Educational Supervisors Review (ESR)

Workplace Based Assessment (WPBA) builds up a qualitative picture of your performance in training. The evidence you collect in your Trainee ePortfolio is reviewed at six-monthly intervals by the educational supervisor.

Purpose of the Educational Supervisors Review (ESR)

ESRs provide feedback on your overall progress and identify areas where you need more focused training.

Reviews are informed by the evidence you collect through the WPBA tools, along with ‘naturally occurring evidence’ from elsewhere in the Trainee ePortfolio (for example, the Learning Log).

You’ll then agree a learning plan, and the outcome of the review will be recorded in your Trainee ePortfolio. The educational supervisor decides whether your progress is satisfactory, unsatisfactory or needs to be referred to the ARCP panel.

Towards the end of training there’s a final review, and the educational supervisor makes a recommendation to your deanery ARCP panel regarding your overall capability. The ARCP panel makes the final judgement on whether you’re competent for licensing, based on the evidence in the ESR and your Trainee ePortfolio as a whole.

Frequency of ESR

An ESR is conducted every six calendar months, whether you’re training full-time or not. Reviews are carried out even if they do not coincide exactly with the end of posts. This ensures regular feedback and engagement with the evidence in the Trainee ePortfolio, and means that the ARCP panel has a recent ESR to inform their decision making.

Review meetings usually take between one and two hours, followed by a write-up in the ePortfolio.

Capability progression in ESR

For the six-monthly reviews, you’ll first conduct a self-assessment of your progress on the 13 capabilities. You’re then be assessed by the educational supervisor.

Quality of evidence is more important than quantity. In the early stages of training, it’s unlikely that you’ll be able to provide evidence of readiness to practise. But the review will form the basis of a learning plan, highlighting where you’re doing well and where more support is needed.

By the end of ST3, the educational supervisor will be looking to establish fitness to practise through several sets of evidence in each capability area, collected from a range of settings and through different tools. Each portfolio will look slightly different, but it should provide a rich picture built up over three years.

Clinical experience groups coverage in the ESR

While it’s not the main focus of ESR, you’ll have opportunities to consider breadth of clinical experience groups coverage as well as progress in the capabilities. When reviewing your Trainee ePortfolio, you and your educational supervisor can monitor how far you’re covering the range of knowledge described in the curriculum, in preparation for the Applied Knowledge Test (AKT) and clinical practice.

ESR/PDP update

On 30 November 2016 the ESR changed in three ways.

  1. Action plans: The number of action plans required from both the trainee and ES is being reduced. The trainee will write three action plans linked to the capabilities for each review. The ES can edit these and add two further action plans if required. All the actions generated by the trainee in ‘suggested actions’ and all the trainer ‘agreed actions’ will be summarised in a single table against the capability headings, producing a succinct plan for the trainee to use.
  2. PDPs: The ES process and meeting will mirror the process used for post-CCT GPs. The trainee will be expected to propose PDP areas for the next 6 months (or year if they are approaching CCT and their next appraisal will be as a qualified GP). The ES will help to improve, make SMART and finalise the suggested PDP areas. The trainee will still be expected to produce other entries to reflect their learning needs throughout their training.
  3. Sign off and release: The ESR will be released to view after the ES has completed the review rather than when the trainee accepts it. If the trainee does not accept the ESR, they will have the option to comment on it, but this will not delay its release.

For guidance on these changes follow the links below:

Useful links

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