The Pharmacy Vocational Training Scheme Stage 2

Quality Education for a Healthier Scotland

Pharmacy

The Pharmacy Vocational Training Scheme

Stage 2

Induction presentation

Sept 2014


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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


PharmacyLets get started....

• What do you wish more information about? (5 mins)


PharmacyWhat will we cover today?

• the model of training• competency framework• resources available • forms for evidence• support for training• assessment process• e-Portfolio


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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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The competency framework


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The competency framework within ePortfolio


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Resources within ePortfolio


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Guidance for timelines for activities


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Screen shot of the VT web pages


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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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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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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.....


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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 ))


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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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The competency framework


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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


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…


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....


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….


PharmacyPortfolio


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...


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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.


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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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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....


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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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.


PharmacyPortfolio

Types of

evidenceForms, logs,,,


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Forms for recording evidence


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Action record


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Dispensing services reflection record


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Aseptic services log....


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The reflections from this experience...


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Example of care plan.... But use the one on the VT web page and upload into your personal library...


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Med info activity log


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Forms for assessment of performance


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


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Mini- CEX form


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Case Based Discussion form


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Appraisal form 6,9 15 months...


PharmacyPortfolio

Evidence


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…..


PharmacyPortfolio

Assessment information


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]


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


PharmacyPortfolio

Collecting evidence -E Portfolio


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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List of forms and logs within e portfolio


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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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The personal library for storing of CPD records...

Only empty folders can be deleted....


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Resources sectionLinks to the website,

PDFs… All info is here…


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This is how you select evidence to share with

a specialist....

Select Down load portfolio tab....


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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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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….


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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.


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This is the CPD record that I wish to save in

my personal library

within my ePortfolio


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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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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.


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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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Example of saved CPD records in a

computer file. Note the form of file saved.


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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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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.


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.


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.


PharmacyWhat did we cover today?

• the model of training• competency framework• resources available • forms for evidence• support for training• assessment process• e-Portfolio

The Pharmacy Vocational Training Scheme Stage 2

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