1. Appraisal, Portfolio, Educational
and clinical supervision
Belal Abuzgia

2. Educational vs Clinical supervisor
Educational supervisor:
• Responsible for overseeing the whole training
period of a trainee
Clinical Supervisor:
• Responsible for close monitoring of trainee’s
progress during a particular placement

3. Educational Supervision
• GPSTs: General practitioners
• Foundation doctors: Hospital-based
consultants
• LAS STs: Not required

4. Clinical Supervision
• Consultant during a particular placement

5. Clinical supervision
• Induction meeting
• Mid-term meeting
• Final meeting
In addition to more informal meetings in
between

6. Clinical supervision
• Need to be familiar with the curriculum of
their trainees
• Need to regularly look at trainees’ eportfolios
• I suggest clinical supervisors should meet
regularly and discuss trainees’ progress

7. What to monitor for?
• Clinical experience
• Development of communication skills
• WBAs
• 360 degree assessment
• Teaching and presentation
• Audit project
• Management

8. Work-Based Assessments (WBA)
or
Supervised Learning Events (SLE)
Belal Abuzgia
Trust Speciality Training Lead
Paediatric Departement
FGH

9. WBAs
• MMC in 2007
• DOPS: Directly Observed Procedural Skill
• MiniCex: Mini Evaluation Exercise
• CBD: Case-Based Discussion
• DCT: Developing the Clinical Teacher

10. DOPS
• Designed to assess practical skills.
• Assessment of performance (AoP)
• Assessors: Consultants, senior clinicians,
senior nurses, nurse practitioners etc.

11. DOPS
• Outcome: - Competent
- Still needs supervision
• If still needs supervision repeat until
competent
• Compulsory and optional procedures

12. CBD
• To assess clinical reasoning and decision
making.
• Ideally ½ cases selected by trainee, ½ by
assessor
• Discussion on trainee’s actual entry in case
notes
• Not viva.

13. MiniCex
• To provide feedback on skills essential to give
good clinical care
• Get a different assessor for each
• History taking
• Examination
• Teaching a parent etc

14. Developing the Clinical teacher (DCT)
• Development of a foundation doctor’s skill in
teaching and/or making a presentation
• Feedback from:
Supervising consultants
GP principals
doctors who are more senior than an F2 doctor
experienced nurses (band 5 or above); or
allied health professional colleagues.

15. DCT
• Skills in preparation and scene-setting
• Delivery of material
• Subject knowledge
• Ability to answer questions
• Learner-centredness
• Overall interaction with the group.

16. DCT
• The nature and content of the teaching should
be chosen jointly by the foundation doctor
and trainer.
• To address the learning needs of both the
foundation doctor and those being taught.

17. How many
FY2 ST1-ST3 GPST1-ST2
DOPS 1 for each
procedure/ year
Integrated within
CEPS (from Aug
2015)
MiniCex 3 per placement 8/year 3/6 months
CbD 2 per placement 4/year 3/6 months
DCT 1 per year (ideally
once per
placement)

18. How many
• Do as many as you can
• Start now. You will be monitored.
• Space them nicely. Avoid doing all at the end
of placement

19. Questions