Clinical Supervisor

 Two colleagues looking at X-Rays

Health Education England, North West (HEE (NW)) has produced guidance on the roles, responsibilities, knowledge and skills required of a Clinical Supervisor (CS) working in postgraduate medical education in the North West.

The full guidance can be downloaded in the following document: ‘Overview: Clinical Supervision in Health Education North West’

This guidance will also support Trusts and other Local Education Providers (LEPs) in quality control as they educationally support, manage, audit and resource the educational role of a CS.

This guidance is based on the Gold Guide to Specialty Training [January 2018]; The GMC's Promoting Excellence [July 2015] and the Foundation Programme.


Definition

The GMC define a CS as:

A trainer who is selected and appropriately trained to be responsible for overseeing a specified trainee’s clinical work and providing constructive feedback during a training placement.

An overview of Educational Supervision (ES) definition, roles, responsibilities, knowledge and skills can be found here.

In many instances the same person may undertake both CS and ES roles for a given trainee. However, in specialty training (including GP trainees in secondary care attachments) some doctors act as CS only. 

 

Roles and Responsibilities of a Clinical Supervisor

The standards for trainers as outlined in Promoting Excellence (p.21 and 42) are met in the outline of roles and responsibilities of a CS given below:

  1. Enables trainees to learn by taking responsibility for patient management within the context of clinical governance and patient safety
  2. Ensures that clinical care is valued for its learning opportunities; learning and teaching must be integrated into service provision.
  3. Undertakes clinical supervision of a trainee, giving regular, appropriate feedback according to the stage and level of training, experience and expected competence of the trainee.
  4. Undertakes assessment of trainees (or delegates as appropriate) using the dedicated workplace based assessment tools, has been trained in the use of these and understands the generic relationship between learning and assessment.
  5. Liaises with the appropriate Educational Supervisor over trainee progression.
  6. Must ensure that all doctors and non medical staff involved in training and assessment understand the requirements of the curriculum, including the workplace based assessment tools (Foundation, Specialty or GP) as it relates to a particular trainee.
Further information can also be found in the GMC's Outcome's for Graduates

 

Knowledge and Skills Required of a Clinical Supervisor

A CS will need to demonstrate that they have knowledge and skills in the following:

1. Equality, diversity and cultural awareness.  

2. Core CS Knowledge and Skills, which includes:

3. Recruitment and selection. All those taking part in recruitment will need to have completed the requisite training.

4. All CS will be expected to undergo annual appraisal which must include an element of educational appraisal.  Please see the HEE(NW) Guidelines on Appraisal.


Achieving the Knowledge and Skills of a Clinical Supervisor

Trusts are responsible for providing training to ensure these requirements are met. HEE (NW) has a contract with Edge Hill University to provide a bespoke PG Cert and the first module provides training to the standard of CS (followed by ES in module 2 and Educational Lead in module 3). More information about this course can be found on the PG Cert page.

It is recognised that other bodies, such as Royal Colleges, Universities, and other education providers also provide training which individuals may be able to use to demonstrate that they have met the required standards. More information on other training available can be found at the Courses and Conferences page.

To be formally recognised as a trainer Clinical Supervisors need to provide a portfolio of evidence to show that they meet the GMC trainer standards. For more information on the evidence required please visit the Education Standards and Guidance page.

All CS will be expected to demonstrate that they continue to meet the standards outlined through annual appraisal. This will form part of the five yearly revalidation process. Please see further guidance about appraisal on the Appraisal page.

Under the GMC arrangements for recognising and approving trainers it is the LEPs responsibility to ensure that all Clinical Supervisors meet the necessary requirements for the role and to report annually to HEE (NW) on their trainers for live reporting to the GMC.

Corroboratory evidence is sought at the biannual HEE (NW) Quality Monitoring visits.

 


 Page reviewed 3 August 2017