Welcome to the South Thames Foundation School Information for F1 Trainees August 2013

STFS 1 school, 3 offices 1 advice e mail – enquiries@stfs.org.uk Enquiries checked daily and relevant staff will respond Policies on STFS website www.stfs.org.uk The offices are at Tooting, Brighton and London Bridge – the same advice e mail is used for all and responded to by the most appropriate individual

The role of STFS Brighton – quality London Bridge – policy and communications Tooting – F1 and F2 allocation and sign-off Doctors needing to meet STFS staff can attend local office Offices based in / linked to each medical school

e mail addresses STFS currently recommends Doctors.net.uk as available in all trusts – if you use another inform STFS and ensure functioning (avoid hotmail etc as spam filters block STFS mails) Important to separate social and professional e mails and identity – eg if you use facebook link it to an e mail address to which patients do not have access

STFS communications Please maintain the notified e mail address and check it weekly – do not auto-forward as original e mail service may close Enables information about GMC registration, careers etc to be sent out - to help you STFS bulletins sent weekly – also available on website All new information also on stfs website Please do check the information sent regularly so you don’t miss anything

An example of one of the bulletins

National information www.foundationprogramme.nhs.uk Curriculum Reference guide (national policies) Other information

gmc-uk.org Guidance on good practice Education outcomes

E-portfolio – an educational tool Important that you learn how to use this early on to benefit your training – now and in the future Educational planning Reinforce your learning Record of achievements Not just a tick box exercise . . . . Eg in specialty training too

e-LFH e-lfh.org.uk e learning modules for foundation useful to support your experiential learning, eg Safe Prescribing to catch up if you miss a teaching session user names / passwords will be sent to you User names and passwords should have been supplied for all of your foundation doctors.

Who will supervise you*? Educational supervisor* supervises you for full year will meet you formally at start and end of placements and other times as necessary Clinical supervisor* supervises you for one placement meets you at beginning and end of placement and other times as necessary Placement Supervision Group Led by consultant / GP and including senior colleagues in your team Liaises with clinical supervisor *NB names and contact details will be provided by Trust

PATIENT SAFETY AND YOUR SUPERVISION As a Foundation Doctor you should know: Who is supervising your clinical practice at all times (usually a consultant or experienced middle grade doctor) The clinician supervising you must be sufficiently competent to do so You should be able to contact your supervisor if you are concerned about a patient You should never be forced to work beyond your competence IF YOU ARE CONCERNED THAT YOUR FIRM IS REGULARLY NOT ADHERING TO THESE PRINCIPLES, PLEASE CONTACT YOUR EDUCATIONAL SUPERVISOR OR FOUNDATION TRAINING PROGRAMME DIRECTOR THE WORD REGULARLY IS THERE SO THAT FDS DO NOT REPORT ANY ISOLATED EVENT IE A REGISTRAR PHONING IN SICK

Your trust should provide you with: Appropriate learning experience 3 hours+/ week education eg teaching sessions, teaching ward rounds, clinics etc Training compliant with European working time regulations (EWTR) Access to careers advice / guidance Representation at local faculty group via elected F1 representative

Raising concerns / ‘whistle-blowing’ – GMC guidance You must protect patients from risk of harm posed by another colleague's conduct, performance or health. The safety of patients must come first at all times If you have concerns that a colleague may not be fit to practise, you must take appropriate steps without delay, so that the concerns are investigated and patients protected where necessary More information on STFS website / local trust policy

Protecting patients (and you) F1 doctors must NOT Site mark (except under direct supervision by the operator) Prescribe or administer cytotoxic or immunosuppressant drugs (except corticosteroids) Inject contrast unless trained to do so Detailed document on roles and responsibilities of foundation doctors on the STFS website

Consent Taking consent is the responsibility of the doctor performing the procedure If a FD is not capable of carrying out a procedure, s/he may only obtain consent for it when trained to do so, directly supervised, and under delegation from the experienced doctor carrying out that procedure This refers to procedures which the F1 doctor is NOT competent to undertake

Protecting yourself (and patients) Flu vaccine Reduces sick leave (and pressure on colleagues) Will be available via Occupational Health Is much less unpleasant than genuine influenza

F1 sign-off (1) in order to achieve GMC registration you must: Have no more than 4 weeks sick leave in the year (if more is likely, contact STFS) Attend at least 70% of your F1 teaching sessions Attend a day of simulation training Possess a valid intermediate life support (ILS or equivalent) certificate or record of attendance Arrangements have been made to ensure that a day of simulation training is available for all F1 doctors in STFS, whether in London or KSS Deanery

F1 sign-off (2) Supervised learning events (SLEs) Purpose of SLEs is to: Provide immediate feedback and suggest areas of further development Highlight achievements Only approved assessors can assess you (not F2) SLEs should be spread throughout the year, with 4+ in each 4/12 rotation and 7 to be done by January 6+ mini-CEX 6+ CBDs 1-3 DOPS 1-2 developing the clinical teacher Plus team assessment of behaviour (TAB - 360 degree feedback) STFS videos about these are on www.etft.co.uk FY1 doctors may not be able to take part in the F2 swap shop unless they have completed 7 assessments by January Assessments/SLEs must be completed by doctors more senior than F2.

F1 sign-off (3) you must: Maintain your e-learning portfolio, and include evidence: core procedures required by the GMC (part of e portfolio) end of placement reports from clinical & educational supervisors end of year report from educational supervisor meet other curriculum and statutory requirements such as child protection training Child protection training is a national and SHA imperative. The level gained should be appropriate to the posts carried out by the foundation doctor. A “Safe Guarding Children and Young People – Level 1” module is available on the e-Learning for Healthcare system – www.e-lfh.org.uk/projects/foundation

F1 sign-off (4) You must: Do the mandatory national online trainee survey Plus any other surveys required by STFS These assess the quality of your training Feedback is essential to monitor and improve medical training It is also strongly recommended that you carry out a leadership project – documentation on e-portfolio It doesn’t take long . . . In fact it’s much quicker to do it than write lots of e mails disputing the need to do it

F1 sign-off list of skills to perform competently and teach undergraduates Venepuncture /IV cannulation Use of local anaesthetics Arterial puncture (adult) Blood cultures Injections (SC/ID/IM/IV) Prepare and give IV meds, blood and blood products IV infusions inc. fluids, blood and blood products Perform and interpret ECG, spirometry and peak flow Urethral catheterisation (male and female) Airway care NG tube insertion FP Curriculum 2012: Outcome for F1s “Competently performs and, when sanctioned by a supervisor, teaches medical students in the core procedures listed either in the workplace or on simulated patients”

ARCP Annual Review of Competence Progression Process to ensure that you have met foundation requirements (similar applies in specialty training) All requirements must be met and e portfolio ready for review by May (date to be advised) Meet your ES in April to review Also complete Form R in e Portfolio – self declaration of fitness to practise Further details will be sent to you by STFS nearer the time

Leaving early If you wish to leave before the official end date of your F1 programme in order to take other employment opportunities (eg in N America) you will not be signed off as having met foundation training requirements (as the FP is time limited) If you leave early you will be required to complete a withdrawal form

And if I am not signed off? Arrangements will depend on circumstances eg Remedial training Repeat entire year Repeat part of year Spend 2-4 weeks at start of F2 as an F1

Revalidation Every doctor who is fully registered with a licence to practise will need to revalidate. STFS will provide all relevant information during the course of the year. For all STFS trainees (inc those in south London trusts) Designated body = KSS Deanery Responsible officer = Professor David Black For further information see - http://www.stfs.org.uk/doctor/revalidation-foundation-doctors-stfs Any queries please contact – revalidation@stfs.org.uk

Asking for advice about your training Usually ask locally first, eg your educational supervisor or FTPD STFS must know if it may affect your training programme: You have been or need to be away, for example for illness for > 2 weeks or maternity leave You wish to work abroad / take time out / work less than full time Special circumstances which may affect your placement You are having problems with your training Raising concerns which you feel have been inadequately dealt with locally If so please check the policy and deadlines on www.stfs.org.uk and contact enquiries@stfs.org.uk

Support available Local in trust Educational / clinical supervisors Postgraduate Team Occupational Health Medical Staffing Outside trust kssdeanery.org/trainee-support

Feedback to STFS Foundation programme trainee representative at all trusts – can raise issues locally Trainee representatives at STFS committees – inform and influence future directions Online (via e-portfolio) questionnaires – please contribute as your views are valued!

Careers Careers support and resources available in your trust ROADS book and shorter e-book – and four stage approach to career management Informal short one-2-one career sessions Group teaching introducing career planning Up to 5 days of your F2 study leave entitlement can be taken towards the end of F1 for a ‘taster’ to explore career options www.medicalcareers.nhs.uk for further ideas www.medicalcareers.nhs.uk is the national careers website. Please mention what is available locally for your foundation doctors.

Enjoy your foundation training – and let us know if we can help you plan your future career www.medicalcareers.nhs.uk www.stfs.org.uk enquiries@stfs.org.uk