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The Role of the Educator

in Medical Revalidation for Doctors in Training

The role of the educator in facilitating revalidation for doctors in training can take several different guises and as an educator you may be involved in one or more of the different aspects of revalidation for your junior doctors.

As with fully qualified, practicing clinicians it is the responsibility of the individual doctor in training to ensure that they collect sufficient evidence to satisfy both their appraiser (annually) and their responsible officer (at the end of the cycle) that they are maintaining their fitness to practice. 

However you will be asked as an educator to participate in the collection of the evidence and your contribution will be invaluable to our trainees. The main participation by educators are under the following roles:

Educational/Clinical Supervisor

The educational and clinical supervisor roles remain unchanged by revalidation, however all educational and clinical supervisors' reports have now been updated to include two questions about each doctors fitness to practice and any concerns that may be present. You are required to answer these questions to the best of your knowledge, however you are not expected to engage in additional investigation or work to answer them, for example, you are being asked if you are aware of any outstanding complaints against your trainee; you are not being asked to contact the complaints department to check if a particular trainee has been involved. The Medical Director and/or Director of Medical Education will be making a return for your whole organisation utilising information from various sources including Risk and Patient Services (Complaints and Compliments).

ARCP Panel Member

As an ARCP panel member you are part of the decision making process on whether doctors in training have satisfied the competency requirements for each year of training, whilst also examining any of the specific training requirements identified by the educational supervisor, trainee, or previous ARCP panel. In terms of revalidation you will again form part of the review of the evidence submitted in support of revalidation. This includes the enhanced Form R, additional questions for educational/clinical supervisors, and employer reports.

ARCP Panel Chair/Training Programme Director

As the panel chair and/or training programme director you will be required to review and ensure that all of the appropriate paperwork for revalidation is signed and countersigned at the ARCP. When counter-signing the Form R you are signing to say that the panel have received and reviewed it, you are not required to interrogate the information provided, however a sense-check of the information would be advisable. You will also need to lead any discussion on revalidation and any concerns that may have been flagged after the ARCP outcome has been given to the doctor. You should have been supplied with the most up to date exit reports for your specialty by the Programme Manager or Head of School prior to the ARCPs.

Head of School

As Head of School you will be immediately in receipt of the collective and exception exit reports concerning the trainees within your School, these will need to be disseminated to your TPDs and ARCP panel chairs as appropriate. Your role in the revalidation process will depend upon how your School manages the ARCP process, although you may be asked to give further advice or review on any concerns that are raised. You may also be asked for your view on the type of support a doctor may need if they are the subject of any concerns.

 

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