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An Overview of the Foundation Programme in - London Deanery

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Supervised learn<strong>in</strong>g events (SLEs). Frequently asked questions (FAQs)<br />

What is a supervised learn<strong>in</strong>g event (SLE)?<br />

A SLE is an <strong>in</strong>teraction between a foundation doctor and a tra<strong>in</strong>er which leads to immediate<br />

feedback and reflective learn<strong>in</strong>g. They are designed to help foundation doctors develop and<br />

improve <strong>the</strong>ir cl<strong>in</strong>ical and pr<strong>of</strong>essional practice and to set targets for future achievements.<br />

What is <strong>the</strong> purpose <strong>of</strong> a SLE?<br />

SLEs aim to:<br />

� support <strong>the</strong> development <strong>of</strong> pr<strong>of</strong>iciency <strong>in</strong> <strong>the</strong> chosen skill, procedure or event<br />

� provide an opportunity to demonstrate improvement/progression<br />

� highlight achievements and areas <strong>of</strong> excellence<br />

� provide immediate feedback and suggest areas for fur<strong>the</strong>r development<br />

� demonstrate engagement <strong>in</strong> <strong>the</strong> educational process.<br />

Participation i n thi s process, c oupled w ith r eflective practice, i s an i mportant w ay for<br />

foundation doctors to evaluate how <strong>the</strong>y are progress<strong>in</strong>g towards <strong>the</strong> outcomes expected <strong>of</strong><br />

<strong>the</strong> <strong>Foundation</strong> <strong>Programme</strong> Curriculum 2012 (<strong>the</strong> Curriculum).<br />

Are SLEs assessments?<br />

No! SLEs are not assessments. However, <strong>the</strong> cl<strong>in</strong>ical supervisor’s end <strong>of</strong> placement report,<br />

which forms p art o f t he a ssessment will d raw u pon e vidence o f e ngagement <strong>in</strong> t he S LE<br />

process but NOT <strong>the</strong> SLE outcomes.<br />

Can a SLE be failed?<br />

No! SLEs are not assessments; foundation doctor cannot pass or fail.<br />

Which tools do <strong>the</strong> SLEs use?<br />

Supervised learn<strong>in</strong>g events with direct observation <strong>of</strong> doctor/patient encounter use<br />

<strong>the</strong> follow<strong>in</strong>g tools:<br />

� M<strong>in</strong>i-cl<strong>in</strong>ical evaluation exercise (m<strong>in</strong>i-CEX)<br />

� Direct observation <strong>of</strong> procedural skills (DOPS).<br />

Supervised learn<strong>in</strong>g events which take place remote from <strong>the</strong> patient use:<br />

� Case-based discussion (CBD)<br />

� Develop<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ical teacher.<br />

Supervised learn<strong>in</strong>g events with direct observation <strong>of</strong> doctor/patient encounter<br />

<strong>Foundation</strong> doctors are expected to undertake three or more directly observed encounters <strong>in</strong><br />

each pl acement. T hey ar e r equired t o u ndertake a m<strong>in</strong>imum <strong>of</strong> ni ne di rectly observed<br />

encounters p er a nnum i n both F 1 and i n F 2. At l east s ix o f t hese encounters e ach y ear<br />

should use m<strong>in</strong>i-CEX.<br />

i) M<strong>in</strong>i-cl<strong>in</strong>ical evaluation exercise (m<strong>in</strong>i-CEX)<br />

This SLE is an observed cl<strong>in</strong>ical encounter. M<strong>in</strong>i-CEX should not be completed after a ward<br />

round presentation or when <strong>the</strong> doctor/patient <strong>in</strong>teraction was not observed.<br />

� <strong>Foundation</strong> doc tors s hould c omplete a m <strong>in</strong>imum <strong>of</strong> s ix m <strong>in</strong>i-CEX i n F 1 a nd<br />

ano<strong>the</strong>r six <strong>in</strong> F2. These should be spaced out dur<strong>in</strong>g <strong>the</strong> year with at least two<br />

m<strong>in</strong>i-CEX completed <strong>in</strong> each four month period<br />

� There is no ma ximum number <strong>of</strong> m<strong>in</strong> i-CEX a nd foundation doctors will o ften<br />

complete v ery h igh nu mbers <strong>of</strong> SLEs r ecognis<strong>in</strong>g t he be nefit <strong>the</strong> y de rive from<br />

<strong>the</strong>m.<br />

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