Current priorities for the Dean

1. Current priorities for the Dean Dr Wendy Burn Dean

2. Current Issues • Recruitment • Workforce numbers • The curriculum • Workplace Based Assessments • MRCPysch examination • Dual training • Local courses • Out of hours training • Shape of training review • Portfolio • New College building

3. Dean’s post • Election by members • 5 year term • My term is 2011-2016 • Voluntary post • Responsible for education and training within the College • Well supported by College • Real chance to influence things at a national level

4. Recruitment • Has been difficult since 2007 • Lack of British graduates who want to train in psychiatry • Immigration changes and 18 months experience exclusion rule reduced number of overseas doctors, the rule has now been removed • College has a recruitment strategy. Includes increasing foundation posts, summer schools and taster sessions.

5. Recruitment • 17% increase in actual numbers to CT1 for August this year.

6. Management of Recruitment • The North Western Deanery, Health Education North West will be managing national recruitment to Psychiatry for 2014 • College will continue to set standards and design the process.

7. CT1 Round 1 2014 • Applicants will apply via Konetic • Centralised longlisting via North Western Deanery • No shortlisting • Interviews to be organised and held locally, using questions set by College • All offers made via UK Offers by the North Western Deanery • National clearing process run by North Western Deanery

8. ST4 Round 1 2014 • Applicants will apply via the Konetic system • Centralised longlisting via North Western Deanery • No shortlisting • Applicants will be able to apply for up to 3 specialties, having 1 interview in each. • Centralised interviews taking place in London and Manchester • Offers made via UK Offers by the North Western Deanery • National clearing process run by the North Western Deanery

9. Workforce • Recent review of psychiatry workforce by Centre for Workforce Intelligence • Conclusions awaited • There will be increasing pressure to reduce core posts • At present we have a 50% loss rate from core to higher training • 25% of trainees are in London • Will be looking at what happens to London trainees after CCT

10. Foundation training • The target in England is 45% of foundation doctors should rotate through a four month placement in psychiatry in England • 22.5% in F1 and 22.5% in F2 • Have appointed a College Advisor for Foundation training, Ann Boyle. She is setting up a network of foundation trainers and writing a good practice guide.

11. Foundation Posts • Around half of schools are on target to deliver the required increases by 2015 in psychiatry placements with greater progress at F2. • A further 25% are making good progress • The rest are encountering significant challenges.

12. The curriculum • Core, Child and Adolescent, Learning Disability and Rehabilitation revised this year • Working group looking at core curriculum • We will send out a summary to Heads of School highlighting the changes • GMC now ask that current trainees move to new curricula as they are approved

13. WPBAs • Lack of training for assessors • Don’t equate to exam • Trainers don’t fail their trainees • Are they formative or summative? • Foundation now uses Supervised Learning Events which are purely formative. We are developing SLES and setting up pilots.

14. MRCPsych exam – challenges • Low pass rate • Four exams (3 papers and a clinical) • Expensive • Lack of clear syllabus • Made a large excess, £600,000 in 2012

15. MRCPsych exam - changes • Chief Examiner is Peter Bowie. Will be making exam more relevant and working with Heads of School and course organisers • Papers will be reduced to two • Revised clear syllabus for each part, questions mapped to syllabus. • Cost was reduced by 5% in 2013 and by a further 20% for trainees and affiliates. Will be increased for 2014. Last years and future excesses will be used to benefit training.

16. MRCPsych exam excess • CPD online is free to trainees and affiliates registered with the College and first year consultants for 2 years from March 2013.

17. Trainees Online (TrOn) • Modules designed to support the MRCPsych • Initial plan is for 70 online learning modules which will cover the Basic Sciences on the MRCPsych curriculum • Will be written by post-membership trainees, fee of £200 • Module plus reading list will contain knowledge needed to pass the exam

18. TrOn • Trainee Editor appointed • Two calls to trainees have gone out • First modules are currently being written • Early topics include neuroanatomy and genetics

19. FACS (Formative Assessment of Communication Skills) • FACs was developed by Gill Pinner. Has been piloted in several Deaneries • Those using it feel it identifies trainees who will struggle with CASC • In December will be running an adjusted version for candidates who failed September CASC by one station. Trainees will be given videotaped feedback.

20. Exit exam • GMC are asking for this but are giving us time to work on MRCPsych exam before developing it • Trainees have a working group looking at options and have conducted a survey

21. Dual training • Wanted by trainees particularly for specialties under threat • Not all Schools run all dual schemes, only happens if locally there is a recognised need and ability to provide programmes • Have to enter dual programmes from the start of training • At present previous training on a programme leading to a single CCT doesn’t count • Rules are on website: http://www.rcpsych.ac.uk/training/specialtytrainingguides.aspx • GMC ran a working group for dual training in all specialties, awaiting a report

22. Locally delivered MRCPscyh courses • We have developed some draft standards • Held a meeting of course organisers with myself and chief examiner in March • Huge variation in courses in terms of cost, length, quality assurance • Will be working with the course organisers on these issues • Will develop a College accreditation scheme

23. Out of hours training • Trusts are changing work patterns for trainees • Need to ensure that trainees gain supervised emergency experience and patient safety is maximised • Trainees entering higher training must be prepared • Also need to ensure that trainees spend a high proportion of their time in their core placement • Have set up a working group to report back on this

24. Portfolio • New version is under development to launch in August 2014 • Will have nationally agreed ARCP forms

25. Shape of training review

26. Recommendations • Enhance the response of postgraduate medical education and training to changing patient needs • Increase involvement of patients in the education and training of doctors • Provision of clear advice to potential and current medical students about what they should expect from a medical career

27. Recommendations 4. Make sure medical graduates at the point of registration are capable of working safely in a clinical role suitable to their competence level 5. Full registration should move to the point of graduation from medical school

28. Flexibility, quality and apprenticeship • Generic capabilities framework e.g. communication, leadership, quaIity improvement, patient safety • More flexible progression rates • Longer placements to foster team-working and apprenticeship • Training limited to places that provide high quality training and supervision

29. Responsive broad-based training • Restructure postgraduate training within broad specialty areas • Review curricula to deliver broader specialty training • Ensure all doctors able to manage acutely ill patients with multiple comorbidities within broad specialty area • Greater employer involvement in coordination of training

30. Academic training • Relevant organisations including postgraduate research and funding bodies must support a flexible approach to clinical academic training • Broad-based clinical training • Exceptionally super-specialised scope of practice

31. CPD (15) & Credentials (16) F2 Broad-based specialty training 4-6 Years Medical School F1 Credential Credential Credential Continuous Professional Development Certificate of Specialty Training Full Registration

32. SAS doctors/salaried GPs/locums • Review barriers faced by doctors outside of training who want to enter a formal training programme or access credentialed programmes

33. Recommended model (18)

34. Number of CSTs • Major question for Psychiatry is how many CSTs? • 6? • 2? • 1?

35. New Building

36. 21 Prescot Street

37. 21 Prescot Street • Much more space • Accommodates the whole College • Will be able to hold conferences there • Members area with rooms, coffee, wifi • Library • We own it, no mortgage • Will save on rent of other spaces

38. Chandelier

39. Members Area

40. Cafe 21

41. Song for 21 Prescot Street

42. Free Lunch • Members are invited to visit Café 21 to enjoy a free lunch up to the value of £5 • Please book in advance by emailing our reception quoting your membership number or name. 

43. Any questions? • wburn@rcpsych.ac.uk