Assessment guidance

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This page has been developed to provide guidance to NBIA Fellows and their Supervisors on the process of monitoring and recording progress through the Fellowship.

NBIA Fellowship has been developed to promote excellence, support any further training requirements in breast imaging and to encourage development of specific skills such as teaching, leadership or research.

All NBIA Fellows will be allocated a designated GMC-recognised Educational Supervisor (ES) for the year, who will be identified by the individual hosting sites.

The NBIA and the Fellow will be informed of this prior to commencement of Fellowship. The ES will have the overall responsibility for monitoring and recording the Fellow’s progress through their Fellowship and producing an end of year evaluation report. They will also have a duty to communicate any important information/events regarding the Fellow to the NBIA. There will be no designated Clinical Supervisor for the NBIA fellows. It is expected that all consultants working with the fellow in both clinical and non-clinical capacities will provide constant support to the Fellow and feed back to the ES.

The Fellow’s progress should be recorded on the RCR e-portfolio (Kaizen) and all Fellows will be provided access to this. International fellows must become a member of RCR for e-portfolio access to be granted. Information on how to become a member can be obtained by emailing Membership@rcr.ac.uk

On Kaizen each Fellow will need to identify their ES and ‘appoint’ them to the role. The training year will be divided into two 6-month blocks for assessment purposes. The ES will meet the Fellow at the start of training and create a personalised development plan (PDP). Further meetings will then take place at 6 months and 12 months (equivalent), where they will create a Supervisor’s Report, recording training progress and updating the PDP as appropriate. The Educational Supervisor will use the specified number and type of Workplace Based Assessments (WPBAs) and other evidence to complete their report.

Fellows need a minimum of 3 meetings (an initial, midpoint and end of fellowship) with their ES. These meetings will need to be created by the ES on Kaizen. If there is a need for additional meetings these can be created by either the Fellow or ES using the ‘informal meeting’ option on Kaizen. It is recommended that additional informal meetings are held at 3 months and 9 months to monitor progress if necessary.

ES meetings should be organised in a timely manner. The evidence submitted on the e-portfolio should be of high quality and devoid of any patient identifiable information. It is the responsibility of each Fellow to record evidence of their training in a timely and orderly manner. The evidence acquired needs to be captured across the block and not clustered in the immediate run up to a meeting with the Supervisor.

Different trainers should be completing assessments where possible. Details of assessments and minimal requirements are included. The End of Fellowship Checklist (Appendix 1) also provides guidance on what specific evidence is required.

The fellow, supervisor and trainers should familiarise themselves with the curriculum. This curriculum should be used as the basis of creating and adapting the learning objectives/Personalised Development Plan (PDP) as the fellow advances through their training.

A minimum of 60% of the Fellow’s time should be spent in breast imaging and adequate supervision should be provided. On call commitment is not a requirement of the Fellowship. However, if it is necessary for local service needs, this should be discussed with the Fellow and agreed at the outset. It is essential that any breast training time lost due to on call commitments is compensated for by the provision of extra training time elsewhere.

The Fellows will be expected to keep a logbook of clinics, procedures and screen reading. This should not contain any patient identifiable information. The screen reading log should also record recall rate and, towards the end of training, cancer detection rate.

The Educational Supervisor’s final meeting will be held at the end of the training year. At this stage the ES will complete a Structured Report (Educational Supervisor’s Structured Report Clinical Radiology) for the year and also complete an End of Fellowship Checklist (Appendix 1), ensuring all the evidence is present in the e-portfolio. The Structured Report and Checklist will summarise the evidence of the year for the NBIA panel.

Once the Fellow completes a year’s equivalent of training the NBIA panel will review all evidence submitted. Subject to satisfactory progress, the Fellow will be awarded a Certificate of Completion of Fellowship. The Certificate of Completion of Fellowship indicates that the fellow has undertaken a year of special interest training in breast imaging. Fellows who fail to complete their Fellowship or leave the Fellowship partway will not be eligible for this.

It is very important to stress that the panel can only award a certificate of completion based on the evidence in the e-portfolio. As these are post-CCT fellowships, all NBIA Fellows including international recruits will need to undergo a local annual appraisal within their host Trust for GMC revalidation purposes. Where possible, it is recommended that the ES also acts as the Fellow’s appraiser to avoid duplication of effort between end of year evaluation and annual appraisal. Learning objectives from the ES induction meeting can be used as PDP for the initial appraisal. Similarly the end of year ES evaluation report with additional mandatory evidence may be used for annual appraisal. However, please note that both these processes are necessary and need to be completed separately. Please seek guidance from the individual host site revalidation team on meeting local Trust requirements for annual appraisal.

Two study blocks each lasting 2 days are organised for the Fellows during their fellowship year to cover specialised areas or topics and to ensure that skills not readily available in every centre are addressed. Attendance is therefore mandatory.

In addition, Fellows also have access to a study budget of £1000 which will be allocated to host Trusts by the NBIA. This document also provides a list of recommended courses.

If you as a Fellow have any queries please discuss with your Educational Supervisor in the first instance. However, if you would feel more comfortable discussing this with someone outside of your training site you can contact the following at NBIA:

Soujanya.Gadde@mft.nhs.uk or Paula.Stavrinos@mft.nhs.uk