Euan Kevelighan FRCOG FAcadMEd Dip Med Ed Head of School Consultant O&G, Swansea Swansea The Welsh O&G Training Programme

ST Induction – Newport 12/9/14 Ethos of T.P. = “support trainees to achieve their maximum potential” Ethos of T.P. = “support trainees to achieve their maximum potential” Today we will discuss how T.P. functions, rotations, assessment process (ARCP), CCT, transition between ST2 to ST3, passing P1 MRCOG, Ultrasound Training, e-portfolio (single curriculum), WPBAs LTFT, reconfiguration and what to do if experience problems Today we will discuss how T.P. functions, rotations, assessment process (ARCP), CCT, transition between ST2 to ST3, passing P1 MRCOG, Ultrasound Training, e-portfolio (single curriculum), WPBAs LTFT, reconfiguration and what to do if experience problems

Where is this and what is its significance?

Introduction 13 hospitals ( STs in 12) 13 hospitals ( STs in 12) 108 consultants 108 consultants 81 trainees (inc LTFTs) 81 trainees (inc LTFTs) Approx 35,000 deliveries in Wales Approx 35,000 deliveries in Wales

Deanery Structure Head of School O&G ( Euan Kevelighan ) North Wales RCA (Nigel Bickerton) Training Programme Director (Ros Goddard) College Tutors / STC South Wales RCA (Euan Kevelighan) Deanery Manager – Andrew Emery STO assistant – Jamie Jones

Role of Head of School Strategic Leadership Strategic Leadership High quality training High quality training Recruitment / Interviewing Recruitment / Interviewing Chair STC Chair STC Reconfiguration Reconfiguration Advise Dean on spec specific developments - RCOG meetings Advise Dean on spec specific developments - RCOG meetings

Where and what is this?

Important addresses -HoS -HoS -TPD -TPD -Support -Support -LTFT -LTFT -Undermining -Undermining - USS - USS - ATSMs - ATSMs Ascertain CT and ES addresses Ascertain CT and ES addresses

Run through Training in O&G

What and where is this?

Ultrasound 2008 RCOG competency-based 2008 RCOG competency-based Complete basic modules by end ST3 Complete basic modules by end ST3 2 basic modules – compulsory 2 basic modules – compulsory 3 intermediate modules – depends on career aspirations 3 intermediate modules – depends on career aspirations Deanery US Coordinator – Nazar Amso Deanery US Coordinator – Nazar Amso

Ultrasound - 2 Assessment: e-portfolio – logbook & OSATs 2 independent assessors 2 independent assessors Need 3 competent OSATs Need 3 competent OSATs Module 1 TA US Module 1 TA US Module 2 – fetal lie & presentation, liquor volume, placental assessment Module 2 – fetal lie & presentation, liquor volume, placental assessmentProblems Lack of funding Lack of funding Frequently US delivered by altruism & under Radiology control Frequently US delivered by altruism & under Radiology control

Ultrasound - 3 Solutions Discuss needs with CT / Local US lead Discuss needs with CT / Local US lead Regional US Training days Regional US Training days Get OSATs signed off during clinical sessions Get OSATs signed off during clinical sessions 4 TV US simulators 4 TV US simulators 30 days SL / yr – use it 30 days SL / yr – use it Be proactive and conscientious Be proactive and conscientious D/W DUC ?nearby unit help D/W DUC ?nearby unit help

LTFT - 1 Mrs Sue Bell-Thomas Specialty LTFT Advisor for O&G Mrs Sue Bell-Thomas Specialty LTFT Advisor for O&G Tracey Shellard - Executive Officer (LTFT) Tracey Shellard - Executive Officer (LTFT) Currently 8% of workforce in Wales Currently 8% of workforce in Wales Office staffed Mon-Wed Office staffed Mon-Wed National awards for its family friendly policies. National awards for its family friendly policies.  for application form for application form

LTFT - 2 Main criteria – carers responsibility, health reasons, disability Main criteria – carers responsibility, health reasons, disability Clear processes: application, eligibility check and informal interview Clear processes: application, eligibility check and informal interview Apply early – preferably > 6 months ahead. Apply early – preferably > 6 months ahead.

LTFT – 3 Trainee requirements Appointed through open competition Appointed through open competition Work minimum of 60% Work minimum of 60% Rotate on the same basis as the FT trainees Rotate on the same basis as the FT trainees Must work on-call pro-rata Must work on-call pro-rata Must not undertake any other paid employment during flexible training Must not undertake any other paid employment during flexible training

LTFT – 4 The Process Fill in the form & liaise with SBT Fill in the form & liaise with SBT Informal interview Informal interview LTFT Advisor and TPD advised LTFT Advisor and TPD advised Majority placed in a GMC approved slot share Majority placed in a GMC approved slot share Financing agreed with the trust Financing agreed with the trust Post commences Post commences

Reconfiguration Big changes afoot Big changes afoot Drivers – sustainability of rotas 1:11 by Feb 2015, geography, recruitment issues Paeds & A&E, units > 2500 deliveries Drivers – sustainability of rotas 1:11 by Feb 2015, geography, recruitment issues Paeds & A&E, units > 2500 deliveries South Wales Programme – N. Wales = 2 sites, Swansea to Morriston, Bridgend & Cardiff stay same, Gwent and NHH amalgamate onto SCCC site South Wales Programme – N. Wales = 2 sites, Swansea to Morriston, Bridgend & Cardiff stay same, Gwent and NHH amalgamate onto SCCC site Haverford West maternities now delivered in Carmarthen. Haverford West maternities now delivered in Carmarthen.

Training Problems / Issues Discuss locally ES / RCOG Tutor / C.D. / LFL trainees Discuss locally ES / RCOG Tutor / C.D. / LFL trainees Unhappy – T.P.D. HoS & Lead for Performance/Unit Unhappy – T.P.D. HoS & Lead for Performance/Unit Remember balance between service & training EWTD / red juniors hours – can be difficult get sufficient training – be creative re theatre, flexible with colleagues re swaps Remember balance between service & training EWTD / red juniors hours – can be difficult get sufficient training – be creative re theatre, flexible with colleagues re swaps PG training = Journey, difficult for some, less so for others, but generally taxing for all PG training = Journey, difficult for some, less so for others, but generally taxing for all Success = Journey 1 time - Enjoy it Success = Journey 1 time - Enjoy it