1. Quality Education for a Healthier Scotland Pharmacy The Pharmacy Vocational Training Scheme VT2 General training Induction presentation January 2016

2. Quality Education for a Healthier Scotland Pharmacy What will we cover today? Over view of VT2 training What resources are available to help me? What is the curriculum ? How should I develop my evidence ? What is the assessment process? What is the ePortfolio ?

3. Quality Education for a Healthier Scotland Pharmacy VT 4 Advanced VT 3 Specialist VT2 General Training VT2 takes 2 years to complete CPD revalidation VT3 Training at regular intervals …. May be with different pieces of evidence Populate the GPhC site Faculty Membership Faculty eligibility after 2 years Populate the Faculty site Populate the GPhC site Populate the Faculty site

4. Quality Education for a Healthier Scotland Pharmacy What does VT2 training look like? 1. 18 - 24mths of training Supported by tutor, Locality Tutor/ Educational Supervisor, regional PEC 2. Competency framework + Resources = ePortfolio 4. Assessment - Portfolio then Final assessment. 3. Continuous assessment of evidence by tutor / specialist/ trainers Flexible in the workplace

5. Quality Education for a Healthier Scotland Pharmacy What is Stage 2 of The Pharmacy Vocational Training Scheme? Reflections from workplace examples linked to theory Planning ePortfolio for evidence Appraisal Development of plan of actions Recording of meetings with your tutor Development of evidence Development of reflections and learning Negotiation Feedback

6. Quality Education for a Healthier Scotland Pharmacy Guidance, resources, website, booklets January 2016

7. Quality Education for a Healthier Scotland Pharmacy Guidance for timelines for completion of activities Using 1 st Sept as start of training date.... Guidance for timelines for completion of activities Using 1 st Sept as start of training date....

8. Quality Education for a Healthier Scotland Pharmacy Personal library -References -CPD records Competencies Evidence What documentation is there to complete? CPD records Record of Evidence Reflection logs Action logs Dispensary templates Aseptic services templates MI templates Appraisal forms Records of meetings Reflection logs Action logs Dispensing templates Aseptic templates Medicine information enquiry templates

9. Quality Education for a Healthier Scotland Pharmacy Evidence Using the Evidence Booklet ……….. Review each piece in turn…. look at the structure… don’t worry about the content e.g. clinical content…. Take about 5 mins per piece and comment after each piece has been reviewed….. This may take about 1 hour…..

10. Quality Education for a Healthier Scotland Pharmacy Evidence booklet Using version 6 evidence with v7 framework Communication p2 Feedback form p4 Clinical 2.1 p21 Clinical Gov / patient safety 3.1 p43, 82 Dispensing 5 p 61 Education and training 6.1.1 p69 Information about medicines Element 2 p122 (NOT Element 8)

11. Quality Education for a Healthier Scotland Pharmacy Pharmacy VT2 ePortfolio framework overview Pharmacy VT2 ePortfolio logs Pharmacy VT2 ePortfolio ticketed feedback Pharmacy VT2 ePortfolio appraisal forms Pharmacy VT2 ePortfolio tutor overview Pharmacy VT2 ePortfolio tutor framework Pharmacy VT2 ePortfolio logs and forms ePortfolio - demonstration

12. Quality Education for a Healthier Scotland Pharmacy Assessment Formative and summative assessment

13. Quality Education for a Healthier Scotland Pharmacy Assessment

14. Quality Education for a Healthier Scotland Pharmacy AppraisalAppraisal 6 months 9 months 15 months Introduction – VT2 Journey AppraisalAppraisal

15. Quality Education for a Healthier Scotland Pharmacy Submit ePortfolio to NES for Assessment by specified deadline 6 months 9 months 15 months Introduction – VT2 Assessments Feedback Action log Reflection logCPD record Reports Case studiesCare plans SEA Audit MUE MiCAL

16. Quality Education for a Healthier Scotland Pharmacy Assessment Portfolio assessment Portfolios assessed in pairs, trained assessors, using scoring sheet Evidence is sampled according to an assessment framework Max 5 small pieces for action Max 2 larger pieces for action >5 small pieces or >2 larger pieces then a bit more time and defer to next assessment Written feedback e mailed to trainee

17. Quality Education for a Healthier Scotland Pharmacy Portfolio assessment framework

18. Quality Education for a Healthier Scotland Pharmacy Final assessment ~ 3 weeks post portfolio assessment Scenarios x 4 to validate evidence in your portfolio Assessment of : Problem solving skills Knowledge and understanding of pharmacy practice Breadth and depth of pharmacy practice Awareness of personal limitations, Systematic approach to practice Response to questioning Discussion about portfolio

19. Quality Education for a Healthier Scotland Pharmacy Final assessment Example scenario A GP phones you to ask if there is an interaction betweenloratadine and clarithromycin. There is nothing in the BNF, but their prescribing system warns of an interaction. Approach to answer We need to know more patient circumstances to deal with the enquiry effectively. Often, prescribing systems flag up very minor interactions, but it is also possible that a significant interaction is not mentioned in the BNF.

20. Quality Education for a Healthier Scotland Pharmacy The curriculum- the Competency Framework Competence ‘The ability to do something successfully or efficiently’ ‘He hired her because of her competence in the development of clinical cases’ The Oxford Advanced Learner’s Dictionary

21. Quality Education for a Healthier Scotland Pharmacy A walk through the competency framework…….. Version 7 VT2 CF Sept 2015 Section A Core Elements Element 1 Professional and Personal practice Element 2 The Clinical Pharmaceutical Care of Patients (inc medical gases) Element 3 Ensuring the Quality and Safety of Patients Element4 Cost Effective Use of Resources Element 5 Dispensing of Prescriptions Element6 Education, Training and Development Section B Specific Elements for hospital pharmacists Element 7Dispensing of Aseptic Products Element 8Medicines Information

22. Quality Education for a Healthier Scotland Pharmacy What is our curriculum ? Looking at the competency framework..... Professional and Personal Practice  Personal Awareness  Communication  Organisational Skills  Collaborative working  Professional Reasoning & Judgement  Service Development  National Priorities Professional and Personal Practice  Personal Awareness  Communication  Organisational Skills  Collaborative working  Professional Reasoning & Judgement  Service Development  National Priorities The Clinical Pharmaceutical Care of Patients (inc medical gases)  Patient assessment & pharmaceutical care  Seamless care  Provision of healthcare info  Use of evidence base  Critical appraisal The Clinical Pharmaceutical Care of Patients (inc medical gases)  Patient assessment & pharmaceutical care  Seamless care  Provision of healthcare info  Use of evidence base  Critical appraisal Ensuring the Quality and Safety of Patients  Clinical Governance  Information Governance  Financial Governance  Corporate Governance  SEA  Quality Improvement  Risk Management ++ See Full Framework Ensuring the Quality and Safety of Patients  Clinical Governance  Information Governance  Financial Governance  Corporate Governance  SEA  Quality Improvement  Risk Management ++ See Full Framework Dispensing of Prescriptions  Professional accountability for the checking of Rx  Professional responsibility for  Meeting Pt’s needs  Supply of medicines  Dispensing of Clinical Trial Medicines & Unlicensed Medicines Dispensing of Prescriptions  Professional accountability for the checking of Rx  Professional responsibility for  Meeting Pt’s needs  Supply of medicines  Dispensing of Clinical Trial Medicines & Unlicensed Medicines Cost Effective Use of Resources  National & local formulary  Pharmaceutical homecare services Cost Effective Use of Resources  National & local formulary  Pharmaceutical homecare services Education, Training and Development  Teaching  Training  Role Model Education, Training and Development  Teaching  Training  Role Model

23. Quality Education for a Healthier Scotland Pharmacy Resources available with links within competency framework Resources available with links within competency framework

24. Quality Education for a Healthier Scotland Pharmacy The competency framework

25. Quality Education for a Healthier Scotland Pharmacy The competency framework on ePortfolio v6 as example Sign off by tutor, can also comment Title and aspect of the Element

26. Quality Education for a Healthier Scotland Pharmacy The Competency framework Element 1 – Development of personal awareness and professional practice Specific evidence required for this element Some cross referencing but needs explanation / separate reflection log explaining relevance to 2 nd competency Professional and Personal PracticeAspects of leadership Equality and diversity Interaction as a team memberCommunication

27. Quality Education for a Healthier Scotland Pharmacy Clinical care of patients Clinical Pharmacy Care plans Full cases, ~2000 words, referenced. Exec summary as front page, include learning Medical gases mini – CEX CbD Care planning webinar……….to help you… Medical gases..............................

28. Quality Education for a Healthier Scotland Pharmacy Medical gases Learning about oxygen saturation, how to store and the clinical use of medical gases. Case study e.g. respiratory, presentation online +MCQs Demonstrate knowledge of the clinical use of medical gases.

29. Quality Education for a Healthier Scotland Pharmacy Ensuring the quality and safety of patients Need to highlight own local process and involvement in process, SEA, Audit, SOP [draft and action, i.e. link theory and their practice] NES website for information about audit and SEA, risk management webinar, patient safety webinar…. Ensure trainee understands what is required when submitting an SEA and also how to do an audit with criteria and standards....

30. Quality Education for a Healthier Scotland Pharmacy Competency framework Cost effective use of resources Learning about procedures for out of hours, formulary process, relationship between clinical practice and technical practice Dispensing of prescriptions Learning about the different dispensing processes. Link theory to practice, templates to be used Education, training and development Demonstration as teacher. Power Point presentations, feedback forms, Reflection pages, 4 scenarios. Seek feedback from participants. ‘Develop your portfolio’ section of the VT pages of the NES website..............has more information….

31. Quality Education for a Healthier Scotland Pharmacy Element 7 - Aseptic services Aseptic services Focus on pharmacist role Knowledge of preparation process 7.4 Templates – reflections on personal practice 7.4.1 Report TSET Aseptic services modules to help you learn about aseptic services Password

32. Quality Education for a Healthier Scotland Pharmacy Element 8 - Medicines information Processes for the searching of information, critical appraisal of the literature and delivery of a reply to a healthcare practitioner. Range of enquiries. Templates instead of original enquiries. Critical appraisal recordings on NES website + MCQs to help you… Need a mix of Level 1,2 and 3 enquiries

33. 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.

34. Quality Education for a Healthier Scotland Pharmacy Conclusions VT2, The Pharmacy Vocational Training Scheme - revised - service redesign in Scotland. Training scheme aims to develop pharmacists through learning by their everyday experiences - not by underpinning knowledge alone. Research informs that whilst Stage 2 Training Scheme is challenging, it is viewed by the majority of trainees as being a way of receiving a broad structured training and feedback from experienced senior pharmacists which in turn, in their view, leads to increased confidence and a sense of improved quality of the pharmaceutical care that they are able to provide to patients.

35. Quality Education for a Healthier Scotland Pharmacy Advice from previous trainees… Get on with the work Don’t ignore it, it wont go away… Write it up as you do it. I felt my evidence could have been better if I had done this… To do lists for each section are important. Set yourself deadlines. I set a target month to complete each section. Don’t leave loads to write up at one time.. You will forget the detail.

36. Quality Education for a Healthier Scotland Pharmacy What did we cover today? Over view of VT2 training What resources are available to help me? What is the curriculum ? How should I develop my evidence ? What is the assessment process? What is the ePortfolio ?