1. Perfect SAS leading style Is it possible?
Helmy Mashaly

2. Introduction The link between SAS doctors and
The point of contact between them and the support teams both educational and managerial
Positive impact on overall NHS services
Improvement of SAS doctors knowledge and skills
Improvement of SAS doctors morale
Linking the group leading to productive work
Exchanging experience between leads  improvement
How to achieve efficient leading?
SAS leads are:
Efficient leading 
Achievable

3. Background SAS leading is not only a SAS fund management
SAS lead should exercise reflection to improve the role
Good ideas and innovative ways to improve the SAS group come from collective thoughts shared by all the group and led by the SAS tutor

4. Aim To appraise the role of the SAS Lead
To highlight the fact that reflection for developing the best style of SAS leading is the best way for improvement
To critically appraise the quality and innovative ideas and services for our region SAS tutors

5. Methods Review of literature highlighting SAS lead responsibilities
Critical appraisal of relevant topics
Reflective collection of published guidelines for SAS fund
Reviewing SAS leads activities in our region via designed Questionnaires

6. Working life improvement
SAS doctors problems
Work recognition
Working life improvement
Educational needs 1 2 3

7. 50% of overseas doctors have full contract
Work Recognition
10 years back
50% of overseas doctors have full contract
49% of those work in A/E
Lack of recognition by politicians, patients and even fellow medical staff.
Absent from political and media debate about health
BMA – claimed discrimination as blocking career for SAS doctors – better recognition and training
2006
2 years later – SAS doctors fund put in place
British Medical Journal
BMJ 2006:332dol:

8. Working life improvement
Secretarial and managerial support needed for SAS grade doctors
Appropriate and continuing educational and training support
Improved opportunities to develop new skills for those in surgical specialties
Seniors
Caring
Development
Postgraduate medical Journal,
Postgrad Med J2005;81:49-54 doi: /pgmj

9. Used study leave for CPD
Educational needs
2005
Survey
Blocked higher specialist training
Dissatisfaction and dissolution
Lack of appraisal (at the time)
No portfolio
No appraisal
Used study leave for CPD
30%
30%
50%
Are we going to get better?
Emergency Medicine Journal
Emerg Med J2007;24: doi: ?emj

10. A list of 25 who has impressive records 2006
The hidden heroes
2006
A list of 25 who has impressive records 2006
Time to recognise SG and AS
SAS new contract and fund
Wales on line - February 2006

11. The SAS fund ? Trusts Negotiations started 2006 with the new contract
Started on 2006 but fully implemented in October 2008
Not ring fenced and included regrading
Guidelines
Who is to manage it?
Different arrangement
SAS Tutor ?
Trusts

12. SAS lead (Tutor)
Leader
Facilitator

13. SAS lead is Adviser Motivator Researcher Appraiser Teacher Mediator
Manager
Coach
Negotiator F A C I L T O R
Colleague

14. % of time

15. SAS lead to avoid to be
Boss
Critic
Examiner
Leader
Assessor
BMA rep

16. SAS lead basic duties Courses Colleagues Self development
Arranging courses, venues, catering etc.
Searching courses – develop. doctor and care
Building up relations with course providers
Negotiating the best course expenses
Colleagues
Building up relations with colleagues
Communicating closely
Help and motivate colleagues and candidates looking to apply for CESR
Self development
Attending educational meetings
Attending appropriate courses and meetings for own development

17. SAS lead perfection of duties
Variable course providers
Postgraduate certificate/diploma in generic courses
Accredited courses, RCS & RCP and on line courses
Help in PDPs preparation, appraisals and job plan
Chair meetings on regular basis
Top up training or special skills
Arrange day out
Build website for the group
Develop yourself further (appraiser/educational supervisor)
Keep up to date with SAS doctors and fund news
Work closely with BMA representative at the LNC

18. SAS fund utilisation guidelines
Generic courses
Specialty courses
Postgrad qualifications
Freedom to decide
Reflection on usage
Several
variable guidelines
Guidelines
Which courses are relevant to achieve the goal? No
guidelines
MY guidelines

19. Basic uses of the fund
The goal is development of SAS doctor which will lead to improved patient care
Relevant generic courses including appraisals and revalidation
Helping SAS doctor to develop new skills both clinical and non clinical
Getting higher qualifications or posts
Additional top up training to prepare for CESR application

20. Extended uses of the fund
Getting career progression
E learning and e-portfolios
Implementation of a mentoring scheme
Web site and forums
E-learning and e-portfolio
Secondment and backfill
Guidance from BMA SAS Committee, 2009

21. SAS fund not for Replace study leave courses
To spend on trips or courses which do not have relevant benefit to patient care
To buy devices or hospital equipment
To pay application or exam fee for CESR
Funding courses for SAS doctor working in the private sector
BMA, advice and career progression, updated August 2016

22. Benefits of SAS fund Maintenance and enhancement of existing skills1 2 3 4 5
Maintenance and enhancement of existing skills
Acquisition of new skills
Support innovative initiatives
Improve morale and job satisfaction
Taking up management and leadership role
Better team working and motivation
BMA, career advice, Benefits of funding, updated August 2016

23. Questionnaires Basic duties and performance Any innovative initiatives
My questionnaires
Basic duties and performance
Any innovative initiatives
The value of diversity
Any new innovative Interaction with the SAS group
initiatives

24. Results SAS lead duties Best practice Improvement
What could be improved?
Reflection on overall results

25. SAS doctor as a lead

26. SAS leads duties

27. Extended activities

28. Best SAS lead practice/ideas
Meetings
Regular SAS leads meeting
Regions meetings suggested
coordination
Regional SAS Tutor + Associate dean  Coordination of activities
Sharing
Regional website
Sharing courses and ideas

29. What has been improved? Better management of fund
Better course selection
Better management of fund
More doctors motivated for CESR
Career advice and progression is easier
Overall improvement of morale

30. What could be improved further?
Multiregional courses sharing
National development website
High quality educational meetings
More recourses for SAS development

31. Issues Gradual reduction of SAS fund
What to do with other grades/locums?
Sufficient time for managing the job

32. Conclusion
Good communications between SAS leads with sharing information and ideas is the best way forward to shape the quality of SAS leading style

33. Credentials/SAS training programme
The future
SAS leading
Innovative ideas
Regional SAS Tutor
Better cooperation of SAS leads/trusts
Better and continuously updated guidelines
Sharing ideas between regions
Sharing courses reduce the expenses
Credentials/SAS training programme

35. References
1- Tokin T. Show leadership qualities, SAS doctors told. BMA [Internet] [last updated 2016 May 26] Available from: 2- Dashora U, Mukherjee S. SAS doctors are unaware of training opportunities. BMJ careers [Internet] 2015 [published 2015 Nov 20] Available from: 3- BMA 2014, SAS doctor. SAS development fund [last updated 2016 August 12] Available from: 4- Emerg Ned 200: doi: /emj

36. References – cont.
5- Wales on line 2013, The hidden heroes of the NHS [updated 2013 Mar 19:0830]
Available from:
6- BMA 2014, Using the fund: England [updated 2016 Aug 12]
7- A Dornhorst1, J Cripps2, H Goodyear3, J Marshall4, E Waters5, S-A Boddy6, on behalf of the Improving Working Lives Intercollegiate Committee. Postgrad Med J 2005;81:49-54 doi: /pgmj
8- BMJ 2006; 332 doi: (Published 16 February 2006) Cite this as: BMJ 2006;332:383

37. References – cont.
9- BMA 2012, Development funding FAQs, 2012 Jun 22 [updated 2016 Aug 16]
Available from:
10- BMA 2012, Role of the SAS tutor Jun 13 [updated 2016 Aug 16]