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Speciality Training 2007. Aims. To outline the changes to Speciality Training described in the “Gold Guide” Define trainees/trainer responsibilities New review process ARCP. Ophthalmology. Medicine in General. Surgery in General. Basic Neuroscience Training. Acute Care Common Stem.
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Aims • To outline the changes to Speciality Training described in the “Gold Guide” • Define trainees/trainer responsibilities • New review process ARCP
Ophthalmology Medicine in General Surgery in General Basic Neuroscience Training Acute Care Common Stem Histopathology Chemical Pathology Medical Microbiology Obstetrics & Gynaecology Paediatrics Anaesthesia OFMS Psychiatry Radiology Public Health General Practice Specialist Training Programmes Trainees (ST1) Trainees
From August 2007 newly appointed trainees will be training under “Gold Guide” • Existing trainees will continue to train under the “Orange Guide” and “Green Guide” for GP trainees • Some trainees will train via CESR route
Roles • Trainees • Educational Supervisors • Clinical Supervisors • Training Programme Directors • Employers
Trainees • take overall responsibility for their own training. • be familiar with speciality curriculum, assessments and documentation • maintain a learning portfolio • engage in process of clinical and educational supervision • NHS performance review and ARCP process
Educational Supervisor • An Educational Supervisor is responsible for overseeing training and documentation • Confirm appropriate inductions • Be trained to conduct appraisal and to provide feedback • Meet the trainee at the beginning, middle and end of a placement • Develop a learning agreement and educational objectives including plans for study leave
Educational supervisor • Report at the end of the year to inform ARCP (including workplace appraisal) • A new Structured Report Form will be available for this from the New Year (2008) • Provide career advice • Contact the TPD if concerns regarding training and the Clinical Director if concerns regarding performance. • Have role recognised in their job plan
The Learning agreement • is a statement of learning goals • specific to a placement • based on trainee’s needs • agreed at the initial appraisal meeting • central to the trainee’s learning portfolio
The Learning agreement • begins with objective setting • clinical training resources are agreed • includes work-based assessments examinations, courses, audit, research • signed by both trainee and AES
The Learning agreement • is reviewed at mid and end of placement • informs on trainee’s progress in real-time • allows appropriate remedial training • informs ARCP and next trainee placement
Clinical Supervisor Work in speciality area Involved in conducting assessments Input into the trainees meetings with Educational Supervisor and ARCP
Training Programme Director • works with Deanery, College and NHS Trusts • organises specialty training rotation • oversees quality control of the programme • arranges specialty induction • appoints and supports ES /CS for each placement • implements the ARCP • facilitates remedial training • Career management
ARCPAnnual Review of Competence Progression Applicable to: • Speciality trainees • LATs • FTSTAs • Trainees OOP • Academic trainees
ARCP • Panel from ( minimum of 3) • Postgraduate Dean or TPD • TPD , APD, Specialty Regional Advisor, ES’ s, Specialty SAC representative • Trust representative • Lay member • External trainer • X 2 Academic representatives if post academic
ARCP • implemented by TPD • informed by ES structured report and trainee learning portfolio • learning portfolio’s comprise WPBA’s, log-books, audit reports, publications, courses attended and examination results
ARCP • outcome documented • NHS appraisal completed by ES • the NHS appraisal documentation should form part of the trainee’s portfolio • the ES must also keep a summary copy
ARCP • trainee does NOT normally attend • outcome 1 = satisfactory progress • expected CCT date is set • an unsatisfactory ARCP decision (outcomes 2,3,4) requires the trainee to meet with the panel following its meeting to discuss remedial training
ARCP Outcomes • The outcome will be sent by the Deanery (EMHWD) to the College or Faculty. • The Training Programme Director (TPD) receives 3 copies of the outcome. • one copy to the Educational supervisor • one to the trainee. • The TPD (with or without the Ed Supervisor) should discuss outcome with the trainee, document and plan further training
Time Out of programme (OOP) • A trainee (normally after first year of training) may seek the permission of the Postgraduate Dean to spend a period of time out of the Speciality training programme. • The time out will normally be for a maximum of one year. OOPT OOPE OOPR OOPC
ARCP For academic trainees must include 2 academic reps who are not connected to trainees academic programme (1 from speciality and 1 outside speciality) Additional documentation
Summary • Several important changes to Speciality training in Gold Guide • New to the Deaneries too Questions / Comments ?? These will inform a FAQs page on the website www.eastmidlandsdeanery.nhs.uk