Foundation Trainee Supervision Help Sheet
You have been allocated an educational supervisor and you will get their details from the trust education team. You must complete and have recorded in the e-portfolio a minimum of 4 meetings with your educational supervisor during the year. You are encouraged to meet more often if possible/appropriate but the minimum requirements are:
- August induction meeting
- Nov/Dec first post review and plan for second post
- March/April second post review and plan for third post
- May/June Final review meeting
It is your responsibility to arrange your meetings. If you have difficulties doing so, you must alert a member of the education team before the time for the relevant meeting goes by.
The role of the educational supervisor
The overall purpose of the educational supervisor is to facilitate and support the training and educational development of their foundation doctors over the full year of foundation training.
The main aspects of the role include:
- Supervision of foundation trainees' educational and professional progress;
- Checking that their trainees maintain appropriate records of assessment;
- Reporting to their foundation programme training director on their trainees' progress, especially any performances that give rise to concern, and
- Providing pastoral advice and career counselling as required.
The following framework will help you ensure that you have completed the requirements of the foundation programme and used the educational supervision arrangements and e-portfolio appropriately.
Section 1 – What you need to do when
A. SHADOWING WEEK (Last week in July) or INDUCTION (First week in August)
1. Check you can log on to the Horus e-portfolio. All users will need to log in to Horus via https://horus.hee.nhs.uk/login or use the link in the email that was sent to you via Horus. By using the link you will be taken to a page where you are required to enter a new password. You will then need to go back to the log in page to enter your email address and new password
Forgotten password - If you have forgotten your password you will need to click on the ‘unable to sign in’ link on the Horus log in page.
Help and support - If you have any problems or queries regarding the Horus e-portfolio system, contact the administrator in your education centre.
There is also a help facility on Horus whereby you can email the helpdesk with your problems.
2. You will need to sign 3 declarations:
Conditions of joining a foundation programme
3. Check your personal details are correct – specifically email address. If you change your e-mail address or other contact information during the year, please notify the education centre and foundation school immediately. You will miss important information relating to your training if your contact details are out of date or you do not check your e-mails regularly.
Instructions for Horus:
- Enter the website via https://horus.hee.nhs.uk
- Enter your username and password and click on ‘sign in’
- At the top of the page click on ‘your name and this will take you to your account
- You will be able to edit your account information or change your password here.
- Click onto the ‘home’ link to return to your home page.
B. BEFORE August Induction Meeting with Educational Supervisor (ES)
- Complete a Personal Development Plan (PDP) and prepare career management discussion
- Become familiar with the Curriculum and the competences you are looking to acquire and demonstrate.
- Register for an account on maxcourse to book on to regional teaching courses. (Further information and guidance for maxcourse can be found in Appendix 1)
Instructions for Horus:
C. AUGUST INDUCTION MEETING WITH EDUCATIONAL SUPERVISOR
This first meeting with the trainee sets the scene for your relationship with your education supervisor, who will hopefully be a source of personal and professional support to you throughout the year. You should be prepared to talk about, for example, your undergraduate or F1 medical training, how you have come to be a trainee in the trust, whether you have any personal, health or domestic issues that are likely to impact on your training and whether there is anything that you are particularly worried about or looking forward to as you start the year.
With regards to your training needs, you should be prepared to discuss what are the main things you are hoping to gain from the year and your thoughts about and any plans for career progression. You should also discuss the assessment requirements of the programme and make sure that you understand the nature and purpose of the assessment tools. Be ready to talk about your PDP and how you might achieve your aims in the current and later posts. Discuss your career plans and how you are aiming to develop these. F1s can use up to 5 days’ of their F2 study leave allowance for a taster experience so be ready to talk about how you might use this (and the rest of your study leave if you are an F2).
Make sure at the end of the meeting that you have agreed how it is best for you to contact your supervisor about setting dates for the mid/end of placement reviews or if you have any problems in the meantime.
Make sure your educational supervisor has logged the meeting on Horus.
NB. The Curriculum section within Horus details all the outcomes you need to evidence at the end of the year in order to be signed off. Types of evidence include assessments, reflective accounts, core procedures etc. You should be linking a range of evidence to the Curriculum throughout the year.
Please note you must also arrange to meet with your clinical supervisor at the beginning of each post and they must complete an initial induction meeting form.
D. BEFORE Nov/Dec End of Placement Review meeting with Educational Supervisor – Please note you must arrange this meeting yourself
- Ensure the necessary requirements for Post 1 are logged. To include:
Supervised Learning Events (SLEs)
- 2 or 3 x miniCEX (x 2 if supplementing with DOPS or x 3 if no DOPS)
- 1 x DOPS to supplement miniCEX
- 2 x CbD
- Updated Core Procedures (F1)
- Clinical supervisor end of placement report
2. Linked evidence to the Foundation Curriculum.
The local Peninsula requirement is that trainees link at least 3 pieces of evidence per competency not just one as Horus states. Each portfolio item can be mapped to a maximum of 5 competencies.
- Completed or booked onto ALS (F2 only) or ILS(F1 only)
- Created a mandatory teaching log for any teaching attended
- Log the meeting (with Educational Supervisor as part of the meeting)
- Flag up any issues resulting from the above and ask Educational Supervisor for advice if necessary
In the meeting itself, be prepared to talk about your experience of the post you are completing and any problems that you need help to resolve. Your supervisor is likely to ask you about clinical supervision, your own experience of teaching and giving presentations, audit/quality improvement project (if relevant) and any changes in your personal circumstances that might be impacting on your training.
Your supervisor will discuss your training experience to date, including assessments and should release the results of your TAB.
You should review the evidence you have so far linked with the Curriculum and ensure that your ES rates whether you have yet met the outcomes. You should form a plan of how you will demonstrate competency in areas you have yet to meet.
In addition to a satisfactory clinical supervisor’s end of placement report being recorded on Horus you will also need to ensure that your ES completes a Educational supervisor’s end of placement report on Horus
E. BEFORE March/April End of Placement Review meeting with Educational Supervisor – Please note you must arrange this meeting yourself
Same as the above requirements for Nov/Dec Meeting
F. BEFORE End May/Begin June Final Meeting with Educational Supervisor for sign-off – Please note you must arrange this meeting yourself
1 Have completed minimum number of SLEs:
- 6 or 9 x miniCEX (x 6 if supplementing with DOPS or x 9 if no DOPS)
- 3 x DOPS to supplement miniCEX
- 6 x CbDs
- 1 x Developing the Clinical Teacher
2. Have completed to a satisfactory level
- 1 x TAB assessment
- Core procedures (F1 only) – list of required procedures:
- IV cannulation
- Preparation and administration of IV medication and injections
- Arterial puncture in an adult
- Blood culture from peripheral sites
- Intravenous infusion including the prescription of fluids
- Intravenous infusion of blood and blood products
- Injection of local anaesthetic to skin
- Injection – Subcutaneous (e.g. insulin or LMW heparin)
- Injection - intramuscular
- Perform and interpret an ECG
- Perform and interpret peak flow
- Urethral catheterisation – Male
- Urethral catheterisation - Female
- Airway care including simple adjuncts (e.g. Guedel airway or Laryngeal masks)
You must be assessed formally in each of the core procedures. This must be via a ‘Core Procedure’, not self-assessment. We advise that you use ‘Core Procedures’ forms for the core procedures and use DOPS for additional practical procedures.
3. Have completed
-3 x Clinical Supervisor end of placement reports
-2 x Educational Supervisor end of placement reports
-1 x Educational Supervisor’s end of year report
4. You need to have logged a minimum of 60 hours teaching on Horus using the mandatory teaching log. 30 hours must be core and the other 30 hours can be made up of core and non-core.
5. Flag up any issues relating to the above and ask Educational Supervisor for advice if necessary
The Medical Education Team will be in touch with further detail regarding the sign-off process nearer the time.
Section 2 – Logging assessments and SLEs
All assessments and SLEs must be logged by the necessary assessor/trainer via Horus. This can either be done directly within Horus if you have access to a computer at the time or via an e-ticket request. Clinical supervisors can complete assessments directly within the Horus.
When you request a ticket for an assessment or SLE, the relevant assessor/trainer is emailed directly by Horus. The assessor will need to click on the link within the email to go directly to the assessment form.
Assessor/trainers do not need to log in to Horus to sign an SLE or core procedure. They do need to have a Horus account but this can be quickly created by the foundation doctor.
Please note you have to request an assessment for each individual assessment/SLE
Section 3 – Linking Evidence
It is a requirement to link evidence to all Foundation Curriculum items in order to demonstrate that you have met the outcomes. Every item should have linked evidence and your ES should have rated each of the 4 sections as ‘Satisfactory’.
The local Peninsula requirement is that trainees link at least 3 pieces of evidence per competency not just one as Horus states.
PDP can be linked to the curriculum
Study Leave, Teaching and Maxcourse Guidance and Information
- F2s have a total of 30 study leave days over 12 months. Please refer to the Foundation School Study Leave Policy
- Ensure you are familiar with the study leave policy and follow this when booking study leave for regional teaching and other courses
- All approved study leave must be recorded on the study leave record document attached, so that a cumulative record of the number of days taken can be kept. You will be required to include this in your ARCP evidence documentation
- Below is a summary of how some of the study leave is pre-allocated as set out in the school policy:
Summary table for use of F2 study leave time
Use of total study leave time
5 days teaching: minimum 4 days from regional teaching programme plus additional 6 hours foundation teaching (30 hours total)
1 day simulation training (may be delivered in 2 half days)
5 days Tasters (which can be taken in F1 for Taster and/or 1 day career planning)
GP learning sets (5 days)
ALS (2 days)
- This means trainees not doing GP will have 17 days’ available study leave and those doing GP will have 12.
Record of teaching hours
- ALL teaching attended must be recorded on the mandatory teaching log found in your HORUS ePortfolio
- You should record all types of teaching that you wish to count to the total: regional days, local foundation teaching, departmental teaching, and eLearning modules
- For all teaching that cannot be verified easily by the postgraduate team, you are required to evidence your attendance by completing an additional achievement form in your portfolio; Course / seminar / other learning attended.
The requirement for successful outcome at ARCP in June will be as follows:
- Minimum total accrued teaching of 60 hours (you can do more!)
- Minimum of 30 hours CORE teaching from the foundation-specific programme (local trust foundation teaching and regional programme only)
- All other types of teaching is NON-CORE: department teaching, simulation, GP learning sets, grand round, eLearning etc
- Minimum 4 days’ attendance from regional teaching programme (24 hours)
- Maximum 6 modules of eLearning (6 hours)
Maxcourse - creating your account.
You will need to use your NHS email address to create your user ID. Below is a link to the help section which will take you through the steps you need to complete to set up your account:
IMPORTANT POINT to note: you will encounter a Communications page. Due to GDPR compliance, you will not be opted in to receive any form of newsletters or general emails, you have to select the check boxes to opt in yourself. However, if you decide not to receive any communication then you are at risk of missing out on useful information SUCH AS COURSE CONFIRMATIONS/CANCELLATIONS.
Car sharing is strongly encouraged and there is an option on Maxcourse for you to indicate you wish to participate. Please see CAR SHARE HELP PAGE.
Regional teaching days are free. You can claim travel expenses if required.
You cannot claim back any travel time. When a study leave day is booked this covers travel time and the event.