GUIDANCE FOR COMPLETION OF THE SELF ASSESSMENT QUESTIONNAIRE

FOR ACCREDITATION OF TRAINERS

Please answer the questions as fully as possible giving specific examples from your experience with your most recent registrars. With the evidence supplied by this form you are demonstrating that you have taken appropriate steps to ensure the mandatory standards are met. There is a list of mandatory and additional evidence(Appendix 1) but any other evidencethat you can submit will help your application.

Domain 1

There is an example answer with Domain 1, question 1.

1.1

Evidence here can be any of the usual tools. This criterion is about ensuring patient safety so a helpful piece of information to demonstrate this would be notes from an observed surgery or some reflections on early random case analysis.

1.2

Rather than providing a standard answer here, it would be helpful to demonstrate how you have altered your supervision according to the differing needs of your trainees. It would be reasonable to describe the experience with ST1s and ST2s for example. A shared surgery log might be helpful.

1.3 (i)

A mandatory piece of evidence would be a timetable indicating who takes responsibility for the clinical supervision of the registrar at all times.

1.6(i)

This standard concerns medical record keeping. Mandatory evidence in this situation is maximum QOF marks in administrative areas.

1.6(ii)

Mandatory evidence achieving QOF standard for maintenance and calibration of equipment

Domain 2

In this domain you should answer the question using your most recent QOF report and appraisals and patient questionnaires

Domain 3

Confirmation of your Equal Opportunities and Diversity training

Domain 5

5.1

Please give examples from your most recent registrars. This standard is about delivering the curriculum. It is important in your answers to give examples of how individual registrars were able to meet the competences.

Domain 6

Is concerned with the ongoing support of your trainee and yourself,please include any details of where you have discussed your trainee at the local faculty group.

6.2 (ii)

Is about yourself as a trainer,apart from your reflections on any learning activity you have undertaken notes from peer review of a videoed COT or CBD is mandatory.

Domain 8

Is about your continuing ability to provide a safe and effective learning environment for your registrars. If there are any major changes to premises, staffing or the running of your practice please detail the arrangements you have made to ensure a consistently high standard of training is maintained.

Appendix 1

Trainer Accreditation

Requirements for supporting evidence

In order to support your self assessment questionnaire, you are required to submit the following mandatory documentation. This evidence will then be used to compile a report for submission to the Trainer Selection Committee.

Please return this form together with the undermentioned documentation to your appropriate Patch Manager electronically. This evidence needs to reach us by the date as advised by your Patch Manager.

It would be appreciated if you could number your documents as listed below in order to assist with our administration processes and clearly identify any supporting evidence.
Mandatory Documentation / Submitted?
Yes / No / TBA
1Induction timetable
2Planned normal working timetable for the registrar
3Absence cover plan - details of how you cover the trainee in your absence
4Significant event analysis involving registrar
5A record of your teaching and learning related to training. This could include extracts from your educational log as a Supervisor, reflections on educational events you have attended as a Trainer
6QOF visit report SUMMARY only
  • confirming maximum administration points
  • 90% point score achieved in clinical areas

7Patient satisfaction questionnaire (individual doctor preferable) and MSF (when becomes available)
8Equal Opportunities and Diversity
Copy Certificate from on-line provider / confirmation from Patch Manager.
9Form 4 / PDP of your NHS appraisal
10Example of personal Audit
11Registrar check list ~ the list you use as part of Induction to ensure all processes are covered including pre-employment checks)
12 Notes on a peer reviewed video of a tutorial teaching about a consultation
13Completed Exit Interview – Document 12
14Consent to review trainees ePortfolio – Document 13
In addition, if any areas were identified as needing development at the previous visit you are asked to supply evidence that those areas have now been met. List any evidence below:
Additional Documentation
In order to support the statements on the application form, you are required to provide evidence as suggested. Please select appropriate documentation to submit with your application. Please submit this electronically together with the mandatory evidence listed above.

No 3A ~ Guidance for completion of Accredited Trainer Application 1 of 2 Revision Date: Jan 2010