Supervision Types Level/type of Expected Word Pictures Assessment by Trainer/ES Learning Outcomes stage of supervision training* Level of Trainer/ES Guidance for Learning Outcomes to be achieved for moving Months Trainee observes assessing going from RED to from RED to AMBER supervision - RED 1-2 of OOH Clinical (Direct AMBER ST3 and Supervisor Demonstrate an understanding of the basic Supervision) all of The judgement concerning the organisational aspects of NHS OOH care Trainee Direct supervision ST1/2. level of supervision most progressively takes Show familiarity in working with OOH IT of the trainee by appropriate for a trainee must be clinical systems, including recording facilities and the clinical made by the Trainer/ES. responsibility for a sources of IT help supervisor. The caseload initially For a trainee to move from RED Demonstrate safe and appropriate standards of trainee takes no under direct to AMBER there should be data entry clinical observation (to evidence that they have met the Prescribe safely and appropriately using the responsibility include face-to-face learning outcomes OOH IT system The model for consults and Trainer/ESs should discuss the Demonstrate a basic understanding of the direct supervision telephone triage) RAG rating with the trainee and management of common medical / surgical / is based on Trainee consults should record this discussion psychiatric conditions in OOH setting graded separately reporting and judgement in the educator Demonstrate a basic understanding of the experience based to Supervisor to notes of the e-portfolio. trainee’s provision of services available in OOH on the joint agree a Demonstrate telephone triage skills with surgery format management plan emphasis on patient safety prior to completing Show Reflection on patient referrals and the consultation contacts with other health professionals and End of Session discuss with Supervisor/Trainer/ES on case by debrief with OOH case basis. CS and OOH Show reflection on personal response to record sheet stresses of working in OOH setting completed with Demonstrate an appropriate approach to feedback to trainee personal security and awareness of security Best practice would risks to others include a similar but Where a Trainer/ES has concerns regarding accelerated trainee progression towards amber the specific
Supervision Types Level/type of supervision Word Pictures Assessment by Trainer/ES Learning Outcomes Expected stage of training* Level of supervision - RED (Direct Supervision) Direct supervision of the trainee by the clinical supervisor. The trainee takes no clinical responsibility The model for direct supervision is based on graded experience based on the joint surgery format Trainee observes OOH Clinical Supervisor Trainee progressively takes clinical responsibility for a caseload initially under direct observation (to include face-to-face consults and telephone triage) Trainee consults separately reporting to Supervisor to agree a management plan prior to completing the consultation End of Session debrief with OOH CS and OOH record sheet completed with feedback to trainee Best practice would include a similar but accelerated Trainer/ES Guidance for assessing going from RED to AMBER The judgement concerning the level of supervision most appropriate for a trainee must be made by the Trainer/ES. For a trainee to move from RED to AMBER there should be evidence that they have met the learning outcomes Trainer/ESs should discuss the RAG rating with the trainee and should record this discussion and judgement in the educator notes of the trainee’s e-portfolio. Learning Outcomes to be achieved for moving from RED to AMBER Demonstrate an understanding of the basic organisational aspects of NHS OOH care Show familiarity in working with OOH IT systems, including recording facilities and sources of IT help Demonstrate safe and appropriate standards of data entry Prescribe safely and appropriately using the OOH IT system Demonstrate a basic understanding of the management of common medical / surgical / psychiatric conditions in OOH setting Demonstrate a basic understanding of the provision of services available in OOH Demonstrate telephone triage skills with emphasis on patient safety Show Reflection on patient referrals and contacts with other health professionals and discuss with Supervisor/Trainer/ES on case by case basis. Show reflection on personal response to stresses of working in OOH setting Demonstrate an appropriate approach to personal security and awareness of security risks to others Where a Trainer/ES has concerns regarding trainee progression towards amber the specific Months 1-2 of ST3 and all of ST1/2.
HETV_GP_OOH_Trainng_Guide.docx