23 January 2017 - Transform offices
Contact
Jenny Isherwood
07815 134411
Background
- Surgical trainee - Higher Specialty 3 (? check this - has done 6 years training incl. Foundation) general ST6 General surgery (3 years training remaining) - Registrar
- Thames Valley (Oxford)
- Currently on the National Medical Directors leadership and management fellowship working in external relations at Royal College of Physicians (OOPeOOPE)
- Very interested in process improvement and the way that technology can support this - self-taught basic coding to build the Oxford School of Surgery website and an app for one of the local trusts: "I am a huge ambassador for the use of technology to improve efficiency and simplify processes"
Notes from discussion
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Materials used: Big Picture; Assessments App Map; video demo of Assessments/trainee portal (incl. desktop & mobile)
Work-based assessments/ePortofolio
Interested in where TIS fit in with ePortfolio - have to do all workplace-based assessments on ePortfolio.
Royal College of Surgeons ePortfoilo is Intercollegiate Surgical Curriculum Programme - ISCP (https://www.iscp.ac.uk) (NB - website includes detailed descriptions of different assessment types including sample forms etc in its public space). ISCP has been recee
Log in to ISCP at least once a week.
Different types of workplace-based assessments - all on ISCP:
- CBD - Case-based discussions: trainee sees patient, discusses with consultant, links experience/discussion with curriculum topics → send to assessor who gives feedback and signs off
- CEX - Clinical Examinations: Assessor will observe trainee examining a patient. Not always directly observed - if assessor is confident of trainee's ability may sign off based on word of trainee
- DOPS - Direct Observations of Procedural Skills: assessor observes trainee undertaking specific procedure - tends to be more basic procedures and more junior trainees (registrars wouldn't do this as will have demonstrated competency in these procedures earlier in training)
- PBA - Procedure Based Assessment: observational assessment of more detailed procedures e.g. complete operations
- Annual 360 degree /TAB feedback: Trainee completes self-assessment; same form completed by 12 others (range of colleagues both clinical and non-clinical); all managed through ePortfolio - 'raters' chosen from list or trainee can invite others to register (needs to be a certain quota of different roles included). Completed forms accessed by Educational Supervisor who shares summary with trainee. Can investigate any issues flagged by raters.
All of these managed on ISCP including workflows etc for sign off.
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Dashboard with alerts etc. Detail pages where trainee logs information. Structured areas for each type off assessment - forms with workflows etc. Example screens:
For ARCP
Education Supervisors get a summary view of assessments completed. This is what is reviewed by panel in ARCP.
Trainee perspective of what's needed from Trainee Portal
Want to know:
Training days
- What training is available? e.g. Regional teaching programme - might be 4th Friday of every month
- Currently just relies on sending out emails
Oxford School of Surgery Website
Got funding from TPD to set this up & run for 3 years - funding will run out this summer
Was a need for this because Thames Valley deanery website is out of date (training information is on a website linked from the HEE Thames Valley section on the main HEE website:
"Postgraduate education information for doctors in the Thames Valley is available on a separate website - www.oxforddeanery.nhs.uk"). Still called 'deanery' and the information on Surgery only lists 3 of the specialties available. (NB - these pages currently state they are under review). Anyone applying for Surgical training at Oxford would look at the website - fact it doesn't list all specialties says a lot. Not having good information means that you won't get the best trainees.
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| View file | ||||
|---|---|---|---|---|
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User needs | Who |
|---|---|
| Any interface between eportfolio and TIS should not duplicate trainee efforts already require on eportfolio | T-HST-Surg |
| Placements information - want to know where I am going next but also useful to know where others in my cohort will be placed | T-HST-Surg |
| Study leave/budget applications and expenses claims and way of tracking how much study budget used/remaining | T-HST-Surg |
| Sharing and publicising training opportunities (training days etc) - search by region or topic | T-HST-Surg |
| Register/request annual leave & record abscences - currently paper-based (not the same as required for Form-R which is non-study/annual leave) - outside scope as Trust process? | T-HST-Surg |
| ARCP notification - currently email with lots of attachments & link to Form R on Intrepid - opportunity to improve this (although Jenny doesn't find ARCP admin a problem) | T-HST-Surg |
| GMC Survey - would be great if a way that GMC website could alert system to fact that trainee has completed this. It's a requirement for ARCP and currently have to take a screenshot from the GMC website and send it in to HEE as evidence | T-HST-Surg |
| Design for mobile so that it is easy to complete Form-R and other tasks when you're busy (not have to wait until go home to do desktop version) | T-HST-Surg |
| Automatic alert to trigger support if trainee fails exams 2 or 3 times | T-HST-Surg |
| Better way for TPDs to manage training placements - do it manually on spreadsheets currently and suspect it's a real headache | T-HST-Surg |
| OOP application - online with workflows to enable relevant people (Head of School) to approve and (Programme Manager) manage (in the case OPPE) | T-HST-Surg |
Employment checks (passport/right to work, DBS, occupational health record) - way of these following you and not having to undertake them at each rotation (NB. HEE already working on this?? | T-HST-Surg |
ePortfolio
ISCP is Royal College of Surgeons ePortfolio. Example screens:
Oxford School of Surgery website
Trainee-developed site for trainees/applicants for Higher Specialty Training in surgery - filled a gap left by HEE website which has incomplete information e.g. only 3 surgery specialties lists (when there are more).
Not currently available due to lapsed licence. According to Jenny, no further funding available (was funded for 3 years).
