School of Paediatrics Day - 2019

School of Paediatrics Day - 2019 Welcome 10th School of Paediatrics Day / 4th PAFTAs Bigger and better Aims: Celebrate success over the last year Be informative and update Inspire colleagues to greater achievements Excellent programme

Improving prescribing National initiatives RCPCH e-learning often suggested post START SCRIPT “Standardised Computerized Revalidation Instrument for Prescribing and Therapeutics”

Improving prescribing Safe prescribing is a patient safety issue High priority in training Assessed during recruitment Assessed during START and often an area for development Subject to frequent local audit - 20% errors Many local initiatives – inductions, workbooks Impact electronic prescribing

Improving ARCP outcomes Annual review competency progression Informs GMC revalidation process Requires organization and preparation Deanery assessment team Trainee providing evidence in RCPCH Portfolio Educational and clinical supervisors ARCP panels

Improving ARCP outcomes Evidence provided to the ARCP panel in portfolio on the day Sell yourself – we want you to succeed Take time to prepare Dates notified 6w in advance as per Gold Guide Cannot be last minute F2F v Electronic assessment

Improving ARCP outcomes Experienced panels TPDs, tutors and supervisors lay and external representation provide feedback F2F v Electronic assessment currently 50:50 If unsatisfactory outcome must be F2F Preparation per ARCP at least 30minutes + panel Outcomes reviewed by Deanery, GMC and RCPCH

Improving ARCP outcomes Challenges ! Changing curriculum - Progress Changing portfolio – Kaizen RCPCH

Deanery report August 2017 - 2018 Aug 2017- Aug 2018 410 assessments outcome 1 245 (64%) outcome 2 4 (1%) outcome 3 26 (7%) outcome 4 5 (1%) outcome 5 62 (16%) outcome 6 23 (6%) outcome 8 18 (2%) not assessed 27 (6%) Satisfactory Outcomes 1+2+6+8 290 (76%)

Deanery report August 2017 - 2018 Outcome 5 conversions.  62 5 to 1 47 (76%) 5 to 2 2 (3%) 5 to 3 5 (8%) 5 to 4 5 or 6 3 (5%) 5 to 8 5 to NA Satisfactory (1+2+6+8) 55 (89%)

Final Deanery report August 2017 - 2018 Paeds Aug 2017- Aug 2018   outcome 1 292 (77%) outcome 2 6 (2%) outcome 3 31 (8%) outcome 4 5 (1%) outcome 5 outcome 6 26(7%) outcome 8 21(6%) not assessed 29(7%) Satisfactory Outcomes 1+2+6+8 345 (91%)

Final Deanery report August 2017 - 2018 Discussed at HEE EOE quality meeting Reduction unsatisfactory outcome 5s 25% in 2016-2017 to 16% in 2017-2018 Education – trainees and supervisors Understanding curriculum requirements Feedback Paediatric Panels well conducted Delay in conversion outcome 5s by TPDs / HoS

ARCP- assessment requirements

ARCP – additional requirements

Deanery report August 2017 - 2018 Overview of Outcome 5 reasons: Missing CSAC form, missing CSR, missing safeguarding, missing ESR from previous posts, no leader CBD, no HAT, incomplete form R, waiting for exam results - trainees brought back in July for Deans panel, no academic report

Improving ARCP outcomes Educational supervision Training and feedback to supervisors Role of ES and CS Evidence

Improving ARCP outcomes What should be our goal for 2018-2019? Improving quality – Shazia Hoodbhoy Better training Trainee lead forms Better completion SLE / WPBA Better completion ESTR / CSTR Sooooooooooo …………..

Improving ARCP outcomes- 2019 Paeds Feb 2019 - 3 panels 41 outcome 1 18 (44%) outcome 2 3 (7%) outcome 3 outcome 4 outcome 5 11 (27%) outcome 6 9 (22%) outcome 8   not assessed 2 Satisfactory Outcomes 1+2+6 30 (73%)

Deanery report February 2019 Overview of Outcome 5 reasons: Missing CSRs, Missing ESTR , missing safeguarding CBD, insufficient DOCs, insufficient evidence of START remediation / development

Improving ARCP outcomes - 2019 Introduction 2019 ARCP folder in documents folder Trainee lead ESTR forms properly completed ESTR to properly complete CS section if relevant CSTR and ESTR for stand alone 6m posts Develop START specific PDP We can achieve 10% target for outcome 5s Lets do it - work still to do !!