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JRC PTB

JRC PTB. College Tutors and Associate College Tutors CMT update 28 th November 2012. topics. MRCP(UK) recent changes for CMT trainees /trainers curriculum, ARCP Decision Aids, curriculum documentation ST3 recruitment & careers ePortfolio updates. MRCP(UK).

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JRC PTB

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  1. JRCPTB College Tutors and Associate College Tutors CMT update 28th November 2012

  2. topics • MRCP(UK) • recent changes for CMT trainees /trainers • curriculum, ARCP Decision Aids, curriculum documentation • ST3 recruitment & careers • ePortfolio updates

  3. MRCP(UK)

  4. MRCP(UK) progress by cohort, grade, exam part snapshot Aug 2012 2 60012

  5. Part 1 Aug 2012 by deanery CT1 73% ’09 83% ’12 2’

  6. Part 2 Aug 2012 by deanery CT2 82% ’09 83% ’122

  7. PACES Aug 2012 by deanery CT2 60% ’09 70% ’122

  8. MRCP(UK) summary • 10% of CMT trainees do not have part 1 by end of 2 years in CMT • encourage to sit earlier (Part 1 allowed in FY2) • concern over PACES pass rates • detection of clinical signs [practice, coaching] • additional training time in CMT? • proleptic appointments to ST3 allowed • PACES results 10 – 14 days • ‘early next attempt’ 2012.3 & 2013.1 • will become only qualifying exam for physician entrants to ST3 medical specialties from 2014 • currency 7 years, max 6 attempts each part

  9. questions & discussion

  10. curriculum, WPBA & ARCP updates

  11. ARCP-DA updates – from Aug ’11 • MRCP(UK) Part 1 by month 11 ARCP (if no Pt1 → ARCP-2) • outpatient clinics – 24 over 2 years • documentation of engagement and learning? • procedures reduced & clarified

  12. curriculum updates – procedures from August ’12: • stronger wording surrounding competence and maintaining competence • DOPS forms adjusted • to clarify formative OR summative • 2 (minimum) summative DOPS from separate assessors to confirm independence for life-threatening procedures • new DOPS form for CV cannulation • specialty DOPS forms to be more widely available (eg chest drain)

  13. DOPS form • formative or summative • domain gradings retained but reduced to 3 • ‘below’, ‘meets’, ‘above’ expectation for stage of training • overall rating will include skills lab competence:

  14. procedures • Ill-founded assumption that the medical team can do invasive procedures such as central lines, chest drains • patient safety concerns increased • need for procedures (thus training opportunities) reduced • communication re ability (or not!) of the medical team to undertake some procedures advice includes • skills assessment for each acute setting • targeted training to cover gaps • liaison with other specialist teams eg EM, An, ICM, resp

  15. ARCP-DA updates from Aug ’12 • fewer WPBAs (CbD, mini-CEX, ACAT) • reduced to 10 pa (must include 4 ACATs for CMT; 6 for GIM) • was 13.5 pa for CMT; 14 for GIM • ‘evidence of engagement’ with curriculum • allemergency and top presentations • mostcommon and other important presentations • WPBAs, reflection, courses etc

  16. DOPS approach • formative initially then summative • 1 summative ‘pass’ for non-life-threatening procedures • 2 summative ‘passes’ (from different assessors) for • chest drain insertion • central line placement • abdominal paracentesis • additional specialty requirements

  17. Educational Supervisors form enhanced to improve feedback and cover more areas: • expanded summary of clinical skills: • has the trainee participated in appropriate clinical activity • comment on the range of in-patient and outpatient activity • has the trainee demonstrated appropriate K, S B • comment on clinical reasoning, diagnostic & decision-making skills etc • reflection and study • Quality Improvement added to audit section • exam progress

  18. specialty recruitment StR

  19. not as competitive as thought!

  20. clinician short-listing is out

  21. candidate self-assessment is in high trust model Evidence Folder checking remains vital

  22. multi-application has gone single application • single cascadable, deanery delivered for large specialties • single cascadable, clustered deaneries • single national national centre for small specialties one application, preference up to 4 deaneries • allocated to interview according to application score • majority are allocated to their 1st choice deanery • lower scores cascaded or excluded can make up to 6 RCP applications, + any others

  23. application outcome Single Cascadable Application: 99.5% of eligible candidates offered an interview Single Centre Application 92% of eligible candidates offered an interview Dual application for 5 med ST3 specialties over 20% applications excluded (6 applications allowed for the RCP-coordinated specialties

  24. low ST3 applicant pool • about 1200 CMT for 1200 posts • about 200 CMT trainees go to other specialties eg GP, radiology, anaesthetics • non-acute specialties popular, front-door acute specialties less so • central & southern deaneries popular, northern & peripheral deaneries less so therefore: • need to interview all applicants to less popular areas • offer career guidance

  25. careers information • JRCPTB site www.jrcptb.org.uk • CT1 recruitment www.CT1recruitment.org.uk • ST3 recruitment www.ST3recruitment.org.uk • landing page www.specialtyrecruitment.org.uk • NHS site http://www.medicalcareers.nhs.uk/ • RCP London www.rcplondon.ac.uk • other college & deanery sites

  26. questions & discussion

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