Supervision Guide

West of ScotlandSchool of AnaesthesiaJan 2015

SUPERVISORS

All doctors in training are allocated an Educational Supervisor who offers educational supervision, undertakes appraisal and provides regular, ongoing feedback.

For a specific training placement, the trainee’s progress may be monitored by a Named Clinical Supervisor. Educational Supervisors and Named Clinical Supervisors should have appropriate training and from July 16 are required to submit appropriate evidence of their training and educational activities at appraisal. They should follow recent GMC guidanceand fulfil the necessary requirements to be a recognised trainer (Recognising and Approving Trainers – the implementation plan, GMC 2012)

Further assistance is available online from the Scottish Trainer Development Framework.

Supervision in the Workplace

All consultants in anaesthesia act as Supervising Clinicians,as they contribute on a regular basis to teaching, training and supervision of trainees. Unless they also have a role as Educational Supervisor or Named Clinical Supervisor, they will not need to be formally recognised as trainers. They should, however, have training in the use and completion of appropriate workplace assessments used in their daily practice.

Named Clinical Supervisor

A Named Clinical Supervisor is responsible for overseeing a trainee’s clinical work and providing constructive feedback during a specific training placement.

Following completion of a unit of training, trainees are required to obtain CUT Forms for all units of training. These forms should be signed off by a designatedSupervising Clinician for that unit(the College Tutor will be able to tell you who they are), who take into account the following:

-Demonstration of all the CCLOs identified for that unit

-Logbook

-Satisfactory number of successful WPBAs

-Consultant Feedback: the information for this will be gathered from the West of Scotland Consultant Assessment (‘tick-box’) sheets

Educational Supervisors (ES)

Every trainee will have a nominated Educational Supervisor to oversee their individual learning.Educational Supervisors are responsible for overseeing training to ensure that trainees are making the necessary clinical and educational progress.

Duties

  1. ES should meet with their trainees as soon as is feasible when they are appointed. A learning agreement should be prepared detailing the educational objectives for the year, including proposals for taking exams, undertaking audits, teaching etc. The College Tutor may also have issued the trainee with some objectives e.g. the number of DOPS, CBD, mini-CEX they will be expected to do. Your trainee should keepyou informed about that, and that should be included in the learning agreement. The learning agreement should be the point of reference for future appraisal.
  1. You should meet with the trainee regularly (rotations will make this difficult, but ongoing contact is required) and check on progress. You should check that the trainee is maintaining their learning portfolio and completing an appropriate number of workplace assessments. Liaison with College Tutor will be required if progress is not satisfactory. Contact should be made every 3-4 months, and feedback given on progress.
  1. Appraisal – this should be undertaken regularly when meeting with your trainees.
  1. ARCP –Although it is the trainee's responsibility to prepare their paperwork they may need some assistance with this. You have to prepare an Educational Supervisor report, which the trainee sends with their portfolio to NES.
  1. ARCP - As an ES it is also your role to confirm that the trainee has completed a SOAR declaration prior to their ARCP. This requires you to log on to the SOAR website and review the health and probity declarations made by the trainee. If any issues are highlighted by the trainee, or if you are aware of any issues not highlighted, these must be included in the commentary boxes. Any further action on declared issues is the responsibility of the Deanery and not the ES. If the trainee fails to make a SOAR declaration or if an ES fails to confirm the declaration on line then an outcome 5 will be automatically awarded for the relevant ARCP.
  1. Although the ARCP is a paper exercise, and the Gold Guide stipulates that there is not a face to face meeting, it is thought that most trainees will benefit from a face to face meeting at the very least with their College Tutor and it would be anticipated that the ES would attend this too.
  1. Members of the Executive Training Committee will hold a face to face meeting with all trainees who receive an ARCP outcome other than Outcome 1 (satisfactory progress) and will normally meet with all trainees undergoing ARCP at the end of ST4 or above. The College Tutor usually attends with their respective trainees but, if the Tutor is unavailable or if preferred, the appropriate ES may attend instead.