MSF and PSQ for less than full-time trainees (LTFTTs)

 

From August 2008 the minimum Patient Satisfaction Questionnaire (PSQ) and Multi-Source Feedback (MSF) evidence required by LTFTTs in ST1 and ST3 will change.

 

Now that a full year of WPBA has been implemented the minimum evidence required has been reviewed and a change to the MSF and PSQ requirements for LTFTTs has been agreed.  We believe that this change will enable trainees to provide adequate evidence of competence progression at the mid and end points of the ST1 and ST3 training year, but will reduce the number of assessment tools that they are required to undertake.

 

The requirement for MSF and PSQ prior to each six month review in ST1 and ST3 will be changed so that for less than full time trainees MSF and PSQ will be presented at the review that represents the mid and end point review for ST1 and ST3 respectively. This ensures that there is sufficient time for appropriate feedback and any necessary change in behaviour.

 

The schedule with respect to DOPs, Mini CEX, CBD and COTs remains the same.

Minimum evidence schedule

For LTFTTs training at 50% of full-time the minimum evidence schedules will be as follows:

Specialty Training Year 1

Minimums prior to first 6 month (6m) review

  • 3 x COT or mini-CEX
  • 3 x CBD
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Minimums prior to second 6 month (12m) review – mid point

  • 3 x COT or mini-CEX
  • 3 x CBD
  • 1 x MSF, 5 clinicians only
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Minimums prior to third 6 month (18m) review

  • 3 x COT or mini-CEX
  • 3 x CBD
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Minimums prior to final 6 month (24m) review – end point ST1

  • 3 x COT or mini-CEX
  • 3 x CBD
  • 1 x MSF, 5 clinicians only
  • 1 x PSQ, if in primary care *
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Specialty Training Year 2

 

Minimums prior to first ST2 6 month (30m) review

  • 3 x COT or mini-CEX
  • 3 x CBD
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Minimums prior to second ST2 6 month (36 m) review

  • 3 x COT
  • 3 x CBD
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

 

Minimums prior to third ST2 6 month (42m) review

  • 3 x COT or mini-CEX
  • 3 x CBD
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Minimums prior to final ST2 6 month (48m) review

  • 3 x COT
  • 3 x CBD
  • PSQ, if not completed in ST1
  • DOPS, if in secondary care
  • Clinical supervisors’ reports, if in secondary care

 

Specialty Training Year 3 (primary care)

 

Minimums prior to first ST3 6 month (54m) review

  • 6 x CBD
  • 6 x COT

 

Minimums prior to second ST3 6 month (60m) review

  • 6 x CBD
  • 6 x COT
  • 1 x MSF

 

Minimums prior to third ST3 6 month (66m) review

  • 6 x CBD
  • 6 x COT

 

Minimums prior to final ST3 6 month (72m) review

  • 6 x CBD
  • 6 x COT
  • 1 x MSF
  • 1 x PSQ

 

*The PSQ should be used once during months 54 to 72 (ST3, in primary care).  PSQ can take place in ST1 or ST2, if the GPStR is in primary care.
In other words the PSQ will be used only once if the GPStR is in general practice for 12 months (full time equivalent)  but twice if they have more than 12 months (full time equivalent) in general practice.