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An Overview of the Foundation Programme in - London Deanery

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� It is suggested that both F1 and F2 TAB is taken <strong>in</strong> <strong>the</strong> last month <strong>of</strong> <strong>the</strong> first<br />

placement dur<strong>in</strong>g <strong>the</strong> year. If <strong>the</strong>re are significant concerns about any foundation<br />

doctor, TAB should be repeated. Deaneries have <strong>the</strong> option <strong>of</strong> alter<strong>in</strong>g <strong>the</strong> tim<strong>in</strong>g<br />

<strong>of</strong> TAB to satisfy local needs<br />

� For eac h as sessment, t he foundation d octor a nd t he e ducational s upervisor<br />

should agree 1 5 r aters/assessors. A m <strong>in</strong>imum <strong>of</strong> 10 r eturns are r equired. N o<br />

o<strong>the</strong>r foundation doctor can be a rater.<br />

The required mix <strong>of</strong> raters/assessors must <strong>in</strong>clude at least two <strong>of</strong> each <strong>of</strong> <strong>the</strong> follow<strong>in</strong>g:<br />

� Doctors more senior than F2, <strong>in</strong>clud<strong>in</strong>g at least one consultant or GP pr<strong>in</strong>cipal<br />

� Senior nurses (band 5 or above)<br />

� Al lied health pr<strong>of</strong>essionals<br />

� O<strong>the</strong>r team members <strong>in</strong>clud<strong>in</strong>g ward clerks, secretaries and auxiliary staff.<br />

Follow<strong>in</strong>g T AB, t he foundation doctor s hould r eflect o n a ny s ections i n w hich <strong>the</strong>re i s<br />

variance be tween t heir s elf r at<strong>in</strong>g a nd t hat <strong>of</strong> t he as sessors. T he doctor s hould di scuss<br />

significant discrepancies with <strong>the</strong>ir educational supervisor.<br />

End <strong>of</strong> placement reports<br />

There are two end <strong>of</strong> placement reports:<br />

a) cl<strong>in</strong>ical supervisor’s end <strong>of</strong> placement report<br />

b) educational supervisor’s end <strong>of</strong> placement report<br />

The c l<strong>in</strong>ical s upervisor’s en d o f pl acement r eport d escribes th e foundation doctor’s<br />

performance i n t he w orkplace. T he e ducational s upervisor’s r eport i ncorporates <strong>the</strong><br />

<strong>in</strong>formation conta<strong>in</strong>ed <strong>in</strong> <strong>the</strong> cl<strong>in</strong>ical supervisor’s report and <strong>in</strong>cludes <strong>in</strong>formation from <strong>the</strong> eportfolio.<br />

If th e e ducational and c l<strong>in</strong>ical s upervisors ar e one an d t he s ame, t hen t he educational<br />

supervisor will b e r esponsible for t he s ections t hat a re u sually c overed i n t he cl<strong>in</strong> ical<br />

supervisor’s report.<br />

a) Cl<strong>in</strong>ical supervisor’s end <strong>of</strong> placement report<br />

Towards <strong>the</strong> end <strong>of</strong> each placement, <strong>the</strong> foundation doctor should meet with <strong>the</strong>ir cl<strong>in</strong>ical<br />

supervisor to complete a summative assessment <strong>of</strong> <strong>the</strong>ir overall performance and progress<br />

<strong>in</strong> <strong>the</strong> placement.<br />

The cl<strong>in</strong>ical supervisor’s report should comment specifically on:<br />

� <strong>An</strong>y noteworthy aspect <strong>of</strong> performance<br />

� <strong>An</strong>y concerns regard<strong>in</strong>g performance<br />

� Comments on participation <strong>in</strong> <strong>the</strong> agreed educational process<br />

� Evidence <strong>of</strong> pr<strong>of</strong>essional development as a result <strong>of</strong> feedback and reflection.<br />

The c l<strong>in</strong>ical s upervisor s hould seek a nd r ecord evidence from <strong>the</strong> Placement Supervision<br />

Group to c orroborate each o f t he a bove. T he names <strong>of</strong> th ose c ontribut<strong>in</strong>g e vidence on<br />

performance is recorded <strong>in</strong> <strong>the</strong> report.<br />

The outcome <strong>of</strong> <strong>the</strong> f<strong>in</strong>al assessment discussion should be agreed by both <strong>the</strong> foundation<br />

doctor a nd t he c l<strong>in</strong>ical s upervisor an d r ecorded i n th e e- portfolio as part <strong>of</strong> t he c l<strong>in</strong>ical<br />

supervisor’s end <strong>of</strong> placement report.<br />

b) Educational supervisor’s end <strong>of</strong> placement report<br />

The educational s upervisor’s e nd <strong>of</strong> placement r eport r equires r eview o f t he c l<strong>in</strong>ical<br />

supervisor’s report along with evidence provided with<strong>in</strong> <strong>the</strong> e-portfolio and any o<strong>the</strong>r source.<br />

7

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