Quality Assurance of Postgraduate Medical Training

1. Quality Assurance of Postgraduate Medical Training Sian Lewis Associate Dean Wales Deanery

2. Terminology & Roles Colleges/Faculties/Specialist Societies Local Hospital Trusts GP Practices QC Environment of learning Deaneries Specialty Training Committees/Schools QM Commissioner/ Organiser of training Regional QA Standards Setting PMETB National Taken from Report of the JACSTAG advisory group on local quality management of postgraduate medical training - January 2007

4. Fit for purpose!

5. Developing a Deanery QMS • QA Unit • QA Task & Finish Group • Review of Existing Processes • Annual Trust Commissioning Visits • GP Trainer Approval and Three Yearly Monitoring Visits • Specialty Monitoring (previously Royal College Visits) • Deanery Triggered Visits

6. Review Objectives • Robust QMS • Supportive QMS • Reduced Burden • Wales Concordat (www.walesconcordat.org.uk)

7. To deliver QA we need 3 elements to our QMS • Tools for collecting evidence both on a “routine” basis and in “triggered” circumstances • Systems for handling the evidence and ensuring recommendations are met and be able to demonstrate this has been done • Clear criteria for making judgments and guidelines for deadlines and defining penalties, an appeal process (internal consistency)

8. Achieving a QMS • Identify existing tools and use them to their maximum benefit. • Build new internal QC processes only where essential • Put processes into a coherent framework-QMS • QMS built into structures - routine function • QMS must be robust and independent of “enthusiasts” • Ensure QMS meet external standards

9. PMETB/GMC Generic Framework (of 9 Domains) • Domain 1 - Patient Safety • Domain 2 - Quality Assurance • Domain 3 - Equality, Diversity and Opportunity • Domain 4 - Recruitment, Selection and Appointment • Domain 5 - Delivery of the curriculum including assessment • Domain 6 - Support and development of trainees, trainers and local faculty • Domain 7 - Management of Education and Training • Domain 8 - Educational resources and capacity • Domain 9 - Outcomes

10. PMETB Domain 8 • Standard: Educational facilities, infra-structure and leadership must be adequate to deliver curriculum • Mandatory: There must be access to educational facilities (including library) and resources (including internet access in all workplaces) of a standard to enable trainees to achieve outcomes of programmes as specified in the curriculum

11. Trust SLA Monitoring Pilot QC Team Monitor Deadlines DEANERY QC TEAM REVIEWS DATA AND PRODUCES REPORT QC Team Informs Trust & Reports back to QA Committee on Progress and Completion of Action Points QA Committee Action Planning meeting Deanery & Trust Trust PMETB Trainee Survey Library Report FPD QC Report EPEF Balanced Scorecard Trust Questionnaire Specialty Panel Report Ministerial Returns

12. Draft Specialty QA framework QA Committee Triggered visits Recruitment Royal Colleges Head of School Trust action plans STC Core Training Trainee Feedback PMETB survey, RITAS, EPEFs Trainee Feedback PMETB survey, PD report Trainer Feedback Trainer Feedback RITA trends, exams, WPAs Assessments Assessments

13. How does Wales produce Specialists and GPs of which we can be proud?