MRCGP Educational Supervision
Every trainee is allocated an educational supervisor (ES) for the whole of his or her training programme. In York, as in other VTS schemes, all trainers are involved in educational supervision.
The educational supervisor’s role overlaps with that of the clinical supervisor and is there to help the trainee by giving them feedback, keeping them on track for their training and helping them to develop in those areas where there is an identified need.
We recommend that the ES refers to:
1. The York two page guide to Educational Supervision
2. The RCGP eportfolio Supervisors’ Manual
3. Bradford VTS information for Educational Supervisors, particularly the 6-page guide for beginners.
Meetings should take place as follows:
· ST1: 2 meetings in first post, 1 meeting in second (i.e. 3 for that year: 1 informal + 2 formal)
· ST2: 1 per 6m post (ie 2 for that year: both formal)
· ST3: 1 per 6m post (ie 2 for that year: both formal)
Aug - Feb period: ES meeting: Informal first meeting in September if ST1, otherwise ES meeting January
Feb - Aug period: ES meeting late May/early June
The Educational Supervisor’s Role is expected to:
· Provide other feedback on the trainee’s progress and comment on the number and quality of entries, progress with WBPA and NOE.
· The trainee is encouraged to complete the ESR check-list prior to the ES meeting this is to ensure that they have competed all the evidence required. The trainee is also expected to complete the competency rating scale.
At or after the Educational Supervisors meeting:
· An Educational Supervisor’s Report (ESR) will be completed by the educational supervisor.
· This report will highlight any difficulties - either personal, educational or with the post.
· Therefore, the report has an “agreed action plan” to help the trainee.
The Deanery recommends that:
· There should be a high level of supervision throughout the final year as the year will be entirely in GP.
· It’s important to educate trainees about the quality of the log entries right at the beginning in ST1 stage. Getting in there early will help make the rest of the training journey (and future educational supervision meetings) loads easier.
· You need to be more vigilant at the ST2 stage too. Often all of these are in hospital posts where the risk of losing contact with trainees is high. We need to put in the effort to make sure that the GPSTRs are really up to date on learning general practice, developing their understanding of the GP competencies and demonstrating this.
· There is a move to expect more virtual supervision of e-portfolio by the ES, more reading and responding to log diary entries, more use of ‘educators notes’ (a section in the e-portfolio) to point out that somebody is behind (if appropriate). In other words, that we make sure we do not see doing the ESR meetings as the role of the ES but that these meetings are punctuations on a continuous (if intermittent) interaction between ES and GPSTR.
· Those who are behind or under-performing may need more meetings, as well as more continuous checking and reading and feeding back etc.
· The deanery expects all trainers to be an ES as required.
There is some excellent information for ES and trainees on giving and receiving feedback on the Bradford VTS website under Educational Supervision.
Educational Supervision and trainees with problems
The ES will have a central part in the support and management of trainees with difficulties. The ES will be supported in this by the local scheme and or by the locality performance team. A significant part of the role of the ES is making a full assessment that looks at all aspects of the trainee and the use the links to provide a structure for review of the problem and the help the ES and the trainee look at the competencies in a structured manner.
For further information:
To help assess trainees in difficulty.
RDMP Self Assesment
To help assess trainees in difficulty.
Areas for the ES to review
Areas for the ES to review when reviewing progress of a Dr in difficulty (Word Doc)
York VTS Guide for Educational Supervisors 2018
ESR Checklist 2018
A toolkit for helping doctors in difficulty
Mike Thomson's powerpoint on how to use RDM-p