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Leadership activity and MSF

Leadership skills are an essential component to the everyday work of a GP. This is reflected in the RCGP Curriculum and Topic Guides and GMC Generic Professional Capabilities. Good leadership skills enable improvement of health outcomes, high quality patient care and fulfilling work environments for staff, by inspiring and empowering all who journey towards a shared vision. Leadership is a skill that everybody can learn and requires continuous development and refinement. Whilst there are aspects of theory to learn, the most important learning in leadership is from practising the skill set. 

The Leadership Workplace Based Assessment (WPBA) gives all trainees the opportunity to gain practical experience in developing these skills in primary care.

Mandatory requirements for WPBA

  1. A Leadership Activity will be undertaken in ST3. You can propose your own activity or select from the examples in the leadership WPBA manual below. In all cases the proposed activity should be discussed and agreed with your Educational or Clinical Supervisor to ensure its suitability. The activity will be recorded in your Portfolio by writing a reflective entry using the specific leadership log entry template.
  2. The second MSF in ST3 will be a Leadership MSF with questions specifically focused on obtaining feedback around your leadership skills. Ten respondents are required. These should include people who were involved in your leadership activity but is not confined to just this group as the questions also ask about your leadership capabilities which may not have been included in this activity.

In addition trainees are encouraged to develop their leadership skills incrementally over their training programme and record any other leadership activities undertaken. There are a variety of ways to record evidence of leadership activity within your Portfolio:

  • Log Entries: Leadership activity experience and reflections, along with any learning points should be recorded in the Portfolio. There is a specific leadership log entry template that should be used to record leadership activity. This could provide evidence for the capability ‘Organisation, management and leadership’, and may also provide evidence for other Capabilities, for example ‘Working with colleagues and in teams’, and activities such as ‘audit and quality improvement’.
  • PDPs: The PDP could be used to record areas around leadership activity that you may wish to develop during your training.
  • CATs: A Case based discussion can be a good opportunity to discuss feedback on and develop areas around leadership.

Approaching the Leadership WPBAs

Leadership log entry Template

Suggested Capability links
Date
Title of event

  1. State your role in relation to the activity *
  2. How did you approach this activity? * [what planning you undertook for the activity]
  3. How did you demonstrate your ability to work with colleagues, patients, learners and/or users (individually or in teams)? *
  4. How effective were you within this role? * [reflect on your achievements and feedback received]
  5. Reflection: what will I maintain, improve or stop?
  6. What have you learnt about yourself? * [consider what motivates you, your core beliefs and areas to develop]

Leadership Activity FAQs

Is participation in a leadership activity mandatory?

It is mandatory to do a leadership activity in ST3 and write this up using the specific log entry for leadership activities.

It is mandatory to do a second MSF in ST3 which will be a leadership MSF, with questions relating to the trainee’s leadership skills.

How is it assessed?

It will be assessed using the descriptors for the organisation, management and leadership competency. This is done by the Educational Supervisor using evidence directly observed, log for leadership activity, MSF and CbDs, which link to leadership activity.

Can I do a leadership activity out with the specific examples given?

The list provided is to give ideas and examples but includes trainees’ own ideas. This should be discussed and agreed with educational supervisor in advance, in the same way any other leadership activity on the list would be.

Are trainees expected to have protected time to do their leadership activity?

There is educational time included in the GPSTR contract and all GPSTRs are expected to have protected personal study time as part of their working week as well as time in groups for shared learning. The WPBA package has changed with addition of some "new" areas of workplace-based assessment like leadership and the removal of other expectations (some CbDs etc).

Does the leadership activity have to be done in the practice or in primary care?

The leadership activity is done as part of the training to become a GP. It is therefore necessary that the activity is done within the normal work that a GP would be expected to be involved in. This might therefore include work with commissioning organisations, networks of primary care teams or with district nurses, palliative care teams or others with whom GPs regularly work.

When can the leadership activity be started?

It is expected that the ST3 leadership MSF will be linked to the leadership activity, so that the people who provide feedback through the MSF will have seen evidence of your leadership skills, (these are not confined to just the leadership activity). Although some elements of the leadership activity could have started before ST3 it is required that the ST3 leadership activity is completed during ST3.

Leadership Multi Source Feedback (Leadership MSF)
Once you have completed the leadership activity, the Leadership focused MSF then gives the opportunity for you to receive some feedback from colleagues on your leadership skills. The exercise has been designed to evaluate your strengths in leadership and to reflect on where you need to concentrate your efforts before becoming an independent practitioner.

Guidance for the use of the MSF

Your leadership activity needs to have been completed before you start the MSF.

Prior to requesting your colleagues to complete this form you need to complete a self-assessment. This will enable a comparison to be made between the two sets of results.

The more respondents who complete the MSF the more useful the results. It is therefore suggested that you consider a wide range of colleagues, both within the organisation in which you usually work and also colleagues with whom you have contact outside the organisation. The respondents should include people who were involved in your leadership activity but is not confined to just this group as the questions also ask about your leadership capabilities which may not have been included in this activity.

Your respondents are asked to answer 5 questions, each with a rating scale, and to comment on any highlights of your leadership, and suggest areas for improvement. As with all MSFs, the results will be made available to your Educational Supervisor to access first and then released to you. You should arrange to meet with your Educational Supervisor to allow discussion and feedback with the creation of a Personal Development Plan if required.

Notes for Clinical and Educational Supervisors

A significant part of the value that comes from a leadership activity is being observed and having formative feedback from the Educational Supervisor, or an appropriate deputy, within the practice. This will support your trainee in reflecting upon their strengths and how they can improve in other areas as they continue their leadership journey, which requires career-long learning. This can be done both verbally, e.g. during a tutorial and also in a written format, e.g. through comments relating to a log entry, a CAT, the leadership MSF or an educator’s note.

If your trainee is performing below the level expected for their stage of training, it is important to be specific about why this conclusion has been reached and develop a plan which the trainee can follow to try and develop their skills.

For many leadership activities it is important that an appropriate environment is created. The environment should be one that expects the trainee to undertake this work, facilitates this process and allows the trainee to feel comfortable in their role, for example when giving feedback to their practice as part of a fresh pair of eyes activity.

Preview the form
Leadership MSF survey
Leadership MSF - FAQs

When do I have to do the leadership MSF?

This is completed once in ST3 and ideally after your leadership activity. This normally will take place in the second half of ST3. You will have already completed the MSF assessing your clinical and professional behaviour in the first half of ST3.

Does a written reflection need to be made?

Yes. Reflections on the feedback need to be recorded in a ‘Reflection on Feedback’ log entry. A PDP item can be developed if needed.

How many responders are required?

As with any MSF assessment, 10 replies are needed. These can be either clinical or non-clinical respondents. There are no defined number of clinical or non-clinical responders required.

What if insufficient responses are submitted?

If you are working in a very small practice, it may not be possible to be able to achieve sufficient responses. In this circumstance, the Educational Supervisor should make an Educator’s Note stating that there are insufficient members of staff to complete your leadership MSF.

If I receive negative feedback or areas for improvement are identified, does the Leadership MSF need to be repeated?

No. You should record your reflections in the feedback section of the learning log and develop a Personal Development Plan to address any needs. The Educational Supervisor can comment on these reflections and PDP.

Do all the respondents have to be part of my leadership activity?

No, it would be expected that people who were involved in your leadership activity are asked to complete your MSF, but is not confined to just this group, as the questions also ask about your leadership capabilities which may not have been included in this activity.

Documents

Useful resources from the Faculty of Medical Leadership and Management:

Page last updated: 15 December 2022