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MMC and the World after MTAS

MMC and the World after MTAS. Ian R. Hastie. MMC and the World after MTAS. Ian R. Hastie Dean of Postgraduate Medicine, London. MMC and the World after MTAS. Ian R. Hastie Dean of Postgraduate Medicine, London Consultant Geriatrician. "MMC and the World after MTAS". A Personal View.

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MMC and the World after MTAS

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  1. MMC and the World after MTAS Ian R. Hastie

  2. MMC and the World after MTAS Ian R. Hastie Dean of Postgraduate Medicine, London

  3. MMC and the World after MTAS Ian R. Hastie Dean of Postgraduate Medicine, London Consultant Geriatrician

  4. "MMC and the World after MTAS" A Personal View

  5. Modernising Medical Careers: why? • PRHO competences not consistent • “Lost Tribes” of SHOs: some wasted time • Variable supervision at SHO level • Changing workload – EWTD • Changing disease patterns, new technologies and new drugs • Rising patient expectations • Difficulty in planning careers • Snakes and ladders of career progression

  6. Time from Graduation to SpR (UK SpRs in London May 2006)

  7. Modernising Medical Careers “ ……..the end product of the training process, whether a hospital doctor or general practitioner, should be a highly qualified, well trained and accredited doctor who can deliver the care and treatment patients need in the modern NHS.”

  8. Postgraduate Training Programmes in Medicine -August 2007 Full Registration graduation CCT Appointment Allocation F1 F2 ST1 ST2 ST3 ST4 ST5 ST6 Basic Medical Training (2 years) Higher Specialist Training Program. (3-6 years) Foundation Programme (2 years) RUN-THROUGH

  9. 2007 after Rounds 1&2

  10. 2007 after Rounds 1&2

  11. Success Rates after Round 1

  12. Decision on HSMPs

  13. Lines of Responsibility

  14. Learning from 2007 - DH • Criticism included • Big Bang • Rushed consultation • IT development not sufficiently controlled • Wide Consultation BUT; • Didn’t penetrate stakeholder community • Consultees didn’t take responsibility or own the product (nobody blameless: IRH) • DH didn’t hear some messages • Lessons learned from Review Group include • the need to address concerns • the power of stakeholder collective responsibility

  15. “A national online application system has considerable merit and could potentially be more efficient than previous systems…..”

  16. “A national online application system has considerable merit and could potentially be more efficient than previous systems…..” BGS Oct 2007

  17. ?2008 • No National IT system • National Person Specs. • Local Application Form • Less ‘white space’ and more CV • Local Deanery Appointments (?interference) • Very Tight Timescale • Academic Posts • HSMPs

  18. 2008 Recruitment Process • Most specialties will be local recruitment • A few will be national eg GP and Histopath • Separate Academic Recruitment • Mixture of Run-Through and Uncoupled in 2008 • Can apply for as many as want • Recruitment phase one 5th Jan to 16th May • Up to 3 recruitment exercises per year • Most ST1/2 in first exercise • ST3 spread across year depending on NTN availability

  19. ?Clinical resource requirements in one deanery for 2008 recruitment • Across all specialties with 2008 recruitment, it is estimated: • 522 Consultants will be needed to shortlist 50 application forms each (assuming double scoring of 13,678 applications) • 528 days of consultant time will be needed for interviews (assuming panels of six consultants interviewing a maximum of 30 applicants per day).

  20. Competition in 2008 • 2007 RT trainees will progress to ST3 • Many ST2/3 will be taken by RT • Therefore competition more severe in 2008 for remainder (numbers not totally known), • ?3:1 , can not give priority to UK trained • 5800 ST1 and 5000 coming out of FP • 2000 ST2 and 1200 FTSTA1s completing • ?900 ST3 posts with 2000 FTSTA2s completing

  21. What about Run-Through? • Trainees Appointed to RT in 2007 • ST1 --> ST2 • How do we move from ST2 -->3 ?

  22. Most Popular Medical Specialties and would move location • Cardiology 16% • Respiratory 10% • Gastro 10%

  23. Leave London rather than accept : • Allergy • Audiology • Chem Path • Oncology • Genetics • GUM • Immunology • Nuclear Med • Paediatric Cardiology • Rehab. Med • Occup. Med • GERIATRIC MEDICINE

  24. How do we move from ST2 -->3 ? • Which specialties? • Open or Closed appointment ? • Local or National appointments ?

  25. Proposal for ST2-->3 for Medicine • Majority placed locally by closed appointment • 10-20% of posts put forward for ‘Headroom’ • ‘Headroom’ posts appointed in Open Competition • Local? • National?

  26. TOOKE!! • Split Foundation • 3 year core training programmes • Uncouple Run-Through** • PMETB:GMC • Universities control postgraduate training • Set up Postgraduate Schools** • Profession to have more say**

  27. Postgraduate Training Programmes in Medicine - ?August 2008 and Beyond Full Registration graduation CCT Appointment Appointment F1 F2 CT1 CT2 ST3 ST4 ST5 ST6 Core Medical Training (2/3 years) Higher Specialist Training Program. (3-6 years) Foundation Programme (2 years)

  28. http://www.mmc.nhs.uk/pages/programme_board You may find it useful to read a paper on the outcome of consultation and decision on recruitment to specialty training in England in 2008: http://www.mmc.nhs.uk/pages/news/article?45B74A2F-AF7C-4963-8ED1-D4D5A9D76CF5

  29. Thank You for Listening(and not throwing anything) ihastie@londondeanery.ac.uk

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