MTRs and MSFs

Multiple Trainer Report (MTR)

The MTR replaces the existing consultant feedback mechanism suggested in the 2010 curriculum and reflects the greater emphasis on the professional judgement of the trainer as part of a revised programme of assessment.

The MTR is a mandatory requirement to support progression at critical progression points of the new curriculum.  The MTR will be triggered and collated by the Educational Supervisor or College Tutor and the results discussed with the anaesthetist in training.

A satisfactory MTR is an essential requirement in order to support the completion of each HALO for each of the Domains of Learning. A satisfactory MTR is also an essential requirement for the attainment of the IAC and IACOA as part of the EPA process.

Trainers have the opportunity to report on the progress of the anaesthetist in training, including areas of excellence and areas for further development.  Such feedback should encompass both the specialty specific and generic professional aspects of the curriculum.

A minimum of 3 individual MTR responses are required for the process to be considered valid.  A minimum of one MTR is required per year of training. A single MTR can illustrate progress across all the HALOs of the curriculum.

This MTR process if distinct from the Multi Source Feedback (MSF) which continues unchanged in the new curriculum.

Multi-Source Feedback (MSF)

The MSF, unlike the other SLEs or the MTR, provides specific feedback on generic skills such as communication, leadership, team working, reliability, etc., across the domains of Good Medical Practice from a wide range of individuals who have worked with the anaesthetist in training in the current training year. SLEs are a snap shot in time covering a clinical episode, where the MSF is used to measure the anaesthetist in training’s performance across a broader period of time and informs the assessment of achievement of learning outcomes.

Anaesthetists in training are required to have at least one MSF completed for each training year and MSFs can be conducted in anaesthesia, pain medicine or ICM. The anaesthetist in training identifies a minimum of 12 people (who should be from a mixture of disciplines) with whom they have worked, for example, consultants, theatre staff, recovery staff, ODPs, midwives and administrative staff, and sends a request through the LLp.