1. Changing Careers Sharing Notable Practice NACT FPO Simon Newell RCPCH, Vice President Academy, Specialty Training Chair

2. Academy of Medical Royal Colleges College of Emergency Medicine Faculty of Dental Surgery Faculty of Occupational Medicine Faculty of Pharmaceutical Medicine Faculty of Public Health Royal College of Anaesthetists Royal College of General Practitioners Royal College of Obstetricians and Gynaecologists Royal College of Ophthalmologists Royal College of Paediatrics & Child Health Royal College of Pathologists Royal College of Physicians & Surgeons of Glasgow Royal College of Physicians of London Royal College of Physicians of Edinburgh Royal College of Psychiatrists Royal College of Radiologists Royal College of Surgeons of Edinburgh Royal College of Surgeons of England

3. Foundation training broad flexible balanced Collins 2010

4. Temple Report www.mee.nhs.uk Training is patient safety for the next 30 years Consultant as supervisor and carer Design for Service and Training Make every moment count

5. Technical skills training in the 21st century Aggarwal, Darzi NEJM 2006; 355: 2695–7.

6. The trained practitioner Clinician carer researcher communicator trainerleader educator manager team member life long learner expert mentor supervisor

7. The Learning Curve grad SHO registrar consultant knowledge of mucopolysaccharidosis clinical effectiveness

8. Reflection and Feedback HighLow High Low Feedback of others WORRY needs to know Reflection by self

9. The aim Clinical excellence Leadership  Management  Sevice design  Health politics Research  Medical Education  Multiprofessional Education Education support  Supervision  Mentor Governance  Quality improvement  Guideline development

10. Shape of Training Greenaway 2013 Generalism Flexibility Credentialling www.shapeoftraining.co.uk

11. Generalism generalist general specialist subspecialist General Specialist the most important specialist? common competences broad based training wider availability of OOP

12. Credentialling no longer will competency simply rest on conviction and confidence Areas of expertise Programme of Training and Experience UK agreed, locally administered Clear assessment strategy Trainees Associate Specialists Consultants Training does not end with the CCT

13. Flexibility - for the doctor around the patient - Patients needs change Medicine changes Geography is important UK workforce planning and …. we live longer [retire later!]

14. Phased consultant career portfolio crossover s p e c i a l t y a c c r e d i t a t i o n traditional change over

15. Transferable Competences not repeat training current limited to trainees moving CCT programmes consultant competences  clinical decision making  leadership  management  communication

16. Continuum of learning just because you are still learning does not mean you are ignorant