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Sub speciality PCI training in the United Kingdom

Sub speciality PCI training in the United Kingdom. Tim Gray Cardiology SpR Manchester Heart Centre. Current System. Currently no formal arrangements for sub-speciality training: Arrangements for sub-speciality training made at deanery and trust level No formal training programme

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Sub speciality PCI training in the United Kingdom

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  1. Sub speciality PCI training in the United Kingdom Tim Gray Cardiology SpR Manchester Heart Centre

  2. Current System • Currently no formal arrangements for sub-speciality training: • Arrangements for sub-speciality training made at deanery and trust level • No formal training programme • Often ad hoc start to training • No clear end goals • No proficiency assessment

  3. Current Training model • Ad hoc apprenticeship based training

  4. Proposed training model • Apprenticeship based training • DOPS (Directly observed procedural skill) assessment • 3 monthly appraisal by Supervisors and exit appraisal by Training director • Examination (in association with European Society)

  5. Problems Now • European Working Hours Directive • Reduced PCI exposure • Reduced continuity of care • Reduced emergency experience • SpR competition leading to several trainees with partial training • Competition for PCI from established consultants re-training • Dilution of training with other clinical pressures

  6. Problems now BJCA survey 2005

  7. Benefits of change • Minimum standard for clinical competence • Higher quality of candidates if competitive selection • Higher SpR motivation • Stimulates focus on peri-procedural care as well as cath lab time

  8. Benefits of change • Allows focus on sub-speciality • Allows for dedicated teaching sessions by motivated trainers.

  9. Problems of change

  10. Problems of change • The interview process • Huge regional variation in first few years • Will there be a national recruitment? • Less likely to have higher degree • Trainees themselves may be less likely to appreciate sub-specialities • Interview process needs to be open and transparent

  11. Problems of change • What happens if fail to secure training placement? • Forced to choose different sub-speciality? • Take time out to find appropriate placement? • Will trainees be expected to move around the country to find a programme? • ?encourage local vs regional vs overseas fellows

  12. Possibility of increased training time • What happens about overseas fellowships?

  13. Conclusion • Change to a formal training programme is welcomed • Ideal time to instigate change in sub-speciality training • Need to decide on recruitment process soon.

  14. Thank you • Questions?

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