level per placement. Others can include SASG, SpR, StR (level 3 or above) doctors, nurses or an appropriate allied health professional. The educational or clinical supervisor should also perform an SLE. Teachers/trainers should have sufficient experience of the area under consideration, typically at least higher specialty training (with variations between specialties); this is particularly important with CBDs. 9
Mini- Clinical CbD CEX DOPS Teacher Consultant *** Y Y Y Y MEDICAL STAFF GP Y Y Y Y Staff Grade Y Y Y Y Associate Specialists Y Y Y Y Speciality Doctor SpR/ST3 + Y Y Y Y Speciality Doctor ST1 - ST3 Y Y Y Y FY2 X X X X FY1 X X X X Matrons Y Y Y Y Nurse Practitioners Y Y Y Y NURSING STAFF Practice Nurses Y Y Y Y Sisters / Clinical Educators Y Y Y Y Charge Nurse Y Y Y Y Staff Nurse (Band 5 or above) Y Y Y Y Auxiliary Nurse X X X X AHPs Y Y Y Y OTHER Non-Medical Managers X X X X Administrators X X X X Ward Clerks/Secretaries X X X X Medical Students X X X X Patients X X X X *** You must have ONE CONSULTANT SLE per rotation Foundation doctors cannot complete these forms for other doctors. Each SLE must be demonstrated using the appropriate form on the ePortfolio Mini CEX (Clinical Evaluation Exercise) Mini CEX is a snapshot of a doctor/patient interaction. It is designed to assess the clinical skills, attitudes and behaviours of trainees essential to providing high quality care. Each Mini CEX must represent a different clinical problem, sampling one of the acute care, chronic illness, psychiatric care etc. A minimum of 3 Mini CEX or 2 Mini-Cex plus 1 DOPS assessment forms need to be completed each rotation DOPS (Direct Observation of Procedural Skills) This is a structured checklist for giving feedback on the foundation doctor’s interaction with the patient when performing a practical procedure. This is optional to supplement mini-CEX. 10
Different assessors should be used for each encounter where possible CBD (Case-based Discussion) This is a structured discussion with your supervisor about a clinical case you have been involved in. It is designed to assess, in particular, clinical reasoning and judgement and will focus on the actual written record in a patient’s notes. Each CbD must represent a different clinical problem sampling one of the acute care, chronic illness, psychiatric care etc Different teachers/trainers should be used for each CbD A minimum of 2CbDs need to be completed each rotation Developing the Clinical Teacher This is a tool to aid the development of a foundation doctor’s skill in teaching and/or making a presentation and should be performed at least once a year. The foundation doctor will be encouraged to develop skills in preparation and scene-setting, delivery of material, subject knowledge and ability to answer questions, learner-lead and overall interaction with the group. The Developing the Clinical Teacher form on the ePortfolio must be used to demonstrate this. ASSESSMENTS There are 5 different types of assessments: Core Procedures (F1 only) Team Assessment of Behaviour (TAB) Clinical Supervisor’s End of Placement Report Educational Supervisor’s End of Placement Report Educational Supervisor’s End of Year Report Patients cannot complete any of the assessments. Core Procedures The General Medical Council requires demonstration of competence in a series of procedures in order for a provisionally registered doctor with a licence to practise to be eligible for full registration. It is a requirement that the foundation year one doctor provides evidence within the ePortfolio of satisfactory performance of each core procedure. F2 doctors do not need to complete core procedures. TAB (Team Assessment of Behaviour) This assessment uses a questionnaire to collate views on how you are doing from a range of co-workers, as well as a self-rating form. A minimum of 10 satisfactory returns are required. You must also complete a Self-TAB before you can ask for assessments from others. The completed TAB can only be released by your Educational Supervisor. 11
One complete TAB should be completed in your first placement; only one TAB per year is required unless you are requested to complete additional TABs by your educational supervisor or FP Tutor. The mix of raters/assessors must include at least: 2 consultants or trained GPs. The named clinical supervisor should normally be used as an assessor. However, there may be occasional circumstances where this is not possible, hence, inclusion of the CS is not mandatory. 1 other doctor more senior than F2. 2 Senior nurses (band 5 or above) 2 allied health professionals / other team members including ward clerks, secretaries and auxiliary staff. For each TAB, the foundation doctor should approach at least 15 raters/assessors. Up to two foundation doctors may be used but attention must be paid to ensure an appropriate mix of raters or the TAB will be invalid Clinical Supervisor’s End of Placement Report Towards the end of each placement, the foundation doctor and clinical supervisor will meet to complete a summative assessment of the foundation doctor’s overall performance and progress in the placement. The outcome of this assessment should be agreed by both the foundation doctor and the clinical supervisor and recorded in the doctor’s ePortfolio using the Clinical Supervisor’s End of Placement Report form. Educational Supervisor’s End of Placement Report The educational supervisor’s end of placement report requires review of the clinical supervisor’s report along with the evidence provided within the ePortfolio and any other source. The outcome of the final assessment discussion should be agreed by both the foundation doctor and the educational supervisor and recorded in the doctor’s ePortfolio Educational Supervisor’s End of Placement Report form. Educational Supervisor’s End of Year Report This is an overall professional assessment and judgment of the foundation doctor. Placement reports are drawn together by the educational supervisor in an Educational Supervisor’s End of Year Report. This will form the basis of the Foundation Tutor’s recommendation regarding satisfactory completion of F1 and F2. Annual Review of Competence Progression (ARCP) Both F1 and F2 doctors will have an ARCP towards the end of each foundation year. The ARCP provides a formal process for reviewing foundation doctors’ progress which uses the evidence gathered by them and supplied by their supervisors. Foundation doctors will be given notice to ensure that their ePortfolios are up to date and so that they can meet with their educational supervisor to complete the required reports, including the end of year report. 12
YEAR 1 The outcomes recorded following clinical performance reviews and evidence of engagement in the educational process will feed into the overall performance report at the end of the year (the Educational Supervisor’s End of Year Report.) The ARCP Panel will review this report and your other documentation to inform your medical school as to whether you should complete and issue the Attainment of Foundation Year 1 Competence (AF1C). Once the certificate is issued, you will be eligible to apply for full registration with the GMC. The GMC expects satisfactory achievements in all domains set out in The Trainee Doctor (2011) and reproduced in the Foundation Programme Curriculum syllabus outcomes. YEAR 2 The ARCP’s Panel’s overall judgement of satisfactory completion of F2 will allow the foundation doctor to be eligible to enter core, specialty or general practice training. This judgement will include an assessment of a foundation doctor’s ability to take on increasing levels of responsibility, and will be marked by the issuing of a Foundation Achievement of Competence Document (FACD). ARCP Outcomes Achieving progress and competences at the expected rate – this is what you’re aiming for at ARCP 1 the end of F1 ARCP 3 Inadequate progress by the trainee – additional training time required ARCP 4 Released from training programme with or without specified competences ARCP 5 Incomplete evidence presented – additional training time may be required ARCP 6* Gained all required competences * Can only be obtained on completion of FY2 Other Education evidence/requirements for completion over FY1 Requirement Completed SCRIPT Prescribing Assessment Completed e-Consent & e-VTE module 70% attendance at Teaching Programme Valid ALS or ILS Certificate A minimum of 6 Clinical Reflective Practices Takes part in systems of quality assurance and clinical improvement in clinical work, this includes completion of the Your School Your Say trainee survey, the national GMC trainee survey and any end of placement surveys Completion of Summary of Evidence/Foundation Curriculum TEACHING AND EDUCATION All foundation doctors must have ‘in-house’ formal education as part of their working week, which should be relevant and protected (bleep free). At times teaching sessions may be combined and there will be planned whole/half days of generic training. YEAR 1 13
In order to be signed off at the end of the year, you must achieve at least a 70% attendance rate made up from MANDATORY teaching. The calculation for the 70% attendance is as follows: Number of hours attended x 100 = attendance % Number of hours offered MANDATORY TEACHING Mandatory F1 Wednesday Teaching Programme held on alternate weeks in the Darlington Memorial Hospital Education Centre and Prospect House Learning Centre at Durham. The teaching takes place on Wednesday from 12.30-2.30pm. You will be required to attend the following; Wednesday Teaching Programme = 2 Hours per week (If no teaching is arranged for your site use the 2 hours protected time to complete e-Learning, ePortfolio, SCRIPT) Simulation Training = 15 hours You will be offered 2 sessions of simulation training which is run at the Clinical Simulation Centre at Bishop Auckland Hospital, spaces are limited to 12 trainees per session, sign up to a session as soon as possible. Better Doctors Better Patients Programme = 6x 2hr sessions 12 hours Leadership Workload & Stress Self-management ePortfolio Team Working Communication GMC/CDDFT Professional Programme = 6 hours Welcome to Practice Prevent Use of Social Media Confidentiality Duty of Candour Consent Acting as a witness Career Management & Choosing a Speciality = 2.5 hours This workshop is aimed at doctors contemplating which specialty to apply for. Falling Below the 70% Teaching Attendance Foundation doctors are required to attend at least 70% of the teaching provided outside of nights, leave, study leave, etc. However, if your attendance level overall falls below 70% you must complete self-directed learning to make up for the shortfall. 14
Evidence of this must be provided on the ePortfolio and discussed with your Educational Supervisor before a % is recorded by the Medical Education Team. YEAR 2 In order to be signed off at the end of the year, you must achieve at least a 70% attendance rate made up from MANDATORY teaching. The calculation for the 70% attendance is as follows: Number of hours attended x 100 = attendance % Number of hours offered Mandatory F2 Thursday Teaching Programme held on alternate weeks in the Darlington Memorial Hospital Education Centre and Prospect House Learning Centre at Durham. The teaching takes place on Thursday from 12.30-2.30pm. You will be required to attend the following; Thursday Teaching Programme = 2 Hours per week (If no teaching is arranged for your site use the 2 hours protected time to complete e-Learning, ePortfolio, SCRIPT) Simulation Training = 15 hours You will be offered 2 sessions of simulation training which is run at the Clinical Simulation Centre at Bishop Auckland Hospital GMC/HENE Professional Programme 100% Attendance at these topics is mandatory for F2s. Preparing for Specialty Applications Preparing for Specialty Selection Interviews Revalidation – What does it mean to me? GMC guidance on maintaining boundaries with patients, including relationships, chaperones, personal beliefs’ Falling Below the 70% Teaching Attendance Foundation doctors are required to attend at least 70% of the teaching outside of nights, leave, study leave, etc. However, if your attendance level overall falls below 70% you must complete self-directed learning to make up for the shortfall. Evidence of this must be provided on the ePortfolio and discussed with your Educational Supervisor before a % is recorded by the Medical Education Team. OTHER TEACHING AND EDUCATION Many of the departments which have foundation doctors also have training and education sessions. Please check with your department for further details. 15
ALS, ILS NLS and PILS will be arranged for you by the Medical Education Team as required. www.123doc.com offers doctors a one stop service combining medical lecture course, online e-study, online video lectures, books and detailed revision materials www.doctors.net.uk runs a series of online educational modules that have essential information to help you look after your patients and yourself. All modules are accredited by the UKCEA, RCP or RCOA respectively. www.e-lfh.org.uk has foundation training modules www.learning.bmj.com provides over 300 learning resources for doctors in primary and secondary care. www.Onexamination.com provides online revision for medical examinations. The Education Centres do not endorse any of the external sites and/or external courses which are listed above. If there is other education and training which you are aware of but is not listed in this Handbook, please let the Education Centres know, so the Handbook can be amended. STUDY LEAVE In line with the UKFP Reference Guide May 2017 the generic teaching programme and study leave are provided to support the objectives of the Foundation Programme. In particular, both the generic teaching programme and study leave should be used to support the acquisition of the outcomes set out in the FP Curriculum and to enable Foundation doctors to explore career options. Each Local Education Provider (LEP) must provide a mandatory generic teaching programme in both F1 and F2 which is mapped to the curriculum. These programmes are often referred to as ‘Professional Learning Programmes’ and a minimum target of 70% attendance is specified for each year. Foundation doctors training less than full-time are entitled to a pro-rata access to study leave funding and time allocations. For further detail please refer to the Northern Foundation School Study Leave Policy available at: http://madeinheene.hee.nhs.uk/Policies/Education-and-Training-Policies Application forms are available from the Education Centre DMH, SIM Centre BAH or Prospect House, UHND or on-line at - http://madeinheene.hee.nhs.uk/Portals/0/Policies/overarching/Study%20Leave%20R equest%20Form%202018.pdf RETROSPECTIVE STUDY LEAVE APPLICATIONS WILL NOT BE ACCEPTED It is your responsibility to ensure compliance with the study leave policy and submitting the relevant application. Study Leave applications and any queries regarding study leave should be sent to the following member of staff on your relevant site; 16
DMH – Lauren Jackson, Education Centre DMH 01325 743539 lauren.jackson11@nhs.net BAH – Jade Hanley, SIM Centre 01388 455105 Jade.hanley@nhs.net SUPPORT What to do if you need help or support? If you do have concerns about your training, it is important that you contact either your educational or clinical supervisor immediately. This should be done in a formal setting. If you are still not happy after having spoken to the educational or clinical supervisor, please contact a foundation programme Tutor or a member of the Medical Education Team (details on the Contact section). There are also services and organisations who deal with doctors in personal trouble. TRUST SERVICES Staff Health and Wellbeing The Staff Health & Wellbeing team have a special interest in the health and wellbeing of doctors, and offer a confidential and supportive service. Please contact them on cdda-tr.staffhealthandwellbeingcddft@nhs.net or telephone DMH Office 01325 743759, UHND Office 0191 333 2353. CiC CDDFT offers a free and confidential advice and counselling service for all employees, providing additional advice, support and information, if you would like to speak to somebody in confidence please call 0800 085 1376. TRUST POLICIES All Trust polices are available on the Trust Intranet. Trainee Feedback Sessions As part of the quality processes within Medical Education we are planning Trainee feedback sessions during various months of the year that will run either before or after departmental teaching sessions. Please contact: cdda-tr.mededpostgradtraining@nhs.net Issues to be discussed will include: educational facilities and resources, rotas, educational/clinical supervision, study leave, any other items related to your clinical placement and medical education issues. 17
UHND – Date/Venue to be arranged Oct Nov Dec Jan Feb April May June Obs & Plastic Medicine Paediatrics Surgery Medicine Anaesthetics Paediatrics Gynae Surgery Trauma & Anaesthetics Medicine Surgery Ortho Obs &Gynae Emergency Medicine DMH– Date/Venue to be arranged Oct Nov Feb April May June Medicine Paediatrics Medicine Anaesthetics Paediatrics Obs & Gynae Anaesthetics Surgery Medicine Trauma & Ortho Surgery Obs &Gynae Emergency Medicine NATIONAL SERVICES Alcoholics Anonymous www.alcoholics-anonymous.org.uk British Medical Association the BMA offers support for employment, professional, ethical and personal matters. The doctors for doctors counselling service is available 24/7. Tel: 08459 200 169 or 01455 254 189. www.bma.org.uk British Doctors and Dentists Group the BDDG is a service for recovering alcoholic and drug dependant doctors, dentists, and students. Tel: 0779 2819 966 www.bddg.org Doctors Support Network Tel: 0844 395 3010 www.dsn.org.uk Medical Defence Union www.themdu.com The Medical Protection Society www.medicalprotection.org/uk Narcotics Anonymous Tel: 0300 900 1212 www.ukna.org The Samaritans Tel: 08457 909090 (UK) www.samaritans.org.uk Sick Doctors Trust Provision of early intervention and treatment for doctors suffering from addiction to alcohol or other drugs. Tel: 0370 444 5163 www.sick-doctors-trust.co.uk Support4Doctors Information and advice for doctors in the UK www.support4doctors.org 18
FURTHER INFORMATION AND READING KEY DATES rd 23 July 2018 Shadowing starts 1st August 2018 Rotation 1 start date 5th December 2018 Rotation 2 start date 3rd April 2019 Rotation 3 start date 17th May 2019 Portfolio Completion Deadline! * 22nd April – 3rd May 2019 Pre-Check of Portfolios * 6th – 17th May 2019 Trainee amendment from pre-check * 20th May 2019 Portfolios released to ARCP Panel Members* June 2019 ARCP Panels * 6th August 2019 Last Day of F1/F2 * This is the timescale we are currently working to, however there is a working group at the Foundation School who may be bringing some changes for next year so these dates are subject to change and you will be notified as soon as possible. Forms that must be submitted to the Medical Education Team Form/Evidence Deadline In Case of Emergency Form 15.08.2018 HENE Form 15.08.2018 Learning Agreement 15.08.2018 Copy of F1 Self Evaluation document 15.08.2018 Resuscitation ALS/ILS Certificates onto portfolio 17.05.2019 Departmental Induction Form - Rotation 1 15.08.2018 Departmental Induction Form - Rotation 2 19.12.2018 Departmental Induction Form - Rotation 3 14.04.2019 19
Supervision Records and Self-Assessment that must take place for each rotation Post One Deadline Induction Meeting with Clinical Supervisor 04.12.2018 Induction Meeting with Educational Supervisor 04.12.2018 Personal Development Plan 04.12.2018 Self-Assessment * 04.12.2018 Self-Appraisal of Learning * 04.12.2018 End Placement Meeting with Clinical Supervisor 04.12.2018 End of Placement Review Form with Educational Supervisor 04.12.2018 Post Two Deadline Induction Meeting with Clinical Supervisor 02.04.2019 Induction Meeting with Educational Supervisor 02.04.2019 Personal Development Plan 02.04.2019 Self-Assessment * 02.04.2019 Self-Appraisal of Learning * 02.04.2019 End Placement Meeting with Clinical Supervisor 02.04.2019 End of Placement Review Form with Educational Supervisor 02.04.2019 Post Three Deadline Induction Meeting with Clinical Supervisor 17.05.2019 Induction Meeting with Educational Supervisor 17.05.2019 Personal Development Plan 17.05.2019 Self-Assessment * 17.05.2019 Self-Appraisal of Learning * 17.05.2019 End Placement Meeting with Clinical Supervisor 17.05.2019 End of Year Review Form with Educational Supervisor 17.05.2019 General Additional Deadline Probity and health declarations ticked 17.05.2019 All certificates scanned and up-loaded to ePortfolio and confirmed 17.05.2019 Evidence on ePortfolio rated by you and your ES 17.05.2019 Presentations, posters, QIP, audits etc. scanned to Personal Library 17.05.2019 Record absence through illness in absence section 17.05.2019 Form R 17.05.2019 * Good Practice; not mandatory 20
Bleep System Lift handset and dial 88 and follow the instructions. You can also bleep UHND DMH by dialling 89. DMH Lift handset and dial 89 and follow the instructions. You can also bleep BAH DMH by dialling 88. Medical Education Centres Clinical Simulation Centre Bishop Auckland Hospital (BAH) DL14 6AD Situated on the Ground Floor of the hospital, the Centre comprises of a Simulation Suite, De-Brief Room and 4 Clinical Skills Rooms. This is a state of the art facility and has SIM Man, SIM Mum, SIM Junior and SIM Baby. The centre is used for inter- professional simulation and human factors training. There are various Clinical Skills drop in sessions arranged throughout the year for the Foundation Programme and training specifically designed for higher specialty trainees, as well as ALS, ILS and NLS. If you have any questions regarding SIM facility please contact the reception on Ext: 55105. Education Centre, Darlington Memorial Hospital (DMH) DL3 6HX Situated on the ground floor, the Centre comprises of 3 Seminar Rooms, Clinical Skills Room, Common Room, Lecture Theatre, Library and IT room. Assistance is available at the reception area. The Library provides access to thousands of print and online resources. A computer room with a Cotag system card, 24-hour access to the Library and WIFI service is available. All enquiries Ext: 43231/Library Ext: 43878/43222. MESS Room DMH There is a new junior Doctors Mess at DMH. The mess is situated on the 4th Floor, behind the lifts. This new facility has: - Coffee Machine - Seating Area - PC with relevant software Access is only available with a door code. If you have any queries regarding this facility please contact the Mess President. Prospect House, University Hospital of North Durham (UHND) DH1 5TW The Education Centre is currently situated at Prospect House, DH1 5TS Aykley Heads Business Centre (a short walk from A&E). The centre is comprised of 7 Seminar Rooms (3 of which convert to a lecture theatre), Library, IT Rooms, Radiology Training Room, Clinical Skills Room and a coffee area. The Library provides access to thousands of print and online resources. Guest WI-FI is available by obtaining a username and password from the Library. Library is open 09.00- 17.00hrs Monday to Thursday and 09.00-16.30hrs Friday. All enquiries Ext: 38600 Library Ext: 36867/32483/32480. MESS Room UHND There is a new junior Doctors Mess at UHND. The mess is situated in a separate building (opposite A&E). This new facility has: 21
¨ Lockers ¨ Water Boiler ¨ Microwave ¨ PC with relevant software ¨ Dining Table ¨ TV with Freeview Access is only available with a swipe card and door code. Please contact the Medical Education Team at Prospect House Durham ext.32314 to gain swipe access. If you have any queries regarding this facility please contact the Mess President. NHS Pension What does it cost? The contribution rate varies according to your earnings - please refer to the table below. Tax relief is allowed on contributions paid into the Scheme. Your employer contributes 14.3% for all Scheme members Pensionable Earnings (whole time Contribution rate (before tax relief) equivalent) 1 April 2015 to 31 March 2019 £21, 478.00 to £26,823.99 7.1% £26,824.00 to £47,845.99 9.3% £47,846.00 to £70,630.99 12.5% Post BAH Opening Hours Monday to Friday: 10.15-12.00noon and 12.30-14.30hrs Post room is situated next door to the ISS helpdesk on the ground floor at the delivery entrance. Mail may be left or collected during the opening times, however outside of these times there is a Post box so post can be dropped off at any time. If the mail is addressed to the doctor and the ward then it is delivered to that ward. All collected mail must be signed for. DMH Opening Hours: Monday to Friday: 08.00-16.00hrs. Post room is situated on the ground floor, opposite the Renal Dialysis Unit, next to entrance C. Mail may be left or collected during the opening times stated. If the mail is addressed to the doctor and the ward then it is delivered to that ward. UHND Opening Hours: Monday to Friday: 07.00-09.00hrs, 9.30-12.30hrs and 13.00- 15.30hrs. Post room is situated on the Lower ground floor adjacent to the stores department. Mail may be left or collected during the opening times, however outside of these times there is a Post box so post can be dropped off at any time. There is an on-site delivery round to wards and departments twice daily. 22
Literature Good Medical Practice – General Medical Council (2013) The Foundation Training Curriculum – The Foundation Programme Office (2016) The Foundation Reference Guide – The Foundation Programme Office (2016) The Rough Guide to the Academic Foundation Programme and Compendium of Academic Competencies – UK Foundation Programme Office (2013) The Rough Guide to the Foundation Programme – UK Foundation Programme Office (2015) Websites CDDFT www.cddft.nhs.uk British Medical Association www.bma.org.uk Foundation Programme www.foundationprogramme.nhs.uk General Medical Council www.gmc-uk.org Medical and Dental recruitment Selection (England) www.specialtytraining.hee.nhs.uk National Patient Safety Agency www.npsa.nhs.uk Northern Foundation School www.madeinheene.hee.nhs.uk Royal College and Faculty Websites Acute Care Common Stem www.rcoa.ac.uk College of Emergency Medicine www.rcem.ac.uk Faculty of Intensive Care Medicine www.ficm.ac.uk Faculty of Pharmaceutical Medicine www.fpm.org.uk Faculty of Public Health Medicine www.fph.org.uk Joint Royal Colleges of Physicians Board www.jrcptb.org.uk Joint Committee on Higher Surgical Training www.jcst.org Royal College of Anaesthetists www.rcoa.ac.uk Royal College of General Practitioners www.rcgp.org.uk Royal College of Obstetricians & Gynaecologists www.rcog.org.uk Faculty of Occupational Medicine www.fom.ac.uk Royal College of Ophthalmologists www.rcophth.ac.uk Royal College of Paediatrics and Child Health www.rcpch.ac.uk Royal College of Pathologists www.rcpath.org Royal College of Physicians of London www.rcplondon.ac.uk Royal College of Psychiatrists www.rcpsych.ac.uk Royal College of Radiologists www.rcr.ac.uk Royal College of Surgeons of England www.rcseng.ac.uk 23
ONLINE RESOURCES NHS Athens NHS Athens is an electronic system that gives you access to a range of healthcare databases and journal articles. Athens resources enable you to literature search, locate evidence and information to support patient care and your own personal development whenever you need to. Please go to the link below to register for an account- https://www.cddft.nhs.uk/working-for-us/library-services/nhs-athens.aspx E-journals Thousands of journal articles are available to you once you have an Athens account. The NHS currently has in place an agreement with the Copyright Licensing Agency. The agreement sets out the extent and nature of copying that is permissible. Full information can be found at the CLA website. Go to www.emeraldgrouppublishing.com go to the top right of the first screen and click on emerald profile to register for an account. Once you have registered for an account a confirmation email will be sent to you with a validation link to activate your account. Unfortunately these emails can be caught in spam filters. Please check this and add @emeraldinsight.com to your safe senders list. UpToDate is a dynamic electronic resource providing evidence-based, synthesized medical information which is written and peer—reviewed by 3,800 leading doctors from the UK and worldwide. To register go to www.uptodate.com go to the subscribe key and follow instructions. User guides available from your library and an excellent demo at www.uptodate.com/demo HEE e-Learning for Healthcare The HEE e-LFH is consistently updating existing and launching new e-learning sessions. For the schedule of when the new sessions will be launched please visit: www.e-lfh.org.uk/planned-programmes 24
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