AG UIDE FOR FOUNDATION PROGRAMME by DtxA2waZ

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									Wales Foundation School

  A guide for Foundation
   Doctors commencing
       August 2009



Contents:

Welcome and contact details
e-Portfolio & assessments
TAB guidance
Requirements for sign off
F2 Curriculum Study days
Recognition of Excellence in Foundation Training Award
(REFTA)
F2 teaching project



                           1
    Foundation Programme Training in the Wales Foundation School
   We aim to ensure that you enjoy your time as a Foundation Programme Doctor within
   the Wales Foundation School, which is why we have written this guide so you are
   aware of what you can expect and what is expected of you as a Foundation Doctor.

   Your local Foundation Programme Director and Postgraduate Centre will provide you
   with key information throughout the programme, but should you have any queries
   that cannot be answered locally, the team in the Wales Foundation School are only
   to happy to help. In the first instance please contact visit our website
   www.cardiff.ac.uk/pgmde/foundation

   If you are unable to find the answer on our website, please contact a member of the
   team below.


Dr Tom Yapp                                          Joanne Davies
Associate Dean (Foundation)                          Foundation School Manager
tom.yapp@abm-tr.wales.nhs.uk                         daviesje8@cardiff.ac.uk
+44 (0)29 206 87505                                  +44 (0)29 206 8750

Miss Sioned Edwards                                   Miss Kate Palmer
Executive Officer (Foundation)                       Foundation Programme
edwardsse@cardiff.ac.uk                              Administrator
+44 (0)29 206 87416                                  palmerk2@cardiff.ac.uk
                                                      +44 (0)29 206 87409



   The following documents can be downloaded from the UK Foundation Programme
   Office website www.foundationprogramme.nhs.uk or
   www.cardiff.ac.uk/pgmde/foundation

         Operational Framework for Foundation Training
          The Operational Framework was developed to support the implementation
          and delivery of Foundation Programme training. This is a companion
          document to the Foundation Programme Curriculum and should be used in
          conjunction with it.

         Foundation Programme Curriculum
          The curriculum summarises the skills, knowledge and competence levels you
          are expected to have attained in order to complete Foundation Training.

         Rough Guide to the Foundation Programme
          This guide explains how the Foundation Programme works, and will help you
          get the most out of your first two years of clinical practice. It covers a range of
          topics including your application to the foundation programmes; progressing
          through F1 and F2; completing your assessments; and advancing to specialty
          training. It also covers career advice and what to do if things are not going
          well in your placement.




                                               2
e-Portfolio
The Wales Foundation School uses the e-Portfolio which can be accessed at:
www.nhseportfolios.org Your local postgraduate centre will issue you with your login
details so that you may access the e-Portfolio.

Guidance notes can be found in the ‘help’ section of the e-Portfolio, but advice can
also be sought from your local Postgraduate Centre or Foundation Training
Programme Director.

The portfolio will contain the appraisal and assessment documentation you will be
required to complete during the course of F1 and F2, in order for you to obtain full
registration at the end of your F1 year; and to be signed off at the end of F2 as fit to
enter Specialist Training.

It is your responsibility to maintain and develop your e-Portfolio, as a record of your
professional development. The following assessments must be completed each
year:

Mini-CEX                      Trainees must complete a minimum of 6 each year.
(Clinical Evaluation          We recommend 2 Mini-CEX per 4 month placement in
Exercise)                     a year.
                              This guidance is the same for F1 and F2.
CbD                           Trainees must complete a minimum of 6 each year.
(Case Based Discussion)       We recommend 2 CbD per 4 month placement in a
                              year.
                              This guidance is the same for F1 and F2.
DOPS                          Trainees must complete a minimum of 6 each year.
(Direct Observation of        We recommend 2 DOPS per 4 month placement in a
Procedural Skills)            year.
                              This guidance is the same for F1 and F2.
TAB                           These are completed in each of the first 2 placements.
(Team Assessment of           A third TAB may be required if problems are identified.
Behaviour)                    This guidance is the same for F1 and F2.

       o   The outcomes of your assessments should be discussed with your
           Educational Supervisor. Your Educational Supervisor will support you in
           maintaining and developing your electronic learning portfolio.

       o   Your Educational/Clinical Supervisor will support you in identifying key
           assessors and by ensuring that the outcomes of your Personal
           Development Plan in your portfolio are met.

       o   Assessments can be completed by your clinical colleagues and other
           health and social care professionals who have worked closely with you.




                                            3
          Team Assessment of Behaviour (TAB)
           o
      360 degree Assessment of Foundation Doctors
         Guidance for Foundation Doctors 2009-10

   As part of your Postgraduate Medical Education, and to allow your
    revalidation by the General Medical Council, you must be able to demonstrate
    your compliance with the standards of professional behaviour set out in the
    GMC document ‘Good Medical Practice’.

   In order to confirm this you will seek the views of professional colleagues,
    using the TAB assessment form on the e-Portfolio.

   Two satisfactory TAB assessments must be completed, during each year i.e.
    F1 and F2. You should carry out the assessments in your first and second 4-
    month placements.

   You should ask a minimum of 10 co-workers to complete the TAB
    assessment form. Please note that at least 5 of your chosen assessors must
    be nursing staff, or midwives. You must also ask at least 3 doctors, one of
    which must include your current consultant supervisor. The others may be
    therapists, clerical staff, laboratory staff etc.

   Once you have identified your assessors, you will need to send them a
    unique code, so they can complete the assessment without having access to
    the e-Portfolio. This code is sent to the assessors by clicking on the ‘Request
    External Assessment’ link in the Work Based assessments section of your e-
    Portfolio.

   This process should be started in the weeks commencing

       o   26th October 2009 (1st placement),
       o   22nd February 2010 (2nd placement)
       o   Wednesday 9th June 2010 (3rd placement).

   All forms must be submitted electronically by your assessors, no later than: -

       o   Friday 13th November 2009 (1st placement)
       o   Friday 12th March 2010 (2nd placement)
       o   Friday 18th June 2010 (3rd Placement)

   You will be able to check if your assessors have submitted their forms in the




    work based assessment section of your e-Portfolio. Click on
    Summary TAB in the ‘view summary’ column and you will see the names of
    the assessors who have submitted their assessments, but you will not be able
    to see their submitted forms. If there are less than 10 returns, you should
    encourage your nominated assessors who have yet to submit their forms to
    do so, or nominate other assessors.




                                       4
   At your End of Placement review meeting, your Educational Supervisor will
    give you a summary of the results, although you will not normally be told who
    gave which opinion.

   At the end of this meeting your Educational Supervisor will sign off the
    summary of results and this will then drop into your e-Portfolio.

   In practice the process almost always results in gratifying praise for trainees
    from their fellow workers.

   You may occasionally discover an unexpected weakness, (for instance,
    patients having difficulty understanding you). You will have the chance to
    discuss this with your Educational Supervisor and where necessary put
    together a remedial action plan using the documentation available in the
    portfolio. If serious concern is recorded a remedial action plan must be made.

   Any trainees who have weaknesses identified in either TAB must complete
    another assessment at the end of their 3rd post. Likewise, any TAB
    assessments where less than 10 completed forms were received must be
    repeated.




                                        5
  Revised guidance notes for F1 doctors starting in August 2009
   Guidance Notes for completion of Form 5.1 (Attainment of F1
                         Competence)
The Foundation Training Programme Director (or other authorised signatory) must
consider the following documentation before completing form 5.1 (Attainment of F1
Competence):

      Portfolio & assessments
      Record of attendance at formal teaching sessions
      Record of absence (excluding annual leave)

The Foundation School Director of the current Foundation School (or other
authorised signatory) should confirm whether the named foundation doctor has met
the requirements for satisfactory completion of foundation year 1 and sign the form.
The completed 5.1 form will be used by the Undergraduate/Postgraduate Dean (or
other authorised signatory) when completing the Certificate of Experience.

The following explanatory notes provide guidance about each of the listed minimum
requirements:

1. Provisional Registration with the General Medical Council

To undertake the first year of the Foundation Programme, doctors must be
provisionally registered with the General Medical Council. In exceptional
circumstances (e.g. refugees), a fully registered doctor may be appointed to the first
year of a Foundation Programme.

2. Completion of 12 months F1 training (taking account of allowable absence).

The maximum permitted absence from training (other than annual leave) during the
F1 year is 4 weeks. (See GMC Guidance on sick leave for provisionally registered
doctors)

3. A satisfactory End of Placement final review form for each placement
   (within the e-Portfolio).

If the F1 doctor has not satisfactorily completed one placement but has been making
good progress in other respects, it may still be appropriate to confirm that the F1
doctor has met the requirements for satisfactory completion of F1. If this is the case,
the FTPD (or equivalent) should discuss this with the Foundation School Director.

4. A satisfactorily completed Summary of Evidence Presented form, which
   should have all sections appropriately completed (this can be found in the
   Curriculum section of the e-Portfolio).

F1 doctors should record how they have demonstrated each competence, for
example not just listing “CBD”, but which “CBD.”

5. Evidence that the F1 doctor can carry out the procedures required by the
   GMC (listed under number 8 in the Curriculum section of the e-portfolio).

It is recommended that the trainee has a list or logbook of the procedures with each
countersigned by an appropriate practitioner. An appropriate practitioner would be a
more senior doctor or a senior nurse or other health professional, who is skilled and
trained in the procedure concerned and in assessment.
                                           6
6. Satisfactory completion of the required number of assessments, as set by
   the Deanery/Foundation School

The exact form for this evidence will vary between schools. However, F1 doctors
should be achieving level 4 by the end of the year but earlier in their training may be
achieving level 1-3.
Note: the Wales Foundation School suggests that F1 doctors should complete a
minimum of: 6 mini-CEX, 6 CBDs, 6 DOPS and 2 TABs (and an additional TAB if
concerns are identified). It is recommended that these are spread evenly throughout
the year.

7. An acceptable attendance record at foundation teaching sessions.

It is recommended that postgraduate centres (or equivalent) provide a record of
attendance for each F1 doctor. It has been agreed that an acceptable attendance
record should typically be 70%. However, if the F1 doctor has not attended 70% of
teaching sessions for good reasons, it may still be appropriate to confirm that the F1
doctor has met the required standard. If there are concerns regarding engagement
or if attendance is below 50% the FTPD (or equivalent) should discuss this with the
Foundation School Director.

8. A valid Intermediate Life Support (or equivalent) certificate or record of
   attendance.

If the certificate has expired, it may be appropriate to accept evidence that the doctor
has booked to attend a refresher course.

9. Completion of the COPMeD/PMETB National Trainee Survey.

Foundation doctors should take part in systems of quality assurance and quality
improvement in their clinical work and training. In particular, foundation doctors must
complete the National Trainee Survey.

10. Signed probity and health declarations (this can be found in the ‘profile’
    section of the e-Portfolio).

Separate forms should be signed for each year of foundation training (F1 and F2)

11. Post Assessment Form

A form should be completed for each 4-month placement.

12. ‘Clinical Supervisor Feedback report’

A form should be completed for each 4-month placement.




                                           7
Revised guidance notes for FP sign-off to take effect from August
                             2009
Guidance Notes for completion of FACD (Foundation Achievement
             of Competence Document – form 5.2)
The Foundation Training Programme Director (FTPD) (or other authorised signatory)
must consider the following documentation before completing the FACD:
    Portfolio & assessments
    Record of attendance at formal teaching sessions
    Record of absence (excluding annual leave)

The Postgraduate Dean of the current deanery (or other authorised signatory) should
confirm whether the named foundation doctor has achieved the required standard for
satisfactory completion of the Foundation Programme and sign the FACD.

The following explanatory notes provide guidance about each of the listed minimum
requirements:

1. Full Registration with the General Medical Council

To undertake the second year of the Foundation Programme, doctors must be fully
registered with the General Medical Council.

2. Completion of 12 months F2 training (taking account of allowable absence).

The Foundation School Directors’ Sub-Committee have agreed that the maximum
permitted absence from training (other than annual leave) during F2 is 4 weeks (i.e.
the same as F1).

3. A satisfactory End of Placement final review form for each placement
   (within the e-Portfolio).

If the F2 doctor has not satisfactorily completed one placement but has been making
good progress in other respects, it may still be appropriate to confirm that the F2
doctor has met the requirements for satisfactory completion of the Foundation
Programme. If this is the case, the FTPD (or equivalent) should discuss this with the
Foundation School Director.

4. A satisfactorily completed Summary of Evidence Presented form, which
   should have all sections appropriately completed (this can be found in the
   Curriculum section of the e-Portfolio).

F2 doctors should record how they have demonstrated each competence, for
example not just listing “CBD”, but which “CBD.”

5. Evidence that the foundation doctor can carry out the procedures required
   by the GMC (listed under number 8 in the Curriculum section of the e-
   portfolio).

It is recommended that the F2 doctor has a list or logbook of the procedures with
each countersigned by an appropriate practitioner. An appropriate practitioner would
be a more senior doctor or a senior nurse or other health professional, who is skilled
and trained in the procedure concerned and in assessment. The Foundation
Programme Curriculum (2007) requires F2 doctors to maintain and improve their
skills in the procedures required by the GMC for successful completion of F1. By the

                                          8
end of F2, foundation doctors should be able to help others with difficult procedures
and guide F1 doctors in teaching others.


6. Satisfactory completion of the required number of assessments, as set by
   the Deanery/Foundation School

The exact form for this evidence will vary between schools. However, F2 doctors
should be achieving level 4 by the end of the year but earlier in their training may be
achieving level 1-3.
Note: the Wales Foundation School suggests that F1 doctors should complete a
minimum of: 6 mini-CEX, 6 CBDs, 6 DOPS and 2 TABs (and an additional TAB if
concerns are identified). It is recommended that these are spread evenly throughout
the year.

7. An acceptable attendance record at foundation teaching sessions.

It is recommended that postgraduate centres (or equivalent) provide a record of
attendance for each F2 doctor. It has been agreed that an acceptable attendance
record should typically be 70%. However, if the F2 doctor has not attended 70% of
teaching sessions for good reasons, it may still be appropriate to confirm that the F2
doctor has met the required standard. If there are concerns regarding engagement
or if attendance is below 50% the FTPD (or equivalent) should discuss this with the
Foundation School Director.

8. A valid Advanced Life Support (or equivalent) certificate or record of
   attendance.

If the certificate has expired, it may be appropriate to accept evidence that the doctor
has booked to attend a refresher course.

9. Evidence of Involvement in Audit

The Foundation Programme Curriculum requires that F2 doctors have been actively
involved in undertaking a clinical audit, and recognise how it relates to the
improvement of clinical standards and addresses the clinical governance agenda.

10. Completion of the COPMeD/PMETB National Trainee Survey.

Foundation doctors should take part in systems of quality assurance and quality
improvement in their clinical work and training. In particular, foundation doctors must
complete the National Trainee Survey.

11. Signed probity and health declarations (this can be found in the ‘profile’
    section of the e-Portfolio).

Separate forms should be signed for each year of foundation training (F1 and F2)

12. Post Assessment Form

A form should be completed for each 4-month placement.

13. ‘Clinical Supervisor Feedback report’

A form should be completed for each 4-month placement.


                                           9
                   F2 Core Curriculum Study Days
                           Pilot – 2009/10
               Guidance for Foundation Year 2 Doctors

From August 2009, the Wales Foundation School will pilot Foundation Year 2 Core
Curriculum Study days. The aim of the day is to provide standardised teaching of
topics that can be delivered through a central process, in order to improve the
consistency of teaching sessions across Wales. It is also hoped that the study day
will make it easier for you to attend a minimum of 70% of these sessions. The study
day will count as 20% of your attendance at generic curriculum teaching sessions.


The study day will cover the following topics:
   o   Careers
   o   Adverse event reporting
   o   Violence and aggression training
   o   The informal complaint and record keeping


Where will the day be held?
Seven days will be held on the following dates in locations across Wales. You must
apply for study leave at your local Postgraduate Centre to attend one of these
sessions. There is a fee of £30 to attend the Study day, which you can apply for from
your study leave budget. To book a place on your preferred study day you must
complete the attached form and return, with payment, to the relevant postgraduate
centre. The contact details are indicated in the table overleaf. Please note the
following:


      You should aim to make your booking in the first two weeks of August, to
       ensure you have a place on a Study day.
      You must apply for study leave to attend a study day.
      There are limited places available in each centre.
      Places will be allocated on a first come first served basis.
      You are free to apply to attend any session.
      Preference will not be given to Foundation Doctors working in the hospital
       where the study day is being held.


 FAILURE TO ATTEND A CURRICULUM STUDY DAY MAY RESULT IN YOU NOT
              BEING SIGNED OFF AT THE END OF YOUR F2 YEAR.



                                          10
                                        F2 Core Curriculum Study Days
                                                Pilot – 2009/10
                                                Booking form
                   Please complete this form and return to your preferred centre, with
                                            payment of £30.
                You should telephone your first choice centre in advance to ensure they have places, before
                 sending your form and payment. If the centre is full you will need to contact your second
                 choice centre and so on. You should aim to make your booking in the first two weeks of
                                   August, to ensure you have a place on a Study day.
             Personal details
            First Name                                                       Surname

            Hospital you                                                     Bleep
            are currently working in                                         number
            (as an F2 Doctor)
            Telephone number                                                 e-mail
                                                                             address
            Postal address


                Study Day details
Please   Date               Centre               Contact name & tel    Contact details                            Cheque made
tick 1                                                                                                            payable to:
         Monday 21st        Ysbyty Gwynedd,      Sarah Lewis           Foundation Programme Co-ordinator          Education
         September          Bangor                                     Education Centre                           Centre
                                                 01248 384621          Ysbyty Gwynedd                             North West
                                                 ext 5625              Bangor, LL57 2PW                           Wales NHS
                                                                       Sarahh.lewis@nww-tr.wales.nhs.uk           Trust
         Friday 25th        Morriston            Llinos Browning       Postgraduate Admin Assistant               Morriston Post
         September          Hospital,                                  Morriston Hopital                          Graduate
                            Swansea              01792 703320          Swansea, SA6 6NL                           Centre ABM
                                                                       llinos.browning@abm-tr.wales.nhs.uk        Trust
         Monday 5th         Royal Gwent          Kerry James           The Friars Education Centre                Gwent
         October            Hospital, Newport                          Friars Road                                Healthcare
                                                 01633 234588          Newport, NP20 4EZ                          NHS Trust
                                                                       kerry.james2@gwent.wales.nhs.uk
         Tuesday 20th       Glan Clwyd           Deryn Evans           Postgraduate Centre                        Clwyd North
         October            Hospital, Rhyl                             Glan Clwyd Hospital                        Postgraduate
                                                 01745 534121          Rhyl                                       Centre Account
                                                                       Denbighshire, LL18 5UJ
                                                                       Deryn.evans@cd-tr.wales.nhs.uk
         Wednesday          Withybush            Sian Churchill        Postgraduate Centre,                       Pembrokeshire
         28th October       General Hospital,                          Withybush General Hospital                 and Derwen
                            Pembrokeshire        01437 773723          Fishguard Road,                            NHS Trust
                                                                       Haverfordwest SA61 2PZ
                                                                       Sian.Churchill@wales.nhs.uk
         Tuesday 3rd        Prince Philip        Karen Evans           Foundation Programme / PG Manager          Llanelli
         November           Hospital, Llanelli                         Postgraduate Centre                        Postgraduate
                                                 01554 783249          Prince Philip Hospital                     Medical Centre
                                                                       Llanelli, SA14 8QF
                                                                       karen.llanpgmc@btconnect.com
         Friday 13th        Llandough            Sharon Gibbs          Cardiff Postgraduate Medical Centre        Cardiff & Vale
         November           Hospital, Penarth                          University Hospital of Wales               NHS Trust
                                                 02920 746231          1st Floor, Cardigan House
                                                                       Heath Park,
                                                                       Cardiff, CF14 4XW
                                                                       Sharon.gibbs@cardiffandvale.wales.nhs.uk

                 You will receive confirmation once you have been booked onto a study day.
                FAILURE TO ATTEND A CURRICULUM STUDY DAY MAY RESULT IN YOU NOT
                              BEING SIGNED OFF AT THE END OF YOUR F2 YEAR.
                                                                  11
      Recognising Excellence in Foundation Training Award
                           (REFTA)
                   Wales Foundation School
                                       2009 / 2010
There are four basic educational principles on which the Foundation Programmes
are built; outcome-based, defined competences, assessment and professional
development and life-long learning. Whilst F1 trainees need to meet minimum
standards at the end of the year to gain full GMC registration, there is little formal
opportunity to demonstrate excellence in the Foundation years. In 2008, Swansea
NHS Trust ran a “Trainee of the Year’ award, which was regarded as a success by
trainees and supervisors alike. In the same year, North East Wales NHS Trust asked
F1 trainees to give a presentation around the ‘1000 lives’ campaign. The following
builds on both projects and recognizes their innovation.


REFTA project
‘The 1000 lives campaign is aiming to prevent 1,000 avoidable deaths and to avoid
50,000 episodes of harm in Welsh healthcare over two years.’ Areas that have been
developed are: Improving leadership for quality, reducing healthcare associated
infections, improving critical care, improving medicines management, reducing
surgical complications and improving general medical and surgical care.


All F1 trainees in Wales will be invited to take part, on a voluntary basis. Together
with guidance from local Foundation Programme Directors and Educational
Supervisors, trainees would undertake a project, with the aim of improving patient
safety. Whilst it is anticipated that most trainees would include some degree of audit,
projects can include new ideas and innovation. Each trainee would then submit a
500 word summary paper to their local hospital panel, and a shortlist of the best
projects would be drawn up. These trainees would present their projects at a special
F1 session in their local hospital and a winner chosen. All local winners would be
invited to present their project at a national meeting and the best presentation would
receive the ‘Wales Recognition of Excellence in Foundation Training Award
(REFTA). All participants would be recognized and their achievement recorded in the
reflective section of their e-portfolio.




                                           12
REFTA project - Guidance notes
For the Foundation Trainee
The project is voluntary but trainees are encouraged to take part.
Trainees should work alone and not in groups.
All projects submitted will be recognized and can be recorded in the trainee’s e-
portfolio.
Most projects will have at least some element of audit but can be as varied as is the
delivery of healthcare across the NHS.
A 500-word summary should be submitted to your local FPD by 30/04/2010.
Short-listed projects will be presented (10 slides maximum) to a local panel and a
winner chosen by 31/05/2010.
Local winners will be expected to present their project at a national meeting in July
2010 and the overall winner will received the REFTA.


For the Educational Supervisor
Please provide guidance and support for the trainee.
Although the period covers the final changeover, you will only be expected to
supervise one trainee in this project – the 2nd post trainee (in post between
December and April).


For the Foundation Programme Director (FPD)
Please encourage as many trainees and supervisors to take part as possible.
You will need to convene a local panel to short-list and judge the presentations.
How to short-list and judge is up to each FPD.
You may wish to invite F2 trainees to the presentation event.
If the FPD covers more than one hospital, they need to decide whether there will be a
local winner in each hospital or just one local winner across the various sites.


Timeline
August 2009:     Trainees informed of REFTA project

February 2010: Trainees invited to take part in the REFTA project

April 2010:      Project summary submitted to local panel

May 2010:        Short-listed trainees present at local F1 meeting

July 2010:       Local winners present their project at National meeting




                                           13
                         F2 Teaching Project
                On-Line Tutorials for Medical Students:
               Accrediting Teaching competencies in F2
AIMS
   1. To create an on-line learning resource for students in the final phase of their
      learning (years 4 and 5)
   2. To facilitate the accreditation of Teaching Competencies for F2 Doctors
   3. Provide opportunities for peer review of high quality materials (equivalent to
      achieving a peer reviewed research publication) for the best tutorials
      developed by F2 doctors.

TIME
We suggest that this would be best undertaken in the first 4 month placement.

METHOD
The foundation doctor creates a short tutorial piece on a clinical topic. This would
then be signed off as accurate by their clinical supervisor, and at the right level by the
medical school and placed on the web portal for the undergraduate students to use.
It should include learning points and references. The aim is to keep the tutorials
short, and not to involve complex creation – so the format could be text with
diagrams, pod-cast, or voice-over power-point. It potentially could be put forward for
publication on IVI MEDS and therefore be a publication for the foundation doctor.

TOPIC
A clinical topic aimed at final year students. Written by a foundation doctor usually on
a topic relevant to the clinical job they have just completed/are completing. For
example if they have finished an Obstetric post then the topic could be “fibroids”, if
they have completed a Medicine post, it could be “Shortness of Breath”. It could also
be on cross cutting issues –e.g. ordering blood tests, or how to transfuse blood.

STRUCTURE
Learning points must be included – usually two or three
References must be included (either an electronic link or a traditional reference,
whichever is most appropriate.
The time taken for the learner to complete the tutorial should be 10-15minutes

The format of the tutorial can be
    Text covered in approx 2 sides of A4. Diagrams etc added.
    Pod-cast.
    Power-point slides with voice-over

Technical support and help can be given (email medic-elearning@cardiff.ac.uk), but
as a broad guide the following points may be useful when developing a podcast or
voice-led presentation:

      Podcast:
          o You need a computer, a microphone (pretty much anything should be
             adequate) and recording software – we would recommend Audacity,
             which can be downloaded freely from http://audacity.sourceforge.net/
          o Plan what you’re going to say before recording, speak fairly slowly and
             try to keep the tone-of-voice engaging.
          o When complete, save the podcast as an MP3 file (at 12bKB/s or
             greater) or as a WAV file (we can do the conversion to MP3 for you if
             necessary)

                                           14
      Voice-led presentation
          o Create the slides, diagrams and images in Powerpoint as a starting
              point and plan what you want to say for each slide.
          o To capture the audio with each slide we would recommend Adobe
              Captivate – a free 30-day trial can be downloaded from
              http://www.adobe.com This software will let you import the
              Powerpoint slides and then record your audio for each slide, one at a
              time.
          o When you have finished creating your presentation, export it to the
              required format using File > Publish, enter a project title and click
              Publish.

Self assessment questions can be added – e.g. single best answer, or several right
answers or extended match questions – so the student can select one or more
correct answers. This can be enhanced with feedback.

TECHNICAL STAGE
The work is then passed to the eLearning Programme Manager (medic-
elearning@cardiff.ac.uk) who will put it into house style, insert the self assessment
into the template for auto-feedback.
The student and the clinical supervisor will be acknowledged as authors.
Some (and especially the early ones) will be piloted with volunteer students.

When passing contents over to the eLearning Programme Manager, please ensure
all source files are included as appropriate (this is particularly important with audio-
led presentations where we need the Captivate project file to allow us to apply house
styles).

CLINICAL SUPERVISOR
The foundation doctor then submits the work to their supervisor who ensures that the
work is clinically accurate.

UNDERGRADUATE DEPARTMENT
Work is then passed to undergraduate panel to assess the level or clinical year that
the work is best suited for and provide feedback to author. A review date will be
decided. (all e-materials have a review date so they are checked for ongoing
accuracy).

WEB
It is then placed on the web (via Black-Board) for students to access. (NB authors
identified/acknowledged). Authors of high quality tutorials could be invited to submit
to IVI MEDS, perhaps with some further development (help available).

EVALUATION
The use of the tutorial will be tracked. Student feedback will be collected, and fed
back to the Medical School – and to the F2 doctor and supervisor if wished

BENEFITS
Foundation doctor provides learning materials to medical students. They can be
signed off for their teaching competencies. They potentially could have a publication.
Medical students benefit from a new range of learning materials

Project Team
Helen Houston, Tom Yapp, Craig Beaton (student who proposed idea), Nick Webb.



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