Rotations and placements basics
Who can manage rotations, placements and supervisor assignments?
In Horus, users with the following role permissions are able to create, amend and delete rotation, placement and supervisor assignment information for foundation doctors who are assigned to a location they have permission to:
- Foundation programme director
- Foundation school manager
- Foundation school director
If you have one of the above permissions, view our pdf placement management guide.
Foundation doctors and trainers are not able to manage this information.
Learn more about what to do if your rotation, placement or supervisor/foundation doctor assignment information is incorrect and you are a
How do I delete a rotation?
Only rotations with no completed forms (including signed declarations) can be deleted. The most common reason to delete a rotation is for a prospective foundation doctor who was allocated a rotation and set up on Horus in advance of the new training year, but then did not start foundation training (for example, withdrew their application or failed finals).
Only administrators can delete rotations.
To delete a rotation:
- Admin menu > Foundation doctors
- Find the relevant foundation doctor in the list
- Select "Rotations" to the right of the relevant foundation doctor
- Select "Delete rotation" to the right of the relevant rotation --> this will only be available if there are no completed forms attached to this rotation
- You will see a warning - select "OK" if you are sure that you want to delete the rotation
- The rotation will disappear from the Rotations page
As a foundation doctor, what do I do if my placement information is incorrect?
If any of the information recorded against your placement(s) is incorrect or incomplete, you need to contact your local postgraduate centre e-portfolio administrator, who will be able to make any appropriate changes for you.
This includes situations such as last minute changes, placement swaps, missing sub-specialty information and incorrect or missing educational or clinical supervisor assignment.
Learn more about who can manage rotations, placements and supervisor assignments in Horus.
As a supervisor, what do I do if I haven't been linked to a foundation doctor or have been linked to an incorrect foundation doctor?
How do I assign a clinical or educational supervisor to a foundation doctor's placement?
See the Placement Management pdf user guide.
Do I have to add an educational supervisor to each foundation doctor placement?
Yes. Although usually an educational supervisor will be allocated to a foundation doctor for a whole training year, there are situations where this is not the case. To cater to all requirements Horus has been designed to require any supervisor to be allocated to a placement.
In the future we will explore improving the administrator user experience by being able to add quickly and seamlessly the same educational supervisor to a number of placements for a foundation doctor if required.
How do I assign a foundation programme director to a foundation doctor?
See How are Foundation Programme Directors (FPDs) set up in Horus? in the User Management section.
If for some reason you would like to specifically assign an FPD to a foundation doctor's placement, you should follow the process in the Placement Management pdf user guide and in step 7 select "Other supervisor" in the 'Supervision type' drop-down box. You can type "Foundation Programme Director" / "FPD" into the free-text box that appears.
I can't find the required placement specialty in the specialty drop-down list - what do I do?
The list of specialties available in Horus has been mandated by the General Medical Council, in association with Health Education England. All foundation placements have to be described using one of the specialties in the available list. You can add extra information about a foundation doctor's placement using the "Extra Info" section of the placements manager.
For example, the main specialty may be Geriatric Medicine, but there is a special focus on Orthogeriatrics in the placement. "Orthogeriatrics" should be entered into the 'Specialty additional info' free-text box in the 'Extra Info' section.
How do I add a sub-specialty to a placement?
Sub-specialty should be entered into the 'Specialty additional info' free-text box in the 'Extra Info' section of the Placement Management screen.
What is the "WTE" field and how should it be used?
WTE stands for whole time equivalent. It represents whether a foundation doctor is working full time (WTE = 100%) or LTFT - less than full time (WTE > 100%).
In Horus, each placement must have a WTE assigned to it. The majority of foundation doctors work full time, therefore the default has been set to 100% and usually it will not need to be amended. If a foundation doctor has been granted official LTFT status by HEE, this field should be amended to reflect the agreed WTE %. The options are 100%, 90%, 80%, 70%, 60%, 50%.
If a foundation doctor is out of programme (OOP) they are essentially working at 0% WTE. This is not an option in the WTE field as OOP placements should be recorded in the dedicated "Out of programme" section.
What is an out of programme placement?
An out of programme placement on Horus should be used to represents one of the following foundation doctor (FD) situations:
- FD on parental leave
- FD on long term sick leave (should not be used for short term sick leave recording)
- FD on official OOP
- Other relevant situations may arise in exceptional cases
There are clear guidelines and processes for each of the above situations, outlined in the FP Reference Guide, the GMC website and employer HR procedures (see "Useful links" for further information).
The recording of an out of programme placement in Horus should only be undertaken once the relevant official process has been followed and is intended to be used as a way to avoid gaps in FD training records where possible.
Learn more about how to create an OOP placement.
How do I record that a foundation doctor is out of programme?
You should create an "Out of programme" placement (this is also known as "OOP").
Learn more about how to create an OOP placement.
How do I create an out of programme placement?
To create an out of programme (OOP) placement:
1. Go to the relevant foundation doctor's Rotation management page
2. Select "Modify rotation" next to the rotation during which the FD is OOP
3. Update the start and end dates of the rotation and existing placements if required (remember that start and end dates can't overlap)
4. Scroll to the bottom of the page - you will see a section called "List of out of programme placements"
5. Select "Add out of programme placement"
6. Complete the required fields (including an explanation of the type of OOP - for example parental leave, long term sick leave, OOPR, etc)
7. Select "Save changes"
Can forms be attached to an out of programme placement?
No, nothing can be attached / created for an "out of programme" placement. Learn more about what an "out of programme" placement in Horus is for.