Guide to Team Assessment of Behaviour (TAB) F1 and F2 (updated Aug 2017)

TAB requirements 

The TAB is a tool used for a 360 degree appraisal of trainees by the colleagues with whom they work. It is the national appraisal tool for all Foundation trainees.

From August 2017, each Peninsula Foundation School trainee is required to complete one round of TAB satisfactorily. All trainees should initiate a TAB round in Post 1 of the year. 

PROCESS

  1. Trainee starts the TAB Round by completing a self-TAB and nominating assessors on HORUS
  2. TAB round closes after 45 days
  3. Educational Supervisor reviews TAB feedback, assesses it and releases the feedback to the trainee (either before a face-to-face meeting or during it).
  4. ES and Trainee meet to discuss the feedback and, if needed, confirm when a repeat round will be done.

WHEN SHOULD TRAINEES START A TAB ROUND

We recommend that all trainees start a TAB round in the first week of October. The round should be completed in time for your end of post meeting with your Educational Supervisor when the results should be discussed with you.

If your first TAB round is not valid (insufficient responses) or is unsatisfactory (concerns raised), you should agree with your Educational Supervisor when to start another round.

COMPLETING A VALID TAB

There is a 3 minute video you can watch about how to set up your TAB round at https://supporthorus.hee.nhs.uk/video-tutorials/foundation-doctors/   

Within the HORUS eportfolio, the TAB round starts when a trainee completes their self-TAB and nominates assessors.

  • Within HORUS, select TAB sub menu from within the PORTFOLIO menu heading.
  • Clink the “Select New Tab” button
  • Part 1 - Complete your self-TAB
  • Part 2 – Nominate your assessors, ensuring that you have enough assessors from each of the different categories. You should always include your clinical supervisor. You are advised to include up to 20 assessors at this stage in order to increase the chances of you getting 10 valid returns.
  • A valid TAB needs 10 assessors and must include:

At least 2 consultants or trained GPs (including your clinical supervisor)

At least 1 other doctor more senior than an F2

At least 2 senior nurses (band 5 or above)

At least 2 allied health professionals/other team members (can include up to 2 Foundation doctors)

  • You need to know the name, email address and correct job role for each of the assessors whose details you enter
  • “Add new assessor” until you are ready to “Save and review before submission”. You can always add new assessors if necessary while the round is open.
  • By clicking “Send to assessors”, you can no longer edit your self-TAB and start the 45 days period that your TAB will be open
  • When you go back to the TAB sub menu, you can monitor your returns and add new or remove old assessors if needed by clicking on “Assessors”

Trainees are reminded to approach the task of nominating assessors in a professional manner. In particular, if nominating other foundation doctors, please ensure you are only asking those with whom you have a professional relationship in that post. You should avoid using any assessor to whom you are related or with whom you have a close personal relationship.

A naval trainee may nominate Senior Medical Branch Ratings as assessors. Junior Medical Branch Ratings do not have sufficient experience to be nominated.

Once your TAB round has closed (usually after 45 days), you cannot add assessors to it. If the round is incomplete i.e. you do not have enough assessors or they are not in the right categories, then you need to start another new round. If you notice that you are getting towards the end of a round but don’t have enough assessors, you can ask your trust administrator to extend the round while you send a reminder to your assessors.

Trainees will not see individual feedback from assessors but they will be able to view a summary graph including comments once their supervisor has released this information to them.  You should review your TAB feedback with your Educational Supervisor. If the round closes after your end of post meeting, then arrange another meeting with them as soon as possible to discuss the TAB results alone.

HOW ASSESSORS COMPLETE A TAB

Nominated assessors will automatically receive an email request to complete an assessment for the trainee. 

Assessors should always bear in mind that, while their feedback will be treated confidentially, it may be released to the trainee at some time. 

An assessor should complete the form in the areas where they are able to make an informed judgement about how well a trainee performs. Scoring and comments should reflect behaviour over time and not one instance. If ‘some concern’ or ‘major concern' is identified, the comments box must also be completed. 

Ratings categories for assessors 

No concern

This will be the right mark for the great majority of trainees, and the purpose of the comments box here is to congratulate and praise good behaviour. Assessors’ comments will be fed back to the trainee to encourage them, along with all the comments made by the other assessors. It is valuable to write supportive remarks, describing what the assessor finds impressive.  Assessors can write as much as they wish.

Some concern

Assessors should tick this box if they have a concern or if a few incidents or behaviours have worried them.  This is about helping trainees to address blind spots.  Assessors must describe the behaviours which have caused them concern in the free text box.

Major concern

This is serious and is likely to impact directly on patient care and/or trainee progression. The assessor must describe in the free text box the behaviour(s) which have caused concern and give specific examples.  The trainee’s educational supervisor (consultant) may ask the assessor, privately, to give some more information to help decide how to proceed.  Normally personal scoring is not disclosed to the trainee without the assessor’s permission but it may be in some circumstances.

If assessors have any queries about the process, they should contact the Postgraduate Medical Centre for advice.

FEEDBACK

Educational Supervisors (ES)

Trainees need one satisfactory TAB in order to be signed off from each F1 and F2 programme. The TAB screens for serious problems so any concern expressed by an assessor needs to be treated seriously. Comments are always written if a concern is raised. If an ES is unsure about how to proceed, they should discuss this with the Foundation Training Programme Director (FTPD). An ES can review feedback as it comes in within a trainee’s HORUS eportfolio.

Feedback is collated automatically in graph form. Comments will be hidden by default so that the identity of the assessor is not shown to the trainee if you are looking at the feedback together. If an assessor has raised a concern (whether minor or major), the ES should contact the assessor if more information is needed to establish the true nature of the concern.

Under the feedback summary, is a box allowing the ES to release the summary to the trainee. The ES is also asked to confirm whether the minimum number of assessors was requested and whether the TAB feedback is satisfactory overall. The ES should mark the feedback satisfactory ONLY if: 

  • 10 or more assessors contribute to the assessment
  • Only appropriate assessors have been selected by the trainee i.e. the right number of assessors in each category.
  • No “major concern” has been expressed, even by a single assessor
  • No more than one “some concern” has been expressed, and even then, that has been discussed with the relevant assessor to confirm the true nature of the issue raised 

A meeting should take place in a private area for the supervisor to provide TAB feedback to their trainee. This is usually the End of Placement review meeting.  Supervisors must sign off the summary of results which will release the feedback into the trainee portfolio.  Feedback should not be provided by administrative postgraduate centre staff. 

Any concerns highlighted must be discussed with the trainee and a remedial action plan must be put in place as appropriate.  

MONITORING

Foundation Training Programme Directors must be aware of all their trainees who are required to repeat TABs, check that the concerns have been discussed with the assessors and the trainee and ensure an appropriate action plan is in place to address the concern. If a repeat TAB is required, the ES may select some of the assessors with input from the FTPD.

A member of the trust education team must be responsible for ensuring that trainees needing a repeat TAB are identified and enter another round.

Questions and Answers 

Q: A trainee has 10 assessors but his/her clinical supervisor is not one of those assessors who has submitted.  Is this acceptable?

A: Some local leniency is allowed, for example, the CS has been nominated but has been away and the trainee has returns from other consultants who are closely involved with their supervision.  Otherwise, the trainee should enter another round.

Q: A trainee cannot find two allied health professionals to submit an assessment.  Will the trainee fail this round?

A: As long as the trainee has two assessors from the combined allied health professional/other team member category, that is now satisfactory under the new TAB rules.  We would not expect leniency if a trainee had 5 nurses returned but no allied health professionals/other team members.

Q: Can administrators release feedback to trainees?

A: No.  Feedback must only be released by the ES and must be discussed in a face to face, private meeting with the trainee concerned.

Q: A trainee has 9 (or 8, 7, 6, etc.) satisfactory assessments; do they need to repeat another whole round?

A: Yes. The current round is not valid because it does not have enough assessors. Trainees can no longer carry over assessments from one round to another so a whole new round needs to be started.