Page Contents:
- Description
- Scope
- User Journey
- Scenarios
- Field Validation
- Related JIRA ticket links
- For Discussion & Assumptions
- Agreed Next Steps
Description Table of Contents
- Approvals - Business Manager Call
- Approvals - EOE
- Approvals - Scenarios
- Approvals - Field Validation
- Approvals - Feedback
Background
All training programmes should be approved by the appropriate regulator, College or other approval giving body or individual. In the case of GP programmes this also includes the practice site and trainer.
For MVP, this covers only GP sites and trainers.
Component TIS-645
Scope
Manage GP Site Visits
Manage GP Trainer Re-Accreditation Visits
Manage GP Re-Accreditation Notifications
Record Approval Status for Trainer
Record Approval Status for Sites
Background
Current Usage
Recognition and approval of GP trainers (GMC)
Postgraduate bodies include Health Education England and its local offices, NHS Education for Scotland, Health Education and Improvement Wales and the Northern Ireland Medical and Dental Training Agency. They manage the delivery of postgraduate training and must show us they are meeting our standards. (GMC website, 2019)
Deaneries and local offices must check that their training locations meet the standards set out in Promoting excellence. This guide brings together useful information for postgraduate bodies, to illustrate how we quality assure training locations and approve trainers, so we can be sure our standards are met.
Under the medical act, GMC can approve and publish a list of GP trainers. However, we don’t currently approve specialty, Foundation, and undergraduate trainers, but we have a process for the recognition of these trainers. This is a local process that involves deaneries, local offices and medical schools making sure trainers meet the required criteria.
GMC publishes information about trainers on the medical register. This includes doctors who have been recognised as a:
- named postgraduate clinical supervisor
- named postgraduate educational supervisor
- lead coordinator of undergraduate training at each placement location; or
- doctor responsible for overseeing students’ educational progress at each medical school.
Doctors who hold one or more of these roles have a note on their medical register entry to say ‘This doctor is a trainer recognised by the GMC’.
Doctors whose practice contributes to the teaching, training or supervision of students or doctors in training don’t need recognition.
Local recognition may be available to trainers not currently in the four specific roles, including non-medical trainers.
Criteria for trainer recognition - used by GMC
We use the Academy of Medical Educators' Professional standards for medical, dental and veterinary educators (2014) as the criteria against which all trainers in recognised roles must provide evidence of their ongoing professional development. Although these standards have since been updated, we still use the 2014 edition for approval and recognition of trainers.
7 Areas/Domains/Criteria for Approval of Trainer by GMC
- Ensuring safe and effective patient care through training
- Establishing and maintaining an environment for learning
- Teaching and facilitating learning
- Enhancing learning through assessment
- Supporting and monitoring educational progress
- Guiding personal and professional development
- Continuing professional development as an educator
It is the responsibility of the medical school (undergraduate trainers)/ deanery or HEE Local Offices (postgraduate trainers) to update and maintain their list of approved and recognised trainers with GMC through their secure portal, GMC Connect.
Current list of GP Approved Trainers
Current Usage in Local Offices (Is this still up-to-date?)
Location | Intrepid Used | Volume of GP / Practices | No Users | Comments |
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London & South East | Yes | TBC Sites 1327 trainers | 2 |
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East Midlands | Yes | 250 sites 550 trainers | 3 |
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West Midlands | Yes | 464 sites 1321 Trainers | 6 |
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East of England | Yes | 600 Sites | 3 |
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North East | Yes | 196 Sites 197 Trainers | 1 |
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Yorkshire & Humber | Yes | 560 Sites 496 trainers | 20 |
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North West | Yes | 700 trainers 500 sites | 6 |
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Wessex | Maybe | TBC Sites TBC Trainers | TBC | Clare Clare Frances to confirm points of contact |
Thames Valley | Yes | 120/130 220 | 2 |
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South West | Yes | TBC Sites TBC Trainers | 2 | TBC by Alice Brindle 01752676151 / Andrew Horton 01454252696
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Scope for Recording Approvals on TIS
Minimum Viable Product (MVP) (TBD)
For MVP, users will be able to
- record the approval type,
- Start and end dates against a trainer person record - this, in turn, will inform whether a trainer can be assigned to trainees, programmes etc across TIS and
- Start and end dates against Site reference - to inform whether sites are current and approved for use.
Post-MVP
- Manage site approvals
- Define pathways
- Assign pathway to trainer
- Confirm trainer accreditation
- Expiry notification
- Manage site visits
Recommendation (To be reviwed - Is this still valid?)
Approvals is are widely used for GP practices and others across nearly all Local Offices
- Develop a solution to support - the solution would entail allowing users is to enter periods of Approval into reference data for sites, however, may be more complex for trainers and requires further investigation, as well as granting access to Trainers (see here for Trainer UI)
- All teams use Hicom supported service (tbd - is this still valid?)
Manual workaround - use email / spreadsheet system until a solution can be developed
User Journey
JIRA Tickets
View file | ||||
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User Stories/ Jira tickets
No. | User Story | Acceptance Criteria | Jira tickets | ||||||||
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1. | As an Administrator I want to record the educational approval against each Programme/Site or Trainer So That I can demonstrate and maintain the approvals held by a Programme, Site or Trainer and those meet the standards set out by the GMC |
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2. | As a HEE Admin I want to be able to record and maintain Sites approval periods against sites So that I can ensure Approved sites are used to manage placements on TIS and meet the standards set out by the GMC |
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3. | As a HEE admin I want to be able to record and maintain Trainers approval periods on TIS So that I can ensure Approved Trainers are used as Educational and Clinical Supervisors against Placement on TIS and meet the standards set out by the GMC |
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4. | TBC As a HEE admin I want to be able to record Trainers approval periods on TIS in bulk So that I can maintain them in an efficient way on TIS. | TBC - Alistair Pringle (Unlicensed) - do we need this? | |||||||||
5. | TBC As a HEE admin I want to be able to record Sites approval periods on TIS in bulk So that I can maintain them in an efficient way on TIS. | TBC - Alistair Pringle (Unlicensed) - do we need this? | |||||||||
Jira Legacy | ||||||||||
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Discussion & Assumptions
# | Question | Comment | Owner |
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1 | what is a domain? | domains are defined by the GMC, standards required for recognition = domain (see link sent by James - http://www.gmc-uk.org/education/10264.asp <http://www.gmc-uk.org/education/10264.asp> | Alistair Pringle (Unlicensed) |
2 | what’s the relationship between accreditation pathway and domain? | An accreditation pathway sits under a domain as an evidence record, a single role can have muliple domains against it. An accreditation pathway constitutes of 1 or more domains. Domains are managed under reference data in Intrepid. | Alistair Pringle (Unlicensed) |
3 | what’s the report functionality purpose? | Allows users to pull reports on what approvals are complete etc. | Alistair Pringle (Unlicensed) |
4 | what are free CPD points? How are they used if at all? | Not recorded in Yorkshire & Humber local office | Alistair Pringle (Unlicensed) |
5 | what other evidence types are there? | custom [free text] / course [reference table list] /alternate [doc/meeting/teaching session] | Alistair Pringle (Unlicensed) |
6 | what does verify evidence bring up? | Approved / Partially Approved / Not Approved Course approval must be completed before entering into the system | Alistair Pringle (Unlicensed) |
7 | How are GP sites being catered for in reference data? | There's a site approval date section against each site on the site reference table UI. | Alistair Pringle (Unlicensed) |
8 | whats the impact of not knowing whether they have trainees assigned to a trainer? | Needs to be known, to ensure any risks of non-accreditation is managed | Alistair Pringle (Unlicensed) |
9 | is it necessary to view list of all evidences submitted? | Yes, a drop down would be helpful (se #6) | Alistair Pringle (Unlicensed) |
10 | do they need to be able to upload documents (see alternate)? | No documents needed for Y&H local office; any certification maintained by Trust | Alistair Pringle (Unlicensed) |
11 | should courses be linked to courses and events for trainees? | it looks like courses can be paid for by HEE (as course cost is a field) | Alistair Pringle (Unlicensed) |
12 | Who are the users that can manage accrediation pathway and domains? | Local Office admins and Trust admins | |
13 | What is the relationship between an accreditation pathway and role/s? | An accrediation pathway can be created with multiple roles | Alistair Pringle (Unlicensed) |
14 | What is the relationship between an accrediation pathway and a Local office/s? | An accreditation pathway can be associated with one or more Local Offices on creation. | Alistair Pringle (Unlicensed) |
15 | What is the relationship between site approval and trainer approval from an admin perspective/visibility? | Processes are different but managed by the same administrators very often (Quality teams) | Alistair Pringle (Unlicensed) |
16 | What is a Tracker and its relationship to a Site Visit? | Sites are approved after receiving 'Visits'. These visits can result in recommendations and the steps required to suffice the recommendation can be recorded in a 'site visit tracker' | Alistair Pringle (Unlicensed) |
17 | Do site visits need to be recorded? | I don't think this is necessary as visits are so interlinked with site approvals. possible that we can add a field or 2 if desired by the SMLs. | |
18 | Who defines the "other" pathways? Do admins need access to the reference table to do this? | pathways and roles are interchangeable in this instance. Hopefully we can get agreement on a stable set of values. | |
19 | Do we need any more roles than educational / clinical supervisor available to approvals system? | Yes | |
20 | Are pathways now rationalised? ie. can the same pathways be used across all local offices? Do we need to rationalise them ahead of TIS launch? | we do need to look into rationalising these. | |
21 | How do we display existing approvals? Read only? We may not show all fields, does this matter? | Editable | |
22 | Do attendees complete a course per domain, or a course per pathway? | it varies. some courses satisfy multiple domains. | |
23 | Should notifications be in scope? i.e notify that a supervisory's approval is coming up for expiry, notifications of site visits due, notification to supervisor? | not at this point as it can be dealt with via reporting. | |
24 | what interaction was planned for intrepid for trainers and would it make more sense administratively for the trainers to complete these forms? |
Agreed Next Steps
...
going forward i imagine the 'trainer ui' will be |