1. Zareena Jedaar (UHW ED)
6 months of EM in ACCS

2. What to expect Who’s who of ACCS training in Wales EM Induction WPBAs
Registration with the College of EM for EM trainees
Training agreement
ACCS Workbook
WPBAs
The role of the CT1, 2 and 3
Structured training report
ARCP

3. Who’s who Leads within each ED responsible for ACCS training:
In Bangor - Mark Anderton
In Cardiff - Zareena Jedaar
In Newport - Rajan Raghupati
In Swansea - Dindi Gill
In Wrexham - Robin Roop
ACCS lead for AWSEM (All Wales School of Emergency Medicine) - Zareena Jedaar
Specialty lead and training programme director of AWSEM - Amanda Farrow

4. Induction Registration with the College of EM for EM trainees
First of 3 Meetings with educational/clinical supervisor
Documentation on e-portfolio for EM and AM trainees; hard copy format for Anaesthetic trainees
Training agreement
AWSEM training agreement
Personal development plan
Workplace based assessments
Attendance at teaching/regional teaching for EM trainees
Participation in Audit
E-learning modules

6. WPBAs Summative assessments vs Formative assessments
2 Summative Assessments (Mini-CEX OR CBD) by a Consultant on 2 of the Major Presentations using the specific summative Mini-CEX or generic summative CBD forms.
5 Summative Assessments on the following 5 Acute Presentations (Chest Pain, Abdominal Pain, Mental Health, Head Injury, Breathlessness) using the specific summative Mini-CEX or generic summative CBD forms and completed by Consultants.
The above assessments will consist of a minimum of 4 Mini-CEX and 3 CBDs.
1 ACAT-EM which may cover up to 5 additional Acute Presentations
5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma, Joint or fracture manipulation + one other practical procedure)
10 additional assessments of acute presentations using a combination of e-learning, reflective entries, teaching and audit assessments, additional ACAT-EM
1 MSF (minimum of 10 to include 3 Consultants)

7. The role of the CT1 – 3 in the ED
Progression from Foundation training to Specialty training
Achieving EM skills and knowledge
Assessed by WPBAs and MCEM exams for EM trainees
Assuming leadership roles, incl. resus (under supervision)
Teaching and providing advice (if comfortable) to less experienced (foundation trainees, nursing staff, etc.)
Medical student teaching

8. Educational opportunities
Departmental teaching
Regional teaching (1 full Tuesday per month): “stay in touch”
Audit and Case presentations (consultant completes WPB assessment forms for these)
E-learning (e-LFH, doctors.net, bmj.com)
Mock Exams (MCEM and FCEM: 3/10/2012)
AWSEM training day (Posters and presentations by trainees)
Simulation training days POW, Bridgend)
Check s and respond when necessary

9. STR and ARCP Structured training report
Completed by trainee and educational supervisor
Records WPBAs and achievements and documents strengths and weaknesses/areas for development
Summarises the evidence of competence required at the ARCP to determine progression or not
Complete at least 1 month before end of placement/before ARCP to allow time to complete assessments or address potential areas of concern