1. Roles and Responsibilities Use of e-portfolio Use of the newOOH Training Workbook 2 nd December 2010

2. Workbook Bedoc added a local section to enable use at Bedoc and WIC SECTION 1: Registration form PLUS trainer form for sharing learning needs Expectation that OOH training is discussed in first week of induction of ST2 into the practice

3. Workbook SECTION 2: Bedoc arrangements  Registration – form, website  Induction training – twice a year Feb and Aug/ Sept  PMETB 108 hours (6 hrs per month FTE) – more if extended training  EWTD guidance

4. Workbook SECTION 2: Bedoc arrangements  10-15 hours observations with other organisations  Progression level 1 to level 3.  Shift supervision arrangements  Documentation – log sheet, feedback and e- portfolio  Familiarisation checklist

5. Workbook Section 3  OOH Competencies and their assessment Trainee self assessment OOH Knowledge questionnaire OOH Supervisor declaration Audio-COT OOH – CBD (also observed consultation COT) (also feedback from Bedoc using RCGP OOH toolkit)

6. Workbook Section 4  RCGP Curriculum and OOH Care Recognise and evaluate acutely ill patients Competency in managing medical, surgical, psychiatric, ophthalmology, ENT (etc) emergencies OOH, understand organisation OOH care, refer appropriately and communicate effectively. Manage time, stress and personal security Person centred care out of hours Problem solving skills, comprehensive approach, holistic approach and community orientation etc,

7. Workbook Section 5  Trainee self assessment tools Reflective learning log (PUNS/ DENS approach) Knowledge self assessment confidence rating scale OOH care short answer questionnaire – scenario based

8. Workbook Section 6  OOH log sheet  OOH Supervision feedback form  OOH Trainee detailed reflection form  OOH Trainee more detailed supervision feedback

9. Topics for discussion Practical organisation of 6 hours per month of FTE training Logging and reporting progress from stage 1 to stage 3 towards independent practice Format of supervision OOH Documentation and communication EWTD

10. Topics for discussion Assessment of OOH competencies:  In practice – OOH CBD, audio-COT (audio recordings can be provided), review of self assessment tools, review of log sheets and e- portfolio  In OOH setting – observed COT, Bedoc feedback via RCGP OOH toolkit, supervisor detailed feedback form