Educational Supervisors Guidance for completing the ESR During the Covid 19 Pandemic
All trainees who are finishing ST3 will need an ESR.
The trainee will need to have completed their self-preparation before the review can be done. 4
It is acceptable for the review to be done remotely if not possible to meet face to face.
The review should normally be done no more than 8 weeks before the planned ARCP date.
The ES will need to rate the trainee against all of the 13 capabilities.
For the trainee to be licensed for independent practice they will need to be rated as
competent for all of the 13 capabilities. (The ES must not rate the trainee as competent if they have any concerns about their performance in any of the capability areas).
As usual, the trainee’s progress in the 13 capabilities and overall progression should be assessed completely independent of other parts of the Tripos: the CSA (or any alternative temporary assessment), or AKT.
The ES may need to add a comment on each of the capabilities:
If they have rated the trainee as competent for that capability and they are satisfied
with the comments written by the trainee in their self-reflection then saying they agree
with the trainee’s comments will suffice1.
If they have rated the trainee as needing further development for any of the
capabilities then a comment will need to be written in support of this rating
If the trainee has 3 pieces of linked evidence for each capability and this includes
linked evidence from the 6-month review no further evidence needs to be linked by the ES.
If the ES is unsure whether they can rate the trainee as competent for licensing then it is acceptable to ask another supervisor if they would complete a CSR on the trainee as this may provide additional evidence to support their decisions.
The remaining part of the ES review does not need completing. This would normally include the ES commenting on;
• Clinical experience coverage
• Review of PDP,
• Quality of Evidence
• Clinical Examination and Procedural Skills
None of this is required and writing n/a in all the mandatory boxes is acceptable and the review will not be rejected.
For the final review, the ES has to tick a box to confirm the trainee has completed an update on Basic Life Support and Child Safeguarding level 3. Evidence of knowledge updates are still required and these need to be visible in the trainees learning log. The reflection requirements of a child safeguarding issue have been waived.
1 Exceptions to this include when the trainee has not completed the mandatory assessment requirements as in the table above, so for example;
– If a rectal CEPS was missing this would need to be commented on within the CEPS capability that there were no concerns with the trainees ability to examine or
– If the 1st MSF was incomplete and another has not taken place then a comment about the trainees ability to work both clinically and professionally with colleagues would need to be commented on within the working in teams capability.
The requirements for Out of Hours are going to be waived and the OOH box will be removed.
The ES will then make a judgement on the overall outcome of the trainees WPBA of satisfactory, panel opinion or unsatisfactory.
Once the ESR is completed it will need to be submitted by clicking the complete and submit button.
Welcome to our page for those of you who are thinking of becoming a trainer (Intending Trainers) or those who have just recently been approved as a GP trainer (New Trainers). New and intending GP trainers often feel a bit apprehensive and anxious about the task they are taking on. All we can say is that your local Training Programme Directors (TPDs) and fellow established trainers will be available for support and help all along the way. You will learn lots of skills that are transferable to other parts of your life. Virtually everyone enjoys being a GP trainer and we are sure you will too.
Every scheme has a Training Programme Director (TPD) with lead responsibility for Intending, New and Established GP Trainers.
The TPD for your scheme is: Lucy Clark.
How to become a Trainer/Training Practice
Please contact the TPD lead if you have not already done so. They will guide you through the entire process.
There’s a lot more detailed information on the Yorkshire and Humber pages for New and Intending Trainers – including the pros and cons of GP training.
Becoming a Training Practice
– The HEE GP School sets out the minimum requirements for a practice to become a GP Training practice. You will find these on the main HE GP school’s website.
– Make sure your practice meets these. Even if you are approved as a GP trainer, you cannot be authorised to become a GP Training practice if your surgery does not meet these requirement.
– Your TPD will visit your practice and advise you as to what is required and will guide you.
– Your fellow neighbouring GP training practices can be instrumental sources of help in terms of sharing with you what they have done. This will help you stop ‘re-inventing the wheel’ and make it much easier for you.
Becoming a GP Trainer
– You will need to attend a course for becoming a GP Trainer. You can either attend one of these courses or do a PGCE in Medical Education. The choice is yours.
– The PGCE route might be more educationally satisfying, but it does involve greater input, committement and is generally harder work.
– Your HEE GP school will usually fund these – please check with your local TPD.
– During your time as Intending Trainer, you will also be allocated an GP Trainer Mentor. Again, ask your TPD about who yours will be. You will need to meet up with them on 6 occaisions (each lasting 3-4 hours) to discuss a particular aspect of GP training. They will probably ask you to “borrow” a trainee and video yourself doing some of the core training activities so that they can help you do it even better. Please don’t be anxious about this process. The sessions are meant to be formative and help you in a positive and enjoyable way.
– And finally, you will have interview at the GP school just to make sure you are ready and everything is in order. Again, ask your TPD about the interview and how to prepare for it.
– Every trainer is paid an GP Trainer’s grant – which usually goes to the practice. GP Trainers also receive an annual GP Trainer CPD payment to fund activities to help them maintain or build on GP educational skills.
– It is helpful for you to attend some Half-Day Release sessions and deliver the educational session. The TPDs will be there too to hold your hand. In doing so, you will develop educational skills in no time (and again, you’ll enjoy it too).
– Please remember, there are several sources of help available to you.
1. Your local TPDs;
2. Neighbouring GP Trainers;
3. Your fellow new Trainers and of course; and
4. your previous GP Trainer Mentor.
– You should hopefully feel a bit more confident at doing CBDs and COTs as well as teaching on the consultation and reflective learning log entries. You should also be familiar with the ePortfolio and the fundamentals of Educational Supervision.
– But remember, you don’t need to know everything in one go. You will build on what you already have rapidly over the year. So, enjoy the process and look forward to learning and developing.
– It will be helpful for you to continue to attend some Half-Day Release sessions and deliver the educational session. The TPDs will be there too to hold your hand. In doing so, you will develop educational skills in no time (and again, you’ll enjoy it too).
Educational Workshops and Activities
These are all available on the main GP Trainer’s page. There are a plethora of educational activities and workshops available to you. There are educational events run regularly by your local scheme. On a more regional level there are educational events run by your HEE GP School. Then there are more wider events run by organisations across the UK and other countries. Network with local colleagues through scheme-based activities, with regional colleagues through GP School based activities and with wider Primary Care Educators through some of the national and international conferences and organisations. They are all detailed on the main GP Trainer’s page.Please follow this link to the main GP Trainer’s page.
Bradford VTS has a whole page devoted to Educational Resources for New and Intending GP Trainers. Click the link below to visit it.
Another great resource is GP-training.net (although it is no longer updated, its resources are useful and many are timeless.
And of course, don’t forget to check out the main pages for all Trainers to see what’s happening on your local GP training scheme.Main GP Trainers’ Page