The Foundation Programme Reference Guide - Academy of Medical ...

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5. Foundation school structures, roles and responsibilities5.39 LEPs must ensure that clinical supervisors have adequate training, support and resourceto undertake their training role. There must be adequate time set aside for this role intheir job-plan and appraisal.5.40 Training for clinical supervisors:• all clinical supervisors should usually receive training every three years anddemonstrate their competence in promoting equality and valuing diversity. Inaddition clinical supervisors must understand and demonstrate ability in the use ofthe approved workplace-based assessment tools and be clear as to what is deemedacceptable progress;• foundation schools should maintain a register of clinical supervisors includingdetails and dates of training. This responsibility may be devolved to LEPs.5.41 The clinical supervisor must:• make sure that foundation doctors are never put in a situation where theyare asked to work beyond their competence without appropriate support andsupervision. Patient safety must be paramount at all times;• make sure that there is a suitable induction to the ward/department/practice;• meet with the foundation doctor at the beginning of each placement to discusswhat is expected in the placement, learning opportunities available and thefoundation doctor’s learning needs;• provide a level of supervision appropriately tailored for the individual foundationdoctor. This includes making sure that no foundation doctor is expected to takeresponsibility for, or perform, any clinical activity or technique if they do not havethe appropriate experience and expertise;• provide regular feedback on the foundation doctor’s performance;• undertake and facilitate workplace based assessments;• make sure that the foundation doctor has the opportunity to discuss issues orproblems and to comment on the quality of the training and supervision provided;• investigate and take appropriate steps to protect patients where there are seriousconcerns about a foundation doctor’s performance, health or conduct. The clinicalsupervisor should discuss these concerns at an early stage with the foundationdoctor and inform the educational supervisor. It may also be necessary to informthe clinical director, head of service or the medical director, the educationalsupervisor, FTPD/T and FSD;• complete the clinical supervisor’s report at the end of the placement andcommunicate with the educational supervisor (where appropriate) concerningprogress during the placement.Academic supervisor5.42 Foundation doctors in an academic or related Foundation Programme should alsohave an academic supervisor (or equivalent). The academic supervisor is responsible foroverseeing a specified foundation doctor’s academic work and providing constructivefeedback during an academic or related placement.The UK Foundation Programme: Reference Guide 17
5. Foundation school structures, roles and responsibilities5.43 The academic supervisor should agree the academic learning objectives and howthey will be achieved at the beginning of the academic placement or programme.The academic supervisor is responsible for the assessment of academic progressand confirming what has been achieved within the academic component of theprogramme.5.44 The academic supervisor may be the same person as the educational supervisor. If theyare not the same person, it is essential that the academic supervisor liaises with theeducational supervisor to ensure that academic objectives are complementary to theclinical and generic requirements of the Foundation Programme.Careers lead5.45 The role of career lead may be undertaken by the foundation school director or byanother member of the deanery/foundation school faculty.5.46 The key responsibilities of the careers lead are:• to ensure that all foundation doctors have access to generic career workshops;• to support the development of ‘taster’ opportunities;• to ensure foundation doctors are made aware of locally and nationally providedcareers information;• to act as the point of contact for educational supervisors and FTPD/Ts for careersadvice.5.47 This may include:• supplying/signposting additional information about careers;• holding career planning meetings with foundation doctors who are referred withcomplex career issues;• referring foundation doctors who may need more tailored personal support toa specialty career lead or the deanery careers team.Employers5.48 Employers are contracted to provide foundation training.5.49 They issue contracts of employment for foundation doctors, their supervisors andother educational staff. It is their responsibility to confirm that a foundation doctorholds the appropriate GMC registration before allowing them to commence work.All foundation doctors’ hours and work intensity must be in accordance with therequirements of the ‘New Deal’ and the Working Time Regulations.5.50 Employers must ensure that there are systems and processes in place to induct,supervise, support, train, assess and monitor the progress of foundation doctors.This includes ensuring that foundation doctors are not required to work beyond theirlevel of competence. There must be clear procedures to immediately address anyconcerns about patient safety arising from the training of foundation doctors.The UK Foundation Programme: Reference Guide18
Page 2 and 3: Contents1. Introduction 22. Guiding
Page 4 and 5: 2. Guiding Principles2.1 The Founda
Page 6 and 7: 3. Organisation of postgraduate tra
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Page 42 and 43: 9. The learning environment9.12 The
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e. Security standards for Foundatio
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e. Security standards for Foundatio
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f. Embedded taster experiences temp
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g. Foundation Achievement of Compet
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12. Glossary of termsFoundation Tra
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