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

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

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

GMC/PMETB Requirements From: Generic standards for specialty including GP training. September 2009, updated April GMC Domain 6 (‘Support and development of trainees, trainers and local faculty’). ‘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

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

MMC Requirements From: Modernising Medical Careers. A Reference Guide for Postgraduate Specialist Training in the UK. The Gold Guide Third Edition June 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

ST1 Induction 2010

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

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

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

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

Education and Training (2) Histopathology: key to the diagnosis 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)

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

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

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

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

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

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

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

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

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

HTSB Events Introductory Block Teaching Week –Bristol (13 th - 17 th 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

‘Non-core’ activities PathSoc and BDIAP membership Pathological Society presentation Case presentations for –Dates will be ed out individually Other learning opportunities –E-learning (pending) Histopathology: key to the diagnosis

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

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

‘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

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

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