Higher and Advanced Training Induction 2019

1. Higher and Advanced Training Induction 2019 www.stgeorges.nhs.uk/service/anaesthesia/school-of-anaesthesia

2. Key Personnel for ST5-ST7 • Aasifa Tredray- Higher TPD for school • Rene Suite- Regional Advisor • Paul Bathke- Deputy Regional Advisor • Claire Shannon- Head of School • Mike Robson, Rik Hawkins, Emily Young, Sarah Crabtree –Trainee Reps

3. Intermediate Training • Higher Training Structure • Advanced Training Structure • Non-Clinical Development

4. Intermediate Training • Haven’t achieved the Final FRCA yet • All intermediate UOT completed • Intermediate Level Progress Report Bring a copy to your ARCP in July 19 Upload to LLLP • Still progress to ST5A • ARCP January 2020 – review progress

7. Intermediate Training • Have achieved the Final FRCA • Completed all intermediate UOT • Intermediate Level Training Certificate • Bring a copy to your ARCP • Upload it to LLLP • Send a copy to the RCoA- sets CCT date

11. Annual Planning Meeting • 6 monthly meetings – Sep / March • ST5 1st meeting - March 2020 • Discuss training requirements, plans, future career aims. • CV, job applications

13. Higher and Advanced TrainingST5, ST6, ST7 • 24 months Higher training • 12 months Advanced training • Annex D (higher) • Annex E (advanced) • Annex F (ICM) • Annex G (Non clinical)

16. ST 5 • 3 months ICM • 9 months “General” Anaesthesia • Completion of a minimum of 9 units • 3 compulsory units * (Airway, POM, Mx of respiratory and cardiac arrest) • 3 Mandatory Higher Non Clinical Units (academic/research, teaching/learning, management)

17. General Higher Units of Trainingminimum 9 out of 14 to be completed • Airway management* • Day surgery • Head, neck, maxillo-facial and dental • General, urological and gynaecological surgery • Management of respiratory and cardiac arrest* • Non-theatre • Obstetrics • Orthopaedic • Perioperative medicine* • Regional • Sedation • Transfer medicine • Trauma and stabilisation • Vascular

18. ST6 or ST7 • 6 months revisiting specialist units (Spiral training- Higher Neuro, Cardiac, Paeds) • 6 months depending upon ultimate career aim post availability need to obtain a well-rounded training programme

19. Advanced Training (Annex E) • 1 specialty specific 12 months unit: • Anaesthesia for neurosurgery, neuroradiology and neuro critical care • Cardiothoracic anaesthesia and cardiothoracic critical care • Intensive care medicine (Annex F) • Pain medicine • Paediatrics (tertiary level)

20. Advanced Training (Annex E) • Or 2 - 6 month general units: • Airway management, Head, neck, maxillo-facial and dental surgery • General, urological and gynaecological surgery • Hepatobiliary surgery • Vascular • Orthopaedic surgery • Regional • Trauma • Paediatrics (DGH level) • Obstetric • Plastics/burns • Perioperative Medicine • Paediatric intensive care medicine • PHEM

21. ST6 or ST7Advanced Training (Annex E) • 6 Generic domains (essential) • Clinical practice • Team working • Leadership • Innovation • Management • Education

22. Dual Training • National interviews, annual recruitment Feb/March • Upper limit of ST5 to apply to ICM training from 2016 • RA - Vanessa Elliott • TPD Gary Wares – stage 1 • Charlotte Anderson - stage 2/3

23. ST 6 3 month block higher pain Designated centre • ST 6/7 Pan-London interviews (twice/year) Two 6 month posts, Different, designated centres Exam In training assessments South London RA - Sandesha Kothari Pan London Pain TPD - Ian Goodall

24. South London ATM Application Process • SGS, SESA, KSS – combined advanced training wide number of options • Posts are either 6 months or 12 months long • The posts will be advertised to all eligible ST5+ trainees through the school administrators on the 1st September 2019 • Apply one year in advance of starting ST6 • Applying for posts in Aug 2020 and Feb 2021

25. Application Timeline • Trainees can apply for a maximum of 2 posts. • Trainees must submit: • The training application form • A curriculum vitae • 2 supporting statements, 1 for each post they wish to apply for (maximum 250 words) • Closing date is 30th September 2019

26. Application Timeline • October-December: Module directors will review CVs and statements. Interviews will also take place during this time, if applicable. • TPD’s will allocate trainees to posts. • January 2020: Trainees informed of allocations and asked to confirm their acceptance. • The timeline and application process will be included in the ATM booklet. This will be sent out to all eligible trainees and will be on our website.

27. ATM Posts for August 2020 • Airway,Head&Neck South London, KSS • Cardiothoracics RBH/SGH/STH • Obstetrics South London • Paediatrics GOSH, Evelina, SGH • Regional South London, KSS • Vascular South London, KSS • Pain Pan - London • ICM Pan - London • Trauma South London, KSS • Hepatobiliary South London • Neuro South London

28. Application Process • Favourable factors:  • Well presented and structured CV • Detailed statement that highlights: Evidence of interest in chosen ATM – related CPD, conferences, projects, courses on statements. • +/- Interview

29. Interviews Preparation Experience Non-clinical Development Current issues Plans

30. Interview Questions • Why do you want to do the module? • Review of CV, logbook, experience (if any) • Discuss a project that you would like to start/continue when you take up your place in your chosen module • Discuss a critical incident that you are aware of/have been involved in and reflect on the wider learning benefit of the incident • Recent relevant paper and how it has changed your practice (module relevant) • How do we know you are a good doctor? • QI / Audit you are most proud of and how it has changed your department?

31. Out of Programme OOP’s

32. Out of Programme • OOPE (experience) Time does not count towards CCT • OOPR (research) Up to 6 months count towards CCT If clinical component up to 1 year • OOP time in education or management

33. Out of Programme OOPT (training) Time counts towards CCT Maximum of 1 year OOPC- career break

34. OOP’s • ST5+ • Discuss with TPD early • Read the FAQs on PGMDE portal • Apply at least 6 months in advance of start date • Need prospective approval from TPD, RA and HoS

35. STUDY LEAVEhttps://lasepgmdesupport.hee.nhs.uk/support/home?studyleave • Mandatory • Optional • Aspirational • Local processes • HEE processes

36. Higher Teaching Programme Local Teaching in Trust Regional - Pan South London Higher Regional SDs Gunjeet Dua (GSTT) Specialty Specific (ICM, FPM) Others- St George’s Day (SGH)

37. PLANPan-London Perioperative Audit and Research Project

38. PLAN • PLAN is a trainee collaborative group which aims to deliver high quality large scale quality improvement and research across London. Core Values • PLAN aims to produce high quality, trainee-led audit, quality improvement and research projects in perioperative, critical care and pain medicine across London. • We aim to engage trainees in all parts of the management and implementation of the projects. • We aim to collaborate with other regional networks in order to produce nationwide audit and research. • We aim to adhere to all aspects of Good Clinical Practice in our design, methodology, data collection and in the dissemination of our results. • We aim to publish our projects with every member gaining authorship recognition.

39. Current Projects

40. 2019 Projects

41. Annual Meeting- 27th June 2019

42. Information Website • http://www.uk-plan.net Twitter • @PeriopResearch

43. Summary • Plan ST 6/7 in advance • Review CV and career intentionswith ES • Talk to me early about your plans • Use all resources • Enjoy yourselves