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The role of the College Tutor and Associate College Tutor. session for new CTs and ACTs. outline. what is a CT, ACT training structure qualifications & skills key tasks for CTs & ACTs tips for supervisors panel + ACT MRCP(UK).
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The role of the College Tutor and Associate College Tutor session for new CTs and ACTs Liz Berkin, Deputy Medical Director Joint Royal Colleges of Physicians Training Board
outline • what is a CT, ACT • training structure • qualifications & skills • key tasks for CTs & ACTs • tips for supervisors • panel + ACT • MRCP(UK)
a physician, usually a consultant, who assists trainees (usually CMT level) with training, education & careers guidance within a single (or closely allied) hospital setting a physician who links with the RCP London via the Regional Advisers (and Regional Office) for non-training matters what is a college tutor?
a physician, usually a trainee, who assists the CT and trainees (usually CMT level) with training, education & careers guidance within a single (or closely allied) hospital setting what is an associate college tutor?
where do the RCP CT & ACT fit in?college deanery • JRCPTB GMC • RCPL (RCPE, RCPSG) PG Deanery • RAs (Reg Office) Head of School (medicine) • hospital(s) CMT TPD • PG dept • RCP CTCMT (local) • RCP ACT
where do the RCP CT & ACT fit in?college deanery • JRCPTB GMC • RCPL (RCPE, RCPSG) PG Deanery • RAs (Reg Office) Head of School (medicine) • hospital(s) CMT TPD • PG dept • RCP CTCMT (local) • RCP ACT
where do the RCP CT & ACT fit in?college deanery • JRCPTBGMC • RCPL (RCPE, RCPSG) PG Deanery • RAs (Reg Office) Head of School (medicine) • hospital(s) CMT TPD • PG dept • RCP CT CMT (local) • RCP ACT
key skills • enthusiasm for training • strong desire to improve it • pro-active, innovative • completer-finisher, problem-solving • effective communicator • knowledge about curricula, training & exams, physician careers • knowledge about trainee support structure and quality management
key tasks for CT & ACT (1) • facilitate ‘SHO’ (CMT) training (liaise with PG dept, Ed Sups & CMT TPD) • induction • MRCPUK training (PACES examining) • protected teaching, skills teaching • assist with appraisals, WPBAs / SLEs • ePortfolio, (ARCP) • look at & respond to local trainee surveys
key tasks for CT & ACT (2) • pastoral (eg rota, facilities, trainee in difficulty) • careers and recruitment • assist with programme management • assist other Ed Sups & Clin Sups (appraisal?) • assist with GIM training • link with acute medicine • has a big impact on CMT & GIM
key tasks for CT & ACT (3) • connect with RCPL & RAs • local education events (publicity etc) • initiatives (eg Future Hospital) • FRCP proposals / support • service concerns (Regional Conversations)
appointment of CT • usually PGME + PG Deanery • MD PGME, HoS, CMT TPD, RA • 3 yrs +1, +1 • annual appraisal? • no RCPL remuneration • should be within Job Plan, eg 1 PA
what is MRCP? • actually is MRCP(UK) • 3 parts: • Part 1 – knowledge • Part 2 written – knowledge & judgement • Part 2 clinical – PACES • internationally recognised as very high quality exam – particularly the clinical
MRCP(UK) tests CMT curriculum • all exam parts mapped to CMT curriculum – must pass to ‘pass’ CMT • is the only GMC-approved exam for CMT • ‘equivalence’ will go in 2014
MRCP(UK) • Part 1 must be passed first • can be taken in FY2 • Part 2 written & PACES in any order • but candidates do better if take & pass the written (knowledge) before PACES • plan to pass full exam by 18 m CMT • Average about 1.6 attempts each part
PACES is main exit hurdle • format is 5 stations of 20 mins: • 2 stations ‘pure’ cases to examine • St1 RS & abdo, St3 CVS & neuro • 2 stations ‘pure’ communication • St2 history, St4 communication • 1 mixed ‘brief clinical consultation(St 5) • 2 cases with history, examination, judgement, communication
PACES marking • no longer pass or fail each case • domains marked at most encounters: • history-taking, examination technique, interpretation of signs, differential diagnosis, management, communication • *maintaining patient welfare
PACES marking • no longer pass or fail each case • domains marked at most encounters: • history-taking, examination technique, interpretation of signs, differential diagnosis, management, communication • *maintaining patient welfare
PACES coaching • before each diet • interpretation of physical signs • small groups trawl the specialty wards • practice the timing & presentation for clinical cases • practice the integrated skills in Station 5 • MRCPUK website, YouTube • and find a friendly examiner!
MRCP(UK) recent developments • diets extended – almost continuous • pass mark remains the same • pass all domains (55-60%) • achieve minimum score (131 / 172) • results out 10 – 14 days after sitting • if applying for ST3 • book place early • consider signing up for Fast Track place
refreshment break • please visit resource tables • exams • curriculum & assessment • ePortfolio • education • IMPACT