Foundation Clinical Supervisors (FY2 CS)


On this page you will be introduced to the role of the Foundation Clinical Supervisor and the criteria for becoming a supervisor.

Modernising Medical Careers has brought about significant change in the training of junior doctors. The Foundation programme bridges the gap between undergraduate and specialist education and currently takes place over two years.

The programme came into being because of concerns expressed about the SHO grade in Unfinished Business a report by Sir Liam Donaldson Foundation.

  • Year 1 (FY1) replaces the PRHO year and upon completion a doctor is fully registered by the GMC. Placements in FY1 are all in hospitals.
  • Foundation Year 2 (FY2) is a further year to consolidate generic skills as a doctor. FY2 doctors undertake three 4 month rotations, one of which may be general practice

Foundation doctors work to a national curriculum and are assessed to demonstrate that they are developing their skills. The programme is designed to be flexible, supported, offer opportunities to receive sound career advice and places the training doctor at the centre of the process. There is a comprehensive website giving details of the foundation programme at: www.mmc.nhs.uk

Currently 60% of all FY2 doctors in KSS are offered the opportunity to undertake a 4 month GP placement.

View Criteria for becoming an FY2 Clinical Supervisor

  • Need to work a minimum of 4 sessions
  • Have been a GP for 1 year
  • In your current practice for more than 1 year
  • Are a salaried doctor or partner – but not a locum or retainer doctor

View the role of the FY2 Clinical Supervisor

The named individual who will oversee the FY2 doctor during the attachment:

  • Arrange and monitor the work of the FY2 doctor so that the doctors do not perform tasks they are not yet equipped to do thus ensuring the safety of the FY2 doctor and patients
  • Offer constructive clinical feedback to FY2 doctors
  • Develop in association with the FY2 doctor a programme which meets individual learning needs
  • Undertake assessments on FY2 doctors using the tools developed for this purpose

We are often asked “Will I be teaching FY2s?” Primarily the FY2CS role is to supervise and guide the FY2 doctor and inevitably you will teach them through discussion around patients.

However, you are not expected to undertake formal “tutorial style” teaching with them – you can of course choose to do so if you wish.

Please go to the following section for details on Module 1 of the Clinical Supervisors Course.

View Clinical Supervisor Resources here

Apply to be a Clinical Supervisor here

If you are interested in becoming an FY2 CS, please contact the GP Educator Pathway Manager, or Tel: (020) 7125 7198

View Module 1 Clinical Supervisor Course Information here

The 1 day module in Clinical Supervisor introduces you to the generic knowledge and skills needed in order to work as a Clinical Supervisor. The module introduces key concepts relating to ensuring safety for both learners and patients.

You will begin to appreciate how to recognise the level at which learners are working, how to begin educational planning through discussion and how to organise educational activities to meet the learning needs of the individual. Through practical workshops you will be able to rehearse in a safe environment the skills needed to give constructive criticism based on observation.

You will be introduced to the key principles of assessment and practice utilising the Foundation Programme national assessment tools. The Course material introduces you to core principles of adult educational theory and how to apply these in a practical setting. This theory will be further developed in later modules in the educator pathway.

You will be fully conversant with it should you wish to proceed further with the academic modules which lead to the PG certificate qualification

View the next steps after Module 1

Once you have undertaken Module 1, and if your practice is a training practice, you can be approved as a FY2 Clinical Supervisor.

If your practice is not a training practice, nor already accredited to host FY2 doctors, the practice will need to be visited. The purpose of the visit is to ensure that the practice meets good standards of clinical care, is sufficiently well organised and the team are all supportive of the plans to become involved in GP education in other words it is a suitable learning environment.

To see details of the practice visit criteria visit the download section ahead of your planned visit to ensure your practice meets the standard, particularly in relation to QOF points.

Once approved in order to host a FY2 doctor you will need to notify your local Programme Director (formerly Course Organiser) to advise them you can now be considered to host a FY2 doctor. Details of how to contact your local Programme Director (PD) can be found in the recruitment section of the KSS GP deanery website – you should find an email contact for the PDs attached to your local Trust. Please note it is not always possible to have an FY2 doctor as soon as you are accredited.

As you start to work as a FY2 CS it is expected that you will continue to develop as a GP educator. You will need to develop a portfolio in the same way you collect evidence of your work for NHS appraisal – you would use this evidence to support the education section of the appraisal documentation.

Guidance on the competencies of a GP educator and how you can show evidence of your development is contained in the GP educator portfolio

View information on support for FY2 Clinical Supervisors

The Foundation Programme is administered by your local Trust in association with Foundation Schools (linked to the regional medical schools) and each Trust has a Foundation Director who has overall responsibility for the programme. Medical Education Centre Managers in your local Postgraduate Medical Centre often assist in the practical organisation of the scheme.

Programme Directors who support GP Specialty training also arrange the GP placements for FY2 doctors and are a source of help and advice.

The FY2 Community Educational Supervisor locally will also run a series of support groups or learning sets where FY2 supervisors come together to discuss their experiences.

FY2 Clinical Supervisors also receive some financial support in the form of 80% of the current GP Trainer grant. The remaining 20% is used to fund the FY2CES who also undertakes teaching sessions with FY2 doctors.

In order to claim the training grant you will be required to complete a Service Level Agreement (SLA) for FY2 CS. This is needed in order to authorise payment to you. The SLA can be found in the downloads area below, but will be sent to you at the beginning of your rotation.

View information on hosting an FY2 Doctor

The FY2 doctor is an employee of the local trust when they are working with you however it is advised you ask the doctor to complete an honorary contract with the doctor. The contract is available in the download section and in the Manual for FY2 Clinical Supervisors. The Manual also contains important information relating to issues such as indemnity, the performers list and the working week for a FY2 doctor.