Current priorities for the Dean Dr Wendy Burn Dean November 2013

Current Issues   Recruitment   Workforce numbers   The curriculum   Workplace Based Assessments   MRCPysch examination   Dual training   Local courses   Out of hours training   Shape of training review   Portfolio   New College building November 2013

Dean’s post   Election by members   5 year term   My term is   Voluntary post   Responsible for education and training within the College   Well supported by College   Real chance to influence things at a national level November 2013

Recruitment   Has been difficult since 2007   Lack of British graduates who want to train in psychiatry   Immigration changes and 18 months experience exclusion rule reduced number of overseas doctors, the rule has now been removed   College has a recruitment strategy. Includes increasing foundation posts, summer schools and taster sessions. November 2013

Recruitment   17% increase in actual numbers to CT1 for August this year. November 2013

Management of Recruitment   The North Western Deanery, Health Education North West will be managing national recruitment to Psychiatry for 2014   College will continue to set standards and design the process. November 2013

CT1 Round   Applicants will apply via Konetic   Centralised longlisting via North Western Deanery   No shortlisting   Interviews to be organised and held locally, using questions set by College   All offers made via UK Offers by the North Western Deanery   National clearing process run by North Western Deanery November 2013

ST4 Round   Applicants will apply via the Konetic system   Centralised longlisting via North Western Deanery   No shortlisting   Applicants will be able to apply for up to 3 specialties, having 1 interview in each.   Centralised interviews taking place in London and Manchester   Offers made via UK Offers by the North Western Deanery   National clearing process run by the North Western Deanery November 2013

Workforce   Recent review of psychiatry workforce by Centre for Workforce Intelligence   Conclusions awaited   There will be increasing pressure to reduce core posts   At present we have a 50% loss rate from core to higher training   25% of trainees are in London   Will be looking at what happens to London trainees after CCT November 2013

Foundation training   The target in England is 45% of foundation doctors should rotate through a four month placement in psychiatry in England   22.5% in F1 and 22.5% in F2   Have appointed a College Advisor for Foundation training, Ann Boyle. She is setting up a network of foundation trainers and writing a good practice guide. November 2013

Foundation Posts   Around half of schools are on target to deliver the required increases by 2015 in psychiatry placements with greater progress at F2.   A further 25% are making good progress   The rest are encountering significant challenges. November 2013

The curriculum   Core, Child and Adolescent, Learning Disability and Rehabilitation revised this year   Working group looking at core curriculum   We will send out a summary to Heads of School highlighting the changes   GMC now ask that current trainees move to new curricula as they are approved November 2013

WPBAs   Lack of training for assessors   Don’t equate to exam   Trainers don’t fail their trainees   Are they formative or summative?   Foundation now uses Supervised Learning Events which are purely formative. We are developing SLES and setting up pilots. November 2013

MRCPsych exam – challenges   Low pass rate   Four exams (3 papers and a clinical)   Expensive   Lack of clear syllabus   Made a large excess, £600,000 in 2012 November 2013

MRCPsych exam - changes   Chief Examiner is Peter Bowie. Will be making exam more relevant and working with Heads of School and course organisers   Papers will be reduced to two   Revised clear syllabus for each part, questions mapped to syllabus.   Cost was reduced by 5% in 2013 and by a further 20% for trainees and affiliates. Will be increased for Last years and future excesses will be used to benefit training. November 2013

MRCPsych exam excess   CPD online is free to trainees and affiliates registered with the College and first year consultants for 2 years from March November 2013

Trainees Online (TrOn)   Modules designed to support the MRCPsych   Initial plan is for 70 online learning modules which will cover the Basic Sciences on the MRCPsych curriculum   Will be written by post-membership trainees, fee of £200   Module plus reading list will contain knowledge needed to pass the exam November 2013

TrOn   Trainee Editor appointed   Two calls to trainees have gone out   First modules are currently being written   Early topics include neuroanatomy and genetics November 2013

FACS (Formative Assessment of Communication Skills)   FACs was developed by Gill Pinner. Has been piloted in several Deaneries   Those using it feel it identifies trainees who will struggle with CASC   In December will be running an adjusted version for candidates who failed September CASC by one station. Trainees will be given videotaped feedback. November 2013

Exit exam   GMC are asking for this but are giving us time to work on MRCPsych exam before developing it   Trainees have a working group looking at options and have conducted a survey November 2013

Dual training   Wanted by trainees particularly for specialties under threat   Not all Schools run all dual schemes, only happens if locally there is a recognised need and ability to provide programmes   Have to enter dual programmes from the start of training   At present previous training on a programme leading to a single CCT doesn’t count   Rules are on website: iningguides.aspx   GMC ran a working group for dual training in all specialties, awaiting a report November 2013

Locally delivered MRCPscyh courses   We have developed some draft standards   Held a meeting of course organisers with myself and chief examiner in March   Huge variation in courses in terms of cost, length, quality assurance   Will be working with the course organisers on these issues   Will develop a College accreditation scheme November 2013

Out of hours training   Trusts are changing work patterns for trainees   Need to ensure that trainees gain supervised emergency experience and patient safety is maximised   Trainees entering higher training must be prepared   Also need to ensure that trainees spend a high proportion of their time in their core placement   Have set up a working group to report back on this November 2013

Portfolio   New version is under development to launch in August 2014   Will have nationally agreed ARCP forms November 2013

Shape of training review November 2013

Recommendations 1. 1.Enhance the response of postgraduate medical education and training to changing patient needs 2. 2.Increase involvement of patients in the education and training of doctors 3. 3.Provision of clear advice to potential and current medical students about what they should expect from a medical career

Recommendations 4. Make sure medical graduates at the point of registration are capable of working safely in a clinical role suitable to their competence level 5. Full registration should move to the point of graduation from medical school November 2013

Flexibility, quality and apprenticeship 6. 6.Generic capabilities framework e.g. communication, leadership, quaIity improvement, patient safety 7. 7.More flexible progression rates 8. 8.Longer placements to foster team- working and apprenticeship 9. 9.Training limited to places that provide high quality training and supervision

Responsive broad- based training Restructure postgraduate training within broad specialty areas Review curricula to deliver broader specialty training Ensure all doctors able to manage acutely ill patients with multiple comorbidities within broad specialty area Greater employer involvement in coordination of training

Academic training Relevant organisations including postgraduate research and funding bodies must support a flexible approach to clinical academic training   Broad-based clinical training   Exceptionally super-specialised scope of practice

CPD (15) & Credentials (16) Medical School Full Registratio n F1F1 F1F1 F2F2 F2F2 Broad-based specialty training 4-6 Years Broad-based specialty training 4-6 Years Certificate of Specialty Training Credenti al Continuous Professional Development Continuous Professional Development

SAS doctors/salaried GPs/locums Review barriers faced by doctors outside of training who want to enter a formal training programme or access credentialed programmes

Recommended model (18)

Number of CSTs   Major question for Psychiatry is how many CSTs?   6?   2?   1? November 2013

New Building November 2013

21 Prescot Street November 2013

21 Prescot Street   Much more space   Accommodates the whole College   Will be able to hold conferences there   Members area with rooms, coffee, wifi   Library   We own it, no mortgage   Will save on rent of other spaces November 2013

Chandelier Chandelier November 2013

Members Area November 2013

Cafe 21 November 2013

Song for 21 Prescot Street November 2013

Free Lunch   Members are invited to visit Café 21 to enjoy a free lunch up to the value of £5   Please book in advance by ing our reception quoting your membership number or name. November 2013

  Any questions?   November 2013