1. Update on Speciality Training in Geriatric Medicine
Dr Jennifer Burns

2. What’s new and important
Appointments process
ARCP content and process
KBA
E-portfolios

3. 2008 ST3 appointments Closed loop: 11 appointments/ 15 applications
Open loop: 4 appointments/93 applications
Shortlisting: CV based applications
2 interviews: open format, scored by all interviewers

4. 2009: St3 appointments Run through persists till 2010
Number of posts negotiated by Dr Primrose
May just be graduate nos from post CCT places emptied.

5. SpR RITAs MSF :2 in 4 years MiniCEX: 4 per year, max 2 per assessor
DOPS : 6 over 4 years
Educational Supervisors report

6. SpR PYAs Tidy folders Management Education Teaching course etc
Completed audit loop
2 presentations/ 1 publication
Documentation of subspecialty experience

7. ARCP process 2008 A little shambolic in WoS
Divide between general medicine and speciality
Lack of certain forms e.g. CdD
MSF, 4 miniCEX, DOPs if available
6 weeks notice, date of ARCPs 31st July

8. Outcomes from ARCP Outcome 1=satisfactory progress
Outcome 2= development of specific competencies needed-additional time not required
Outcome 3= inadequate progress by trainee,additional time needed
Outcome 4 = released from programme
Outcome 5 = incomplete evidence presented, may require additional time

9. Outcomes from ARCP Outcome 6= gained all required competencies
others if out of programme or not in run through e.g. 8 = out of programme experience for research

10. ARCPs : ST3 Part 2 MRCP/PACES Satisfactory 1 ACAT
Satisfactory 6 CbD (3 acute)
MiniCEX 6 (2 acute,2 outpatients)
DOPs 2 acute medicine
ALS up to date

11. Outcome 4 from ST3 Very poor educational supervisors report
No/unsatisfactory ACAT,miniCEX, CbD
No Part 2 MRCP/PACES

12. ARCP : ST4, outcome 1 Satisfactory MSF and PSQ Satisfactory Audit
Research Methodology Course
1 ACAT
6 CbD( 1 rehab)
6miniCEX ( 1 falls, 1 LTC,1 rehab, 1 subspecialty)

13. ARCP;outcome 3 ST4 Very poor supervisors report
ALS uncompleted for 2 years
No or very poor MSF
No or very poor ACAT, CbD, MiniCEX

14. ARCP: ST5 outcome 1 KBA passed Satisfactory audit
Satisfactory teaching presentation
Teaching course
6 CbD ( 2 special interest)
6 miniCEX ( 1 rehab,1 Continuing care,2 subspecialty)

15. ARCP: outcome 4 ST5
Very poor educational supervisors report ALS uncompleted for 2 years No or unsatisfactory audit No or very poor CbD, miniCEX Note : KBA not passed = outcome 2/3 (RITA D)

16. ARCP: outcome 1 ST6/ PYA equivalent
Satisfactory MSF & PSQ
Audit Cycle ( + relevant audit of ? Intermediate care)
6 CbDs & 6 miniCEXs
Satisfactory Academic portfolio( at least 1 presentation and 1 publication)

17. ARCP: outcome 2/3 targeted training PYA/ST6
Poor educational supervisors report
Poor MSF, CbD, miniCEX etc
No ALS
No research methodology course
No teaching course
Poor academic portfolio( no publication or presentation)

18. ARCP: outcome 4 PYA/ST6 KBA not passed
Very poor educational supervisors report
Very unsatisfactory MSF
ALS uncompleted for 2 years
No audit cycle
No or very poor CbD, miniCEX

19. ARCP exit ST7: outcome 1 Satisfactory ACAT
2 CbD ( 1 complaint,1 acute)
1 miniCEX ( 1 home visit)
Report from a management meeting
Satisfactory clinical governance portfolio
All outstanding from PYA achieved

20. ARCP : outcome 4 ST7 Very poor educational supervisors report
All for outcome 2 in PYA
Unsatisfactory clinical governance portfolio

21. Areas of uncertainty
General medicine level 2 requirements, ST6 and ST7
DOPs for general medicine for level 2, e.g. central lines, ?FNAs
Flexible training, annual ARCPs

22. Knowledge Based Assessment
Gastroenterology sat the first Kba on
no definite word on date for geriatric medicine
cost to be confirmed but gastro paid £800

23. E-portfolios Still not rolled out to ST3s +
target for next August to allow STs to run through with their training record
still piloting some of assessment methods included in the lists
problems with foundation programme

24. Questions?