1. Dr. Sarbjit Saini TPD – Sandwell VTS

4. What we will be covering When to complete ESR Creating a review period What is contained in an ESR Collecting evidence 12 competences Documenting the evidence Self Rating

5. ESR – what is it?

6. A meeting with your ES, approx 1-2 hours. Requires some pre-meeting prep from you too. Qualitative picture of your performance in training. A review of the evidence collected in your e-Portfolio every six months by the educational supervisor (ES) December May

7. ESR-why is it done? Provides feedback on: Overall progress, Identifies areas for more focused training. You’ll then agree a learning plan, and the outcome of the review will be recorded in your e-Portfolio. Educational supervisor decides whether your progress is: Satisfactory, Unsatisfactory, or need to be referred to the ARCP panel. Final review  competent for licensing

8. Practical points Asking your ES to create a ‘Review Period’, allows you to complete your ESR self rating. Demonstrate areas of strength and developmental needs, your trainers will adapt the learning programme to facilitate collection of new evidence.

9. What are the components? 1. Rating the competencies. 2. Rating curriculum coverage. 3. Rating Clinical skills (DOPs Log) and PDP. 4. ES assessment and setting goals.

12. Evidence Proving that you are competent to be a GP or progress in your training: Examples: CBD, COT’s, PSQ, MSF, Learning logs, PDP and CSR

13. Self-Rating the Competences

14. Quiz Who can name the 12 competencies for the RCGP?

15. WPBA - 12 Competences Communication and consultation skills. Practising holistically. Working with colleagues and in teams. Making a diagnosis and making decisions. Clinical management. Managing medical complexity and promoting health. Primary care administration and IMT. Data gathering and interpretation. Community orientation. Maintaining performance, learning and teaching. Maintaining an ethical approach to practice. Fitness to practise.

16. WPBA - 12 Competences Communication and consultation skills. Practising holistically. Working with colleagues and in teams. Data gathering and interpretation. Making a diagnosis and making decisions. Clinical management. Managing medical complexity and promoting health. Primary care administration and IMT. Community orientation. Maintaining performance, learning and teaching. Maintaining an ethical approach to practice. Fitness to practise. Relationship Diagnostics Professionalism Management

17. Rating yourself You and your educational supervisor will rate your progress on each of the 12 competences. Each competence is rated as one of: Needs further development (NFD) – below expectations NFD – meets expectations NFD – above expectations competent for licensing excellent.

18. Progression Slow and steady progression over the three years: I.S or N.F.D  Competent for licensing  Excellent [Below  Meets  Above]

19. Evidence Use the e-portfolio to: Record and validate informal or ‘naturally occurring’ evidence against the competence framework. For example: you might perform an audit on a specific topic and present it at a practice meeting. This could provide evidence of several competences, including maintaining performance, learning and teaching and communication skills. Your educational supervisor, trainer or clinical supervisor will validate naturally occurring evidence [log entries] to the appropriate competences.

23. Examples

24. 1. Rating a competencies area

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28. 2. Skills log

29. 2. Rating your skills log 8 Mandatory DOPs Optional DOPs Others Rating yourself: ‘Not performed’  FY1/FY2 DOPs do not count ‘Performed Supervised’ ‘Can perform unsupervised’  By last review

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34. Thank you for listening Any questions?

35. References www.rcgp.co.uk