Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hi, everyone. Can you hear me? Are you guys able to hear me? Amazing. Did you guys get the first bit of the um presentation? Were you able to hear the start where I went into what the portfolio is and um looking into the tab? Ok. So you haven't seen the start? OK. You know what I'll do, I'll start again. Do, do turn your um mics off if there's any questions and um so that I can see just because when I present, I can't really see the chat. So at this point, I was just speaking when I didn't know if you guys were able to hear me. So what I'll do is I'll start the presentation again so that hopefully if you guys cos II don't think you guys could hear all of it and turn your microphones off. If you've got any questions, just give me a shout. Honestly, it's fine, right. I'll share my screen if you can't take the um if you can't turn your mics on um off on. Don't worry, I'll, what I'll do is every couple of slides, I'll check the chat um to just make sure there aren't any questions or any issues that are going on. Um Don't worry about it. I'll just check the chart. I didn't know you guys couldn't speak. OK, so I'll start again and then every couple of slides I'll um just check the chart. OK? Side. My name is Pria. I'm an F one currently at Kingston Hospital. And the session that I'm going to do today is basically looking at E Horis and um the portfolio requirements for F one. So what is E Horus? So EHO is basically on a portfolio that you guys will use for your foundation years. You a lot of um uh doctors in training will also use it as you progress for your career. And some of you may have also used it in med school. It's developed and maintained by NHS Health Education England. You basically use it to store evidence that you have in your training port in your training careers to show successful completion of the requirements that you need. So it can be like supervised learning events, any extra curriculum activities, any good feedback, any awards that you have, you basically store everything on your EHO risk, which is your electronic portfolio that you use to progress through your training years to register your local EHA portfolio admin team in your um medical education center will do that. So wherever you start working, there will be a local medical education department and they'll be able to register you for your EHA portfolio which should be done by the time you start. So you'll be provided with username and passwords um that you can use to log in. And I highly recommend that you log in ASAP just to get a, just to get um a vibe on what it's like. And you know, know where each tab is, know what it is, you have to complete so that when you start gaining evidence or when you start working, you can look at particular scenarios where you're like, OK, I can do a case based discussion on that. That's a good one that I can use or I can do a reflection on that. So try and try and log in as soon as you've got your thing to just see um just see how the EHO is. So when you log in initially, you've, you'll have your portfolio overview tab. So when you go under our portfolio, you'll go under o overview and there you still see all your personal details. So that will be your GMC number, your med school and all your rotations that you're meant to have under your rotations. You're going to have your clinical edu, your clinical supervisor and your education supervisor names and emails. You, you basically need that to contact them through the year um to organize meetings. Um Your local education department may also have emails and direct phone numbers that you can use to contact them if you're having trouble. Um But that will depend on where you are and where you're based. So just go in your portfolio overview when you log in um and just check all the information is right, if it's not right, speak to your local education department as soon as you find out, just so they can get any like issues or any concerns sorted out as soon as possible. So your clinical supervisor, so your clinical supervisor is, you typically have C three clinical supervisors for one year. So you have one for each rotation. And your clinical supervisor will typically be a consultant in the special e that you're working in their role is to observe you and collate evidence to al to allow to give, give it to you to add to your portfolio. So that when you reach the end of F one, your A RCP panel can have a look to see if you've reached the requirements. So what they do is they'll work with you to think of goals, a personal development plan, any feedback and also any evidence from your colleagues to see how you're doing and any like support that you may need to ensure successful completion of the placement and the year at the start when you see them, what they'll do is they'll basically introduce it will be an introduction meeting where they introduce e portfolio and a placement and discuss what the placement's about and think about what your learning requirements could be. They will help you and support you through your placement to ensure that your portfolio is up to date and ensures that it has all the evidence that is necessary. Typically, you need one meeting at the start and one at the end, the one at the start is where you think of your goals, think of your achievements, what you want to achieve in that rotation and think of a plan on how you're going to do it. The one at the end is your reflection on the rotation and any further support that you think you need when you start your next uh placement. Um You may also have meetings in the middle and that's just to see how you're going. It may just be that you, you're doing a project with your clinical supervisor and then you start speaking about your portfolio. It's basically anything because your clinical supervisor is gonna be your support consultant that you basically go to if you've got any concerns or any issues and they'll complete specific placement reports and um things for your portfolio to help you pass the year. Let me just have a look at the chart to just make sure there's no other concerns. OK? No questions at the minute. So moving on, you've got your educational supervisor. So you have one educational supervisor through the year. So unlike your clinical supervisor, you've only typically got one, it may vary where you are, but for most people, it's one they're different because they can be in any special e that's not what you're working in. And they basically, instead of observing you clinically, they look at the evidence that your clinical supervisor gives them or adds to your portfolio and they look at how you're doing if you're going to achieve your past for your F one and what further evidence you may need and guide you. They may tell you like, OK, I think you should do this. Have a look at, look, looked at your portfolio. I think you need more CBD S but I think you should show more evidence on assessing patients acutely within A&E or I think you should do another quality improvement project or I think you should, you know, enter this competition because I think it will look good. So your educational supervisor is kind of an academic person that will help you build your portfolio. Like not necessarily just clinically wise again, you're meant to meet them at the start and at the end, you may also meet them through the year and there you just discuss your portfolio learning goals and ensure your portfolio is up to date your responsibility. So when you start F one, it's your responsibility to just have a look at the requirements for successful completion of F one. I've got a link of it at the end and you'll, you'll be able to use that to know what sort of things you need to add to your portfolio and how you can achieve that food a year, you can think of little goals. You sort of need to be fully involved in organizing your meetings, your assessment processes, your ensuring that your forms forms are up to date. Um Basically ensuring that you have all the evidence, some supervisors unless enthusiastic in getting involved with your portfolio and others. So that's why you sort of used to need to use your initiative initiative to sort of take it upon yourself to organize meetings. If you're struggling, just get the educational department involved as soon as possible because they'll be able to also give you a hand with that and they can chase your supervisor up. Um So any issues, try and try and like sort it out yourself if not contact your local educational S um SU department and they'll be able to contact your supervisor. So the curriculum, the curriculum is really important. So your foundation curriculum, you can access that in your E Horace. That's a tab. It's based around those free ho those main free higher learning objectives under those H OS, you'll also have quite a um, a few subset of um requirements or objectives under them. You'll have about eight. When you add evidence to your portfolio, you need to map it to this curriculum er to a curriculum objective that you feel is appropriate. So if you've done like a CBD on assessing, like on managing a hyperkalemic patient you could probably map that under an accountable, capable and compassionate doctor cos under that. There will also be something like you are able to assess and acutely manage a patient in this setting. If you've performed like a teaching like event or something that you can map under HL O2, because under HL O2 from my memory, there's also teach the teaching effectively, like you're able to teach effectively um objective. So you can map it onto that. So there is basically objectives for each thing that is relevant and you'll be able to find one that is most appropriate. Typically, you need at least 8 to 10 evidence for each curriculum factor to allow successful completion of F one. So the summary narrative is basically what you start writing around October and November time, your educational supervisor will support you with this. It's basically a maximum of 300 words that you write to show evidence and support you on how you've re, how you've successfully sh like shown that curriculum, how you've met that curriculum point. The ACP will look at your summary narrative to see if you've done successful completion of that curriculum. So it's, it's basically your way to back yourself up to show that you've done, you've done the curriculum requirements that you need. It's a maximum of 300 words and it's something you start. But you also progress through the year to ensure that it's up to date and continually being written, your personal development plan. So this you complete at the start of each placement, you may also do one in the middle. You can do, you need free as a minimum, but you can do more than free. Your personal development plan is a specific learning outcome that you want to achieve. It can be broad or it can be specific. Um And what you'd write in that personal development plan is what the achievement, what the goal is, how you're going to achieve that. And once you've achieved that ha like reflection, your reflection on it and what are, what are the next steps basically? So it could be something like acutely managing a patient, patient. It could be like performing like a, performing a lumbar puncture in A&E like something really specific or really broad. It's what you feel is necessary for yourself and you work with your supervisors to think of an appropriate plan for yourself. OK? Let me just have a look at the chart to see if there's any questions. OK? It doesn't seem like there's any questions. So moving on your tab, so your tab is basically some of you may have done this in med school. It's a feedback tool that you release yourself in October to your colleagues that you work with and they'll be able to fill out um feedback on you. So you need at least 10 responses from what I can remember. Two need to be consultants three need to be junior doctors or doctors in training. Two need to be like um B6 or senior nurses and two needs to be other healthcare professionals like physios ot S dieticians. Um You release it in mid to end October and your educational supervisor will be able to look at all the responses to see whether they are adequate and whether like they, they meet your requirements. If one person shows any concerns in that tab, then your educational supervisor will show will basically mean that your tab is not really, is not, is not achieved. And you'll need to, you get one chance to do it again, which is in the next rotation. A lot of you will, will do it in the first rotation and you, it will be adequate. It will be enough to pass your F one. But if someone says like concerns about you, then your educational supervisor will be like, no, I don't feel this is like appropriate. I think you need to do another one to support your evidence that your, you can, you know, your, you have met the requirements for F one. So you can find it on the form start me tab. Um Before you send it out, I think your clinical supervisor will probably organize a meeting to sort of just be like, you know, what sort of people you can send it to, how to send it and what you need to do within that you've also got a self tab, that's basically a reflection that you can do on your performance um through the year or through a rotation. So a placement summary group is also similar to a tab, but this is requested by your clinical supervisor or your educational supervisor or directors of your foundation program in your rotation. It's done at the end of a placement, you only need one. You only need one as a minimum that is that is appropriate or adequate. So one where there's no concerns that are voiced. So they, your educational supervisor or clinical supervisor will send it to people that they want responses from and they basically highlight how you are working in a team, how you are clinically, basically just feedback about you to ensure that you've got enough evidence to show that you're a success that you will be successfully complete in F one I met and met the requirements locally. I would just check the local requirements of PSG S which are placement summary groups because in Kingston, I know you needed at least one consultant to also respond in additional to all your supervisors and things like that. So just check when you start what any local, if you have any local requirements, but usually there isn't and you'll be able to see the comments. So usually with these tabs and PSG S, you also get really nice feedback and um it's something that you can use, you know, as you progress through your career to show how you are clinically as a doctor. So this is just a little summary of your supervisor meetings and forms that you need to complete. So at the start, you've got your induction meetings and initial meetings. You may have you. Yeah, you may also have a combined clinical and educational supervisor. That's rare, but you may have it. In that case, they have a specific form that your supervisor will be able to fill out and they'll know what to do. And you'll also have a PDP, which is a personal development plan to do at the start. And at the end, that's what you guys have to do. It's just a little summary that you can take a picture of and there'll be a recording of this um that you can look back on once you're actually a bit more confident on using the portfolio PSG S and TABS. I would also try and do in your first rotation just to get it out of the way of because um if you've got one successful completion of a tab and PSG, then you don't need to worry about it through the rest of the year. If it's not successful, at least you've got some time to sort of to allow, to allow you to do it again and allow you to meet the requirements necessary to, for it to be successful. So, quality improvement. So you actually need one quip. Uh per year for the F one, you can do more than one depending on where you go for foundation years. Um Your local medical educational center will probably get you started on a quip. So like at Kingston, we were all given a quip to do for the year when you start a quip. Um You basically add it as evidence once you've finished it. So that may be your report. It may be like data collection, something like something that shows enough evidence that they've done a quip and map it under H and O2. Um Because that's where the specific I have taken part in quality improvement curriculum objective is and you can map it under there. Another thing I will say is if you don't get a chance to do a quip, the GMC releases a national survey every year around February March time. Um And it's open for six weeks. It's basically a survey that you fill out uh to show your experiences of an F one and your specific learning support um and supervision and what sort of improvements you feel are necessary. If you've completed that, you can add that to your portfolio and that can show evidence of complete in equip. Um So that you can, if you've completed that, you can use that as a quip, that's a nice, easy thing to add to your portfolio to show map it against HL O2 to show a quick um involvement psa so you guys should have done PSA in final year of med school. Some of you may do it in F one. Once you've passed it, you need to upload a certificate in a PSA tab as a specific thing. Um You need successful completion of a PSA to um ensure successful completion of F one. That's a requirement. Reflections. You need at least six a year, start early, anything you do, anything that you're worried about, just reflect on it. Um It can be with yourself, it can be with groups, it can be with your supervisor. They don't need to be clinical, it can be anything in your life really that's appropriate. Um And you can also map these to your curriculum, everything you do in terms of evidence for your portfolio, try and map it to your curriculum because then you don't need to worry about. No. Um Worry about if you have enough evidence for a curriculum when it comes towards the end. So as you do it, just map it straight away form R you do this at the end of the year. Um It's basically self explanatory. It's basically you, you have the opportunity to say if there's been any changes to your fitness. Um any leave, you outline your leave that you've taken for any strike periods in this form, any significant events. And you can also add any compliments that you've received. They use this to ensure successful completion of F one as well, personal learning log. So you need 60 hours per year. 30 of those need to be co learning. So depending on where you go, foundation school wise, um there will be, there will be an F one learning program. So for me, we had mandatory teaching every Thursday and that was two hours. Some, some um places I know do like a day, a month or like a half day every two weeks. Those are core hours. The mandatory teaching is core hours and you need to make sure you log that you need at least 30. Now. Non-core is what is the other 30? And that includes any other teachings. So, grand rounds, journal clubs, e learning any like teaching by the department. So if you're on a gen surge job and you have like local surgery teaching, add that into your um non core 60 hours is doable. You can do that if you start early, just make sure you attend your mandatory teaching because that's important and it counts to your hours. So even if you have more than 30 hours, it still counts to your 60. So just um make sure you attend as much teaching as possible. Ok. Let me just check the chart to make sure there's no questions. OK. Right. No questions so far. Right. So supervised learning events. So this is what basically makes the bulk of your portfolio and these are what you can see through when you go into your portfolio. So when you go into your portfolio and you click forms, you'll have all of these. So a mini CEX is basically an event where you've interacted with your pa with a patient. It's a clinical evaluation assessment and this can be anything from a ward round, a Clarin assessment. Next of kin update, you need six per year and you need someone that's higher than an F two or an F two. And above to observe you as a train trainer and sign you off adopts is what you do in med school. You also have to do that in your e horus. You need at least uh free a year. Um It can be anything, it can be things like ABG S catheters, Cannulas blood tests, even ECG S or even things like lumbar punctures. Um, and things like that. A CBD is a case based discussion. That's a discussion between a trainer, which is your thing, that's your, um, person that's gonna sign the form off and you. So it's something that may be a clinical case. It may be, um, a difficult case. It may be something that's interesting to you. It may be something that you want to discuss further. A DCT form is a teaching form, but you can also use it as a presentation. So the trainer, which is who you're gonna, who's gonna sign this off will observe you undertaking a teaching event or a presentation. It's where you present. So if you give like a teaching a lecture to med students or at grand round, then you can get a consultant to sort of sign you off on that. You only need one of that per year and then learning leader forms are more specific. Um You don't really require them, but you know, it's good to do them if you can, a learn is basically based on any specific learning events that you wish to reflect on. So like you can do it if you've made like a mistake or made an error. Um Or if you feel like you could have improved on how you've assessed someone or if a consultant gives you some feedback, some constructive criticism, you can ask them, can I send you a loan form so that we can discuss this further? A leader form is basically demonstrates your leadership within a clinical situation. Um You don't, you really need to do it as an F one. It can be difficult to find a scenario to do it as an F one, but you can do it. Um It's not a requirement, but obviously, if you can then please do um do one and as, as you do these supervised learning events. So CBD S mini CEX DCT S try and map it to the curriculum as you go along. So your ACP so your A R occurs at the end of the academic year. So typically it gets to May and the 31st of May, your portfolios will close. So at that point, you can't add anything to your portfolio. It will be closed. That's because the ACP which is the annual review of competency of progression is made up of medical professionals. They will look at your portfolio to see if there's enough evidence to show that you can work safely independently and that you've met the requirements for successful completion of F one. Once they've had a look at that, they'll give you an outcome. So the outcome may be, yes, you're fine. You've completed F one well done, you can progress to F two. The other, another outcome may be, you know what, like you, you know, you haven't done like you've done some, but you still need some work. We're going to extend your training by three weeks by three months or by half a year. The other may be like, OK, you've just not done enough or you, you, you're a concern or we're concerned about you and we have to have a meeting and think about the next steps. This is also a place where they can give you really good feedback. Um and they can, and they usually decide awards. So I know local like deaneries or local foundation schools um and trust will have medical education awards and things like you. An award will be there for like best portfolio. So don't so try and do your best for your EOR because you can get best portfolio and this is where they'll decide. And this is basically a link on the successful completion of F one. It goes into the necessary requirements which I've outlined through the talk. Um I'll copy and paste this link into the chat so that you guys have it and you will be able to download it so you can have a look before you start and you know, think of goals for yourself. And this is a feedback link, which I'll also add to the chat so that you can, you guys can fill out feedback for this session. So thank you very much for listening to me. I'll stop sharing and copy and paste these links to um the chat. Let me know if you've got any questions. Yes. So yes, it should. This um this talk will be recorded and it should be shared by attendees. Um So you guys will be able to have a look at, go back on a session. Um Have a look at certain information. We are recording the whole webinar so that you guys can look over it again. Have you guys got any other questions? Thank you. No worries guys, I'll put my email in the chat as well actually. Um So that if you guys have any questions, just let me know, our next session will be next Wednesday. Um The time I don't know yet, but we'll be advertising it around, but it should be next Wednesday and it will look into more specific information on what the f one role actually involves.