South East Coast Postgraduate Deanery for Kent, Surrey and Sussex Quality and Educational Governance in Postgraduate Medical Education and Training PMET:

South East CoastPostgraduate Deanery

for Kent, Surrey and Sussex

Quality and Educational Governance in

Postgraduate Medical Education and Training

PMET:Working together in KSS Deanery

Dr Pam ShawDeputy Head of Education, KSS Deanery





Held in Transition

Not lost in translation

PMETB GEAR/ LAB/ LFG

PMET in Transition





• quality assurance – the responsibility of PMETB

• quality management – the responsibility of postgraduate deaneries

• quality control – the responsibility of local education providers (LEPs)

PMET Quality Framework





KSS Quality Management/Control inLocal Education Providers (LEPs)• Created Local Faculty Groups to implement

Foundation Programme – focus on producing Student Handbook

• LFGs review trainee progress 3 x pa and also consider Faculty CPD (QESP) needs

• Education Adviser supported LFGs• LFGs ditto for 8 Specialties – but too many to

use as a unit of management• Thus, created Local Academic Boards to

manage LFGs in each Trust• Funding to support Faculty Administrators• Crucial role of MEM/Academic Registrar





KSS Deanery Royal Colleges

MMC Schools

NHS Trust Local Academic BoardDME (Chair); MEM; LKSM; Medical Director; HR; IT; etc

Deanery: Education Advisers and Associate Dean

Meets three times a year: Takes Reports from Faculty Groups,

Manages Quality Control and Academic Faculty Development

Local Faculty GroupsMeet three times a year to review and report on every trainee

and on own development needs

The Infrastructure





PMET in Transition

PMETB Deanery TrustsMandated Specialty Curricula/Educational Governance/GEARLocal Infrastructure:

LABLFG

Specialty Schools:Trainees in DifficultiesCareers Management

Qualified Educational SupervisorProgramme (QESP) PMETB:

Standards for TrainersStandards for CurriculumStandards for Assessment

ACCOUNTABILITY





GEAR•Have developed Graduate Education and Assessment Regulations [GEAR] as used in mainstream HE for LFGs & LABs•Mapped GEAR to all GMC & PMETB standards •Comprises local Quality Control for PGME•Academic Registrar role in LEP





Local Academic Board (LAB) Annual Audit and Review





Local Faculty Group (LFG)Annual Audit and Review





Local Faculty Group (LFG) Handbook





7 Consultant Education Advisers (CEA) for Local Faculty Groups

•Senior HEI/University Professionals with a QAA remit

•Each working with LFGs and Academic Registrars to develop LFG practice locally

•Support for LFG Audit reviews

•Attend each LFG meeting

•Write action plan mapped to PMETB domains

•Disseminate good practice





Local Faculty Group Annual Audit and Review





Held in Transition Not Lost in Translation

1. PMETB Visit to KSS Deanery May 2009

The Deanery has clearly mapped its expectations of local education providers (LEPs) against the PMETB domains through its Graduate Education and Assessment Regulations (GEAR) structure. This structure of local academic boards (LABs) and local faculty groups (LFGs) is ideally placed to monitor all aspects of patient safety both at trust level, and in the reporting arrangements to the Deanery.





Held in Transition Not Lost in Translation2. Sophisticated Change effort

genuine investment in structures designed to contain and address issues pertaining to the change effort

appreciation of how much time people must devote to bringing change about

• in any sophisticated change management [Krantz 2001] it is crucial that there is a realistic thoughtful grounded functioning which includes:





Held in Transition Not Lost in Translation3. Held in transition by structure:

LABs / LFGs/ Governance / GEAR and people re-imagining their roles with new authority – Academic Registrar / Local Faculty Administrators at LEP level and with support from CEAs fro LFG





Future work for CEAs

•Curriculum mapping in 4 specialties as a pilot

•Working with LFG chairs, Academic Registrars/Faculty Administrators & Training Programme Directors

Take Home Message

•A multi-layered change process

Documents

South East Coast Postgraduate Deanery for Kent, Surrey and Sussex Quality and Educational Governance in Postgraduate Medical Education and Training PMET: