1. © BOA 160707 Trauma and Orthopaedic Specialty Induction OCAP Induction T+O curriculum OCAP and ISCP eLogbook Mike Reed MD FRCS(T+O) Deputy Programme Director (Early Years)

2. © BOA 160707 OCAP Induction Orthopaedic Competence Assessment Project A Competency Based Curriculum in Trauma and Orthopaedics Accepted PMETB: September 2006 Authors: David Pitts, David Rowley, Clare Marx, Lester Sher, Tony Banks, Alastair Murray on behalf of the BOA and the Orthopaedic SAC

3. © BOA 160707 OCAP Induction What is a Curriculum? (adapted from PMETB definition) Aims and objectives Content –Experiences –Outcomes –Processes –generic professional –specialty specific Training structure –entry requirements –Length of programme Organisation of programme –flexibilities –assessment methods –learning, teaching, feedback and supervision

4. © BOA 160707 How much is existing OCAP used Survey conducted during February & March 2008 All UK trainees with locatable email address contacted by email Web based survey Over 800 participants 715 trainees completed the whole survey David Boardman – Orthopaedic SpR South West Thames Aware of OCAP99% OCAP in portfolio93% Cons. profile 11-42% Learning agreement75% PBAs4 in 6 months

5. © BOA 160707 OCAP Induction T&O curriculum – facilitating good practice Evidence for Accrediting bodies Clear Aims & Objectives Open, high quality, structured feedback PBA & other tools Knowledge Procedures Mini CV PBA summary Logbook Learning agreements Reports in various formats Formative WPB Assessments Learning Agreement

6. © BOA 160707 OCAP Induction T & O Curriculum CT1-ST8 Trainer Profile Learning Agreement Curriculum Vitae Procedures Coaching Assessment Evidence Applied Clinical knowledge Applied Clinical skills

7. © BOA 160707 OCAP Induction1.Curriculum overview

8. © BOA 160707 OCAP Induction1.Curriculum overview

9. © BOA 160707 OCAP Induction1.Curriculum overview Please note that this area of the curriculum is an ongoing development

10. © BOA 160707 OCAP Induction1.Curriculum overview For further information Go to the OCAP website (www.ocap.org.uk) Look on the induction CDROM Check the details of the curriculum Contact admin@ocap.org.uk

11. © BOA 160707 Later Years 3-8 Early Years 1-2 Foundation Where do PBA’s fit in with other assessment tools? Mini-PAT Mini-CEX DOPS CBD PBA Mini-PAT CBD DOPS Mini-CEX PBA mini-PAT

12. © BOA 160707 What do I do as an ST1 and ST2? Register with ISCP –Programme directors ST1 Stefan Plusa ST2Mike Reed Do ISCP but use T+O curriculum for guidance DOPS, MiniCex, CBD on ISCP Do 360 – mini-PAT in this deanery Use elogbook.org for logbook New agreement Aug 2008 – work in progress

13. © BOA 160707 What do I do as an ST3? Register with ISCP Use OCAPonline Use PBAs and mini-PAT (one per post) OCAP Induction 4.Using PBA’s

14. © BOA 160707 Introduction to David Pitts Associate Director, RCSED Leadership & Educational Development Andrew Lamb Director of Web Services, RCSEd Mike Reed Clinical Lead, OCAPonline

15. © BOA 160707 Overview How OCAP works at present HOW TO: –create a Trainer Profile –form a Learning Agreement –do assessments ARCP / RITA reports

16. © BOA 160707 Meeting 1 Meeting 2 Meeting 3 Learning Agreement Consolidation Sheet Completed PBA’s How OCAP works at present Trainer Profile PBA

17. © BOA 160707 Meeting 1 Meeting 2 Meeting 3 How it will work now Trainer Profile Learning Agreement Completed PBA’s Consolidation Sheet PBA Via paper if you wish Electronic ARCP

18. © BOA 160707 Creating an online Trainer Profile (even if you are a trainee)

19. © BOA 160707 Log in as usual – www.elogbook.org

20. © BOA 160707 Go to Training area

21. © BOA 160707 Choose element of profile you want to create

22. © BOA 160707 Cut & paste from your existing cv

23. © BOA 160707 Choose another profile element

24. © BOA 160707 Created from historical logbook data. Add or remove procedures as you wish

25. © BOA 160707 OCAP Induction1.Curriculum overview

26. © BOA 160707 The new “Trainee Profile”

27. © BOA 160707 Trainees make their own trainee profile

28. © BOA 160707

30. Creating a Learning Agreement: Before the first meeting

31. © BOA 160707 Trainee adds details of hospital attachment and reviews trainer profile – “whats on offer” OCAP IS TRAINEE LED

32. © BOA 160707 Checklist for Learning Agreement meeting 1 Trainee –Agree date –Set up the attachment –Review Trainers Profile Mini cv Procedures –Review own profile and set targets Trainer Agree date –(Set up all profile elements) –Choose technology for meeting Paper online

33. © BOA 160707 Creating a Learning Agreement: The first meeting

34. © BOA 160707 Do it online, put it straight onto your logbook

35. © BOA 160707 Or do it on paper, transfer it at leisure, and send validation request to trainer

36. © BOA 160707 On paper - A practicalities area

37. © BOA 160707 Online - A practicalities area

38. © BOA 160707 Top screen

39. © BOA 160707 Bottom screen

40. © BOA 160707 Filling out the form

41. © BOA 160707 The electronic form guides you through

42. © BOA 160707

43. Trainee can fill in the form, send to trainer, trainer validates

44. © BOA 160707 Validated form is “locked”

45. © BOA 160707 Using Assessments

46. © BOA 160707 Select “assessments” in the training area

47. © BOA 160707

52. TRAINER

53. © BOA 160707

58. Automatic update of PBA and the summary sheet for trainee

59. © BOA 160707 PBA rules Trainer or trainee triggers PBA NB Trainer agrees to the PBA Trainee conducts agreed parts of procedure observed by trainer Trainer usually scrubbed Trainee verbalises, explains what intentions are Trainer steps in as/where necessary Forms completed and feedback given immediately after procedure Trainee includes all forms in portfolio, notes in logbook PBA summary sheet

60. © BOA 160707 OCAP Induction2.Basics What does a completed PBA mean? NOT a license to operate unsupervised! DOES give trainer confidence to allow trainee greater responsibility “Completed set demonstrates competence to learn procedures and perform to set protocol and standard”

61. © BOA 160707 Email validation – no log in PBA, miniCEX, DOP, CBD Mini-CV Procedures Profile Operations 360 appraisals MSF-TAB and mini-PAT

62. © BOA 160707 Early years assessment tools are available

63. © BOA 160707 ARCP / RITA report Automatically generated from all information in portfolio – paper / pdf OCAP eLogbook Research and audit Study Leave etc

64. © BOA 160707 The eLogbook OVERVIEW

65. © BOA 160707 Contents Background The role of the eLogbook Who should use it How it works National data analysis Future developments

66. © BOA 160707 Background Conceived in 1998 Collaborative venture between: –BOA –BOTA –Orthopaedic SAC –RCS Ed Compulsory for trainees since 2003

67. © BOA 160707 Intended Users Medical students Foundation yrs ST 1 - 8 T&O Consultants SpR Career grade T&O surgeons Surgical assistants etc All grades of medically and non- medically trained personnel involved with orthopaedic surgery are encouraged to use the eLogbook Career progression Users in ST years 1 & 2 Users in ST years 1 & 2 can enter data even while working in other specialties. Supervisors = Trainers. All years of T&O Specialty training will be analysed

68. © BOA 160707 Users >5000 users of pan-speciality eLogbook > 5 million procedures logged Medical students to Consultants Surgical assistants Overseas surgeons

69. © BOA 160707 Creating an account Access the eLogbook at….www.eLogbook.org To create an account click here

70. © BOA 160707 Creating an account Enter grade and specialty Info needed to proceed:  Name and address  Training region  Email address  Completion date (for StR/SpRs – can be estimate)

71. © BOA 160707 User basics www.elogbook.org Access via www.elogbook.org Or Download software, input data onto personal hard drive & synchronise with main server later Hospital terminal / home PC Main server at RCSEd Backup servers Home computer PDA / palm All synchronised data is held on a secure server at the RCSEd with 2 back-up servers

72. © BOA 160707 National training data Peer comparison data –for trainees / RITAs / programme directors Regional & chronological data –for programme directors / SAC Presentations at Meetings Peer reviewed journal articles –Influencing the national training agenda. The UK and Ireland orthopaedic eLogbook. Sher et al. JBJS (Br) 2005;87(9):1182-86

73. © BOA 160707 OCAP Induction1.Curriculum overview

74. © BOA 160707 OCAP Induction1.Curriculum overview

75. © BOA 160707 Example of training analysis National data analysed for hip joint replacement based on SpR year in training…. This provides reliable data on the expected experience of a trainee for a specific procedure at a particular time in their training, based on national data Mean number of procedures performed by trainees with upper range figure …. and level of supervision

76. © BOA 160707 Index Procedures Trauma  Hemiarthroplasty  Compression hip screw  Ankle ORIF  IMN femur / tibia  TBW patella / olecranon  Tendon repair  External fixationElective  THR  TKR  Arthroscopy  1 st ray surgery  CTD  Palmar fasciectomy  Lumbar discectomy

77. © BOA 160707 Consolidation Reports Users can create Consolidation Reports based on their operative log, which can be used for RITAs, job interviews, evidence of training, and revalidation Number of procedures performed, with a breakdown of level of supervision

78. © BOA 160707 OCAP Induction1.Curriculum overview

79. © BOA 160707 Portfolio Choose the appropriate field… Portfolio Under ‘Portfolio’ heading.. add the details…… then build your CV

80. © BOA 160707 Data control PLEASE NOTE: An individual must register with the Information Commissioner if he or she keeps patient-identifiable data for the purposes of research, private practice or as part of a logbook (the Data Protection Act 1998).* MANDATORY It is MANDATORY for eLogbook users to register as a ‘data controller’. The user will then ‘own’ their own data and can do with it as they choose. There is an annual fee of £35. For more information and registration visit:www.ico.gov.uk

81. © BOA 160707 Thank you