Recognising and approving trainers

1. Recognising and approving trainers Ben Griffith Education Policy Manager

2. Progress in professionalising education • Training the trainers (Royal Colleges etc) • Professional development (Deaneries, medical schools, LEPs) • Guidance and support (HEA, NACT UK, AoME) • Regulatory standards (PMETB, GMC) • Approval of GP trainers (RCGP, COGPED, JCPTGP, PMETB, GMC) But more to do (Temple, Patel)

3. Trainers: the next step • Building on local processes, enthusiasm and investment • Using existing national standards and guidance • Moving on from the approval of GP trainers by identifying additional cohorts of trainers for recognition • Paving the way for legal approval of the additional cohorts of trainers when the GMC acquires the statutory powers • Providing a baseline so later on we can consider aligning the arrangements with revalidation and publishing the names of approved trainers.

4. GMC’s Education Strategy ‘By 2013, we will have developed and implemented an approvals framework for all trainers of undergraduate and postgraduate learners, building on the process for selecting, training and appraising GP trainers. It will promote and enhance the value of training both in individual job plans and within the organisations that employ doctors involved in training.’

5. Aims • Help to ensure the safety of patients and trainees and enhance the training environment. • Improve the quality of training particularly in relation to: • Assessment decisions • Trainers as role models to trainees • The training of trainers • Lines of accountability and responsibility. c. Improve links between the regulator and the postgraduate deaneries and medical schools that organise local education processes. d. Enhance the perceived value and visibility of the training role and focus attention on the professional time needed and on the transparency of the resources available.

6. Recognising and approving trainers GMC Standards in TTD and TD GMC role in supporting trainers Areas from Academy of Medical Educators Document Education Organisers: Deaneries and Medical Schools - Identification of Trainers Local education providers M A P P E D Q A Map current training and identification of trainers against 7 headings with evidence in appraisal

7. Academy of Medical Educators Framework

9. Scope of recognition and approval Undergraduate: • Lead co-ordinators of training at each LEP • Doctors responsible for overseeing students’ educational progress at each medical school Postgraduate: • Named educational supervisors • Named clinical supervisors

10. Lead coordinator of undergraduate training • ‘A doctor (or more than one) at each local education provider responsible for coordinating the training of students, overseeing their activities and ensuring these activities are of educational value.’

11. Doctor responsible for overseeing students’ educational progress • ‘A doctor (or more than one) at each medical school who is responsible for overseeing students’ trajectory of learning and educational progress. • ‘The doctor might be an NHS consultant or a clinical academic acting as block or course coordinator for clinical aspects of the course.’

12. Named educational supervisor • ‘A trainer who is selected and appropriately trained to be responsible for the overall supervision and management of a trainee’s trajectory of learning and educational progress during a placement and/or series of placements. • Every trainee must have a named educational supervisor. • The educational supervisor’s role is to help the trainee to plan their training and achieve agreed learning outcomes. • He or she is responsible for the educational agreement and for bringing together all relevant evidence to form a summative judgement at the end of the placement and/or series of placements.’

13. Named clinical supervisor • ‘A trainer who is responsible for overseeing a specified trainee’s clinical work for a placement in a clinical environment and is appropriately trained to do so. • He or she will provide constructive feedback during that placement, and inform the decision about whether the trainee should progress to the next stage of their training at the end of that placement and/or series of placements.’

14. Proposed responsibilities of LEPs • Identifying trainers who meet the criteria • Supporting trainers through: • Job plans • Appraisal • Support for training and development of trainers • Dealing effectively with concerns • Taking effective action where remediation is not sufficient • Mapping their arrangements against the 7 areas of the AoME Framework and ensuring that the GMC standards are met • Liaising with education organisers in accordance with agreed arrangements • Identifying the key responsibilities held by clinical tutors or Directors of Medical Education

15. Proposed responsibilities of education organisers (deaneries and schools) • Identifying trainers who satisfy the GMC’s criteria and standards • Quality managing training arrangements at LEPs • Reviewing available information before deciding to identify individual trainers • Reaching agreements with LEPs on respective roles and responsibilities • Passing on information to the GMC about the GP trainers identified • Cooperating with quality assurance by the GMC

16. Pilots • Medical schools: Cardiff, Peninsula, UCL • Deaneries: KSS, NW, Northern, SW • Trainers could be identified • Mapping of local arrangements against GMC standards and AoME areas done or feasible • Costs – • Identifying the trainers – small cost may be necessary • Mapping – small cost may be necessary • Meeting standards – cost to train all recognised trainers to meet standards, depending on extent of investment already made • But we recognise this was a self-selected group of volunteer pilots.

17. Timeline • Consultation – 6 January to 30 March 2012 • 7 Education Events • Report to GMC Council – 14 June 2012 • Implementation – Autumn 2013 www.gmc-uk.org/trainersconsult2012 • trainersconsult@gmc-uk.org

18. Any questions?