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Accreditation Manual · Chapter 3C

Faculty Development, Performance Review & Educational Excellence.

Establishing standards for continual faculty development and periodic performance review to ensure that accredited fellowship centres maintain the highest educational standards throughout the accreditation cycle.

Core Competencies Annual Faculty Review Common Deficiencies
Policy Standard

Purpose

This chapter establishes standards for continual faculty development and periodic performance review to ensure that accredited fellowship centres maintain high educational standards throughout the accreditation cycle.

Policy Standard

Foundational Principles

Excellent clinicians are not automatically excellent educators.

Faculty development is a continuous institutional responsibility.

Educational performance should be evaluated separately from clinical performance.

Feedback should be constructive, confidential and improvement-oriented.

Policy Standard

Institutional Responsibilities

Accredited fellowship centres are required to fulfil the following institutional obligations for faculty development.

Annual Development Plan

Develop and maintain a formal annual faculty development plan updated every accreditation cycle.

Protected Development Time

Provide formally allocated, protected time for educational development activities within clinical rosters.

Workshop & Programme Support

Support faculty attendance at educational workshops, SOPPA programmes, and accredited CPD events.

Activity Records

Maintain up-to-date, auditable records of all faculty development activities, certificates, and appraisals.

Policy Standard

Core Competencies for Faculty

All Core Faculty are expected to demonstrate and continuously develop competencies across four domains.

Educational

Teaching & Facilitation

Adult learning principles
Case-based teaching
Small-group facilitation
Bedside teaching

Assessment

Evaluation & Feedback

Workplace-based assessment
Constructive feedback
Portfolio review
Avoiding assessor bias

Professional

Leadership & Conduct

Communication
Leadership
Professionalism
Conflict resolution

Scholarly

Research & Improvement

Research supervision
Quality improvement
Evidence-based practice
Policy Standard

Annual Faculty Review

Each Core Faculty member must undergo an annual educational review covering the following domains:

Teaching contribution — volume, quality, and variety of educational activities

Assessment quality — rigour, timeliness, and bias avoidance in formal assessments

Mentoring activity — regularity and documentation of mentorship sessions

Academic attendance — participation in scheduled academic sessions and grand rounds

Research & QI participation — scholarly output and quality improvement engagement

Fellow feedback — anonymised summary of fellow-reported educational experience

Personal development goals for the following year

Policy Standard

Fellow Feedback Framework

Anonymous fellow feedback should contribute to educational quality improvement but must not be the sole determinant of faculty performance.

Teaching effectiveness
Availability & accessibility
Quality of supervision
Respectful behaviour
Timeliness of feedback

Fellow feedback is one component of a multidimensional educational review. Centres must implement safeguards to ensure anonymity and prevent punitive use of feedback data.

Policy Standard

Required Documentation

Faculty Development Log
Attendance Certificates
Annual Appraisal Form
Educational Portfolio
Improvement Plan (where indicated)
Policy Standard

Accreditation Reviewer Evidence

Review faculty development records and confirm completeness against the annual plan.

Verify that all annual educational appraisals have been completed on schedule.

Confirm implementation and documentation of improvement plans where indicated.

Interview faculty directly regarding their educational development activities and goals.

Review fellow feedback summaries and confirm anonymisation and appropriate use.

Policy Standard

Common Deficiencies

No Structured Development Programme: Absence of a formal, annually reviewed faculty development plan.

No Educational Appraisal Process: Faculty performance appraised solely on clinical metrics without educational assessment.

Inadequate Documentation: Missing faculty logs, unsigned appraisals, or absence of educational portfolios.

Persistent Deficiencies Without Corrective Action: Recurring issues identified in successive review cycles with no documented improvement plan.

Policy Standard

Website / Data Capture Requirements

Faculty Development Database: Centralised repository of all faculty development records and activity logs.

Annual Appraisal Workflow: Digital appraisal forms with structured completion, sign-off, and archiving.

Upload of Certificates & Evidence: Secure facility for faculty to upload CPD certificates and supporting materials.

Reminder System: Automated alerts for overdue annual reviews, outstanding appraisals, or lapsing certificates.

Dashboard: Real-time completion status for all faculty reviews, certificates, and development activities.

Accreditation Manual Governance

Explore Other Accreditation Manual Chapters

Access faculty capacity standards (Ch 3D), faculty mentorship guidelines (Ch 3E), and external faculty requirements (Ch 3F).

Faculty Capacity (Ch 3D) Faculty Mentorship (Ch 3E) Education Hub