at the beginning of a plan developed (and recorded in the e-portfolio) to shift where a Clinical clarify what steps the trainee should take and how Supervisor is evidence of progression will be measured. supervising unknown amber (green) trainee Level of supervision - Trainer/ES Guidance for assessing Learning Outcomes to be achieved for moving from Months OOH CS undertakes AMBER going from AMBER to GREEN AMBER to GREEN of ST3. an initial review with (Direct/Close trainee to review The judgement concerning the Demonstrate a working knowledge of the OOH Supervision) experience level of supervision most organisation and infrastructure Close supervision of appropriate for a trainee must be An accelerated Demonstrate a good working knowledge of OOH IT the trainee who made by the Trainer/ES process of direct systems consults observation of the For a trainee to move from AMBER Demonstrate safe prescribing to include use of independently but trainee may take to GREEN there should be evidence opiates and drugs of abuse with the clinical place at the start of that they have met the learning Demonstrate a good understanding of the supervisor close at the session outcomes management of common medical / surgical / hand (in the same Trainee routinely Trainer/ESs should discuss the RAG psychiatric conditions in OOH setting building) consults separately, rating with the trainee and should Demonstrate enhanced consulting skills in The model for with supervisor record this discussion and telephone triage, to include: • Establishing rapport, amber supervision immediately available judgement in the educator notes of eliciting patient’s ‘ICE’, use of appropriate language is based on graded for discussion of the trainee’s e-portfolio. Appropriately managing communication with third experience. cases Where a Trainer/ES has concerns party Joint consultation regarding trainee progression Exercise communication skills for assessing the where appropriate towards green the specific ‘urgency’ of a presentation concerns should be shared with the Trainee is offered Recognition and management of clinical red flag trainee and an action plan opportunity for symptoms and signs developed (and recorded in the observed practice to Performing ‘safety netting’, and show awareness of to clarify what steps the gain feedback on telephone triage ‘risk’ and its management
at the beginning of a shift where a Clinical Supervisor is supervising unknown amber (green) trainee 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 to gain feedback on 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 recorded in the to clarify what steps the 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 awareness of telephone triage ‘risk’ and its management Months of ST3.
HETV-GP-OOH-Trainng-Guide-V1-2-FINAL-2.docx