Medical Education Governance Implications for Clinical Tutors Kathryn Livingston Governance Manager IHSE Secretary to the PCC, SMD

Governance: Establishment of policies, and continuous monitoring of their proper implementation by the members of the governing body of the organisation. It includes the mechanisms required to balance the powers of the members (with the associated accountability), and their primary duty of enhancing the prosperity and viability of the organisation. Medical Education Governance: Aspects of Governance arising from the University context Aspects of Governance arising from the expectations of the GMC standards The principles in Good Medical Practice must form the basis of medical education (Tomorrow’s Doctors) General regulations for students of QMUL. Regulations for assessment. Progression and award. standards Standards reflecting on the University Standards reflecting on doctors’ professional behaviour

Academic progression Pass/fail Credit/merit/distinction Assessment Offences Plagiarism Mobile phones Web access Attendance Lectures Clinical placements Specialist teaching Attendance Not swiping in Swiping for others Maintaining good medical practise Teaching and training, appraising and assessing Relationship with patients Working with colleagues Probity (own) Health Good clinical care Professional Capability Teaching and learning context

Student Misconduct Students must be aware that their behaviour outside the clinical environment, including in their personal lives, may have an impact on their fitness to practise. Their behaviour at all times must justify the trust the public places in the medical profession Bringing the profession into disrepute Bringing the university into disrepute Behavioural context

Disclosure by students of matters potentially of interest to the GMC Name:Student no.: Where did this happen? When did this happen? (date, time) Why did this happen? Were there fines/penalty charges? (how much? Get a receipt) Were the police involved (explain) Did you go to court (detail) Is there any documentation? ( get photocopies) Were drink or drugs involved? (explain) Have you done this before? Since? What do you feel now about this behaviour. Any other details ? When complete, send to the Governance Manager: Medical Students and FY1s and Dental Students are expected to disclose “all criminal punishments” to their Medical Schools on application and then subsequently, immediately they happen. You need to make a record, with as much detail as you can remember:

What if the regulations are not followed? QMUL SMD QMUL Professional Capability and Fitness to Practise Regulations QMUL Regulations on Assessment Offences Assessment offences QMUL SMD Behavioural offences QMUL Code of Student Discipline: Regulations for the management of student misconduct QMUL SMD PCC FtP

Implications for Clinical Tutors Formative “Acting as SMD”:  role model for professional capability…  provide opportunities for reflection on professional contexts outside of the purely clinical….  Identifying and discussing unacceptable behaviour….  Warning students that their behaviour is unacceptable and needs to change or else it will be reported  Maintaining records within appropriate contexts ….  Reporting unacceptable behaviour

Required detailPlease completenotes Student name Please indicate whether there are other students involved as witnesses or also being referred Name of referrer Role of referrer Date of referral Specific action giving rise to the referral Please provide a brief overview and then use the standard structure for recording as attached and include copies of any relevant reference documents Date student advised of referral under the code of Discipline Please provide copy of letter or or MAST entry Date of initial investigation (if undertaken) Please follow the outline process as attached and include the agreed notes of your meeting (stored on MAST and therefore available to the student) Other documents attached Other detail that you feel is relevant

NOTES Standard information about the student action: The student did what? When did this happen? In which context? How did you hear about it? Standard interview questions (please note, you are not required to find out all the answers, just to let the student know that you are checking on their behaviour and may need to refer them under the Code of Student Discipline). What did you do? Why did you do it? Have you done this before? Since? What do you feel about this behaviour. Supplementary questions if appropriate: Were drink or drugs involved? Were there witnesses/ others involved? Did the police become involved?