1. Angelo Photi James O’Brien
WBAs and ISCP

2. ISCP
Intercollegiate surgical curriculum programme – designed by surgeons
A tool of the Joint Committee on Surgical Training – created in response to the Gold Guide (reference for post grad specialty training)
JCST is an intercollegiate body which works on behalf of all four Colleges in the UK and Ireland to support surgical training & set standards for specialty training through the syllabus and curriculum
Liase with GMC, deaneries and work with Surgical Advisory Committees (SAC) for each specialty
Mrs Sarah Downey (Great Yarmouth) is on the general surgery SAC

3. ISCP requirements each year
40 WBAs
12 CBD (6 by a Consultant)
12 mini-cex/ mini-cex for consent (6 by a Consultant)
12 DOPS or PBAs (6 by a Consultant)
1 MSF (multi-source feedback)
1 OOT (observation of teaching)
1 audit per year minimum

4. £260 per year, tax deductible
£115 paying JCST staff
£66 office space
£54 web support
£10 in compensation to the employing NHS trust of the director and committee
£5 meeting, catering, AV costs
£2.50 travel for JCST staff
£2.50 office equipment and stationery

5. Pitfalls Last minute Lack of progression in the global summary level
Not ticketing index cases for your specialty
TPD and ARCP panel notice the dates of assessments
Sending tickets to the wrong people, non IT savvy assessors
Never reflecting
Not anonymising details
Not ticketing consultants
Not checking a surgeons name and registration before sending

6. Correct approach Little and often is best
Most consultants will like to know in advance
Differing levels of detail between different surgeons
ISCP printouts are mandated in the speciality interviews
Regular reflective practice – at least one per placement
Constant reflective thinking even if not recorded should come naturally

7. WBA
Some tickets are for routine procedures or cases and can be quick, reflect on practical aspects of the task, how to improve
Some can be for more complex discussions and cases and require detailed reflection into what you have learnt from the case
All interactions and learning opportunities can be turned into tickets

8. ARCP
Becoming completely ISCP dependent in many specialties and increasingly for core training as well (i.e. virtual ARCP)
One missing WBA, or,
..not enough consultant level assessments, or,
..incomplete final sign off, Clinical and Educational reports, or,
..an incomplete MSF
will mean you do not pass ARCP
ISCP is becoming the only way we are judged for progression

9. Index procedures General surgery (20+ in total) Paeds surgery (20+)
adult appendicectomy
Paediatric appendicectomy
primary abdominal wall hernia repair
Plastics
laparoscopic port placement
Burns manageement
laparotomy incision (open/close)
Skin cancer excision
Orthopaedics (11+)
Hand trauma
dynamic hip screw for extra capsular fracture of neck of femur
Urology (no specified numbers)
Flexible cystoscopy
ENT (5+ total)
Ureteric stent
tonsillectomy
Exploration scrotum
insertion grommet
Circumcision
reduction nose fracture
direct pharyngoscopy or direct laryngoscopy
nasal polypectomy