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Published byPeter Simpson Modified over 6 years ago
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Update on Speciality Training in Geriatric Medicine
Dr Jennifer Burns
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What’s new and important
Appointments process ARCP content and process KBA E-portfolios
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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
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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.
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SpR RITAs MSF :2 in 4 years MiniCEX: 4 per year, max 2 per assessor
DOPS : 6 over 4 years Educational Supervisors report
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SpR PYAs Tidy folders Management Education Teaching course etc
Completed audit loop 2 presentations/ 1 publication Documentation of subspecialty experience
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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
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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
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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
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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
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Outcome 4 from ST3 Very poor educational supervisors report
No/unsatisfactory ACAT,miniCEX, CbD No Part 2 MRCP/PACES
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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)
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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
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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)
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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)
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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)
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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)
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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
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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
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ARCP : outcome 4 ST7 Very poor educational supervisors report
All for outcome 2 in PYA Unsatisfactory clinical governance portfolio
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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
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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
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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
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Questions?
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