© BOA Trauma and Orthopaedic Specialty Induction OCAP Induction T+O curriculum OCAP and ISCP eLogbook Mike Reed MD FRCS(T+O) Deputy Programme Director (Early Years)

© BOA OCAP Induction Orthopaedic Competence Assessment Project A Competency Based Curriculum in Trauma and Orthopaedics Accepted PMETB: September 2006 Authors: David Pitts, David Rowley, Clare Marx, Lester Sher, Tony Banks, Alastair Murray on behalf of the BOA and the Orthopaedic SAC

© BOA OCAP Induction What is a Curriculum? (adapted from PMETB definition) Aims and objectives Content –Experiences –Outcomes –Processes –generic professional –specialty specific Training structure –entry requirements –Length of programme Organisation of programme –flexibilities –assessment methods –learning, teaching, feedback and supervision

© BOA How much is existing OCAP used Survey conducted during February & March 2008 All UK trainees with locatable address contacted by Web based survey Over 800 participants 715 trainees completed the whole survey David Boardman – Orthopaedic SpR South West Thames Aware of OCAP99% OCAP in portfolio93% Cons. profile 11-42% Learning agreement75% PBAs4 in 6 months

© BOA OCAP Induction T&O curriculum – facilitating good practice Evidence for Accrediting bodies Clear Aims & Objectives Open, high quality, structured feedback PBA & other tools Knowledge Procedures Mini CV PBA summary Logbook Learning agreements Reports in various formats Formative WPB Assessments Learning Agreement

© BOA OCAP Induction T & O Curriculum CT1-ST8 Trainer Profile Learning Agreement Curriculum Vitae Procedures Coaching Assessment Evidence Applied Clinical knowledge Applied Clinical skills

© BOA OCAP Induction1.Curriculum overview

© BOA OCAP Induction1.Curriculum overview

© BOA OCAP Induction1.Curriculum overview Please note that this area of the curriculum is an ongoing development

© BOA OCAP Induction1.Curriculum overview For further information Go to the OCAP website ( Look on the induction CDROM Check the details of the curriculum Contact

© BOA Later Years 3-8 Early Years 1-2 Foundation Where do PBA’s fit in with other assessment tools? Mini-PAT Mini-CEX DOPS CBD PBA Mini-PAT CBD DOPS Mini-CEX PBA mini-PAT

© BOA What do I do as an ST1 and ST2? Register with ISCP –Programme directors ST1 Stefan Plusa ST2Mike Reed Do ISCP but use T+O curriculum for guidance DOPS, MiniCex, CBD on ISCP Do 360 – mini-PAT in this deanery Use elogbook.org for logbook New agreement Aug 2008 – work in progress

© BOA What do I do as an ST3? Register with ISCP Use OCAPonline Use PBAs and mini-PAT (one per post) OCAP Induction 4.Using PBA’s

© BOA Introduction to David Pitts Associate Director, RCSED Leadership & Educational Development Andrew Lamb Director of Web Services, RCSEd Mike Reed Clinical Lead, OCAPonline

© BOA Overview How OCAP works at present HOW TO: –create a Trainer Profile –form a Learning Agreement –do assessments ARCP / RITA reports

© BOA Meeting 1 Meeting 2 Meeting 3 Learning Agreement Consolidation Sheet Completed PBA’s How OCAP works at present Trainer Profile PBA

© BOA Meeting 1 Meeting 2 Meeting 3 How it will work now Trainer Profile Learning Agreement Completed PBA’s Consolidation Sheet PBA Via paper if you wish Electronic ARCP

© BOA Creating an online Trainer Profile (even if you are a trainee)

© BOA Log in as usual –

© BOA Go to Training area

© BOA Choose element of profile you want to create

© BOA Cut & paste from your existing cv

© BOA Choose another profile element

© BOA Created from historical logbook data. Add or remove procedures as you wish

© BOA OCAP Induction1.Curriculum overview

© BOA The new “Trainee Profile”

© BOA Trainees make their own trainee profile

© BOA

Creating a Learning Agreement: Before the first meeting

© BOA Trainee adds details of hospital attachment and reviews trainer profile – “whats on offer” OCAP IS TRAINEE LED

© BOA Checklist for Learning Agreement meeting 1 Trainee –Agree date –Set up the attachment –Review Trainers Profile Mini cv Procedures –Review own profile and set targets Trainer Agree date –(Set up all profile elements) –Choose technology for meeting Paper online

© BOA Creating a Learning Agreement: The first meeting

© BOA Do it online, put it straight onto your logbook

© BOA Or do it on paper, transfer it at leisure, and send validation request to trainer

© BOA On paper - A practicalities area

© BOA Online - A practicalities area

© BOA Top screen

© BOA Bottom screen

© BOA Filling out the form

© BOA The electronic form guides you through

© BOA

Trainee can fill in the form, send to trainer, trainer validates

© BOA Validated form is “locked”

© BOA Using Assessments

© BOA Select “assessments” in the training area

© BOA

TRAINER

© BOA

Automatic update of PBA and the summary sheet for trainee

© BOA PBA rules Trainer or trainee triggers PBA NB Trainer agrees to the PBA Trainee conducts agreed parts of procedure observed by trainer Trainer usually scrubbed Trainee verbalises, explains what intentions are Trainer steps in as/where necessary Forms completed and feedback given immediately after procedure Trainee includes all forms in portfolio, notes in logbook PBA summary sheet

© BOA OCAP Induction2.Basics What does a completed PBA mean? NOT a license to operate unsupervised! DOES give trainer confidence to allow trainee greater responsibility “Completed set demonstrates competence to learn procedures and perform to set protocol and standard”

© BOA validation – no log in PBA, miniCEX, DOP, CBD Mini-CV Procedures Profile Operations 360 appraisals MSF-TAB and mini-PAT

© BOA Early years assessment tools are available

© BOA ARCP / RITA report Automatically generated from all information in portfolio – paper / pdf OCAP eLogbook Research and audit Study Leave etc

© BOA The eLogbook OVERVIEW

© BOA Contents Background The role of the eLogbook Who should use it How it works National data analysis Future developments

© BOA Background Conceived in 1998 Collaborative venture between: –BOA –BOTA –Orthopaedic SAC –RCS Ed Compulsory for trainees since 2003

© BOA Intended Users Medical students Foundation yrs ST T&O Consultants SpR Career grade T&O surgeons Surgical assistants etc All grades of medically and non- medically trained personnel involved with orthopaedic surgery are encouraged to use the eLogbook Career progression Users in ST years 1 & 2 Users in ST years 1 & 2 can enter data even while working in other specialties. Supervisors = Trainers. All years of T&O Specialty training will be analysed

© BOA Users >5000 users of pan-speciality eLogbook > 5 million procedures logged Medical students to Consultants Surgical assistants Overseas surgeons

© BOA Creating an account Access the eLogbook at…. To create an account click here

© BOA Creating an account Enter grade and specialty Info needed to proceed:  Name and address  Training region  address  Completion date (for StR/SpRs – can be estimate)

© BOA User basics Access via Or Download software, input data onto personal hard drive & synchronise with main server later Hospital terminal / home PC Main server at RCSEd Backup servers Home computer PDA / palm All synchronised data is held on a secure server at the RCSEd with 2 back-up servers

© BOA National training data Peer comparison data –for trainees / RITAs / programme directors Regional & chronological data –for programme directors / SAC Presentations at Meetings Peer reviewed journal articles –Influencing the national training agenda. The UK and Ireland orthopaedic eLogbook. Sher et al. JBJS (Br) 2005;87(9):

© BOA OCAP Induction1.Curriculum overview

© BOA OCAP Induction1.Curriculum overview

© BOA Example of training analysis National data analysed for hip joint replacement based on SpR year in training…. This provides reliable data on the expected experience of a trainee for a specific procedure at a particular time in their training, based on national data Mean number of procedures performed by trainees with upper range figure …. and level of supervision

© BOA Index Procedures Trauma  Hemiarthroplasty  Compression hip screw  Ankle ORIF  IMN femur / tibia  TBW patella / olecranon  Tendon repair  External fixationElective  THR  TKR  Arthroscopy  1 st ray surgery  CTD  Palmar fasciectomy  Lumbar discectomy

© BOA Consolidation Reports Users can create Consolidation Reports based on their operative log, which can be used for RITAs, job interviews, evidence of training, and revalidation Number of procedures performed, with a breakdown of level of supervision

© BOA OCAP Induction1.Curriculum overview

© BOA Portfolio Choose the appropriate field… Portfolio Under ‘Portfolio’ heading.. add the details…… then build your CV

© BOA Data control PLEASE NOTE: An individual must register with the Information Commissioner if he or she keeps patient-identifiable data for the purposes of research, private practice or as part of a logbook (the Data Protection Act 1998).* MANDATORY It is MANDATORY for eLogbook users to register as a ‘data controller’. The user will then ‘own’ their own data and can do with it as they choose. There is an annual fee of £35. For more information and registration visit:

© BOA Thank you