at the beginning of a shift where a Clinical Supervisor is supervising unknown amber (green) trainee plan developed (and recorded in the e-portfolio) to clarify what steps the trainee should take and how evidence of progression will be measured. Level of supervision - AMBER (Direct/Close Supervision) Close supervision of the trainee who consults independently but with the clinical supervisor close at hand (in the same building) The model for amber supervision is based on graded experience. OOH CS undertakes an initial review with trainee to review experience An accelerated process of direct observation of the trainee may take place at the start of the session Trainee routinely consults separately, with supervisor immediately available for discussion of cases Joint consultation where appropriate Trainee is offered opportunity for observed practice to gain feedback on Trainer/ES Guidance for assessing going from AMBER to GREEN The judgement concerning the level of supervision most appropriate for a trainee must be made by the Trainer/ES For a trainee to move from AMBER to GREEN there should be evidence that they have met the learning outcomes Trainer/ESs should discuss the RAG rating with the trainee and should record this discussion and judgement in the educator notes of the trainee’s e-portfolio. Where a Trainer/ES has concerns regarding trainee progression towards green the specific concerns should be shared with the trainee and an action plan developed (and recorded in the to clarify what steps the Learning Outcomes to be achieved for moving from AMBER to GREEN Demonstrate a working knowledge of the OOH organisation and infrastructure Demonstrate a good working knowledge of OOH IT systems Demonstrate safe prescribing to include use of opiates and drugs of abuse Demonstrate a good understanding of the management of common medical / surgical / psychiatric conditions in OOH setting Demonstrate enhanced consulting skills in telephone triage, to include: • Establishing rapport, eliciting patient’s ‘ICE’, use of appropriate language Appropriately managing communication with third party Exercise communication skills for assessing the ‘urgency’ of a presentation Recognition and management of clinical red flag symptoms and signs Performing ‘safety netting’, and show awareness of telephone triage ‘risk’ and its management Months of ST3.
performance End of Session debrief with OOH CS and OOH record sheet completed with feedback to trainee trainee should take and how evidence of progression will be measured. What to do when a call is going ‘wrong’ Managing failed calls- patient engaged or not answering Effectively forward patients to other appropriate sources of OOH help Demonstrate awareness of the factors that influence referrals in OOH setting Show level of reflection to include impact of experience of learning on future patient care Demonstrate evidence of effective collaborative working with colleagues providing OOH clinical, social and other services Demonstrate an appropriate approach to personal security and awareness of security risks to others Level of supervision – GREEN (Indirect Supervision) The model for direct supervision is based on: Trainee manages caseload independently but with access to a supervisor. Supervisor readily available for discussion of problem cases (remotely or rarely by joint Trainer/ES Evaluation: Gaining competency in WPBA through OOH experiences The judgement concerning the level of supervision most appropriate for a trainee must be made by the Trainer/ES Using evidence to support that they have met the learning outcomes and OOH competencies If a Trainer/ES doesn’t think that sufficient evidence is available to make a judgement concerning Learning Outcomes for achieving OOH competencies for CCT Demonstrates comprehensive understanding of logistics of delivering OOH and the organisational infrastructure required to support this Demonstrates competent and confident in using OOH computer system to include wide range of functions and applications Competent in managing common medical, surgical, paediatric, obstetric and psychiatric emergencies in OOH, including: • Developing competence in the management of patients with Palliative care needs (RCGP curriculum statement 3.09 – End of Life Care) Possibly month 6 onwards of ST3.