Foundation year Training for Junior Doctors

1
Foundation year Training for Junior Doctors

• The pharmacists role in assessment at the
  Chelsea Westminster Hospital
• Barry Jubraj
• Lead Pharmacist for Academic Studies
  Professional Development

2
What is Foundation Training

• New 2 year programme for all newly-qualified
  doctors in the UK from Aug 05
• 1st year F1 and 2nd year F2
• Curriculum document http//www.mmc.nhs.uk/pages/
  foundation/Curriculum

3
Aims of Foundation Training

• To build on undergraduate learning
• Ensure ability to identify/assess acutely ill
  patients
• Development of professionalism across a wide
  range of generic skills/competencies
• Enhance awareness of patient safety
• Prepare for future career

4
Curriculum Competencies

• Pharmacists know all about competencies!
• Now the junior doctors have them
• See handout of competencies (section 1) and
  syllabus (section 4) relevant to drug therapy and
  multi-professional working
• Pharmacists need to assess against competencies
  but the syllabus underpins these and provides
  criteria to assess against
• Later will suggest how to use these for the
  assessment tool

5
How does this affect pharmacists?

• The F1s/F2s will be subject to various forms of
  assessment
• One form is multi-source feedback from other
  people
• So pharmacists (see later - band 7) will be
  asked to provide feedback on relevant aspects of
  performance of junior doctors

6
How will pharmacists assess?

• The Mini Peer Assessment Tool (Mini-PAT) See
  handout
• If youre asked to complete anything else, please
  see Barry first
• Designed to assess performance
• Shortened from a larger tool to reflect validity
  for the MMC curriculum
• Before we go any further
• Should only take 10 minutes to complete

7
Administering Mini-PAT

• The DOCTOR is responsible for finding assessors
  and providing the form so they will approach
  YOU!
• Assessors MUST include other health professionals
  apart from doctors
• They need at least 3 assessors (pref. 8)
• Will be completed throughout the year but
  unfortunately it appears that formative feedback
  isnt provided at the moment
• You may be given a hard copy but the medics are
  moving towards electronic completion, so you may
  get an email instead

8
Guidance given to the F1/F2s

• Assessor
• Comparison is with the expected level of
  experience not with other trainees
• Only rate areas of which you have direct
  experience of the trainees ability
• Always write comments as the assessment is an
  educational tool and they may be helpful
• Should only take 10 min

• Trainee
• Choose assessors who will be able to fill in most
  of the qns
• Your current consultant must be included
• Fill in the self assessment form to reflect what
  is going well and what can be improved it is
  not a test

9
How should pharmacists complete the Mini-PAT

• Familiarise yourself with the curriculum/syllabus
  (relevant parts in handout provided)
• Ensure junior doctor has put name on top FIRST!
• Only assess against these relevant parts of the
  curriculum that you are familiar with, not by
  comparing against other F1/F2s youve known
• If there are questions you cant assess on, tick
  U/C
• Important You are giving an overall impression,
  rather than a detailed assessment
• Return Mini-PAT to F1/F2 after completion or
  follow the instructions on any email received

10
Specific questions in the Mini-PAT and how
pharmacists might answer

• Remember the assessment is an overall impression
  so the following mapping exercise is a guide
• Good clinical care
• Qn 1 4 U/C
• Qn 2 map against section 4 (2.2)
• Qn 3 map against section 4 (4.0 ii)
• Qn 5 map against section 4 (2.2)

11
Specific questions in the Mini-PAT and how
pharmacists might answer

• Maintaining good medical practice
• Qn 6 U/C or map against section 1 (4.0)
• Qn 7 map against section 1 (1.1. iv), section
  7.0 (ix), section 4 (1.1. iv), section 4 (2.2. i)
• Teaching training, appraising assessing
• Qn 8 map against section 4 (4.0 i)

12
Specific questions in the Mini-PAT and how
pharmacists might answer

• Relationship with patients
• Qn 9 may be able to comment depending on your
  involvement with the doctor. Map against section
  4 (1.5)
• Qn 10, 11 probably U/C but may be able to
  comment by mapping to section 4 (1.5)

13
Specific questions in the Mini-PAT and how
pharmacists might answer

• Working with colleagues
• Qn 12, 13, 14, 15 should be able to comment a
  lot here
• For each map against section 1 (4.0. i),
  section 4 (4.0. i, ii), section 4 (7.4)
• Qn 16 difficult to assess since this is the
  first year.
• Suggest make this judgement on the basis of
  ratings assigned to other questions because we
  MUST rate according to curriculum.
• However, remember its an overall impression.
  Hopefully you wont be rating below
  expectations often!

14
Specific questions in the Mini-PAT and how
pharmacists might answer

• Other details
• Probity health Probity honesty
• PLEASE write constructive comments overleaf
  remember you are an ambassador for pharmacy too
• MUST complete the demographics
• Reflect how will this change our relationships
  with the junior doctors?

15
Finally.

• When?
• Soon! Within the next month (Oct 05)
• Who can assess? (local CW guidance only)
• Band 7 pharmacists or above. Mike (Clinical
  Services manager) is compiling a list of pharmacy
  assessors will circulate. Other Trusts may
  form different guidelines
• If youre approached and youre not eligible to
  assess, please politely decline and explain why
  (Mini-PAT asks how long qualified and we need
  credibility).
• Encourage the doctor to ask their next ward/team
  pharmacist in advance if they would be eligible
  to assess, so that you give them something
  positive to go away with
• What next?
• Establish whether you can assess or not
• Familiarisation with the curriculum/syllabus