ARCP requirements for Foundation doctors can be found here.
2021 Curriculum
A new curriculum for Foundation doctors was introduced from August 2021.
A presentation about the new 2021 Foundation curriculum for Foundation educational and clinical supervisors can be found below.
This presentation is given by Dr Fiona Cameron, Foundation School Director for Scotland.
A 2-minute overview of the changes between the 2016 and 2021 curriculums made by Dr Ian Reeves, FPD in the West region, can be found here.
A quick guide for Educational and Clinical Supervisors about the new curriculum can be found here.
General FAQs below:
Will Turas generate a log of all completed assessments for use in appraisal?
For each ticket you complete as a consultant/educator you will receive the following email:
Dear [educator]
A ticket that you have raised for [Trainee Name] has been completed by [Ticket recipient Name].
Please click link…..
What happens with open attention items from previous blocks? Obviously, trainers need to take note of these and guide the foundation doctor to provide evidence to address them, but do the trainers need to do anything else regarding these items?
Obviously, trainers need to take note of these and guide the foundation doctor to provide evidence to address them.
An FPD can close attention items and add comments for the reason for closure.
Attention items once close shown as green but will remain on a foundation doctor's record.
Please note: a CS/ES cannot close an attention item.
Is attendance core teaching mandatory as our department is busy at the time this is scheduled?
Yes attendance is mandatory, as this is a reasonable way to make sure we have appropriately trained doctors.
CS/ ES progress rating, below is wording to help and support this activity.
Please describe the foundation doctor’s performance as you have observed in the workplace.
A comment for each Higher Level Outcome (HLO) of the Foundation Programme Curriculum 2021 is required to support/justify the ratings.
| No Concern | If you are unable to comment on a particular area, then please rate the HLO as ‘no concern’ and write ‘not observed’ in the comment. |
| Some Concern * | Please use the term “Some Concern” to give feedback to the foundation doctor on specific areas of practice that need development. |
| Major Concern * | Use “Major Concern” if you feel the doctor is significantly below the level of practice you might expect in a particular area. |
* If you select "Some Concern" or "Major Concern" you will be asked to specify the area of practice or FPC(s) you have concerns about directly. Comments are mandatory Please provide a comment to support and justify the assessment rating. Particular attention should be paid to highlighting any areas of excellence or areas of concern that may require educational support. Please be as specific as possible.
Higher Learning Outcomes (HLO)
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HLO 1: An accountable capable and compassionate doctor (FPC 1‐5) |
HLO 2: A valuable number of the healthcare workforce (FPC 6‐10) |
HLO 3: A professional, responsible for their own practice and portfolio development (FPC 11‐13) |
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1 |
Clinical assessment: assess patient needs in a variety of clinical settings include acute, non‐acute and community. |
6 |
Sharing the vision: work confidently within and, where appropriate, guide the multi‐professional team to deliver a consistently high standard of patient care based on sound ethical principles. |
11 |
Ethics and law: demonstrate professional practice in line with the curriculum, GMC, and other statutory requirements through development of a professional portfolio. |
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2 |
Clinical prioritisation: recognise and, where appropriate, initiate urgent treatment of deterioration in physical and mental health. |
7 |
Fitness for practice: develop the skills necessary to manage own personal wellbeing. |
12 |
Continuing Professional Development (CPD): develop practice, including the acquisition of new knowledge and skills through experiential learning; acceptance of feedback and, if necessary, remediation; reading and, if appropriate, by research. |
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3 |
Holistic planning: diagnose and formulate treatment plans (with appropriate supervision) that include ethical consideration of the physical, psychological, and social needs of the patient. |
8 |
Upholding values: act as a responsible employee, including speaking up when others do not act in accordance with the values of the healthcare system. |
13 |
Understanding medicine: understand the breadth of medical practice and plan a career. |
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4 |
Communication and care: provide clear explanations to patients/carers, agree a plan, and deliver healthcare advice and treatment where appropriate. |
9 |
Quality improvement: take an active part in processes to improve the quality of care. |
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5 |
Continuity of care: contribute to safe ongoing care both in and out of hours. |
10 |
Teaching the teacher: teach and present effectively. |
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CSR ESR TAB PSG e‐portfolio evidence PSA certificate – F1 only |
CSR ESR TAB PSG e‐portfolio evidence |
CSR ESR e‐portfolio evidence Learning log Engagement in feedback on training SOAR |
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Are the people in the Placement Supervision Group (PSG) decided by the Educational Supervisor?
Yes. The educational supervisor decides staff likely to be able to complete a PSG form and enters their emails into TURAS. The PSG process is then initiated later in block by the Educational Supervisor.
The process allows the staff identified to be changed later if necessary. It can be a mix of staff, but they must be >F2. It can be in either block, but TABS are more familiar, so this year we expect more TAB's in block 1 and PSG in block 2. Even a few shifts is enough for someone to be able to complete a PSG, they don’t have to have supervised for the whole block.
Is the Supervision Group Feedback requirement similar to the TAB system but with supervisors chosen by the ES rather than the foundation doctor?
The PSG has been driven by the foundation doctors and they felt that the TAB tells them if they are a nice person e.g. they answer their bleep, they are nice to the patients, whereas the PSG gives them feedback on if they are a good doctor and if they understand clinical aspects or a clinical situation.
Is there a minimum number of members needed in the PSG?
You can ask senior nursing staff, senior consultants, GPs, or other members of the multidisciplinary team. You as supervisor can also nominate yourself as a member of the PSG if you are working with the trainee. The PSG is driven by the supervisor and not the foundation doctor and the information gathered can help inform the end of placement report.
Should the foundation doctor have an input as to who to ask for PSG from?
The PSG is initiated and sent out by the supervisor and there is an opportunity to change the names of the initial PSG group before you send out any tickets. The PSG should be completed in the post and not carried over to the next post. You should aim to get the PSG and TAB completed in post 1 and 2 which allows you address any issues in post 3 of each year of training.
Can additional TAB's or PSG's be done if you have concerns about a foundation doctor?
Yes, you can request for an additional TAB or PSG during the year; post 3 can be used as remediation. There are some posts which are set up for PSG e.g. in General Practice a foundation doctor will work directly with a group of trainers. Foundation doctors can complete a TAB and PSG in the same post, but this will be dependent upon how the rotation is set up.
What do I do if I am nominated to complete a PSG Form?
PSG Member Information
If you have been nominated to complete a Placement Supervision Group (PSG) Individual Feedback Form about a foundation doctor, by or on behalf of the clinical/educational supervisor. The purpose of Foundation training is to ensure that newly qualified doctors transition from student to doctor, practice safely and become valuable members of the NHS workforce. Feedback is therefore very important to help the foundation doctor develop and to ensure patient safety. The areas you will be asked to comment on are regarding clinical practice, teamworking and professional attitude. You are invited to comment on all three areas but, if this is not possible, then please feedback on areas of practice on which you can comment. This feedback will be used by the clinical/educational supervisor to plan the foundation doctors training and as an assessment of their progress.
[Extract from Foundation Programme Curriculum 2021 p.39] Constructive multiple-rater feedback has been accepted as an effective method of driving improvements in performance and learning. The purpose of the PSG is to provide constructive senior feedback on the FD’s clinical performance. It is expected that all healthcare professionals will be in a position to support and guide the FD, providing feedback on performance to the FD and CS. However, the named clinical supervisor (CS) identifies a nominated group of senior healthcare professionals who work alongside the FD to make up the placement supervision group. Where possible, the clinical supervisor should identify these individuals to the FD]
The PSG is responsible for providing structured feedback to the clinical supervisor. Therefore, the form should be filled as soon as possible or you need to let the sender know if you are unable or if you have any questions. Your assistance in this matter is greatly appreciated.
Please could I have more information about the summary narrative and our role in this?
A foundation doctor should complete 1 summary narrative for each of the 3 HLOs of approximately 300 words per HLO.
The summary narrative needs to be completed by ARCP submission date.
Does the foundation doctor complete a Summary Narrative every four months or just once for the year?
The Summary Narrative is a live/working document, and the foundation doctor should start/update the Summary Narrative towards the end of each post.
It is for the foundation doctor to critically appraise their post/year.
The Summary Narrative is not pass/fail but formative; it is another form of reflection.
Is there a minimum number of SLEs per block in new curriculum?
No, there is no minimum number or mix of SLEs. The previous minimum of 5 has been removed, foundation doctors must demonstrate that they have completed/covered the curriculum so it is quality not quantity.
How do we flag up specific mental health/ psychosocial aspects of cases on Turas for the portfolio?
The onus is on the foundation doctor to add the title of an SLE themselves and they can also link an SLE to various FPCs, but the consultant/educator will need to look at the portfolio content to ensure that the SLEs have covered all aspects of the curriculum.
We are looking for the Foundation doctor to look at the whole person/patient and that they have an understanding of social/mental health issue that may arise from a diagnosis or the person being in hospital/unwell.
Who completes the end of placement report?
End of placement reports are completed by the foundation doctors Clinical and Educational Supervisor (who will often be the same person, so they complete the combined report). All reports must be signed off and submitted ahead of your ARCP.
Who completes the end of year report?
The end of year report is completed by the foundation doctors FPD following the ARCP deadline date and after all evidence has been submitted including all supervisors' reports.
It seems a lot for new graduates.
Most foundation doctors are used to portfolio type work as undergraduates.
Support about the process (for Supervisors as well as foundation doctors) is available from FPDs and admin staff.
This page was last updated on: 08.11.2024 at 14.21
