Foundation Programme 2018 - 2020 Handbook & Guidance

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Foundation Programme 2018 - 2020 Handbook & Guidance
Foundation Programme
     2018 – 2020
Handbook & Guidance
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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