ࡱ>  =bjbj]W]W .?=?=" " |||||| $900000   7777777$:l=8|     8||008 "|0|07 7R3A600*- y478094,>7^,><A6,>|A6       88^   9    ,>         " B: Educational Supervisors Structured Report (ESSR) This is a modified extract from the current ARCP paperwork used in psychiatry. It covers a 6 month training period. It is preceded by a section that is filled in by the trainee with details of their attachment. It has been completed for a fictional ST4 in General Adult Psychiatry (the box-ticks and free text in italics). It is not an example of good or bad practice. It will be used to prompt discussion about how to write a useful ESSR. .. Professional Competencies for the FIRST 6 months of training since last ARCP Note: Responses should reflect the expectations for the trainee at his/her current stage of training. If Needs further Development or Insufficient Evidence columns are marked you must provide further information in the Comments section. Good Clinical Care Insufficient Evidence Needs further development Competent Excellent a) Clinical Assessment Skills (history taking/MSE/formulation/record keeping) "b) Management of patients with severe & enduring mental illness "c) Using the results of assessment to ensure effective patient management "d) Assessment and management of psychiatric emergencies "e) Maintaining and updating knowledge (of legislation/research/clinical advances) "f) Maintaining professional performance (having critical self-awareness) "g) Teaching & training (plan and deliver teaching/ supervise others) "h) Conduct professional patient relationships (communication/consent/confidentiality/trust) "i) Dealing with problems in professional practice (eg complaints, formal inquiries) " Comments: Dr X has worked for 6 months within a very busy general adult sector team. He has completed the required number of WBPAs satisfactorily and demonstrated competence in the assessment and management of a range of routine and emergency cases. Dr X sometimes has difficulty feeling confident in his abilities and this is an area for development. He has delivered tutorials to Year 3 medical students. His teaching has not been observed and he would like to develop his teaching skills next year. Dr X has not received any complaints and has not been involved in any critical incidents. Working with colleagues Insufficient Evidence Needs further development Competent Excellent a) Treats colleagues fairly "b) Working in teams (awareness of roles/ constructive input/ leadership qualities)"c) Demonstrates appropriate responsibility (eg arranging cover / sharing information with colleagues)"d) Communicates effectively with other healthcare professionals"e) Appropriately assume / delegate responsibility " Comments: Dr X is a well-liked member of the multidisciplinary team, who demonstrates that he values the contributions of his colleagues on the ward and also in the out-patient teams. This has been evidenced by recent multi-source feedback. Dr X tends to feel most comfortable when given clear responsibilities by others and so he needs to focus on developing his leadership qualities. He plans to work towards this by representing the local trainee group at Deanery level (via the South East Trainee Advisory Group) during his ST5 year. Dr X sometimes struggles to feel confident when asking junior medical staff to undertake tasks on the ward. We have discussed this and next year he aims to increase his skills in the delegation of tasks where it is safe and appropriate to do so. Probity & Health Insufficient Evidence Needs further development Competent Excellent a) Avoiding / managing conflicts of interest "b) Ensuring letters, reports are complete, honest & accurate"c) Ensure that health issues (self or others) do not put patients at risk" Comments (including number of sick days in this period): Dr X had 5 days off sick during this 6 month training period and had a satisfactory return to work interview with no concerns noted. Dr X demonstrates comprehensive and accurate record keeping which was noted during all of the Case Based Discussions (CBDs) that he undertook while under my supervision. Dr X has not been involved in any situations where there have been conflicts of interest so I am unable to comment about this. Personal Behaviour Insufficient Evidence Needs improvement Satisfactory Excellent a) Initiative "b) Punctuality & time management "c) Availability "d) Willingness to take on tasks "e) General reliability & organisation "f) Attendance at local teaching programme "g) Attendance at external educational events "h) 12348FN + ƶ||l\L<hx"Fh&6OJQJ\^Jhx"Fhh6OJQJ\^Jhx"Fh-S6OJQJ\^JhZ0h&6OJQJ\^JhZ0hyE6OJQJ\^Jhx"F6OJQJ\^Jhf6OJQJ\^JhZ0hh6OJQJ\^JhZ0h-S6OJQJ\^J)hZ0hx"F5>*CJOJQJ\^JaJ#h-S5>*CJOJQJ\^JaJ#hx"F5>*CJOJQJ\^JaJ23    m n a b $ 9r $Ifa$  9r $If $ & F a$gdx"FgdT6$a$gdx"F+ 2 N P T x y { | аxaxK5*hehh56B*OJQJ\^Jph*hehLS56B*OJQJ\^Jph-hehe56>*B*OJQJ\^Jph-hehh56>*B*OJQJ\^Jph'hE2fhh6B*OJQJ\^Jphhx"F6OJQJ\^Jhx"Fhx"F6OJQJ\^Jhx"Fhk6OJQJ\^Jhx"Fhh6OJQJ\^Jhx"Fh&6OJQJ\^Jhx"Fh6OJQJ\^J      + ? 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He has sometimes found it difficult to manage his time effectively and has struggled to ask for help from others when the ward has been busy. This has resulted in him staying late on occasions when this was not strictly necessary. In future he plans to try to take more initiative in asking for help on the ward. He has a good record of attendance at all planned teaching sessions but he perhaps did not take full advantage of the clinical opportunities on offer locally, for example he did not manage to get any experience within the local psychotherapy service. Dr X plans to address this next year. Overall Assessment for FIRST 6 month of training since last ARCP Areas of good performance - what does this trainee do particularly well? Dr X is a hard-working trainee who is valued for being reliable and available. He is competent in the assessment and management of a range of common psychiatric presentations. He is a safe practitioner who asks for help from seniors when he feels he requires support or advice. Areas where performance could be improved Dr X needs support to believe in his level of clinical skill and also to delegate routine clinical and administrative tasks to junior medical staff when appropriate. This will not only help him develop confidence but will help him to prioritise and to manage his time more effectively. He should be supported in taking on leadership roles when appropriate. He should also be encouraged to take the initiative to make the best use of the many learning opportunities available locally. 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