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 ES rather than the foundation doctor?
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, whereas the PSG gives them feedback on their competence as a doctor and how well they understand clinical aspects/situations.
Is there a minimum number of members needed in the PSG?
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 sent out by the clinical supervisor and members can be added or deleted as required. The 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 the PSG and TAB completed in either placement one or two. This will allow you address any issue(s) in placement three of each year of training.
Can additional TABs or PSGs be done if a supervisor have concerns about a foundation doctor?
Yes, you can request for an additional TABs or PSGs during the year. The third placement can be used as remediation. There are 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.