PROGRAMMES ENDING JULY 2010
Currently, there are three aspects to the sign-off process:
1. ENSURING THAT THE REQUIREMENTS FOR GMC FULL REGISTRATION HAVE BEEN MET:
Universities still retain statutory responsibility for signing-off the PRHO/F1 Year. UK graduates should liaise with the Medical School from which they graduated, or their ‘home’ deanery (see GMC website for list of contacts) and comply with arrangements for obtaining Full Registration. Non UK graduates should consult the GMC website.
GMC website
2. ATTAINMENT OF F1 COMPETENCY:
Trusts should review the attainment of F1 competency for each trainee by mid June. The Educational Supervisor (ES) should meet with their trainee and review their portfolio. The ES can then recommend to the Trust Foundation Programme Director (FPD) that the trainee be signed-off. If the ES has any concerns, s/he should discuss with the Foundation Programme Director whether a recommendation for sign-off can be made. At the same time, the ES or FPD should notify the trainee, in writing, of any concerns. If the ES and FPD agree the trainee cannot be recommended for sign-off, the FPD should contact the Foundation School Director to discuss the trainee concerned and provide evidence as to why the trainee cannot be signed-off.
NB: Whilst the meeting to determine sign-off can take place from mid June, in order to meet the requirements of some medical schools/deaneries, trainees should NOT be signed-off before 1 July.
Educational Supervisors should use the ‘Evidence required to sign off Attainment of F1 Competency form’ (see page 3) when deciding whether a trainee can be signed-off. Completion of this form is mandatory.
Although trainees are signed-off in early July, this sign-off is provisional and subject to continued satisfactory performance and attendance until the end of their F1 programme.
The outcomes of Foundation Programme assessment are as follows.
• Foundation doctors in F1
Foundation doctors will need to demonstrate the areas of competence identified by the GMC in The New Doctor to be recommended to the GMC for full registration. The foundation doctor must be given a certificate of satisfactory service at the end of each placement, describing the outcomes they have achieved. A certificate of experience for provisionally registered doctors will need to be signed off at the end of the F1 year by the university (or those delegated by the university) from which doctor graduated.
Operational Framework para 188, page 51 
Operational Framework 2009 entry
The New Doctor
Provisionally registered doctors with a licence to practise must demonstrate that they meet the outcomes set by the GMC and have completed a programme of 12 months before being eligible to apply for full registration.
GMC website
Number of assessments to be completed:
It is a requirement that a minimum of 6 DOPS, 6 Mini-CEX, 6 CbD and 2 Mini-PAT assessments have been completed during F1. The deadline for completion of assessments is Friday 11 June 2010.
3. TRANSFER OF INFORMATION
All Severn Foundation School trainees are required to complete a Transfer of Information questionnaire before the beginning of both their F1 and F2 years. The TOI process is designed to allow trainees to highlight to their Trust Foundation Programme Director (FPD) issues that might be relevant to their training. The TOI process is a supportive process, aimed at allowing foundation doctors to highlight to their local educator issues that may be of relevance to their performance as a doctor, and is also one of the processes used to safeguard patient safety.
Transfer of Information webpage
PROCESS:
The ‘End of placement final review form’ should be completed at the end of each 3 or 4 month placement within the F1 year. The ‘Transfer of Information form’ should be completed with the help and support of the trainee’s Educational or Clinical Supervisor(s). The trainee’s current Educational Supervisor should countersign the ToI form.
The above forms will need to be used when the Evidence required to sign off Attainment of F1 Competency and Attainment of F1 competency (5.1) forms are completed at the end of the F1 year.
Educational Supervisors should use the ‘Evidence required to sign off Attainment of F1 Competency form’ (see page 3) when deciding whether a trainee can be signed-off. Completion of this form is mandatory.
The ‘Attainment of F1 competency form’ (available from the e-portfolio) should be completed within the Trust and sent to Clare Moorcroft, Foundation School Manager, BY MONDAY 5 JULY 2010 to inform F1 sign-off and Full Registration. Copies of this should be retained by the trainee and the Trust.
The ‘Certificate of Experience’, is a mandatory form required by the GMC. This is downloaded from the GMC website by the trainee and is completed by the trainee’s medical school or ‘home’ deanery. It is then forwarded to the GMC. Severn is responsible for completing Certificates of Experience for Bristol graduates and non UK qualified F1 trainees. Graduates from other UK medical schools should consult their ‘home’ deanery or medical school for advice.
NB: Although trainees are signed-off in early July, this sign-off is provisional and subject to continued satisfactory performance and attendance until the end of their F1 programme.
KEY DATES:
11 June 2010 Deadline for completion of assessments
1 July 2010 Trusts may begin signing off trainees (forms may be post-dated)
5 July 2010 Deanery deadline for submission of:
Evidence required to sign off Attainment of F1 Competency form
Attainment of F1 Competency (5.1) form
Transfer of Information form
Certificate of Experience
16 July 2010 GMC deadline for submission of Full Registration documents
4 August 2010 F2 start date