What do foundation doctors need to do with the summary narrative?
Do foundation doctors complete a summary narrative every four months or just once for the year?
The summary narrative is a live/working document and foundation doctors should start/update their narratives towards the end of each placement. It is for the foundation doctor to critically appraise their placement/year. The summary narrative is not pass/fail but formative; it is another form of reflection.
Is the Placement Supervision Group (PSG) Feedback requirement similar to the TAB but with raters chosen by the CS rather than the foundation doctor?
The collection of rater feedback works in a similar way, but the information that is collected, and its purpose, is different. The development of the PSG feedback process has been driven by foundation doctors. Foundation doctors fed back that the TAB gives them feedback on their general behaviours, and they also wanted something that gives them feedback on their competence as a doctor and how well they understand clinical aspects/situations. The PSG facilitates this sort of feedback.
Is there a minimum number of members needed in the PSG?
No, but ideally at least 3 colleagues will contribute. The clinical supervisor can ask senior nursing staff, senior consultants, GPs, or other members of the multidisciplinary team. The PSG is driven by the supervisor (not the foundation doctor) and the information gathered can help inform the end of placement report.
Should the foundation doctor have a say in who to ask for PSG feedback?
The PSG is initiated and managed by the clinical supervisor. While the CS and their supervisee should discuss who the PSG members are, it is the CS’s decision who they invite to feedback.
Can additional TABs or PSGs be done if a supervisor have concerns about a foundation doctor?
Yes, supervisors can request for additional TABs or PSGs during the year.
The TAB/PSG should be completed near the end of the placement it is relevant to (and not carried over to the next placement).
– Foundation doctors should aim to get their TAB completed in either placement one or two.
– CSs should aim to complete a PSG feedback round for their supervisees in either placement one or two.
This will allow foundation doctors and their supervisors to address any issue(s) in placement three of each year of training – the third placement can be used as remediation.
Some placements are ideally set up for PSG, for example in General Practice a foundation doctor will work directly with a group of trainers. Foundation doctors can have a TAB and PSG in the same placement, but this will be dependent upon how the placement is set up.
What should happen to attention items/concerns from previous placements/grades of training? Do trainers need to do anything other than guide foundation doctors in addressing any issues?
Supervisors are required to monitor, comment on and close (when appropriate) any attention items/concerns raised about a foundation doctor in their e-portfolio. Closed items will remain on a foundation doctor’s record. Each e-portfolio system provides support on their website on how to use the attention items/concerns feature.