1. PA supervisors training
Dr Natalie King
FRCP
Clinical Lead Acute Medicine
Head of KSS School of PAs
FPARCP Board
Dr Iain Wilkinson
FRCP
Consultant Orthogeriatrician
PA supervisor of the year 2017

2. Session 1
Introduction

3. Overview and learning objectives
Gain a better understanding of the educational needs of PAs, how it changes over time and is different from trainees
To help you create varied job plans that promote development and retention
To enable you to support the PA workforce as it develops

4. Management
Meeting targets
Work performance
Trust objectives
Personal development
Career planning
Goals

5. Model of supervision 01 02 03 Normative (administrative)
Ensuring the supervisee's work stays within the organisational objectives
Formative (educational) 02
Develop skills, understanding and abilities,
Enabling the individual to reflect on his or her practice,
Recognise strengths and weaknesses
Restorative (supportive) 03
Provide the supervisee with opportunities to explore and vent feelings and address emotional responses

6. What makes a PA different?
Session 2
What makes a PA different?

7. How are the educational needs of PAs different from Doctors?
Group Work
Group 1
How are the educational needs of PAs different from Doctors?
Group 2
How do practicalities of PA supervision differ from a trainee/non training grade doctor?
Group 3
How does the PA /supervisor relationship differ from that with a doctor?

8. vs

9. FPA recommendations New Graduate Year (NGY) Commencement meeting
Identify time for dedicated supervision
Identify learning opportunities
List of patient cases to inform case based portfolio
Audit/QIP
Establish current competencies, skills and confidence
Goal setting at 3,6, 9 months
Timing of meeting
WPBAs
Appraisal
3 months
3 x CBDs,
3 Mini-CEX
6 months
3 x CBD,
360 TAB
1 year
Total 8 x CBD,
8 Mini-CEX
Reflections
DOPS
Plus formal appraisal

11. Portfolio PA portfolio recommendations Paper based ‘Owned’ by the PA
Enables record of activity
Reviewed by supervisor and appraiser
No sign off required

12. Doctors in training portfolio
JCRPTB e-portfolio
Requirement for all trainees
Educational supervisors role differs…
Releasing MSF summary to trainee
Completing WPBAs
Competing external assessment requests made by trainee
Completing the supervisors report
Signing off the ARCP form
Signing off competencies in the curriculum
Completing the end of attachment appraisal form

13. How does the relationship differ?

14. Job planning and personal development
Session 3
Job planning and personal development

15. Group Work Group 1 PA is excelling and wants development Group 2
PA is a new graduate struggling with time
Group 3
PA has no clear PDP/did not achieve the last year

16. Job plans Variety Mapped activities to supervisor Contact time
PDP session
OOH work
Balance continuity with opportunity
Monday
Tuesday
Wednesday
Thursday
Friday AM
WR Cons
Board round
Ward round
Pendleton Frailty Unit
Lunch time
XR meeting
Specialty meeting & PA teaching
Grand round PM
OPALS
Clerking Kingsfold
Ward work
Admin/audit

17. Personal development plans
Keep simple
SMART
Dementia comfort blankets project
To set up a service using dementia comfort blankets for patients in SaSH
1 year long
Team debrief
Set up hip fracture team debrief.
Set up timetable over next month
08/02
Regular sessions are now set up which X is leading.
To think about evaluation over time.
OSCE training
Attend OSCE training course
13.06
Attended.
Run OSCEs at SGH.
Masters Degree
By attending MSc taught components and completion of 1 module (20 points) and dissertation (40points)
Module complete 17/2 
Dissertation due September
Attending module sessions
Dissertation in planning stage
Checklist / discharge planning
To learn how to complete all the health needs checklist
Completed already
Ongoing completion of these with the nursing team – caution that the work divide remains even between x and the nursing staff.

18. Appraisal Organisational document vs personal appraisal document
Medical style appraisal
Incoming FPA standard document akin to MAG form

19. Appraisal Clinical supervisor Line manager Lead PA
Meeting usually less than 1hr
PA to prepare and submit 48hrs before
Check MVR status

20. Relationship and Retention
Session 4
Relationship and Retention

21. What about career development?

22. Career development- cross specialties

23. Career development- sub-specialty
Dr Wilde/Dan
6 years + respiratory

25. Career development in 1 specialty
Moved Trust but stayed in specialty

26. How well do I know you?

27. Career development in 1 specialty
Dr King/ Michelle
4 years same supervisor
2 years COE
2 years Acute Medicine

28. Career development in 2 specialties plus external roles

29. How well do I know you?

30. Career development in 2 specialties plus external roles
Dr Wilkinson/Pam
12 months primary care
6 years + same specialty
Same supervisor
Dr Wilkinson/Liz
New graduate

31. Pam’ journey

32. Liz’s journey

33. Final questions