SAS Tutors Development Challenges of surviving in the

SAS Tutors Development Challenges of surviving in the face of dwindling direct HEE finding Prof Sheona Macleod, PG Dean, HEEM Prof Jonathan Beard, RCS Yohanna Takwoingi, SAS Tutor Rep, NACT UK Council Liz Spencer, Education Adviser, NACT UK. 3 October 2017

Objectives • Update on National & Regional issues • Review your role in light of recent developments • Opportunity to learn & share from other Tutors • Consider how you need to act / develop to ensure “value”

Locally Employed Doctors - the NACT UK document

In groups • • Discuss who are locally employed doctors What concerns do you have about them What support do you offer these doctors NOW WHAT? . . .

May 2017

The GMC GPC model

Full list of GPC domains: Domain 1: Professional values and behaviours Domain 2: Professional skills Domain 3: Professional knowledge Domain 4: Health promotion and illness prevention Domain 5: Leadership and team working Domain 6: Patient safety and quality improvement Domain 7: Safeguarding vulnerable groups Domain 8: Education and training Domain 9: Research and scholarship

1: Professional values & behaviours • Demonstrate openness and honesty in interactions with patients & employers • Managing time and resources effectively • Demonstrate emotional resilience • Demonstrate situational awareness • Reflect on own behaviour and its impact on others • ……. etc

2: Professional skills • Practical Skills • Communication & interpersonal • Dealing with complexity & uncertainty • Clinical skills (consent, pescribing, humane interventions etc) • ……. etc

3: Professional knowledge • Professional requirements • Up to date with GMC guidance • CPD & revalidation • Working within quality management & clinical governance frameworks • National legislative requirements • Employment law, MCA, data protection • The health service and healthcare systems • Local healthcare & relationship with social care • Managing resources and avoiding waste • Public accountability through public scrutiny and judicial review

4: Capabilities in health promotion and illness prevention • Principles of public health, population health, health and wellbeing • Global health • Factors affecting health inequalities and social determinants of health • ……. etc

5: Capabilities in leadership and teamworking • Demonstrate leadership responsibilities as a clinican • Adapt leadership behaviour to improve engagement • Appreciate their leadership behaviour and impact on others • Supervising and challenging colleagues & peers to enhance development • ……. etc

6: Capabilities in patient safety and quality improvement • Raise concerns through governance systems • Promote and participate in interprofessional learning • Understand fixation error, unconscious and cognitive biases • Reflect on personal behaviour and practice • ……. etc

7: Capabilities in safeguarding vulnerable groups • Apply equality & diversity legislation • Identify and escalate concerns about modern slavery and human trafficking to appropriate authorities • Understand positive behavioural support and determine when and how to restrain… • ……. etc

8: Capabilities in education and training • Plan and provide effective education and traning activities • Take part in own induction and that of new staff • Provide supportive feedback writtena nd verbally to learners • Evaluate and reflect on the effectiveness of their educational activities • ……. etc

9: Capabilities in research and scholarship • Conduct literature searches and reviews to inform their professional practice • Critically appraise academic literature • Adapt leadership behaviour to improve engagement • Understand promote innovation in healthcare • Understand informatics, genomics etc • ……. etc

In groups discuss the document and what you need to / could do with it? May 2017

GPC domains: Domain 1: Professional values and behaviours Domain 2: Professional skills Domain 3: Professional knowledge Domain 4: Health promotion and illness prevention Domain 5: Leadership and team working Domain 6: Patient safety and quality improvement Domain 7: Safeguarding vulnerable groups Domain 8: Education and training Domain 9: Research and scholarship

Your role In pairs: • Are your roles well defined? • Do you know your responsibilities? – For your Trust? – For the Deanery or other organisation? • Do others understand what you do? 21

Roles and Responsibilities NACT UK Job Description for SAS Tutor HEE JD for SAS Specialty Lead 22

Expanded Role of SAS Tutor • Champion for SAS doctors & Chair of SAS doctor Forum • Raising profile of SAS doctors by engaging Trust Board, Medical Director and Business Managers • Responsibility for ensuring relevant standards regarding SAS are met, e. g engagement with appraisal • Support for ALL non-consultant non-training doctors in Trust including LEDs • Support and advice to SAS doctors in difficulty in conjunction with CD • Development and support of Specialty LED Leads – Who are overseeing support of SAS and LED in dept And, And…. . 23

Redefine Your Role In pairs: • What could be your role? • What do you need to do to achieve this? • How will you go about it? 24

Supporting Excellence Closure In Medical o Personal Reflection Education n What have you learnt n What are you going to do / change? n What are your development needs o Evaluation of course o Certificate will be emailed o Share one Take Home message