Sheet 1 Dec 2013
Who can be an Educational Supervisor (ES) and what are they paid?
In Severn Deanery, the ES is usually the GP Trainer who is to supervise and have the GPST in their practice during the ST3 year. It is possible that an individual ES may be supervising 3 trainees, one in each of ST1, ST2 and ST3. Currently an ES receives payment of £500 per year for each ST1/ST2 that they supervise and receives a trainers’ grant when the GPST is attached to their own practice.
What is the role?
The ES is responsible for overseeing training to ensure that the trainee is making the necessary clinical and educational progress. The ES supports the trainee to ensure that they get the best out of their training programme, realise educational opportunities, and helps to tailor their programme appropriately to their learning and developmental needs. The 6 monthly ES review resembles an NHS GP Appraisal, where the ES encourages critical reflection, gives constructive criticism, the opportunity for feedback and provides guidance in developing the trainee’s professional development plan (PDP).
Does the ES have a role in managing trainees in difficulty?
Although the primary role of the ES is to be nurturing and supportive, the ES also has an important role in picking up trainees who are potentially in difficulty, and should be aware of where and how to refer trainees where there are concerns or problems..
How often should the ES and GPStR meet up?
The ES is expected to meet with the GPStR every 6 months to formally review the relevant 6-month period of training at the ES Review. Other contacts are also usual. A visit to the ES practice within the first six weeks of training is recommended. It gives the opportunity to establish early personal contact and to invite the GPStR to make further contact should they have particular issues or problems. It is a useful time to check that the trainee understands the use of the ePortfolio, the expectations of work place assessments and completion of the learning log. It is worth a reminder that assessments should be spread evenly over the placements and not just crammed into the few weeks before an ES review! These recommendations should be documented in the ePortfolio Educator notes pages. The trainee should enter learning from these meetings in the learning log under the heading "placement planning meeting".
Should there be contact between review meetings?
There is the opportunity for regular direct contact during the trainee’s “days in practice” (1 day every 2 months), when, as well as “touching base”, the ES can start a programme of induction for the GP attachment. These days will also help them to relate the hospital posts to general practice. Some ES find it helpful to access the trainee’s ePortfolio during these days to have an idea how the WPBA is progressing and to look at the learning log. Should the trainee not be collecting evidence adequately, then a documented discussion by the ES will be helpful, and is likely to make the 6 monthly review more fruitful. At the 6 monthly review, the GPST will need to have completed the minimum number of formal assessments (COTs, CBDs) and also to have made regular reflective entries in their learning log.
Should the ES read through all the learning log entries between review meetings?
The ES will only be able to view the log entries which the trainee has decided to “share”. The GPST should be encouraged to share those entries that show coverage of the GP curriculum or behaviours or learning that address the curriculum competencies. The ES should validate (link) log entries against competencies if they provide evidence likely to be useful at the review meeting. When an ST1 or ST2 is undertaking a general practice placement, it is expected that their GP Clinical Supervisor will be looking regularly at the ePortfolio and commenting on and linking log entries. GP clinical supervisors also complete a report (CSR) at the end of these 6-month attachments, which gives useful information from an independent GP supervisor to feed into the ES review meeting.