1. National Deanery in Pharmaceutical Medicine Specialty Training Update
3rd National Trainees Meeting
Alan Boyd
Chair, SAC – Pharmaceutical Medicine
May 2011
NATIONAL DEANERY OF
PHARMACEUTICAL MEDICINE
FACULTY OF PHARMACEUTICAL MEDICINE
of the Royal Colleges of Physicians of the United Kingdom

2. Introduction: Pharmaceutical Medicine Specialty Training:
Higher Medical Training commenced in UK on 1 April 2003
following the recognition & listing of the medical Specialty
of Pharmaceutical Medicine on 22 April 2002
PMST (PMST1) superseded HMT on 1 August 2007
PMST2 (curriculum 2010) superseded PMST1 on 1st
August formal introduction of workplace based
assessments (WPBAs) and the introduction of the
e-Portfolio to replace the paper-based Training Record.

3. Current Status - Trainees
148 Pharmaceutical Physicians now hold a CCT in
Pharmaceutical Medicine
213 Trainees now hold an NTN
196 via the CCT route
17 via the Combined CESR route
HMT
PMST
PMST
Local Educational Providers: 66 Sites
31 LEPs have more than 1 Trainee
Top-Ten have between 5-25
35 have 1 Trainee
7 Trainees working outside the UK in approved LEPs

4. In total, 392 doctors have enrolled in HMT/PMST since 2003
Current Status - Trainees
43 Trainees have resigned from the programme
since 2005 – moved out of UK, left Pharmaceutical
Medicine or personal reasons
Current rate of enrolment is about 25 new Trainees
per annum
In total, 392 doctors have enrolled in HMT/PMST since 2003

5. Current Status – Specialty League Table
34 Specialties within JRCTB
Largest is General Internal Medicine – 3258 Trainees
Smallest is Metabolic Medicine – 3 Trainees
Pharmaceutical Medicine is the 12th largest
Similar size to Acute Medicine, Neurology &
Rheumatology
Larger than Medical Oncology, Dermatology &
Infectious Diseases

6. Governance & Supervision
The National Deanery of Pharmaceutical Medicine Deanery
(comprising the Lead Postgraduate Dean and Faculty of
Pharmaceutical Medicine), in conjunction with the Joint
Royal Colleges of Physicians' Training Board (JRCPTB), is
responsible for PMST and reports to the GMC
The first and only National Deanery – others currently
being modelled on our experiencies
All Specialties are governed by the same GMC Regulations

7. Senior Specialty Advisers (SSAs)
31 active SSAs - role is governance and quality management
over the PMST programme in training organisations.
Each SSA is allocated sites within their geographical reach and
have between 1-7 sites each, covering 1-20 trainees for each
SSA
SSAs also serve on ARCP/RITA Panels to review & evaluate
trainees’ progress & achievement on an annual basis.
Majority of SSAs are Fellows of Faculty
4 SSAs also hold a CCST/CCT in Pharmaceutical Medicine.

8. 46 ESs & SSAs (28%) now hold a CCT in Pharmaceutical Medicine
Educational Supervisors (ESs)
There are currently 150 Trained & Approved ESs
Over 100 ESs are currently active
Supervise 1-2 Trainees each – though a few have 3-5
Supervision estimated to take 1 hour per week
ESs can become ‘Accredited Educational Supervisors’
46 ESs & SSAs (28%) now hold a CCT in Pharmaceutical Medicine

9. Conduct of HMT/PMST Approximately 70% of HMT/PMST takes place
on-the-job in the work place
Approximately 30% of HMT/PMST takes place
through taught courses
Approved External Modular Courses:
King’s College London – RGN, CLP, CLD
Parexel (Richard Kay) – SDM
DSRU, Southampton – DSS
New Courses at Kings – HMP & Bath Univ - DSS

10. Diploma in Pharmaceutical Medicine Exam :
YEAR
PASS RATE
CANDIDATES
2005
70% 43
2006
33% 48
2007
39% 49
2008
40% 55
2009
48% 40
2010
42% 65

11. Diploma in Pharmaceutical Medicine Exam :
Current Situation
213 active Trainees – 48 have passed the DPM
165 Trainees need to sit or re-sit the DPM prior to
completing CCT
Of the Trainees who commenced in or before 2009
- 122 could or should sit the 2011 exam
- 38 Re-sits & 84 First time
- All 122 need to pass exam either in 2011,2012 or 2013
Failure to sit or pass the DPM is main reason for RITA E or
Outcome 3
46 RITA D or Es/Outcome 2 or 3 issued to date
- 41 due to failure to pass DPM within CCT Timeline
(Failed or not taken exam)

12. Organisation of the National Deanery
& QM Processes:
SAC-PM & National Deanery
Senior Specialty Advisers (SSA)
Local Educational Providers
Companies & Trainers (ES &AES)
Trainees
GMC

13. Organisation of the National Deanery
& QM Processes:
QA of External Courses
Trainee Progression – RITA/ARCPs
QM Process of the PMST Programme by the
National Deanery in Pharmaceutical Medicine
Annual Report to GMC
Includes Issues and Good Practice
– SSA Input
Trainee & Trainer Surveys
– Trainee & ES Input

14. Annual Deanery Report to GMC - 2010
GMC recently confirmed continuation of approval for the Pharmaceutical Medicine National Deanery
Items of Good Practice:
Face-to-Face ARCPs & RITAs
Review & Evaluation of External Courses against Curriculum
Trainees working in Teams –
e.g. No single trainee signs off a Clinical Study Protocol
Bespoke ‘effective ES Training Programme’
Extensive online E-Learning enables Curriculum delivery –
e.g. Roche & GSK
Areas for Attention:
Information on Formative Assessments for Trainees on
Pre-2010 Curriculum
Information on Schedule for Visits to LEPs

15. Peer Support Group for PMST
Acknowledgement and thanks should be given to the large support
group that HMT/PMST has acquired over the years, including trainees,
numbering almost 600 people comprising:
SSAs, ESs, AESs, Lead Postgraduate Dean,
E&T Committees (SAC-PM; FPM Education Committee;
Trainees Subcommittee, Working Groups (especially CAWG)),
JRCPTB Administrators,
Faculty Education and Standards Administrators,
Education Department RCP,
Faculty Board of Examiners,
Modular Course Providers and course Faculties,
Modular Course QM Convenors Group and QM Panellists,
Postgraduate courses in Pharmaceutical Medicine & their Faculties,
Company Management,
Lay Representatives,
and of course you the Trainees.

16. CCT in Pharmaceutical Medicine
Summary of 2003 to 2011
Pharmaceutical Medicine Specialty training
is now in its 9th Year
Nearly 400 Doctors have enrolled into the
programme to date
Currently there are 213 active Trainees
Now 12th Largest Medical Specialty
148 CCTs have been awarded to individuals who are now acknowledged Specialists in Pharmaceutical Medicine

17. 3rd National Trainees Meeting
A few Questions from me:
The CCT in Pharmaceutical Medicine –
Why do you want a CCT in Pharmaceutical
Medicine?
What do you get out of it?
Does your Company/Organisation recognise its
importance?
What does your Company/Organisation get out of it?

18. QUESTIONS
& Thanks !

19. National Deanery of Pharmaceutical Medicine &
Faculty of Pharmaceutical Medicine
Of the Royal Colleges of Physicians of the United Kingdom
1 St Andrew’s Place
Regent’s Park
London
NW1 4LB