• All F2 doctors will have one Educational Supervisor for the year.

• You will fulfil the role of the Clinical Supervisor for the doctor whilst they are in your practice.

• If the first rotation is in general practice you will need to carry out an initial appraisal and work with the F2 to identify their learning needs and discuss with them how to maintain their portfolios, Personal Development Plans and keep appropriate records of their assessments.

• For second and third rotations you will need to start by going through the portfolios and discuss their learning to date in order to help them identify the learning needs they wish to address during the rotation with you.

• In the Hub and Spoke models (see later) the F2 may have a Clinical Supervisor who will supervise clinical activity ensuring that the Foundation doctor only performs tasks without supervision that they are competent so to do. This is part of the spoke with a GP Educational Supervisor forming part of the hub.

Induction Meeting and Review Forms

At the start to the F2 placement, you will need to conduct an ‘Induction Meeting’ with the F2 trainee and record this on an Induction Meeting form. 

A ‘Mid-point Meeting’ can be carried out halfway through the placement; this is not compulsory, but strongly advised.

The Clinical Supervisor’s Report must be completed 2 weeks before the end of placement and forwarded to the trainee’s Educational Supervisor.

These meetings are recorded on standard forms available within the Foundation E – Portfolio.

GPs may ask to be set-up as Clinical Supervisor(CS) on the Foundation E-Portfolio. This enables access to the trainee’s E-Portfolio. Alternatively, the F2 will ‘ticket’ the GP to receive e-mail copies of the assessment forms for completion.

The GP Clinical Supervisor must record the Clinical Supervisor’s report on the FY2 doctor’s         E-portfolio at the end of the attachment. It is recommended that the CS also records the Induction Meeting and comments on progress throughout the attachment.

Performance issues

The vast majority of F2 doctors will complete the programme without any major problems. However some doctors may need more support than others, for example due to ill-health, personal issues, learning needs or attitude. If you feel at any time that the doctor under your educational or clinical supervision has performance issues you should contact the Foundation Programme Director for General Practice who will work with you to ensure that the appropriate level of support is given both to you and the F2 doctor.

It is very important that you keep written records of the issues as they arise and that you document any discussions that you have with the F2 doctor regarding your concerns.

Non- standard Foundation Programme Year 2 rotations

We said at the beginning of this guide that the standard F2 rotation in general practice was for 4 months. However there are some innovative variations to this within the Deanery but even within these variations all of the principles outlined in the guide will still apply.

Examples of other rotations may be:

• A four month rotation in general practice but with one to two days each week spent in a speciality such as Medical Education (academic programme), Public Health (academic programme) Public Health (clinical), sexual health or psychiatry

• A three month rotation.

The Supervision Payment/Trainer’s Grant

The level of the supervision payment is based on the available funding to the Wessex Deanery.

• You can if you have sufficient capacity in terms of space and resources have more than one F2 at any one time.

• To claim the supervision payment, complete and submit the appropriate invoice during the final month of the F2 placement. A Supervision Payment Invoice can be downloaded from the Foundation School pages of our website: www.wessexdeanery.nhs.uk