Introduction and instructions

You are invited to evaluate and give feedback on the performance of a family physician as a clinical trainer in the workplace. Please answer the five questions below as accurately as possible. Your answers will assist the South African Academy of Family Physicians to assess whether the family physician is an effective clinical trainer or needs further development.

Your individual answers will NOT be shared with the family physician and will remain anonymous. Only the aggregated scores and collated feedback from all 10-15 people will be shared with the family physician. We ask for your contact details below in order to verify who completed the questionnaire.

1.      Name of family physician being evaluated

2.      Name of person giving feedback

3.      Email address of person giving feedback

4.      Cell phone of person giving feedback

5.      Relationship of person giving feedback to the family physician

a.      Registrar, who was trained in the workplace by this family physician

b.      Undergraduate student, who was trained in the workplace by this family physician

c.       Colleague or peer, who has received training or teaching from this family physician

d.      Supervisor or manager – who oversees clinical training by this family physician

Each question has a number of criteria listed next to it. Please evaluate the clinical trainer according to the following definitions:

·         Struggling to be effective – fulfils almost none of the criteria

·         Partly effective – fulfils less than half of the criteria

·         Mostly effective – fulfils more than half of the criteria

·         Fully effective – fulfils all the criteria for an effective supervisor

·         Excellent – in addition meets most of the criteria for an excellent supervisor

Question 1: Ensuring safe and effective patient care through training

The effective clinical trainer

Balances the needs of service delivery with education Acts to ensure the health, wellbeing and safety of patients at all times Ensures that students have undertaken appropriate induction at the facility Allows students, when suitably competent, to take responsibility for care, appropriate to the needs of the patient Ensures that students understand the importance of providing culturally competent care

The excellent clinical trainer also

Uses educational interventions to enhance patient care Involves students in service improvement  Involves patients as educators

Question 2: Establishing and maintaining an environment for learning

The effective clinical trainer

Encourages participation through provision of equality of opportunity and acknowledgement of diversity Ensures that students receive the necessary instruction and protection in situations that might expose them to risk Encourages and maintains the confidence of students; is open, approachable and available Maintains good interpersonal relationships with students and colleagues Provides protected time for teaching and learning Involves the multiprofessional team in the delivery of teaching and supervision Is aware of the team’s experience and skills relating to teaching and supervision Ensures that workload requirements on students are legal and that, wherever possible, they do not compromise learning

The excellent clinical trainer also

Proactively seeks the views of students on their experience Takes steps to establish a learning community within their department and/or organisation Monitors, evaluates and takes steps to address areas for improvement in teaching and learning

Question 3: Teaching and facilitating learning

The effective clinical trainer

Has up-to-date subject knowledge and/or skills Provides direct guidance on clinical work where appropriate Has effective supervisory conversational skills Plans learning and teaching episodes Uses a range of appropriate teaching interventions in the clinical setting Facilitates a wide variety of learning opportunities Helps the student develop an ability for self-directed learning Allows the student to make contributions to clinical practice of graduated value and importance commensurate with their competence Uses technology-enhanced learning where appropriate, e.g. simulation Encourages access to formal learning opportunities, e.g. academic time

The excellent clinical trainer also

Demonstrates exemplary subject knowledge or skills Understands and can apply theoretical frameworks to their practice Is involved with curriculum development beyond the supervisory relationship Works with the department and/or provider to ensure a wide range of learning opportunities is available, e.g. simulation facilities, courses

Question 4: Enhancing learning through assessment

The effective clinical trainer

Regularly observes the student’s performance and offers feedback Plans and/or monitors assessment activities Uses workplace-based assessments appropriately Provides feedback that is clear, focused and aimed at improving specific aspects of student performance Supports the student in preparation for exams

The excellent clinical trainer also

Understands and can apply theoretical frameworks relevant to assessment to their own and others’ practice Is involved in professional assessment activities beyond the supervisory relationship e.g. as College examiner

Question 5: Supporting and monitoring educational progress

The effective clinical trainer

Agrees an educational contract at the outset of the training period Understands the curricula requirements of the specialty and stage of training Identifies with student the learning needs and educational objectives Reviews and monitors progress through regular timetabled meetings Ensures that appropriate records are kept in relation to student progress Uses the portfolio of learning appropriately and encourages its use by students Provides continuity of supervision or ensures effective educational handover Responds efficiently and effectively to emerging problems of student progress Is aware of, and can access, available support for the student in difficulty Understands their role and responsibilities within the educational governance structures of their university

The excellent clinical trainer also

Proactively seeks out opportunities for providing formal support and career development activities for students Establishes and/or evaluates schemes for monitoring student progress across the department