process at the concerns should be shared with the trainee and beginning of a shift an action plan developed (and recorded in the where a Clinical e-portfolio) to clarify what steps the trainee Supervisor is should take and how evidence of progression supervising will be measured. unknown amber (green) trainee Level of Trainer/ES Guidance for Learning Outcomes to be achieved for moving Months OOH CS supervision - assessing going from AMBER to from AMBER to GREEN 3-5 of undertakes an AMBER GREEN ST3. initial review with Demonstrate a working knowledge of the OOH (Direct/Close trainee to review The judgement concerning the organisation and infrastructure Supervision) experience level of supervision most Demonstrate a good working knowledge of Close supervision appropriate for a trainee must be OOH IT systems An accelerated of the trainee who made by the Trainer/ES process of direct Demonstrate safe prescribing to include use of consults observation of the For a trainee to move from opiates and drugs of abuse independently but trainee may take AMBER to GREEN there should Demonstrate a good understanding of the with the clinical place at the start of be evidence that they have met management of common medical / surgical / supervisor close the session the learning outcomes psychiatric conditions in OOH setting at hand (in the Trainee routinely Trainer/ESs should discuss the Demonstrate enhanced consulting skills in same building) consults separately, RAG rating with the trainee and telephone triage, to include: • Establishing The model for with supervisor should record this discussion use of rapport, eliciting patient’s ‘ICE’, amber immediately and judgement in the educator appropriate language supervision is available for notes of the e-portfolio. trainee’s Appropriately managing communication with based on graded discussion of cases Where a Trainer/ES has third party experience. Joint consultation concerns regarding trainee Exercise communication skills for assessing the where appropriate progression towards green the of a presentation ‘urgency’ specific concerns should be Trainee is offered Recognition and management of clinical red shared with the trainee and an opportunity for flag symptoms and signs action plan developed (and observed practice and show Performing ‘safety netting’,
process at the beginning of a shift where a Clinical Supervisor is supervising unknown amber (green) trainee concerns should be shared with the trainee and an action plan developed (and recorded in the e-portfolio) to clarify what steps the trainee should take and how evidence of progression will be measured. Level of supervision - AMBER (Direct/Close Supervision) Close supervision of the trainee who consults independently but with the clinical supervisor close at hand (in the same building) The model for amber supervision is based on graded experience. OOH CS undertakes an initial review with trainee to review experience An accelerated process of direct observation of the trainee may take place at the start of the session Trainee routinely consults separately, with supervisor immediately available for discussion of cases Joint consultation where appropriate Trainee is offered opportunity for observed practice Trainer/ES Guidance for assessing going from AMBER to GREEN 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 AMBER to GREEN 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. Where a Trainer/ES has concerns regarding trainee progression towards green the specific concerns should be shared with the trainee and an action plan developed (and Learning Outcomes to be achieved for moving from AMBER to GREEN Demonstrate a working knowledge of the OOH organisation and infrastructure Demonstrate a good working knowledge of OOH IT systems Demonstrate safe prescribing to include use of opiates and drugs of abuse Demonstrate a good understanding of the management of common medical / surgical / psychiatric conditions in OOH setting Demonstrate enhanced consulting skills in telephone triage, to include: • Establishing rapport, eliciting patient’s ‘ICE’, use of appropriate language Appropriately managing communication with third party Exercise communication skills for assessing the ‘urgency’ of a presentation Recognition and management of clinical red flag symptoms and signs Performing ‘safety netting’, and show Months 3-5 of ST3.
HETV_GP_OOH_Trainng_Guide.docx