Core Medical Training

1. Core Medical Training Induction Evening 2013

2. Aim of Session • Give overview of the School of Medicine. • Introduce you to the CMT team. • Give an understanding of e-portfolio. • Give an overview of the ARCP process. • Requirements of Revalidation. • Regional Teaching Programme Overview. • Study Leave important facts. • CMT Taster Sessions. • Quality of training • Opportunities for CMT1 trainees. • Questions?

3. Key CMT Contacts • Jenny Hogg – Training Programme Director Based at Queen Elizabeth Hospital, Gateshead jenny.hogg@ghnt.nhs.uk/jennythedoc73@gmail.com • Jane Wallace – Deputy Training Programme Director Based at Wansbeck Hospital, Northumbria jane.wallace@nhct.nhs.uk • Richard Thomas – Deputy Training Programme Director Based at Hartlepool/North Tees General Hospital richard.thomas@nth.nhs.uk • College Tutors Based in each Trust

4. Key CMT Contacts • Davina Robinson – Specialty Programme Co-ordinator Health Education North East davina.robinson@ne.hee.nhs.uk / 0191 275 4691 • Chris Quinn – Specialty School Assistant Health Education North East Chris.quinn@ne.hee.nhs.uk / 0191 275 4642 • Lorna Billiet - HR Officer Lead Employer Trust (LET hosted by CDDFT) Lorna.billiet@nhs.net / 0191 275 4761 Based at Waterfront4, Goldcrest Way, Newburn Riverside, Newcastle upon Tyne NE15 8NY www.northerndeanery.nhs.uk

5. Trainee Representatives

6. How to complete your e-portfolio • Every year a significant proportion of trainees struggle to complete their portfolio. • This is rarely due to them being poor doctors however this is the tool we have to use. • It is usually an organisational problem combined with uncertainty of what is expected and when. • The next few slides plus the checklist we use (available on line) may help so that you can see what is required.

7. Interim and annual ARCP • Each year of CMT an ARCP will be done, usually in June where your portfolio will be evaluated. • There will be additional ‘interim’ ARCP at various stages (usually 8 months ie April of the first year; and 20 months (ie December of the second year). • These are to help identify areas which need attention prior to the main ARCP. • Use the 2009 CMT ARCP Decision Aid – FOR WPBA PILOT ONLY (available from the JRCPTB and HENE Website).

8. ARCP the Educational Supervisor’s report • Great emphasis is now placed on the educational supervisor’s. report which we suggest is completed about two weeks before each ARCP (interim or full). • This hopefully will confirm that satisfactory progress in the curriculum is being made compared to the level expected of a trainee at that stage of their training. • This report should bring to the attention of the panel events that are causing concern e.g. patient safety issues, professional behaviour issues, poor performance in work-place based assessments, poor MSF report, issues reported by other clinicians. • It is expected that serious events would trigger a deanery review even if an ARCP was not due.

9. Clinical Supervisor responsibilities • Induction and end of attachment appraisals • Mid attachment appraisals (not mandatory) • These are to feedback your performance in the clinical environment

10. Clinical Supervisor Reports (CSR) • Confusingly termed these are brief reports rather like an MSF that consultants who you come in contact with, but are not necessarily your ‘clinical supervisor’ for the placement. • You need a minimum of two per placement ie 6 per year. • Rather like an MSF you can get these filled in before the end of the attachment – usually in good time for the ARCPs.

11. ARCP what is expected • MSF • One each year. Minimum 12 responders. • Common Competencies • Ed sup to confirm satisfactory progress being made in year 1 report. All completed by year 2 to level 2. • Emergency presentations • Signed off by Ed Sup with supporting evidence (except for anaphylaxis where discussion of management with Ed Sup is acceptable).

12. ARCP what is expected • Top presentations • Ed sup to confirm satisfactory progress being made in year 1 report. All signed off by year 2. • Other Important presentations • Ed sup to confirm satisfactory progress being made in year 1 report. By year 2 Ed Sup to confirm level of performance in this area is satisfactory.

13. ARCP what is expected • Clinics • Currently 12 clinics per year (at least 24 by completion of CMT). • A list of clinics attended in personal library is advised. • Mini-Cexs, CBDs & reflective practice can be used.

14. ARCP what is expected • Teaching attendance • ‘Satisfactory record of teaching’ is required. • Some Trusts provide a letter regarding this where others (usually smaller Trusts) do not. • We suggest a Teaching Attendance list in your personal library where possible teaching is listed and whether you attended or not (and why eg on call, Annual leave etc). Ideally this should be commented on in your Ed Sup report.

15. ARCP what is expected • Procedures (routine) • Year 1 • Skills lab training or satisfactory supervised practice evidenced by DOPS for • adv. CPR, Ascitic Tap, LP, NG tube placement&checking, pleural aspiration for fluid or air. • Year 2 should be clinically independent of above and also have Skills lab training or satisfactory supervised practice for DC cardioversion.

16. ARCP what is expected • Procedures (Potentially life threatening-PLT) • Central venous cannulation with US guidance and Seldinger intercostal drain insertion (US unless pneumothorax) - Skills lab training or satisfactory supervised practice with at least 2 DOPS confirming competence by 2 different assessors for summative sign off.

17. ARCP what is expected • Assessment of Performance (AoPs) • 4 per year.(2XACAT, 1XMiniCEX, 1XCBD) in Oct/Nov; Dec/Jan; Feb/Mar & Apr/May. Must be by Consultants. • Supervised Learning Events (SLEs) • Minimum of six per year, performed proportionately with a number of different assessors. (4XACAT, 1XMini-CEX, 1XCBD). Should contain structured feedback to aid personal development. For review by Ed Sup (not ARCP panel)

18. MRCP • Need to complete part 1 by end of CMT1 (otherwise an outcome 2 is automatically awarded at ARCP) Note maximum 6 attempts. • Part 1 course available locally. • All parts to be completed by end of CMT in order to have achieved Core Medical Training (outcome 1 at final ARCP). • Revision Courses are available for each diet for PACES within the region.

19. Revalidation • Revalidation will happen every 5 years. • As part of this process trainees continue to gather information as is usual practice for annual ARCP assessments. • The ARCP Panel Chair will review the clinical governance information (3 key documents). • Any concerns will be monitored by the HENE Revalidation Team.

20. Revalidation

21. Regional and Local Teaching • Local teaching in each Trust • Please advise us if there are problems accessing this. • Regional meetings. - Three full day events per annum.

22. Regional Training Programme • 1 October 2013 (RVI) -  Lecture Theatre, Sir James Spence Education Centre, Royal Victoria Infirmary • 4 February 2014 (RVI) - Lecture Theatre, Sir James Spence Education Centre, Royal Victoria Infirmary • 11 June 2014 (Freeman) – Lecture Theatre 1, Education Centre, Freeman Hospital • You will be asked to register for these events via HENE website. • Certificate of attendance will be issued when feedback is received.

23. Study Leave • All trainees are entitled to a maximum of 30 days per annum. • Core trainees are entitled to claim up to £650 per annum. If you use your study leave budget you could still participate in additional study leave experiences by contributing towards the cost yourselves. • Flexible trainees study leave budget will be pro rata to those of a full time trainee. • Study leave and budget should be used to support the trainee in achieving essential competencies and for mandatory courses. • Can only be used in the allocated year and cannot be carried forward to subsequent years.

24. Study Leave • What can I use my study leave for? • Courses and Conferences mandatory and to facilitate trainees meeting curriculum requirements eg ALS, MRCP, local and regional teaching. • Exam Leave expenses only as exam fees are not refunded. • Private Study Leave for the purpose of home based revision taken within 6 weeks of an exam. Twelve days per year but only six days at any one time. Only one period of private study leave per exam.

25. Study leave • How do I apply for study leave? • Study leave forms can be obtained from the trainee’s current trust (Education Department), however if the period of study leave falls within a different trust the trainee is to rotate to, prospective approval from that trust is required. • Applications should be submitted a minimum of six weeks prior to the first day of leave as retrospective applications will not be accepted or reimbursed. • Expenses are paid at Whitley Council rates and expenses need to be submitted within six weeks of attending an event. • Familiarise yourself with HENE’s Study Leave Policy and Procedure.

26. CMT Taster Sessions • To support and explore an interest that is not available in your core programme. • To enable you to explore career alternatives in a diagnostic or other clinical area. • A maximum of two 3-day taster sessions each year (comes out of study leave). • One taster session per specialty. • See HENE website for taster session contacts and application process.

27. Quality of Training • You have a responsibility "to support the development and evaluation of your training programme by participating actively in the national annual GMC survey and any other activities that contribute to the quality and improvement of training." (Gold Guide pg 37-38). • GMC Survey - It is important that we get a good response rate so that the School and the Specialty have robust data to make the right decision when ensuring the quality of the Core Medical Training programme in the Northern Deanery.  • Your co-operation in completing the survey is fundamental to the quality of data and improving the quality of the training programme.

28. Opportunities To be involved in the wider work of CMT programme and the School:- • CT1 trainee representatives on CMT training committee. • CT1 trainee representatives on School Board and Training Committee. • Focus group to develop CMT webpages of website.

29. Must Do • Complete your Enhanced FORMR and return to Chris Quinn. • Enrol with the JRCPTB.

30. Any Questions