Date: / / School: Post: Site: Grade: Effective Educational Environment Matrix Excellent Good Requires Improvement Inadequate Educational and Clinical Supervision allocated When trainees commence their post. Within the first 2 weeks of a trainee commencing their post. On request or more than two weeks after a trainee commences their post. Are not allocated. Grade Supervisors meet the trainee Regularly and provide high quality feedback, reviews progress and completes a report at the end of the post. On an irregular basis, providing feedback. Reviews progress and completes a report at the end of the post. Rarely to provide feedback or discuss progress. Not at all - do not provide feedback or discuss progress. Grade The Educational or Clinical Supervisor conducts an Educational Appraisal Within the first two weeks of the trainee commencing a post - establishing clear educational objectives. Within the first four weeks of the trainee commencing a post - establishing clear educational objectives. After four weeks in the post and/or the post’s learning objectives remain unclear. Does not - the trainee doctor does not have clear leaning objectives. Grade Trainee Support needs Recognised early and appropriately given. Recognised and supported appropriately but this may not be immediate. Recognised late - struggle to receive appropriate support. Not recognised or are recognised very late and often fail to receive additional support. Grade Time spent on tasks of Educational Value All of their time doing tasks of high educational value. Most of their time doing tasks of high educational value. Most of their time doing tasks of moderate educational value. All of their time doing tasks of little educational value. Grade
Safe Supportive Working Environment Matrix Excellent Good Requires Improvement Inadequate The process for raising Patient Safety concerns Clear and always effective in addressing all issues raised. Clear and effective in most cases, in addressing all issues raised. Present - some improvements some of the time, but not consistently so. Unclear and consistently Ineffective in terms of improving patient care. Grade Senior Supervision Given at all times, consistent with their competence. Given almost all of the time - on rare occasions difficult to access but present when needed. Occasionally left unsupervised - sometimes find it difficult to find support. Frequently unsupervised and frequently cannot find support. Grade Asked to perform tasks beyond competency Never asked to perform unsupervised tasks. Very rarely asked to perform tasks - can find support when needed. Sometimes asked to perform unsupervised tasks. Frequently asked to perform unsupervised tasks. Grade When taking consent for procedures Consistently. For almost all - can find support when needed. Untrained and unsupervised for some procedures. Frequently untrained and unsupervised. Grade Rotas Designed to gain maximal educational value and experience, work intensity facilitates learning Designed to gain good educational value, work intensity supports learning most of the time Sometimes onerous, involve significant anti-social hours, work intensity and work pattern can be stressful. Onerous, involve excessive anti-social hours or, are of a significantly intensity to cause stress. Grade The balance of Service and Education Correct for maximal educational value. Good with rare occasions when service provision dominates. The post has educational value but there is a demand for the trainee to provide significant service provision. The provision of service excessively dominates with little educational value of a post. Grade
Excellent Good Requires Improvement Inadequate Support Trainee doctors are always included in and are highly valued as part of a team. Trainee doctors are included in and valued as part of a team. Trainee doctors are part of a team but not always valued and included. Trainee doctors are not included in and valued as part of a team. Grade Departmental Induction High quality, thorough and consistently provided - covers all areas and is attended by all trainees. Consistent and of a good quality, with occasional minor variability. Happens but can be informal and not thorough - leaving the trainee unsure about certain aspects of the post. Does not happen or is ad hoc and incomplete, such as a trainee is unfamiliar with their duties. Grade Handover of patient’s care between shifts Consistently safe and timely with good information sharing, which ensures continuity of patient care. Consistently in a safe and timely way almost all of the time, with rare exceptions. Can be of variable quality so a trainee is unable to provide full, safe patient care. Does not happen or is inconsistent - trainee is unaware of clinical responsibilities. Grade Exposure to Undermining behaviour which undermines their confidence or self-esteem Never witness or are exposed to undermining behaviour. Very rarely witness, or are rarely exposed to undermining behaviour. Sometimes witness, or are sometimes exposed to undermining behaviour. Frequently witness, or are frequently exposed to undermining behaviour. Grade Comments