1. REVIEW of TRAINER ACCREDITATION & REACCREDITATION Dr Mohan Kumar

2. RATIONALE FOR CHANGE Multiple learners Multidisciplinary learning environments Meeting PMETB Standards & QA Increasing numbers Transferable Trainer Accreditation Reciprocal Approval

3. RATIONALE FOR CHANGE Trainer and Practice Feedback Visitor Feedback Trainee Feedback Past SEAs Everything else has changed!

4. Matryoshka

5. Cascade of Change Reaccreditation ( process) Accreditation (process) Criteria and standards for training (standards) Trainer and Learning environment (standards) National standards: PMETB Gold guide

6. Gold guide

7. The Learning Environment Trainer as a Doctor Trainer as a Teacher The Educational Programme

8. Trainer as a Doctor 1.1 General Practice Experience 1.2 Personal and Professional Values 1.3 Availability and Accessibility 1.4 Clinical Competence 1.5 Ability to critically appraise and quality assure clinical service provision 1.6 Ability to communicate 1.7 Ability to work in Teams 1.8 Continuing Professional Development 1.9 Probity 1.10 Health

9. 2.1 Personal Qualities 2.2 Preparation for Teaching 2.3 Organisation of Teaching 2.4 Demonstrable Teaching abilities 2.5 Creates Opportunities for Learning 2.6 Reflective and Peer Appraised 2.6 Formative Assessment 2.7 Summative Assessment – CCT/ nMRCGP 2.8 Understanding of Employment obligations 2.9 Continuing Professional Development as Educator Trainer as a Teacher

10. 3.1 Equality and Diversity 3.2 Induction 3.3 Educational Contract 3.4 Health and Safety 3.5 Workload 3.6 Organised Learning Programme linked to curriculum 3.7 Study Time and Leave 3.8 Educational Resources 3.9 Varied Training Experience 3.10 Supervision and Feedback 3.11 Multi-professional input 3.12 Overall Effectiveness Educational Programme

11. 4.1 Premises 4.2 Records and Registers 4.3 Practice multi -professional Teams 4.4 Practice Management 4.5 Audit and Performance Review 4.6 Practice Library and Teaching Aids 4.7 Access to services 4.8 Practice Workload 4.9 Practice Professional Development 4.10 Practice as an employing organisation Learning Environment

12. Key Changes Parallel approval processes for Trainer and Learning Environment No ‘routine visits’ Educator re-approval interviews will be reflective and will assess the quality of the educational process and the trainer's understanding of the core competencies of Trainers.

13. Key Changes Evidence to be collated and triangulated from (a) Trainer and Practice self reported information (b) Deanery Database that includes Trainer CPD (c) Multi –Source and Peer Feedback (d) Trainee Feedback and (e) The Practice visit (if needed)

14. Key Changes The Visitor forms redesigned to be fit for purpose and allow ease of electronic input Annual self reportage of any changes that may impact on training

15. Triggers for visit New Trainer Request by Practice/ Trainer Random for Quality assurance Feedback from Trainee(s)/ Peers/ PDs Changes that may impact provision of training

16. Thank You!