Welcome to the South Thames Foundation School

1. Welcome to the South Thames Foundation School Information for F2 Trainees August 2012

2. STFS – contacts reminder • 1 school, 3 offices • 1 advice e mail – enquiries@stfs.org.uk • Enquiries checked daily • Policies on STFS website www.stfs.org.uk

3. The role of STFS • Brighton – quality • London Bridge – policy and communications • Tooting – F1 and F2 allocation and sign-off • Doctors needing to meet STFS staff can attend local office • Offices based in / linked to each medical school

5. e mail addresses • STFS currently recommends Doctors.net.uk as available in all trusts – if you use another inform STFS and ensure functioning (avoid hotmail etc as spam filters block STFS mails) • Important to separate social and professional e mails and identity – eg if you use facebook link it to an e mail address to which patients do not have access

6. STFS communications • You must maintain e mail address and check it weekly – do not auto-forward as original e mail service may close • Enables information about GMC registration, careers etc to be sent out - to help you • STFS bulletins sent regularly – also available on website • All new information also on stfs website

8. e-LFHe-lfh.org.uk • e learning modules for foundation • useful to support your experiential learning, eg Safe Prescribing • to catch up if you miss a teaching session

9. gmc-uk.org • Guidance on good practice • Good Medical Practice (http://www.gmc-uk.org/guidance/good_medical_practice.asp) • Education outcomes • The Trainee Doctor (http://www.gmc-uk.org/education/postgraduate/standards_and_guidance.asp)

10. E-portfolio – an educational tool Important that you use this effectively to benefit your training • Educational planning • Reinforce your learning • Record of achievements Not just a tick box exercise . . . .

11. National informationwww.foundationprogramme.nhs.uk • New curriculum • Reference guide (national policies) • Other information

12. Who will supervise you*? Educational supervisor* • supervises you for full year • will meet you formally at start and end of placements and other times as necessary Clinical supervisor* • supervises you for one placement • meets you at beginning and end of placement and other times as necessary Placement Supervision Group NEW FOR 2012 • Led by consultant / GP and including senior colleagues in your team • Liaises with clinical supervisor

13. PATIENT SAFETY AND YOUR SUPERVISION • As a Foundation Doctor you should know: • Who is supervising your clinical practice at all times (usually a consultant or experienced middle grade doctor) • The clinician supervising you must be sufficiently competent to do so • You should be able to contact your supervisor if you are concerned about a patient • You should never be forced to work beyond your competence IF YOU ARE CONCERNED THAT YOUR FIRM IS REGULARLY NOT ADHERING TO THESE PRINCIPLES, PLEASE CONTACT YOUR EDUCATIONAL SUPERVISOR OR FOUNDATION TRAINING PROGRAMME DIRECTOR

14. Your trust should provide you with: • Appropriate learning experience • 3 hours+/ week education eg teaching sessions, teaching ward rounds, clinics etc • Training compliant with European working time regulations (EWTR) • Access to careers advice / guidance • Representation at local faculty group via elected F2 representative

15. Raising concerns / ‘whistle-blowing’– GMC guidance • You must protect patients from risk of harm posed by another colleague's conduct, performance or health. The safety of patients must come first at all times • If you have concerns that a colleague may not be fit to practise, you must take appropriate steps without delay, so that the concerns are investigated and patients protected where necessary More information on STFS website / local trust policy

16. Protecting patients (and you)F2 doctors must NOT • Site mark (except under direct supervision by the operator) • Inject contrast unless trained to do so

17. Protecting patients (2) • F2 doctors must NOT: • initiate or administer cytotoxic or immunosuppressant drugs (except corticosteroids) • F2 doctors should ONLY: • prescribe the above drugs following training and when assessed as competent to do so

18. Protecting yourself (and patients) Flu vaccine • Reduces sick leave (and pressure on colleagues) • Will be available via Occupational Health • Is much less unpleasant than genuine influenza

19. Consent • Taking consent is the responsibility of the doctor performing the procedure • If a FD is not capable of carrying out a procedure, s/he may only obtain consent for it when trained to do so, directly supervised, and under delegation from the experienced doctor carrying out that procedure

20. F2 sign-off (1)in order to achieve your FACD you must: • Have no more than 4 weeks non-statutory leave in the year (if more is likely, contact STFS) • Attend at least 70% of your F2 teaching sessions • Provide evidence of involvement in audit • It is also strongly recommended that you carry out a leadership project – documentation on e-portfolio (eg implementing changes following an audit)

21. F2 sign-off (2)Supervised learning events (SLEs) Purpose of SLEs is to: • Provide immediate feedback and suggest areas of further development • Highlight achievements Only approved assessors can assess you. F2s cannot assess F1s or F2s • SLEs should be spread throughout the year, with 4+ in each 4/12 rotation and 7 to be done by January • 6+ mini-CEX • 6+ CBDs • 1-3 DOPS • 1-2 developing the clinical teacher • Plus team assessment of behaviour (TAB - 360 degree feedback) • STFS videos about these are on www.stfs.org.uk

22. F2 sign-off (3)you must: Maintain your e-learning portfolio, and include evidence: • that you have maintained and improved your skills in core procedures required by the GMC (part of e portfolio) • end of placement reports from clinical & educational supervisors • end of year report from educational supervisor • meet other curriculum and statutory requirements

23. F2 sign-off (4)you must: Include evidence in your learning portfolio that you meet other curriculum and statutory requirements such as: • ALS or equivalent • child protection training

24. F2 sign-off (5) You must: • Do the mandatory national online trainee survey, which assesses the quality of your training • Do any other surveys required by STFS, eg the destination survey* before you leave • Feedback is essential to monitor and improve medical training *Destinations for your predecessors on STFS website • Attendance at simulation training is strongly recommended

25. Venepuncture /IV cannulation Use of local anaesthetics Arterial puncture (adult) Blood cultures Injections (SC/ID/IM/IV) Prepare and give IV meds IV infusions inc. fluids, blood and blood products Perform and interpret ECG, spirometry and peak flow Urethral catheterisation (male and female) Airway care NG tube insertion Core procedures required by the GMC for F1 sign-off

26. Revalidation • Every doctor who is fully registered with a licence to practise will need to revalidate. • STFS will provide all relevant information during the course of the year. • For all STFS trainees (inc those in south London trusts) • Designated body = KSS Deanery • Responsible officer = Professor David Black • For further information see - http://www.stfs.org.uk/doctor/revalidation-foundation-doctors-stfs • Any queries please contact – revalidation@stfs.org.uk

27. Asking for advice about your training • Usually ask locally first, eg your educational supervisor or FTPD • STFS must know if it may affect your training programme: • You have been or need to be away, for example for illness for > 2 weeks or maternity leave • You wish to work abroad / take time out / work less than full time • Special circumstances which may affect your placement • You are having problems with your training • Raising concerns which you feel have been inadequately dealt with locally • If so please check the policy and deadlines on www.stfs.org.uk and contact enquiries@stfs.org.uk

28. Support available Local in trust • Educational / clinical supervisors • Postgraduate Team • Occupational Health • Medical Staffing Outside trust http://www.stfs.org.uk/doctor/trainees-difficulty

29. Feedback to STFS • Foundation programme trainee representative at all trusts – can raise issues locally • Trainee representatives at STFS committees – inform and influence future directions • Online (via e-portfolio) questionnaires – please contribute as your views are valued!

30. Careers “An extensive choice of information relating to medical careers is now available…” Collins 2010. • Careers support and resources available in your trust • ROADS book – and four stage approach to career management • Informal short one-2-one career sessions • Group teaching introducing specialty applications & selection • Virtual STFS career fair • Selection centres for specialty training DVD • Up to 5 days of study leave can be taken as a ‘taster’ to explore career options – good to arrange early before specialty recruitment this winter • www.medicalcareers.nhs.uk for further ideas

31. Careers • Referral to STFS careers team:

32. Enjoy your foundation training – and good luck with your specialty application • www.medicalcareers.nhs.uk • www.stfs.org.uk • enquiries@stfs.org.uk