1. FP Curriculum 2012: summary of key changes that will impact the FP e-portfolio Intended audience: NES e-portfolio TAG, admin users within foundation schools/ deaneries/ Trusts etc. Stacey Forde

2. Why a new Curriculum?  Prof John Collins’ report ‘Foundation for Excellence’ highlighted positive aspects of the Curriculum but particular areas of concern: 1) The purpose of Foundation Training 2) The value of F2 training 3) Long term condition management 4) Excessive assessments  Alignment to the GMC Trainee Doctor (2011)  The AoMRC were tasked to address these matters and by result, produced the FP Curriculum 2012.

3. Why is this relevant to the TAG?  Many key changes involve new administrative processes and new/revised forms to support Curriculum delivery.  These new forms and process will be largely be managed via the e-portfolio, hence engagement with the team advisory group.  This presentation is not a substitute for reading the new Curriculum!  Please see guidance notes on UKFPO website for detailed Key Changes.

4. Key changes for the TAG to be aware of:  New Curriculum syllabus headings  High level descriptors to distinguish between F1 and F2 outcomes  Supervised learning event (SLE) forms and guidance introduced  Changes to assessment  Detailed clinical supervisor’s end of placement report  Detailed educational supervisor’s end of placement & end of year report  Introduction of foundation-ARCP process and forms  Sign off documents reformatted into certificates

5. Key changes for the TAG to be aware of: The overarching FP Curriculum syllabus headings will be reduced from 16 (as listed below) to 12.

6. Key changes for the TAG to be aware of:  High level descriptors separating the differences between the outcomes for satisfactory completion of F1 and F2 1.2 Time management F1 outcome Is punctual and organised F2 outcome (in addition to F1) Delegates tasks and ensures that they are completed Competences Is punctual for all duties, including handovers, clinical commitments and teaching sessions Integrates Supervised Learning Events and other learning responsibilities into the weekly programme of work Keeps a list of allocated tasks and ensures that all are completed Organises and prioritises workload regularly and appropriately Delegates or calls for help in a timely fashion when falling behind Demonstrates the ability to adjust decision-making in situations where staffing levels and support are reduced (e.g. out of hours)

7. Key changes for the TAG to be aware of:  Supervised learning event (SLE) forms and guidance embedded in e-portfolio: SLE toolRecommended minimum number (may increase/vary locally) Direct observation of doctor patient interaction:  Mini-CEX  DOPS  3 or more per placement*  Optional to supplement mini-CEX (9 per year at least 6 using mini-CEX) Case-based discussion (CBD)2 or more per placement* Developing the clinical teacher1 or more per year * based on a clinical placement of 4 month duration (as per Collins recommendations)  These are not assessments!

8. Key changes for the TAG to be aware of: Assessment toolFrequency Core proceduresThroughout F1 (optional in F2) Team assessment of behaviour (TAB)Once in first placement in both F1 and F2 (optional repetition) Clinical supervisor end of placement report Once per placement Educational supervisor end of placement report Once per placement Educational supervisor end of year reportOnce per year  Assessment has changed. Revised forms and guidance introduced: * based on a clinical placement of 4 month duration (as per Collins recommendations)  Clinical & Educational supervisor engagement with the e-portfolio is paramount

9. Key changes for the TAG to be aware of:  Greater clinical supervisor engagement with the e-portfolio is required:  Clinical supervisor end of placement report The clinical supervisor (supported by a Placement Supervision Group) takes responsibility for accurately describing the foundation doctor’s performance in the workplace and highlighting any areas of excellence or areas of concern which may require educational support. Professionalism and probity ExcellentNo concern You have some concern You have major concern N/A Please comment on the foundation doctor’s areas of excellence or areas of any concern under the following headings. Be as specific as possible.  Professionalism / probity...............  Time management........................  Continuity of care...........................  Team working skills........................

10. Key changes for the TAG to be aware of:  Greater educational supervisor engagement with the e-portfolio is required.  Educational supervisor’s end of placement report Reviews evidence such as: Clinical supervisor’s report, e- portfolio, engagement in SLEs, attendance at formal educational events, comments from PSG, TAB and records if there are any concerns.  Educational supervisor’s end of year review This review draws together all evidence gathered throughout the year to enable a recommendation for satisfactory sign off to be made.

11. Key changes for the TAG to be aware of: Introduction of Foundation ARCP process  An ARCP panel will be formed to review if the doctor has satisfactorily met the requirements for sign off.  IMPORTANT: All members of the panel (FTPD/T and two others) will need read-access to the e-portfolio.  The information flow and f-ARCP process and will be underpinned by use of the e-portfolio.  The former F1 & F2 sign off documents (5.1 and 5.2/FACD) will be a certificate format, less of a checklist and can be printed onto local headed paper.

12. Sign off / foundation-ARCP process 2013 Throughout the F1/F2 year: Assessments, SLEs, meetings, ES’s end of placement reports & CS’s end of placement reports completed. Towards the end of the year: ES’s end of year report recommends if requirements for satisfactory completion of F1/F2 have been met. (Note: ES not required to complete end of placement report when completing end of year report) End of year: Foundation ARCP panel to convene (FTPD/T & two others). Panel to review ES’s end of year report and e-portfolio evidence. Panel to assign outcome. Recommended for sign off Outcome 1: Satisfactory completion of F1 Outcome 6: Satisfactory completion of F2 NOT recommended for sign off Outcome 3. Inadequate progress – additional training time required Outcome 4. Released from training programme Outcome 5. Incomplete evidence presented – additional training time may be required Sign off form SIGNED/ISSUED Sign off form NOT SIGNED/ISSUED. Other action taken.

13. Key changes for the TAG to be aware of: Job TitleAccess LevelAccess Duration Foundation doctorAll own data only Indefinitely Clinical supervisorShared e-portfolio content for specified foundation doctors in a particular placement of a particular foundation programme During the period of supervision and for a period of three month following the end of the placement Read-only: indefinitely Educational supervisorShared e-portfolio content for specified foundation doctors in a particular year of a particular foundation programme During the period of supervision and for a period of three month following the end of the year Read-only: indefinitely Foundation training programme director/tutor (FPTD/T) and nominated administrator Shared e-portfolio content for specified foundation doctors in a particular foundation programme During the Foundation Programme and for a period of three months following the end of the Programme Postgraduate dean, foundation school director (FSD), foundation school manager (FSM), and other nominated administrators Shared e-portfolio content for all foundation doctors in a particular foundation school During the Foundation Programme and for a period of three months following the end of the Programme Read-only: Indefinitely. Information should be archived E-portfolio provider / system administratorAll data for all users subject to approval by the postgraduate dean For such periods as are approved by the postgraduate dean

14. Key message There are lots of supporting guidance notes available on the UKFPO website. The AoMRC, UKFPO, e-portfolio providers, FP Curriculum Delivery Group and all other stakeholders continue to work hard to ensure that the FP Curriculum, Reference Guide and supporting e-portfolio products enhance the Foundation Programme experience. Please contact Stacey Forde with any questions: Stacey.forde@foundationprogramme.nhs.uk Questions? Thank you for your time.