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Certification:

Certification:. Trainees' View. Mike Nelson, Consultant Surgeon, Isle of Wight. Historical View. Change Drivers. Today. Trainees. Future Areas. Introduction. Mike Nelson. Trained as SpR in Wales FRCS (Gen Surg) 2005 Colorectal subspecialty CCT October 2005 Locum Consultant Surgeon

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Certification:

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  1. Certification: Trainees' View Mike Nelson, Consultant Surgeon, Isle of Wight

  2. Historical View Change Drivers Today Trainees Future Areas Introduction

  3. Mike Nelson • Trained as SpR in Wales • FRCS (Gen Surg) 2005 • Colorectal subspecialty • CCT October 2005 • Locum Consultant Surgeon • Charing Cross Hospital • Consultant Surgeon – April 2006 • Isle of Wight

  4. 1996 FRCS “Registrar” Senior Registrar Consultant Pre-Calman

  5. 1996 MRCS Single SpR Grade Curriculum, RiTAs Exit Exam & Consultant Calman Principles

  6. 2006 Seamless Training New Deal = Less Hours Subspecialisation Consultant Expansion Calman Environment

  7. Jobs by specialty n=206 2002

  8. Results: 2002 ICE Passes 115 successful candidates ICE Passes

  9. EWTD Initiatives Service Changes ISTCs Laparoscopic MMC Lifestyle Regulation Drivers for Change 2006

  10. Endoscopy Experience Median=12.5 (range 0-345, n=24)

  11. Senior Medical Appointments CCT route Specialist Postgraduate Medical Training Career posts Specialist and GP training programmes (Run-through training) Fixed term specialist training F2 F1 Arrows indicate competitive entry Medical school – 4-6 years MMC

  12. More Questions • Further exams post ICE? • Not on your life! • Why should surgery be different? • Why should coloproctology differ? • Can we separate emergency and elective work? • Will we recreate old bottlenecks • Is it necessary?

  13. Suggested Path Forward • Robust evaluation of Calman • Heterogenous group • Implement improvements • Any changes universal • Are “craft” specialties different? • Evidence based • Changes will be inevitable • Colleges & Associations continue to lead

  14. Trainee’s Role Must be Active • Join Societies • ASiT • Dukes’ Club • Collect and publish data • Electronic logbook • Identify good & bad training units • Encourage future trainees

  15. Summary • Current CCT holders probably OK • Current senior SpRs probably OK • Current new SpRs less certain • Current SHOs parallel training • Current F1/2s very uncertain • However… change is nothing new • Extent and pace is unprecedented

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