Quality Education for a Healthier Scotland Pharmacy Introduction to The Pharmacy Vocational Training Scheme Stages 2,3 and 4 August 2013

Quality Education for a Healthier Scotland Pharmacy Aim and objectives of this session To increase knowledge about The Pharmacy Vocational Training scheme Stage 2,3 and 4 Increased knowledge about the: structure of the training programme resources available to help complete the competency framework web based e - portfolio different formats for evidence that are acceptable for inclusion in your portfolio assessment processes

Quality Education for a Healthier Scotland Pharmacy What is Stage 2 of The Pharmacy Vocational Training Scheme? Work based training Part of a larger modular programme General foundation skills Reflective practice Stage 3 Stage 4

Quality Education for a Healthier Scotland Pharmacy What is the Pharmacy Vocational Training Scheme? Stage 4 Advanced training Education & training, Leadership, Research Stage 3 Specialist training – Specialist skills, VT3 trainees Stage 2 – VT2 trainees – General Foundation training Stage 1 PRPS training

Quality Education for a Healthier Scotland Pharmacy Active experimentation Concrete Experience Reflection Conceptualising Source: Kolb, 1984 Kolb’s learning cycle

Quality Education for a Healthier Scotland Pharmacy The Pharmacy Vocational Training Scheme? Stages 2,3 & 4 RPS Faculty Flexible, eKSF, CPD

Quality Education for a Healthier Scotland Pharmacy So how does this fit with the RPS Faculty ?

Quality Education for a Healthier Scotland Pharmacy RPS Faculty GPhC CPD Revalid’n

Quality Education for a Healthier Scotland Pharmacy Structure of VT training Competency framework Underpinning knowledge - resources Learning in practice Recording of evidence in e portfolio Reflection & learning from practice Locality tutors (Educational supervisors) Regional Tutors & Specialist tutors (Local) Portfolio assessment + External Final Assessment + External

Quality Education for a Healthier Scotland Pharmacy The Pharmacy Vocational Training Scheme? Stage 2 Rotational programme requires you to demonstrate competency within a variety of different areas of practice within secondary care Development of ‘general’ skills, 2 – 2.5 years Tutor, locality tutor Competency framework, tasks, resources, development of e portfolio

Quality Education for a Healthier Scotland Pharmacy The Pharmacy Vocational Training Scheme? Stage 3 Specialists programme requires you to demonstrate competency within a specific area of clinical practice Development of specialist clinical skills Tutor, Educational supervisor Competency framework, tasks, resources, development of e portfolio

Quality Education for a Healthier Scotland Pharmacy The Pharmacy Vocational Training Scheme? Stage 4 Advanced training after/at same time as training in specialist clinical area Leadership Education Research Tutor, educational supervisor Competency framework, tasks, resources, development of e portfolio

Quality Education for a Healthier Scotland Pharmacy Advantages of undertaking Vocational training? Learning through real ‘live’ experience in context,over a period of time, giving time for reflection and further enhanced learning Opportunity to be guided by specialist pharmacists gain feedback from other healthcare professionals experience different areas of pharmacy practice then specialist in clinical area whilst developing further advanced skills experience enhanced learning mini- CEX, CbD There are a wide range of experts to help and guide you…with mentors within the service who have undertaken the training recently…S2 Based on achievement of competence, consistent approach to practice develop a wide variety of skills systematic practice S2 problem solving skills S2,3 communication skills S2,3,4 organisational skills S2 consistency of practice S2,3 Based on continuous assessment different forms of evidence…not one final exam Structured training programme resources framework of tasks meetings with tutor support from specialists Research has shown that undertaking structured training with guidance from specialists increases confidence Provides > requirement for CPD records as required by the GPhc S2,3,4 e -ksf – may provide opportunities for promotion

Quality Education for a Healthier Scotland Pharmacy What are the disadvantages of undertaking Vocational Training? Takes time …need to reflect and re experience to demonstrate learning and consistent practice Can be frustrating when ‘time for learning’ is cancelled…. specialists aren’t available Takes time … need to plan, discuss and seek feedback from others Can be time consuming when selecting evidence to include in your portfolio writing up the different forms of evidence… often out with hours… Takes patience…feedback needs acted on, some revision of evidence Needs development and agreement of objectives prior to each section of the rotation But… with e portfolio things should be easier!

Quality Education for a Healthier Scotland Pharmacy What do you learn about in Stage 2? Personal competencies - 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 Medicines Information - Range of enquiries - Literature search

Quality Education for a Healthier Scotland Pharmacy What do you learn about in Stage 3? Personal competencies Communication Equality and diversity Team working Specialist policies and strategy Underpinning knowledge within specialist area Critical carePharm care in rheumatology AntimicrobialsPharm care in older people Cancer Clinical trials Pharmaceutical public health

Quality Education for a Healthier Scotland Pharmacy What do you learn about in Stage 4? Education and training Leadership Research

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 from your tutor, trainer and other healthcare professionals Confirmation from your tutor that your evidence is at a suitable level

Quality Education for a Healthier Scotland Pharmacy How do I collect my evidence? e - portfolio

Quality Education for a Healthier Scotland Pharmacy What is the VT e portfolio Some advantages…. Safe, secure, web based area for storing evidence Enables ready access to assessment of evidence from afar…. Enables ready access to specialist resources Enables demonstration of achievement of task at a glance

Quality Education for a Healthier Scotland Pharmacy How do we complete the portfolio? E portfolio Log in page with links to Audit, SEA pages on NES website

Quality Education for a Healthier Scotland Pharmacy List of forms and logs within e portfolio

Quality Education for a Healthier Scotland Pharmacy Competencies linked to different forms of evidence

Quality Education for a Healthier Scotland Pharmacy The personal library for storing of CPD records

Quality Education for a Healthier Scotland Pharmacy Resources section Links to website, PDFs

Quality Education for a Healthier Scotland Pharmacy Assessment 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

Quality Education for a Healthier Scotland Pharmacy Assessment Continuous assessment by tutor/specialists S2 Informal feedback from locality tutor prior to submission S3 Regular peer review with specialist group… feedback on progress Formal Portfolio assessment [Pass/fail] Final face - to - face assessment [Pass/fail]

Quality Education for a Healthier Scotland Pharmacy Final assessment ~2 weeks post portfolio assessment Presentation on item within portfolio [reinforce reflections, learning points] S2 Problem solving scenarios [personal limitations, systematic approach, response to questioning] S3 Focus on 4 sections of the portfolio S4 ? Discussion about portfolio

Quality Education for a Healthier Scotland Pharmacy Conclusions The Pharmacy Vocational Training Scheme is a structured programme that enables progression from development of general skills to more specialist clinical skills and advanced skills. Demonstration of competence with guidance from specialists in the particular area of practice. Each Stage takes ~2 years to complete Supports CPD, eKSF and RPS Faculty

Quality Education for a Healthier Scotland Pharmacy Aim and objectives of this session To increase knowledge about The Pharmacy Vocational Training scheme Stage 2,3 and 4 Increased knowledge about the: structure of the training programme resources available to help complete the competency framework web based e - portfolio different formats for evidence that are acceptable for inclusion in your portfolio assessment processes