What now for Embryology? Dave Morroll

Healthcare Scientist Career Pathway Multi-point Entry Routes linked to education, training, competence Consultant Director 9 Consultant Practitioner 8 Advanced Practitioner 7 Specialist Practitioner 6 Practitioner 5 Associate Practitioner 4 Senior Assistant 3 Three points of regulation with HPC ( Pre registration Education & Training Modernisation Project) Assistant 1-2 Healthcare Scientist Career Pathway

Distribution of individuals across the 9-stage Career Framework Currently, clinical scientists are predominantly at CF 6/7; the current proposal seems to aim to have a smaller number of elite, highly trained scientists that are fast-tracked to reach consultant level (CF8); these will be supported by a larger technical workforce at CF4/5

Distribution of clinical scientists across the Career Framework 9 CF stage 8 7 6 5

Pre-Registration Training - the “Clinical Scientist” route generic modules specimen handling Health and Safety/COSHH patient support reporting results quality management training and development

Pre-Registration Training - the “Clinical Scientist” route basic embryology modules female reproductive physiology/endocrinology pathology cell biology/tissue culture embryological techniques basic andrology modules male reproductive physiology/endocrinology pathology/diagnostic techniques/treatments WORK PLACEMENTS POSTGRADUATE DIPLOMA IN REPRODUCTIVE SCIENCE

Pre-Registration Training - the “Clinical Scientist” route scientific methods service development audits performance management quality management service improvement research design funding M.Sc IN REPRODUCTIVE SCIENCE reduced for PhD entry

Higher Specialist Training MRCPath examination/viva project/dissertation enhanced skills/expertise/experience management training cryobank/tissue banking general grade 8 (Consultant) level

“Slow Track” Entry graduate entry lower part of career framework build to Postgraduate Diploma basic physiology/biology generic NOSs emphasis on practical skills lower part of career framework different state registration point option to progress to M.Sc/MRCPath

Other Entry Points option for pre-graduate entry practical training logbook basic knowledge and understanding build to a vocational qualification more limited role (andrology or embryology?) lower part of career framework different state registration point option to progress to PgDip/M.Sc/MRCPath

The new structure Autonomous practitioner Service lead 3 4 5 6 7 8 9 Andrology Technician Pre-regn Trainee HST Clin Emb Consultant Scientist PGD Reprod Sci Clinical Embryology Higher training pre-degree entry graduate entry higher degree entry IVF Technician Clinical Andrology MRCPath Part 1 Autonomous practitioner MSc Reprod Sci Embryo biopsy / PGD Scientific Methods / Audit / Research vocational qualification Training logbbook Service lead Cryobank management Basic Theory Equivalent status to medical consultant MRCPath MRCPath Part 2 General management

ReprodSci Career Framework Senior Clinical Embryologist Clinical Embryologist Senior IVF Assistant Consultant Director 9 Consultant Practitioner 8 Advanced Practitioner 7 IVF Assistant Specialist Practitioner 6 Practitioner 5 Associate Practitioner 4 Service Lead Senior Assistant 3 Assistant 1-2 Service Lead large supra- regional service IVF Practitioner Senior IVF Practitioner

ReprodSci Career Framework Senior Clinical Andrologist Clinical Andrologist Senior Andrology Assistant Consultant Director 9 Consultant Practitioner 8 Advanced Practitioner 7 Andrology Assistant Specialist Practitioner 6 Practitioner 5 Associate Practitioner 4 Service Lead Senior Assistant 3 Assistant 1-2 Service Lead large supra- regional service Senior Andrology Practitioner AndrologyPractitioner

Reproductive Science Andrology and Embryology follow common routes and structures JOINT ROLES vs SPECIALISATION?? Training not accredited by professional bodies Pre-reg training via Universities HST via MRCPath More scientific training for potential consultants (Service Leads) More practical/skills training for Associate Practitioner-Advanced Practitioner grades

What now for Embryology? pre-reg training posts supernumerary centrally-funded higher specialist training through to grade 8 consultant role supported by ‘technical’ grade staff cost neutral

What now for Embryology? build MSc course competency-based practical training increase theoretical knowledge significant training in scientific methods continue links with College for HST explore role and training of practitioner level support for ‘clinical scientists’ simple protocol-driven tasks sperm preparation egg collection

What now for Embryology? Thank you to all those who have contributed to the work of ACE in the last 13 years.