pre-spesc requirements meet with local training ......spesc participant guide page 2 fda trainer...

SPESC Participant Guide

How to move into Training within your GP Practice

Within NHS Education for Scotland, the Faculty Development Alliance (FDA) is now responsible for

supporting the training of all (hospital and GP)clinical and educational supervisors. SPESC is one of

a range of courses offered by the FDA and is a requirement for all GPs who wish to become

Educational Supervisors within Scotland.

Pre-SPESC Requirements

More information can be found on the Scotland Deanery website.

Meet with local Training

Programme Director

Discuss eligibility for, knowledge of,

and readiness for training.

Satisfactory Consultation

Peer Review

GP Connect Website

Only once the above have been completed

satisfactorily can your funding be confirmed

by your Assistant Director.

Once you have received this funding

confirmation you can book your place on

SPESC.

FDA IT Platform

FDA Trainer Workshop

Book through the

FDA IT Platform


FDA Trainer Workshop The demand for places on FDA Trainer Workshops is very high. You will

need to book a place on a course as soon as possible via the FDA IT

Platform

This one-day entry-level workshop is designed specifically for new

Trainers / Educational Supervisors and covers the fundamentals of both Clinical and Educational

Supervision. Workshops are generally a mix of primary and secondary care clinicians, and are run

throughout Scotland at various locations. The Learning Outcomes are giving a basic

understanding of:

• Departmental Induction

• Appraisal Meetings

• Giving Effective Feedback

• Assessment

• Supervisor's Report

There is no fee for attending, however places are limited to a maximum of 15 spaces at each

workshop.

FDA Admin Team [email protected] 01382 496638

Consultation Peer Review Submission:

The Peer Review system allows an independent team to ascertain whether prospective GP

Educational Supervisors (GPES) have the core ability to teach communication skills to Trainees. This

implies that GPESs understand and practise good communication and consultation skills! It is a

valuable professional activity in its own right; most GPs learn a lot from the process and the

feedback which can contribute to Annual Appraisal and Revalidation.

The guide above offers advice on submissions, focusing on person-centred consultations, and the

associated workbook encourages you to reflect on your individual consultations. It is essential that

suitably encrypted memory sticks are used to ensure appropriate data protection.

Potential candidates who do not receive satisfactory feedback will be offered support from their

Regions to allow them to reflect on the areas of improvement and re-submit.

There is a fee of £175 for Submissions (contact Michael Hutchison for payment arrangements).

Once the submission has been completed, this should be forwarded by Special Delivery to:

An “unsatisfactory” Peer Review Outcome means you cannot progress

onto SPESC at this time, and resubmission is required.

The review process takes a minimum of 4 weeks from the date of

submission of your video (and may be longer depending on availability

of reviewer, or need for second review).

More information can be found at the GP CPD Connect site.


Michael Hutcheson

NHS Education for Scotland

3rd Floor, 2 Central Quay

89 Hydepark Street

Glasgow G3 8BW

Need a little help or practical advice?

Help or advice can be obtained either by contacting your regional office, or by

contacting your local Assistant Director / Training Programme Director (TPD).

NES GP Teams

East Region

Responsible For: Telephone

Dr Gordon McLeay

[email protected]

Assistant Director PG GP Education

01382 496213

[email protected] TPD Eastward Programme 01382 383783

[email protected] TPD Westward Programme 01382 383783

[email protected] Regional Admin 01382 740563

North Region


Dr John Nicol

[email protected]


01224 805123

Dr Liz Barr

[email protected]


01463 255735

[email protected] TPD Rural Track Programme 01463 255708

[email protected] TPD Grampian Programme North 01224805140

[email protected] TPD Grampian Programme South 01224 805142

[email protected] TPD Caledonian Programme 01463 255708

[email protected] Regional Admin 01463 255710

South East Region


Dr Nitin Gambir

[email protected]

Assistant Director PG GP

Education

[email protected] TPD Programme 1 (Borders)

Please telephone the South

East Regional Admin Team

in the first instance:

Bryan Ewington

0131 656 4368

[email protected] TPD Programme 2 (Fife)

[email protected] TPD Programme 3 (West Lothian)

[email protected] TPD Programme 4 (East Lothian)

[email protected] TPD Programme 5 (Central)

[email protected] Regional Admin

On the day your submission is posted,

you should forward the password for

your encrypted flash drives to:

[email protected]


West Region

Training Programme Director Responsible For: Telephone

Dr Ken Lee

[email protected]

Asst Director of PG GP Education

Please telephone the West

Regional Admin Team in the

first instance:

0141 223 1454

[email protected] TPD Ayrshire

[email protected] TPD Dumfries

[email protected] TPD Forth Valley

[email protected] TPD Glasgow Clyde North

[email protected] TPD Glasgow East

[email protected] TPD Glasgow South

[email protected] TPD Glasgow West

[email protected] TPD Lanarkshire

[email protected] TPD Renfrew

[email protected] Regional Admin

Your Assistant Director or TPD may:

- want to meet or speak to you, and may wish to visit your practice

- give advice or help in finding a mentor – particularly for new training practices

- arrange for you to join a local Trainers’ Group

- ensure that you are aware of the appropriate Regional Office Staff


Summarising SPESC Requirements:

STEP 1: Meeting with TPD to assess readiness for starting ES training.

STEP 2: - attend FDA Trainer Workshop

- satisfactory outcome to Peer Review Submission

- submit your funding application to the regional team.

(YOU WILL RECEIVE EMAIL CONFIRMATION OF FUNDING

APPROVAL)

STEP 3: On confirmation of funding approval. book your

place on SPESC via the FDA platform at

www.fda.nes.scot.nhs.uk

STEP 4: SPESC Preparation

- NESMoodle – Register for use of the site

- online Questionnaires – pre-course and H&M

- familiarize yourself with documentation on website

STEP 5: SPESC Residential Units

- plan and work together as a group

- gather evidence for future ES application

- complete eSEA.

STEP 6: Within 4 weeks of end of Unit 2

- Complete PDP (including declaration confirming completion

of eSEA)

- Facilitator confirms approval of PDP

- Certificate of Completion of SPESC issued by FDA

STEP 7: Submit GP ES accreditation application


SPESC Learning Outcomes and Teaching So what exactly is expected of you at SPESC? First and foremost, you need to make yourself

familiar with the AoME Framework for the Professional Development of Postgraduate Medical

Supervisors and GMC document Promoting Excellence: standards for medical education and

training (2016). Click on the links above to find out more about these.

In essence, the AoME Areas of Competence are noted below.

Quality Education for a Healthier Scotland© 2015

Areas of Competence

Academy of Medical Educators (AoME):

1. Ensuring safe and effective patient care through training

2. Establishing and maintaining an environment for learning

3. Teaching and facilitating learning

4. Enhancing learning through assessment

5. Supporting and monitoring educational progress

6. Guiding personal and professional development

7. Continuing professional development as an educator

Intended Learning Outcomes for SPESC Graduates

1. At the end of the course participants should be confident to start work as an Educational

Supervisor and have ensured that their Practice Team have sufficient knowledge to support

the process with appropriate systems developed to ensure adequate monitoring of a

Trainee.

(AoME Competence area 1)

2. At the end of the course participants should possess the appropriate knowledge, skills and

attitudes to become an Educational Supervisor.

(AoME Competence areas 2 to 5; Theme 4 of GMC document)


3. Participants should become fully aware of the Royal College of General Practitioners (RCGP)

requirements for GP Trainees and be confident in the use of the assessment tools.

(AoME Competence area 4 and 5; Theme 5 of GMC document)

4. At the end of the course participants should be able to

demonstrate evidence that they fulfil the seven Academy of

Medical Educators requirements for being an Educational

Supervisor.

5. Participants should become fully aware of local, regional and

national processes available to support Trainees, Educational

Supervisors and Training Practices. This will include becoming

familiar with the new GMC standards for medical education and training.

(AoME Competence area 5; Theme 1 of GMC document)

6. At the end of the course participants should be familiar with processes to identify, support

and manage trainees in difficulty.

(AoME Competence areas 5 and 6; Theme 2 of GMC document)

7. At the end of the course participants should have developed an Educational Personal

Development Plan based upon further learning needs identified during the course, and have

established appropriate support for themselves in the role of Educational Supervisor.

(AoME Competence area 7; Themes 4 and 5 of GMC document)

During SPESC you will be divided into small groups with a designated facilitator.

Other than a session at the start of the unit all the work will be done in your groups.

Each group may have a different experience as all facilitators have their own style

and resources to use throughout the course. There are some topics however that

should be covered by ALL groups.

The lack of a detailed SPESC Programme is a direct result of the learning being

fundamentally based on the needs and wants of individual Group Members.

Until the Groups meet their Facilitators at Unit 1, there is no way to predict the

direction in which each Group will travel....

A bit like meeting a Trainee for the First time…..???!!!


SPESC Residential Unit 1

Curriculum / Teaching

Day 1, morning 1, focuses on Group-Forming.

The full range of topics that will be covered will depend on

individual group learning needs and will reflect the background

knowledge and experience of the members.

The following topics however will be covered during the course

as they are recognised as being essential to undertake the role

of a GP Educational Supervisor:

1. Feedback: Understanding feedback models and developing skills in giving balanced

feedback.

2. Delivering learner-centred teaching: This may be achieved by a participant teaching the

group, or by showing a video of a teaching session done out-with the course.

3. Fundamental Work Place Based Assessment (WPBA) Tools: This will always include use of the

Consultation Observation Tool (COT), including both marking them and calibration amongst

peers, and Case-based Discussions (CbD), which are routinely covered in the group.

4. Basic Requirements of an Educational Supervisor Review (ESR): It is not possible to cover this

in huge detail due to the significant limitations of the dummy ePortfolio on the RCGP website.

The principles are covered however, along with the RCGP criteria for an acceptable ESR. All

participants are encouraged to sit in with a colleague / mentor at the earliest opportunity to

look at a "live" ESR. The topic is covered further at the Approved Educational Supervisor

Workshop (AESW) when participants have done their own ESR and are then more confident

with the tool.

5. Basic use of the ePortfolio: Again this is with the limitations above but most groups are able

to arrange suitable ePortfolio access to help those participants who have no experience of

the tool.

6. Induction and Needs Assessment: Participants will be able to describe the key requirements

of an induction programme for trainees at different stages of their training, and will learn

about a variety of needs assessment tools which can be used as part of the induction period.

7. Identification of Trainees in Difficulty (TiD): Including the principles of basic management,

this will include when and how to ask for help and who to contact. More detailed discussion

of this topic is again covered in the Approved Educational Supervisor Workshop (AESW).


Participant Attributes

The Academy of Medical Educators has described the attributes of an Educational Supervisor

within each of the seven competency domains. The full list includes the features of an effective

supervisor and also those of an excellent supervisor.

It is to be expected that, at the end of the SPESC course, all participants will be able to provide

evidence that they have satisfied the criteria for being an effective supervisor.

Once formally approved and working as an ES, and through further study as part of continuing

professional development, doctors are encouraged to strive towards the attributes of an excellent

supervisor.

After Unit 2: Signing Off

Completing SPESC does NOT mean that you are now an approved Educational Supervisor.

However, you are now in a position to complete the accreditation application process.

The decision about whether you are able to become an ES is made by the Regional GP

Teams, and ultimately the Scottish Quality Management Group.

Participants have a 4 week period to gather together all their information

1. Personal Development Plans (PDP): Following on from the final residential element of SPESC,

all participants are required to formulate a PDP which follows "SMART" principles. These are

assessed and approved by the Group Facilitator in agreement with the Participant prior to the

Certificate of Completion being issued.


Before you arrive at Unit 2, you should begin to think about what

you have learnt so far: the FDA Trainer Workshop; the peer

Review Submission; Induction; Feedback..... there is already a

growing list of new processes and information you have

gathered. How would you rate your understanding of these

topics? Are you just competent or confident? What more

could/should you be doing to demonstrate your knowledge and

understanding?

Along with your Group Facilitator, you will create a PDP for the

coming year which will highlight the successes of your SPESC

journey and will more than likely show one or two areas where a

little more work is required. You will need to sign your PDP (as will

your Facilitator) and this will be forwarded to your regional office

and your TPD for information.

The PDP document will include a “tick box” personal declaration to confirm that you have

completed the eSEA.

Significant Event Analysis has always been a mandatory submission element for participants

undertaking SPESC and in 2013 the primary care section of NHS Educational for Scotland (NES),

and funded by the Health Foundation as part of their SHINE Improvement Initiative, looked at new

ways to encourage primary care clinicians to use a human factors approach to the analysis of

events – creating an enhanced-SEA (eSEA) tool. Information on this can be found here: enhanced

SEA.

It is this documentation - and the highlighted areas for further development – which will form part

of the evidence in your ES application and which will be discussed with you in your local region by

your TPD after submitting your final GP Educational Supervisor Accreditation Application.

IF YOU DO NOT COMPLETE YOUR PDP IN THE GIVEN TIME YOU WILL NOT RECEIVE YOUR CERTIFICATE

OF COMPLETION OF THE COURSE……

2. Scottish GP Educational Supervisor Accreditation Application Form

Since late 2015, SPESC graduates have been required - through their

regional office and their local TPD - to submit their individual Scottish

GP Educational Supervisor Accreditation Application Form to their

regional GP Quality Management Sub-Group.

Guidance from their local TPDs will be invaluable at this time, as well

as ensuring that enough robust evidence to muster a “pass” has

been gathered.

The paperwork will be sent to you for completion by your Regional

Administrator once they have received confirmation you have

completed the course.


SUMMARY OF REQUIREMENTS:

1 SPESC NES Moodle:

This online forum holds copies of SPESC documentation and

resources. It is also an invaluable way of keeping in touch with

other Group Members and your Group Facilitator. Login and

passwords will be issued by the FDA Admin Team a month prior

to Unit 1 and once Groups and Facilitators have been

confirmed.

2 Pre-Course Questionnaire: Our e-Questionnaire is important in order that we can gauge your hopes, fears and

expectations for SPESC. Completed forms are forwarded to relevant Group Facilitators to

give them a better understanding of who they will be meeting at Unit 1 and how they can

perhaps adapt their teaching style accordingly! Quest Link will be issued by FDA Admin

Team a month prior to Unit 1.

3 Honey & Mumford Learning Styles Questionnaire:

Please do not pass on login details to others to undertake. A member

of the FDA Team will send you a copy of the link for the Questionnaire

prior to the start of the course.

Please remember to save a copy of your results.

Bring the results of your Honey & Mumford

Questionnaire to Unit 1 for discussion

SPESC elements to be undertaken

before attending Unit 1. FDA Admin will advise of the deadline

date.


4 Significant Event Analysis (SEA) Submission:

Our human factors approach to the SEA process enhances performance in the workplace

and improves understanding of the complex interaction between people, activity and

environment, and how they can combine to impact on people’s health, safety related

behaviour and patient care. It identifies learning needs and shares the good practise of

the practice team through reflection, discussion and analysis, leading to a deeper

understanding of why the event happened. Documentation can be found here, or on our

Moodle Forum.

ONE Completed submission should be emailed to [email protected] and a

payment of £50 is required. Payment details should be requested when contacting June

Morrison. SEA submissions will not be processed until the team are in receipt of payment.

5 Equality and Diversity Training:

Completion of this is not assessed as part of SPESC but will be mandatory to be approved as an

Educational Supervisor and you will need to provide evidence of it as part of your ES Application.

All NHS organisations have an Equality Duty to discharge and NES is no exception and must show

how they are involving people in decision making; assessing what they do to make sure it doesn’t

discriminate or exclude certain people; and how they are training their staff – which impacts on

you as a GP Educational Supervisor. E&D Training must be undertaken every 3 years.

Any recognised E&D module can be completed but this is one example:

- Login to Doctors.net.uk

- Hover over "Education"

- Select the drop-down "eCME Modules"

- Type in the field "Search for modules" in order to find the specific module.

SPESC elements to be undertaken before

attending Unit 2.


5 Individual PDPs

6 Scottish GP Educational Supervisor Application Form

What Next??

Approved Educational Supervisor Workshop

Once you have been working as an Educational Supervisor, and have some practical

experience of using the ePortfolio and WPBA, you will be encouraged to attend AESW in order to

cement your learning and further develop your skills.

Experienced Educational Supervisor Workshop

This course is held over 2 residential units and is aimed at ESs with 3 years experience. Delegates

are given the opportunity to explore educational techniques and theory with experienced

educational facilitators.

We hope you are inspired to begin your journey towards being an Educational Supervisor and

that you look forward to many enjoyable years in this role. Good luck and enjoy the course.

SPESC elements to be undertaken

AFTER attending

Unit 2:


Some Literature Recommendations:

David Pendelton, Theo Schofield, Peter Tate and Peter Havelock:

The Consultation (An Approach to Learning and Teaching)

Oxford General Practice Series 6 | ISBN-10: 0192632884 | ISBN-13: 978-0192632883

Peter Tate: The Doctor’s Communication Handbook

Radcliffe Medical | ISBN-10: 1846199514 |ISBN-13: 978-1846199516

Roger Neighbour: The Inner Consultation

(How to develop an effective and intuitive consulting style)

Petroc Press | ISBN-10: 1857756797 | ISBN-13: 978-1857756791 |

Read through the Guide for Teachers and Learners.

Web Recommendations

• Consult the MRCGP website: Crucial to understanding the teaching and

assessment processes for GP Trainees.

• Have a look at GP-Training: a fantastic GP education and training resource

• Pennine GP “Tools for Trainers”

• RCGP Trainee ePortfolio: You should have a look and see what this is all about!

Login: [email protected]

Password: RCGP123

SPESC Residential Units

• Course commences @ 9am Thursday mornings (bedroom check-in @ 2pm)

• Concludes @ 4.30pm on Friday afternoons

• Coffee breaks, Lunch and Dinner well signposted

• Thursday Dinner at 8pm – drinks in the bar beforehand

Costs for accommodation and meals are covered by NES. Alcohol is not included and any bill

must be settled by participants at the end of their stay. Accommodation for both Thursday*

evenings will be automatically booked. If you DO NOT require this, contact the FDA Admin Team,

otherwise we will incur an unnecessary charge.

* Please contact the FDA Admin Team as soon as possible to notify them of any additional requirements such as dietary

or mobility.

pre-spesc requirements meet with local training ......spesc participant guide page 2 fda trainer...

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