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An Overview of the Foundation Programme in - London Deanery

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

Guidance for foundation doctors and tra<strong>in</strong>ers<br />

This guidance is designed to accompany <strong>the</strong> ‘SLE Frequently asked questions’ document.<br />

What is <strong>the</strong> ‘develop<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ical teacher’ tool?<br />

Develop<strong>in</strong>g t he c l<strong>in</strong>ical t eacher i s a s upervised l earn<strong>in</strong>g ev ent ( SLE) t ool us ed t o aid <strong>the</strong><br />

development <strong>of</strong> a foundation doctor’s skill <strong>in</strong> teach<strong>in</strong>g and/or mak<strong>in</strong>g a presentation.<br />

Who can contribute to <strong>the</strong> develop<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ical teacher?<br />

<strong>Foundation</strong> d octors will o bta<strong>in</strong> mo st b enefit if <strong>the</strong>y re ceive feedback from a v ariety o f<br />

different people. Feedback should usually be from:<br />

� s upervis<strong>in</strong>g consultants<br />

� G P pr<strong>in</strong>cipals<br />

� doctors who are more senior than an F2 doctor<br />

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

� allied health pr<strong>of</strong>essional colleagues.<br />

How does it work?<br />

<strong>Foundation</strong> doctors are expected to demonstrate improvement and progression dur<strong>in</strong>g each<br />

placement a nd t his will b e helped b y undertak<strong>in</strong>g frequent SLEs s uch as d evelop<strong>in</strong>g t he<br />

cl<strong>in</strong>ical t eacher. Th e foundation d octor will b e encouraged t o develop skills i n preparation<br />

and scene-sett<strong>in</strong>g, delivery <strong>of</strong> material, subject knowledge and ability to answer questions,<br />

learner-centredness and overall <strong>in</strong>teraction with <strong>the</strong> group.<br />

The nature and content <strong>of</strong> <strong>the</strong> teach<strong>in</strong>g encounter should be chosen jo<strong>in</strong>tly by <strong>the</strong> foundation<br />

doctor and tra<strong>in</strong>er to ad dress <strong>the</strong> learn<strong>in</strong>g needs <strong>of</strong> both <strong>the</strong> foundation doctor and those<br />

be<strong>in</strong>g taught. Feedback and actions advised for fur<strong>the</strong>r learn<strong>in</strong>g are recorded solely for <strong>the</strong><br />

foundation doctor’s benefit.<br />

What areas should develop<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ical teacher focus on?<br />

Develop<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ical teacher is most useful when consider<strong>in</strong>g <strong>the</strong> follow<strong>in</strong>g areas:<br />

Focus <strong>of</strong> encounter<br />

Positive <strong>in</strong>dicators<br />

Preparation and sett<strong>in</strong>g Creates an appropriate environment, checks resources are<br />

available/work<strong>in</strong>g <strong>in</strong> advance; uses resources appropriately.<br />

Teach<strong>in</strong>g Introduce self; <strong>in</strong>troduces <strong>the</strong> topic; establishes prior learn<strong>in</strong>g;<br />

uses an appropriate pace; clear and logical teach<strong>in</strong>g;<br />

Subject knowledge and<br />

ability to answer<br />

questions<br />

reviews/summarises key po<strong>in</strong>ts; manages time.<br />

Understands subject matter; answers questions clearly; aware<br />

<strong>of</strong> own limitations.<br />

Interaction with group Ma<strong>in</strong>ta<strong>in</strong>s eye contact; ma<strong>in</strong>ta<strong>in</strong>s participants’ attention;<br />

facilitates group participation.<br />

Remember: Not all question areas need be assessed on each occasion.<br />

What is <strong>the</strong> reference standard?<br />

When giv<strong>in</strong>g feedback to F 1 doctors, tra<strong>in</strong>ers should consider what <strong>the</strong>y would expect for<br />

satisfactory c ompletion o f F 1. Si milarly for F 2, t ra<strong>in</strong>ers s hould c onsider w hat th ey w ould<br />

expect for satisfactory completion <strong>of</strong> F2.<br />

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