The Chair welcomed Simon Webster SpR Anaesthetics who is currently undertaking a management module.

Action

MEB Terms of Reference – Review and Update; Agreed, to be reviewed again in 12 months time.

Kent Surrey and Sussex Deanery have in place faculty groups. Liz Spencer felt that this was the way forward and would satisfy PMETB’s requirements. An educational group would be included within each department. These groups would be able to discuss WTD, educational compliance and would be able to give a group decision rather than an individual professional judgement on trainees. Clear pathways and evidence on how we deal with trainees in difficulty should be in place.

Dr David Goodrum continues to support CDs with job plan reviews. The NACTUK document Time for Education will be circulated to Dr Goodrum. 1SPA is allowed for tutor time, 0.25 is allowed for supervision of each trainee. Several welcomed this approach to support consultants justify their SPAs. Peter Fletcher added that some consultants are now diarising everything as evidence. Pauline Harper added that Price Waterhouse Cooper are looking at job plans and job descriptions.

Any Other Business – nothing raised

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Liz Spencer updated the Board on behalf of Brendan O’Leary. Brendan O’Leary has commenced his visits to departments to encourage good relationships with the specialty tutors and clinical supervisors. A educational and clinical supervisors database needs to be pulled together. All to send to Kate Bartlett a list of their trainees and their supervisors by the lst February 2009.

Kate Bartlett to reciprocate by sending list of educational supervisors for GPs by the lst February. Dr Raghuram added that GP portfolio cannot be accessed unless the trainee is present. It would be an asset to be able to do this as comments made by previous supervisors could be viewed. The structured training report should be completed and travel with the trainee. Brendan O’Leary has offered to arrange a meeting at both SEC or REC for the GP clinical supervisors to discuss the requirements of GP training and to learn about e portfolio. All were asked if they felt this would be a way forward. All agreed.

6 GP posts will be lost in August. 6 new posts will be on the 18 month/18 month rotation. Marie Wheeler said she had received training requests from GP’s wishing to attend Out of Hours but had decided that this would not be possible under clinical governance. Pauline Hibbert said she would discuss honorary contracts for the GPs with Marie Wheeler. Liz Spencer said she will continue to ensure paediatrics is within the GP rotations if she is offered any more GP posts.

Pippa Medcalf asked at what point should struggling trainees be referred to the Director of Medical Education? Liz Spencer said that this is was a valid question she added that she has written to the GP School advising that the DME will take the lead and will keep the GP School informed.

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Appointment of College/Specialty Tutors Update

Liz Spencer said that all new College/Speciality Tutors will be having a job description which clearly states what is expected. This job description has been through NACTUK but can be modified locally.

Walking the Talk and Talking the Walk

Walking the Talk - is a well known phrase –, senior staff role model, best practice so students/trainees see behaviour consistent with their taught teachings.

Talking the Walk – by articulating your thought processes junior doctors can learn to understand how clinicians make decisions. So as consultants walk around they need to talk. Sue Manser asked if Simon Atkinson could be approached to train senior staff on how to verbalise decisions through the Train the Trainer programme. It was thought that this process will be invaluable for UTOPIA.

RCPE UK Consensus statement on Acute Medicine

Tom Pickett and Dr Raghuram said that Emergency Medicine and Acute Medicine would continue to be separate specialities.

An email has been circulated from the Chief Executive stating that all study leave is to be cancelled until further notice. Liz Spencer confirmed that doctors in training who have training requirements which they have to undertake to satisfy their programme curriculum can take that study leave. Liz Spencer to clarify in an e mail to all educational supervisors to reiterate this. Sue Manser added that the trust would appreciate no extra costs during the next 12 weeks.

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Trust Procedure for Handling Doctors in Difficulty

Document discussed and agreed. It should be placed on the Postgraduate Website for easy referral. Sue Manser suggested the document be sent to Sue Dennis prior to loading on the web. A discussion at what level concerns should be recorded. Pauline Hibbert confirmed that anything written should be shared with the doctor in difficulty. Kate Bartlett raised concerns over where paperwork would be stored. Steve Arnott explained the system that he used. It is imperative that all keep a good record of meetings that take place and there should be a central store for trainees records – query in Postgrad. Kate Bartlett to discuss with the new HR Director.

Newcastle Upon Tyne – Supervision of junior Medical and Dental Staff

Liz Spencer asked if the Board considered the trust should adopt such a policy. Sue Manser said that this would be good evidence. It was agreed that this document would be redrafted.

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Quality Assurance

• Deanery QA Questionnaire - not discussed as Dr Raghuram had left the meeting
• LDA Visit - Sue Manser confirmed that this visit was taking place on the 15th January. They will be discussing our strengths and weaknesses and working through the Action Plan. Sue Manser thanked all who had supplied evidence.
• GMC/PMETB are visiting the Severn Foundation School in June and we may get visited. Liz Spencer asked that staff be released if they are requested to attend this meeting.

Post Meeting Note: Glos is not being visited.

 The Deanery have requested an end of placement evaluation to be completed. Concern was raised as to what will happen to the data. Data has been collected by Postgrad for the last four years. Liz Spencer explained that the due to the commissioning/provider split they have responsibility for monitoring and providing evidence showing we are adhering to national standards. It was felt that data provided by Postgrad would be reliable and could be used by both us and the Deanery. Liz Spencer asked the Tutors to discuss this at the Specialist Training Committee.

PMETB National Survey for Trainees – January/February – please encourage trainees to complete the Trainers survey. March – please encourage all consultants to complete.

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E learning platform has been purchased from E2Training. Mandatory training will be available on this system by August 2009. The system will record who and when has accessed. Ed Iles has taken on the role of e learning technologist and will be working on the e learning project.

Liz Spencer added that Specialty Induction links are on the web and trainees should be encouraged to complete these before they rotate. Kate Bartlett to send a reminder email.

Sue Manser asked for volunteers to develop a skills matrix and identify different training skills required under UTOPIA. She is working with Doctors.Org on emergency medicine. Please e mail Sue Manser direct if you are interested.

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SAS Update

Peter Scanlon introduced himself. He has taken on the role of SAS Tutor with the help of Sean Santos and Lynne Glover and are developing a support and training structure for the SAS doctors. He stressed the need to offer these grades the opportunity for career development. A trainer has been employed to help with learning needs analysis and programme provision.

Foundation Programme

It is important that the FP Lead in each department is known to and communicates with the Specialty Tutor. Other updates already covered:

• Placement evaluation
• PMETB visit
• All reminded that trainers required to be trained if undertaking assessments or Educational Supervisor Roles before 2010.

This date now clashes with the Joint Peninsula and Severn Educational Conference. After discussion all agreed that the Gloucestershire PGME Conference should remain as advertised. Trainees to be encouraged to produced education focused projects/ audits for this conference.

Items to Note

Minutes of ELD Meeting – noted

Minutes of the Foundation Programme Committee – noted

Wednesday 9th July 2009

2:00pm to 4:00pm Sandford Education Centre