Angelo Photi James O’Brien WBAs and ISCP

ISCP Intercollegiate surgical curriculum programme – designed by surgeons A tool of the Joint Committee on Surgical Training – created in response to the Gold Guide (reference for post grad specialty training) JCST is an intercollegiate body which works on behalf of all four Colleges in the UK and Ireland to support surgical training & set standards for specialty training through the syllabus and curriculum Liase with GMC, deaneries and work with Surgical Advisory Committees (SAC) for each specialty Mrs Sarah Downey (Great Yarmouth) is on the general surgery SAC

ISCP requirements each year 40 WBAs 12 CBD (6 by a Consultant) 12 mini-cex/ mini-cex for consent (6 by a Consultant) 12 DOPS or PBAs (6 by a Consultant) 1 MSF (multi-source feedback) 1 OOT (observation of teaching) 1 audit per year minimum

£260 per year, tax deductible £115 paying JCST staff £66 office space £54 web support £10 in compensation to the employing NHS trust of the director and committee £5 meeting, catering, AV costs £2.50 travel for JCST staff £2.50 office equipment and stationery

Pitfalls Last minute Lack of progression in the global summary level Not ticketing index cases for your specialty TPD and ARCP panel notice the dates of assessments Sending tickets to the wrong people, non IT savvy assessors Never reflecting Not anonymising details Not ticketing consultants Not checking a surgeons name and registration before sending

Correct approach Little and often is best Most consultants will like to know in advance Differing levels of detail between different surgeons ISCP printouts are mandated in the speciality interviews Regular reflective practice – at least one per placement Constant reflective thinking even if not recorded should come naturally

WBA Some tickets are for routine procedures or cases and can be quick, reflect on practical aspects of the task, how to improve Some can be for more complex discussions and cases and require detailed reflection into what you have learnt from the case All interactions and learning opportunities can be turned into tickets

ARCP Becoming completely ISCP dependent in many specialties and increasingly for core training as well (i.e. virtual ARCP) One missing WBA, or, ..not enough consultant level assessments, or, ..incomplete final sign off, Clinical and Educational reports, or, ..an incomplete MSF will mean you do not pass ARCP ISCP is becoming the only way we are judged for progression

Index procedures General surgery (20+ in total) Paeds surgery (20+) adult appendicectomy Paediatric appendicectomy primary abdominal wall hernia repair Plastics laparoscopic port placement Burns manageement laparotomy incision (open/close) Skin cancer excision Orthopaedics (11+) Hand trauma dynamic hip screw for extra capsular fracture of neck of femur Urology (no specified numbers) Flexible cystoscopy ENT (5+ total) Ureteric stent tonsillectomy Exploration scrotum insertion grommet Circumcision reduction nose fracture direct pharyngoscopy or direct laryngoscopy nasal polypectomy