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The Junior Doctors’ Journey

The Junior Doctors’ Journey. Alison Keightley Director of Medical Education Frimley Park Hospital. Training for a Hospital Specialty. Training for General Practice. Training for a Hospital Specialty. Modernising Medical Careers. More structured and streamlined

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The Junior Doctors’ Journey

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  1. The Junior Doctors’ Journey Alison Keightley Director of Medical Education Frimley Park Hospital

  2. Training for a Hospital Specialty

  3. Training for General Practice

  4. Training for a Hospital Specialty

  5. Modernising Medical Careers • More structured and streamlined • Aiming to produce specialists earlier in their career • Revised curricula for all specialties • Portfolios (electronic and paper) • Workplace based assessments Controlled by PMETB

  6. Foundation Programme • 2 years in 1 or 2 different Trusts • Usually 6 jobs of 4 months one of which may be in General Practice • Apply for Specialty training starting in December of their F2 year • Career planning important • Continuous assessment. No exams that they have to take

  7. Training for a Hospital Specialty

  8. Foundation Programme • 2 years in 1 or 2 different Trusts • Usually 6 jobs of 4 months one of which may be in General Practice • Apply for Specialty training starting in December of their F2 year • Career planning important • Continuous assessment. No exams that they have to take

  9. Miller’s Pyramid DOES SHOWS HOW KNOWS HOW KNOWS

  10. Acute Care Common Stem (ACCS) Anaesthesia Neurosurgery Chemical Pathology General Practice Histopathology Medical Microbiology Core Medical Training Obstetrics and Gynaecology Ophthalmology Oral & Maxillofacial Surgery (OMFS) Paediatrics Psychiatry Public Health Radiology Core Surgical Training Specialty Groups for ST1/2

  11. Core Specialty Training • 2 or 3 years depending on specialty • CT 1-3 or ST 1-3 at same Trust • Exams: at least the first part of the relevant Royal College exam has to be passed to proceed plus workplace based assessments

  12. Run-throughvs Uncoupled Training In some specialties there is a single competitive entry point into the speciality at ST1 level Other specialties have 2 competitive entry points: the first into CT1 and the second into ST3 or 4 depending on the specialty

  13. Higher Specialty Training • ST3/4 and above usually move Trusts every year • Further Royal College exams plus workplace based assessments • Subspecialisation

  14. For all Specialty and GP Trainees Decision as to whether they can progress to the next year is determined by the ARCP: Annual Review of Competency Progression (previously RITA) • Portfolio • Satisfactory completion of workplace based assessments and Royal College exams • Educational Supervisors Report • Curriculum requirements

  15. Training for a Hospital Specialty

  16. Study Leave • All trainees FY2 and above • 30 days per year with limited funding • Compulsory courses • Preparation for professional exams • Educational meetings • Personal professional development

  17. Other Hospital Doctors • FTSTA: Fixed Term Specialty Training Appointment • Specialty Doctors (formerly called Associate Specialists or Staff Grades) • Trust doctors/fellows

  18. Stakeholders • Medical Schools/universities • GMC/PMETB • Royal Colleges • Deaneries • Trusts • Strategic Health Authorities PATIENTS

  19. Libraries How do junior doctors use them and what more can libraries do to support them in 2010?

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