Quality Education for a Healthier Scotland
Pharmacy
The Pharmacy Vocational Training Scheme
Stage 2
Induction presentation
Sept 2014
Quality Education for a Healthier Scotland
Pharmacy
What is the Pharmacy Vocational Training Scheme?
Stage 2 General training/Foundation training
Stage 3 Specialist training – modules
Stage 4 Education and training, Leadership and ResearchAdvanced training
Quality Education for a Healthier Scotland
PharmacyLets get started....
• What do you wish more information about? (5 mins)
Quality Education for a Healthier Scotland
PharmacyWhat will we cover today?
• the model of training• competency framework• resources available • forms for evidence• support for training• assessment process• e-Portfolio
Quality Education for a Healthier Scotland
Pharmacy
What is Stage 2 of The Pharmacy Vocational Training
Scheme?
Based on reflection of actual practice in the workplace
Competency based training framework
Development of a wide range of Foundation /Generalist skills
Resources to help your learning-web pages, ePortfolio
Guidance on what to do when
ePortfolio for evidence
Meetings with tutor
Appraisal
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Pharmacy
It increases confidence
It gives you career choices
It enables structured training by specialists
Develops a systematic approach to practice
Development of non professional skills – organisational, communication, team skills
Advantages of undertaking training
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Pharmacy
Takes time to do the work...
Often write up done in my own time
Often specialists want different things....
Getting feedback from people takes time...
Getting feedback from people takes time...
Disadvantages...
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Pharmacy
Active experimentation
Concrete Experience
Reflection
Conceptualising
Source: Kolb, 1984
How do we learn? Kolb’s learning cycle
Shows learning through experience, reflection, discussion and experimentation before undertaking the experience again....
Learning from experience and reflection in the workplace.....
Quality Education for a Healthier Scotland
Pharmacy
What is the key to success?
The key to success with any vocational trainingscheme is the ability to reflect on practice and learnfrom the experience.
and to develop a portfolio of ‘..a collection of evidence that (demonstrates) learning has
taken place.’
(Source: Knowles et al. (1984) Snadden and Thomas, Med Teach (1998 ))
Quality Education for a Healthier Scotland
Pharmacy
What is our curriculum ? Looking at the competency framework.....
Personalcompetencies
• Communication• Team working• Equality and Diversity
Clinical Governance
• Personal involvement in risk• Audit• SEA• SOP
Education and Training
• Development of plan for training• Feedback from training• Different groups
Aseptic services
• Professional role
Cost Effective use of Medicines
•SFIs pharmacy practice
Medical Gases
• Clinical practice• Webcast
Clinical services
• Case studies• Care plans• mini CEX• CbD
Dispensing services
• Counsel patients• Professional role when dealing with a variety of different types of prescription
MedicinesInformation
• Range of enquiries• Literature search
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Pharmacy
The Competency framework
A Personal competencies
Commitment to CPD [needs host of CPD records]
A23 equality and diversity
Interaction as a team member
B Aseptic services
Focus on pharmacist role
Knowledge of preparation process
B23 Use templates –no Rxs or worksheets to be included in portfolios
CPD webinar on NES website to help you develop CPD records… but watch… there is a skill to develop CPD records for training….
Aseptic services modules to help you learn about aseptic services
Quality Education for a Healthier Scotland
PharmacyClinical pharmacy
C Clinical Pharmacy
Care plans
Full cases, ~2000 words, referenced.
Exec summary as front page, include learning
C24 Case for medical gases
mini – CEX
CbD
Care planning webinar……….to help you…
Quality Education for a Healthier Scotland
PharmacyD Clinical Governance
Need to highlight own local process and involvement in process, SEA , Audit , SOP [draft and action, i.e. link theory and theirpractice]
NES website for information about audit and SEA, risk management webinar, patient safety webinar….
Ensure trainee understands what is required when submitting an SEA and also how to do an audit with criteria and standards....
Quality Education for a Healthier Scotland
PharmacyCompetency framework
E Cost Effective Use of Medicines
Learning about procedures for out of hours, formulary process, relationship
between clinical practice and technical practice
F Dispensing services
Learning about the different dispensing processes. Link theory to practice,
templates to be used
G Education and training
Demonstration as teacher. Power Point presentations, feedback forms,
Reflection pages, 4 scenarios. Seek feedback from participants.
‘Develop your portfolio’ section of the VT pages of the NES website
..............has more information….
Quality Education for a Healthier Scotland
PharmacyPortfolio
Quality Education for a Healthier Scotland
PharmacyCompetency framework
H Medical gases
Learning about oxygen saturation, how to store and the clinical use of
medical gases. Case study e.g. respiratory, presentation online +MCQs
Demonstrate knowledge of the clinical use of medical gases.
Webinar on NES website to help you
I Medicines information
Processes for the searching of information, critical appraisal of the literature and
delivery of a reply to a healthcare practitioner. Range of enquiries. No need to
submit MiCal booklet. Use templates instead of original enquiries.
Critical appraisal recordings on NES website + MCQs to help you…
Need a mix of Level 1,2 and 3 enquiries e.g. 6 of level 2 and 3...
Quality Education for a Healthier Scotland
Pharmacy
What should a good portfolio contain?
A structured collection of your evidence that is clearly
referenced to the competency framework codes…
Examples of your own practice confirming your involvement in
the experience
Evidence that shows progression in your practice and
progression in your learning
Summaries of your personal reflection of your
learning for each task/piece of evidence.
Quality Education for a Healthier Scotland
Pharmacy
What should a good portfolio contain?
Feedback forms that contains information on progress from
the tutor, trainer and other healthcare professionals (out with
pharmacy)
Confirmation from your tutor that your evidence is at a suitable
level
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Pharmacy
Support for learning
Consider the following scenario...
John, your VT2 trainee has been working on his training for about 6 weeks
now... He given you some evidence to review two days
before your meeting. The meeting was meant to be several weeks ago
but it had to be postponed as John had to deliver a peer review
session... The evidence that he has submitted is not reflective in
nature, is messy and doesn’t meet with the examples as specified in
the competency framework....
Quality Education for a Healthier Scotland
PharmacyConsider the following....
• What is your role?• What would you expect of your trainee?• How will you provide feedback about the standard of their
evidence?• How will you ensure agreed actions are undertaken?• What are the benefits of written feedback vs verbal feedback?• Would you expect to see any changes more than once?• How would your communication style in the meeting change if
John continues to act in this way over the next few months...?
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Pharmacy
What do we expect ?Trainees
Examples of their own personal experience
Various different forms of evidence developed over a periodof time to show progression.... e.g.• CPD records , care plans, case studies,• Mini-CEX, CbD, Audit, SEA, templates
Reflections and learning from undertaking the experience/task in practice
Attendance at training sessions, monthly meetings with tutor
Submission of ‘appraisal forms’ at intervals specified.
Quality Education for a Healthier Scotland
Pharmacy
Example of care plan.... But use the one on the VT web page and upload into your personal library...
Quality Education for a Healthier Scotland
PharmacyRecord of completion of section form....Complete this at the end of each section... Can be linked to the very 1st competence in each section of the framework
One type of evidence
Quality Education for a Healthier Scotland
PharmacyEvidence
Using the Evidence Booklet ………..
Review each piece in turn…. look at the structure… don’t worry about the
content e.g. clinical content….
Take about 5 mins per piece and comment after each piece has been
reviewed….. This may take about 1 hour…..
Quality Education for a Healthier Scotland
PharmacyAssessment
Continuous assessment by tutor/specialists
Informal feedback from locality tutor prior to submission
Formal Portfolio assessment [Pass/fail]
Final face to face assessment [Pass/fail]
Quality Education for a Healthier Scotland
PharmacyAssessment
Portfolio assessment
Portfolios assessed in pairs, trained assessors, using scoring sheet
Evidence is sampled
Max 5 small pieces of remedial action
>5 small pieces or >2 larger pieces then defer to next assessment
Written feedback e mailed to trainee
Portfolio retained by NES, evidence can be requested if required
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Final assessment
Final assessment
~2 weeks post portfolio assessment
Presentation on item within portfolio [reinforce reflections, learning points]
Problem solving scenarios [personal limitations, systematic approach,response to questioning]
Discussion about portfolio
Quality Education for a Healthier Scotland
PharmacyHow do we complete the ePortfolio?
E portfolio
List of forms and logs within e portfolio
Log in page with links to Audit, SEA pages on NES website
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Pharmacy
Competencies linked to different forms of evidence
Any piece of evidence when complete for can be ‘linked’ to the curriculum. There is a button at the bottom of the screen when you finish a log /form...
Binoculars indicate item is linked to a piece of evidence
Case study log completed for this one…
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Pharmacy
The personal library for storing of CPD records...
Only empty folders can be deleted....
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Pharmacy
Resources sectionLinks to the website,
PDFs… All info is here…
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Pharmacy
This is how you select evidence to share with
a specialist....
Select Down load portfolio tab....
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Pharmacy
After selecting the link… You reach this page….
2. Any pieces of evidence from your
current curriculum that you have developed …appear in this box with
a box to tick next to the title of the
evidence….You tick the box if you want to
select it … a bit like the GPhC process for
when you select and submit your CPD
records…
4.Once the items are over in this box you can sort them using the ‘up’ and ‘down’ buttons… so that the first
item you wish the specialist to see is at the top…. Select the ‘make a PDF’ button and
the evidence will be presented as the one
document, a PDF.
1. If you have done an e Portfolio before you will
need to select your current Year or post….
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Pharmacy
How do we add signatures to sign off evidence?
The Links button is key to this…..
The trainee can link to the curriculum and it will show in the competency listing as a piece of
evidence….
The Tutor/specialist can add a comment or a signature….
Quality Education for a Healthier Scotland
Pharmacy
There are several ways in which you can save a
CPD record into your Personal Library...
• Save as a web file using Internet Explorer (not supported by Google Chrome)
• Copy and paste the info from the CPD page into a word document, save as a word file
• Save the CPD page as a PDF file
and then upload the file into your
personal library..........
The following slides show how to save the CPD page as a web archive
file page and then the process for uploading the file into your
ePortfolio.
Quality Education for a Healthier Scotland
Pharmacy
This is the CPD record that I wish to save in
my personal library
within my ePortfolio
Quality Education for a Healthier Scotland
Pharmacy
Select the CPD record that you wish to upload, open it
and select to PRINT the page.
Select the option SHOW PRINTABLE PAGE
This is in the GPhC CPD recording
pages
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Pharmacy
Save this CPD page by clicking on’ FILE’ and
‘SAVE AS ‘as you would to save a
word document but save it as a WEB PAGE e.g. Web archive page. USE the competency
framework code and the topic e.g. A23 Equality and Diversity and your
unique ref code.
Quality Education for a Healthier Scotland
Pharmacy
Save in one of your files on your
computer and when you are ready you
can upload several CPD records into your e portfolio at
the one time
Save as a web archive file . This is
supported by Internet Explorer but not by Google
Chrome..........
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Pharmacy
Example of saved CPD records in a
computer file. Note the form of file saved.
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Pharmacy
Uploading to your personal library .
Ensure that your folders of screen are set up correctly.
Ensure that the various sections of the competency
framework have a folder and that each is separate and NOT a sub folder of
another one.
SELECT BUTTON
Shared or private options
Folders that you
have previously created .
Description – be specific use your own personal ref number based on
the CF codes A23 E and D ref
A1.1
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Pharmacy
To upload your file….Highlight the correct folder (previously created) e.g. A
PERSONAL COMPETENCIES
Click on the SELECT button, click on the SHARED option or the
PRIVATE option if it is not ready to share.
Put the file name as the description- be specific and use a
personal ref number.
Press UPLOAD FILE.
The file will upload into the chosen folder within your
personal library.
Quality Education for a Healthier Scotland
PharmacyConclusions
Stage 2 , The Scottish Pharmacy Vocational Training Scheme - revised -
service redesign in Scotland.
Training scheme aims to develop pharmacists through learning by their
everyday experiences - not by underpinning knowledge alone.
Research informs that whilst Stage 2 Training Scheme is challenging, it is
viewed by the majority of trainees as being a way of receiving a broad
structured training and feedback from experienced senior pharmacists which
in turn, in their view, leads to increased confidence and a sense of improved
quality of the pharmaceutical care that they are able to provide to patients.
Quality Education for a Healthier Scotland
PharmacyAdvice from previous trainees…
Get on with the work
Don’t ignore it, it wont go
away…
Write it up as you do it.
I felt my evidence could have been
better if I had done this…
To do lists for each
section are important.
Set yourself deadlines.
I set a target month to
complete each section.
Don’t leave loads to write
up at one time.. You will forget
the detail.