Histopathology: key to the diagnosis

1. National Framework for Induction (2010) Information prepared by: Dr A Green, Dr E Byrne, Mrs S Cossins Histopathology: key to the diagnosis

2. Background • Many ST1s starting Histopathology training have limited previous exposure to histopathology • Those experienced in histopathology are likely to have moved to a new department • New trainees may have never worked in the NHS before • Histopathology school leads and trainers are required to provide induction for all new ST1 trainees Histopathology: key to the diagnosis

3. Aims of this Presentation • PMETB/GMC and the MMC both set standards required for induction of specialist trainees. • Our audit demonstrated generally good provision of induction in line with these standards (see attached abstracts) • This audit will be repeated in Autumn 2010 • This Framework aims to facilitate and standardise national ST1 induction. • To cut down on the amount of time trainers need to prepare for induction. Histopathology: key to the diagnosis

4. GMC/PMETB Requirements From: Generic standards for specialty including GP training. September 2009, updated April 2010. GMC Domain 6 (‘Support and development of trainees, trainers and local faculty’). http://www.gmc-uk.org/Generic_standards_for_training.pdf_31300576.pdf ‘Every trainee starting a post or programme must access a departmental induction to ensure : • they understand the approved curriculum • they understand how their post fits within the programme • they understand their duties and reporting arrangements • they are told about departmental policies • to meet key staff. ’ Histopathology: key to the diagnosis

5. GMC/PMETB Requirements ‘At the start of every post within a programme, the educational supervisor......must discuss with the trainee: • the educational framework • support systems in the post • the respective responsibilities of trainee and trainer for learning.’. ‘This discussion should include the setting of aims and objectives that the trainee is expected to achieve in the post.’ Histopathology: key to the diagnosis

6. MMC Requirements From: Modernising Medical Careers. A Reference Guide for Postgraduate Specialist Training in the UK. The Gold Guide Third Edition June 2009. http://www.mmc.nhs.uk/pdf/Gold%20Guide%20--2009.pdf Section 8: Being a Specialty Registrar and an Employee ‘At a minimum this should include:......thorough induction to both the employer and to the specific specialty training unit. This should include, for example: • introduction to key team members and their roles, • clarity about any of the geographic areas where a trainee might need to work, • a working understanding of the equipment which might be required • access to and requirements for the use of protocols and guidance documents • supervision arrangements, • out-of- hours arrangements...’ Histopathology: key to the diagnosis

7. ST1 Induction 2010 Histopathology: key to the diagnosis

8. Local/Regional Induction • Brief description of location of hospital(s) • ST1 (internal rotation) • Confirm base hospital • ST2-5 (rotation within deanery) • Distances and travelling times • Transport arrangements eg shuttle between sites etc Histopathology: key to the diagnosis

9. Departmental Induction • Physical orientation • Organisational orientation – how do I fit in the team? • Introduction to key team members • Explanation of terms and conditions of service • How structured MMC training will be provided • Clear outline of the job and it’s requirements • Access and introduction to protocol and guidance documents • Information on organisation’s history etc • Health & Safety • IT and communications arrangements • Clinical governance, complaints handling, risk mgt. Histopathology: key to the diagnosis

10. Terms and conditions • Hours of work – 40 per week • No pay banding • Annual leave • Entitlement and availability of forms • Who authorises/records/monitors • Study leave • Refer to Deanery regulations • Entitlement and availability of forms • Funds available per annum • Sick leave • Reporting instructions • Self and GP certification Histopathology: key to the diagnosis

11. Education and Training • Educational supervisor • Role and name • Introductory programme • Structure and timescale • Timetable of educational events • Departmental teaching days/times eg. Black box Histopathology: key to the diagnosis

12. Education and Training (2) • Portfolio • LEPT • Appraisal and assessments • End of attachment appraisals • WBAs (DOPS, Cbd, ECE) 6 of each, during training year (before ARCP). • MSF – February/March • OSPE • ARCP (date) Histopathology: key to the diagnosis

13. Royal College of Pathologists • Requirement to Register with RCPath • Training and learning record • On-line portfolio • Curriculum • Stages to CCT • Minimum datasets Histopathology: key to the diagnosis

14. RCPath Events • OSPE • March/April 2011 (confirm on College website) • Entry form on RCPath website – check regularly Histopathology: key to the diagnosis

15. Dept workload • State in broad terms recent departmental workloads • Above or below national norms Histopathology: key to the diagnosis

16. Principle service responsibilities • Clinical services • Rotas, ensuring these do not conflict with educational activities • Clinical on-call commitments; • None in ST1 training year • Objectives and targets • Service experience learning experience Histopathology: key to the diagnosis

17. Teaching responsibilities • Give brief details of any commitments to provide undergraduate training • Format and frequency • Opportunities to learn how to teach and monitor performance Histopathology: key to the diagnosis

18. Research & Development • Define specific areas suitable for projects • Ensure trainees understand principles of audit • Encourage to present case reports • Scientific meetings/publications • Journal clubs Histopathology: key to the diagnosis

19. SOPs • State availability/location of SOPs for: • Laboratory organisation • Laboratory technical procedures • Clinical management • LEAN (if applicable) • Principles • Effects on the department and your way of working Histopathology: key to the diagnosis

20. Local Facilities • Trainee accommodation & equipment • Transport and parking • Location of Postgraduate Centre • Library • IT facilities • Canteens • Shops Histopathology: key to the diagnosis

21. Management training • Describe arrangements locally for gaining experience in laboratory management • Describe training courses or initiatives in which trainees can participate; • Courses on www.nhshistopathology.co.uk eg Presentation Skills, Enhancing PM skills…. • HTSB ST1 rep (audit involved) Histopathology: key to the diagnosis

22. HTSB Events • Introductory Block Teaching Week • Bristol (13th - 17th September 2010) • Academic Training Day • RCPath, London,October 2010 • Regional block teaching weeks • Dates and frequency • Mock OSPE • February 2011 Histopathology: key to the diagnosis

23. ‘Non-core’ activities • PathSoc and BDIAP membership • Pathological Society presentation • Case presentations for www.histopathnet.org • Dates will be emailed out individually • Other learning opportunities • E-learning www.e-lfh.org.uk (pending) Histopathology: key to the diagnosis

24. Overseas doctors • Additional material for doctors new to NHS in UK • Tax • National Insurance • NHS history and structure • Training Schools’ history and mgt structure • Life and work in the UK Histopathology: key to the diagnosis

25. Books and journals etc… • Basic undergrad – Underwood • General – Robbins • Diagnostic – Rosai, Sternberg etc • Systematic – guidance from teams • Review – Progress in Pathology, Recent Advances in Histopathology • Journals • Diagnostic • Academic / experimenta • Special interest Histopathology: key to the diagnosis

26. ‘Take-home message’ • Take responsibility • You are responsible for your training and its documentation • Assessments have to be passed to progress to Y2-5 Histopathology: key to the diagnosis

27. ‘And finally… Enjoy your training!’ Histopathology: key to the diagnosis

28. References Generic standards for specialty including GP training September 2009, updated April 2010. GMC. Modernising Medical Careers. A Reference Guide for Postgraduate Specialist Training in the UK. The Gold Guide Third Edition June 2009. Histopathology: key to the diagnosis