1. Update - ATSM Recent changes

2. Regulations for the Advanced Training Skills Modules Generic: The applicant must be working in the UK for the duration of the ATSM (or have sought prospective approval for recognition of overseas training if applicant is a NTN-holder) The applicant must have passed Part 2 MRCOG. The applicant must register for the ATSM prospectively with the registration fee of £125 through the Postgraduate Training Department at the RCOG. It is recognized that for some ATSMs, previous experience can contribute to the development of competence, however the assessment of competence should only be performed following registration.

3. NTN-Holders and Senior LATs ST6/7 equivalent): SpR 4/5, ST 6/7 and LATs (ST6/7 equivalent) can register for ATSMs. The applicant must have completed the intermediate competences from the logbook. NTN-holder must start planning their ATSM in ST4 with the aim to have this documented at their ARCP at the conclusion of Year 4. This ensures a full year (ST5) to organize, confirm and plan training for year 6.LATs (ST6/7 equivalent) may have had the opportunity to discuss ATSM plans at the ARCP in their previous LAT posts (particularly if the posts were in the same deanery). NTN-holders must have obtained a satisfactory outcome form from Year 5 prior to registering for the ATSM or confirmed evidence of equivalent experience/competence for LATs (ST6/7 equivalent). The applicant can register for more than two ATSMs concurrently with the approval of the Head of School/Chair of DSTC. NTN-holders who are considering undertaking an ATSM overseas, as part of a period of out of programme activity (OOP), need to seek prospective approval from the Head of School, the local Postgraduate Dean as well as formal RCOG approval. Prospective approval will also be required from the GMC if the applicant wishes the ATSM to count towards CCT/CESR (CP).

4. Non-Training Grades (SAS Doctors and consultants): The applicant must have completed the equivalent of the intermediate competences from the logbook (as ascertained by the ATSM Director The applicant must have completed a minimum of five years in O&G SAS Doctors must have passed the Part 2 MRCOG The applicant must have the approval from the Clinical Director in order to register for an ATSM The applicant's most recent annual appraisal must have been satisfactory The applicant can register for no more than 2 concurrently with approval of their Clinical Director, the ATSM Director and the HoS

5. Each deanery/region will appoint an ATSM Director who has overall responsibility for managing Advanced Training Skills Modules (ATSMs) This includes coordinating the ATSM allocation The ATSM Director will work closely with ATSM Preceptors, who have deanery/regional responsibilities for individual ATSM(s) In particular, they will be aware of specific local provisions for their ATSM(s) and will liaise with the ATSM Educational Supervisors at unit level who are offering training in the specific ATSM. ATSM roles within a deanery

6. Roles and responsibilities ATSM Educational Supervisor Take responsibility for maximizing the educational opportunities provided by the hospital to meet the ATSM training needs of the trainee Take responsibility, with the trainee, to record trainee progress using the ATSM logbook and appropriate RCOG assessment tools. Ensure that the trainee is able to attend the required training days and course(s). Advise the ATSM Preceptor if any difficulties arise in providing the ATSM training. Take responsibility for early liaison with the ATSM Preceptor to facilitate trainee progression if training needs cannot be met. Countersign the form to confirm that training is completed. This form should be sent to the ATSM Preceptor for completion by the trainee. Take responsibility, with support from the ATSM Director, ATSM Preceptor and College Tutor as necessary, for responding to the needs of trainees in difficulty.

7. Time required and job planning ATSM Educational Supervisor The ATSM Educational Supervisor should have time built into their job plan in order to deliver this training. It is difficult to suggest a standard amount of supporting professional activities (SPA) time for this role as it depends upon the amount of the curriculum the ATSM Educational Supervisor is responsible for. The ATSM Educational Supervisor is advised to keep a diary to present at the job planning process in order to determine the individual time required. It is possible, where time allows, that an individual may be an Educational Supervisor for more than one ATSM.

8. Roles and responsibilities ATSM Preceptor Coordinate the delivery and monitor the quality of training for their particular ATSM. Liaise with colleagues in the specialty to ensure that both the ATSM and the core curriculum are delivered without conflicts or adverse service impacts. Ensure that the workplace-based assessments required by the ATSM curriculum are performed and signed off. The trainee must submit these to the annual reviews of competency progression (ARCP) process with all other supporting evidence of progress. Take responsibility for approving local ATSM Educational Supervisors to deliver ATSM training in individual units. ATSM roles within a deanery Each deanery/region will appoint an ATSM Director who has overall responsibility for managing Advanced Training Skills Modules (ATSMs); this includes coordinating the ATSM allocation. The ATSM Director will work closely with ATSM Preceptors, who have deanery/regional responsibilities for individual ATSM(s). In particular, they will be aware of specific local provisions for their ATSM(s) and will liaise with the ATSM Educational Supervisors at unit level who are offering training in the specific ATSM. Date: 28 October 2010 Take responsibility for ensuring that the educational opportunities and environment provided by the Educational Supervisors meet the ATSM training needs of the trainee. Ensure that each trainee is allocated an ATSM Educational Supervisor.

9. Undertake regular appraisal and feedback meetings with trainees to ensure that educational objectives are being met. Take responsibility for confirming that the trainee has attended an appropriate theoretical course as set out in the curriculum. Take responsibility for confirming that training is completed and signing the notification form, which the trainee should then send to the ATSM Director. Be involved in the region’s agreed selection process. Take responsibility, with support from the ATSM Director, ATSM Educational Supervisor and College Tutor as necessary, for responding to the needs of trainees in difficulty. Keep up to date with the RCOG standards in education, new educational initiatives and changes to ATSM curriculum and assessment. Provide career guidance and discuss the curriculum with the trainee prior to registration. Undertake quality control of the ATSM and report to the ATSM Director any potential concerns regarding delivery. Report to the ATSM Director within the deanery.

10. Time required and job planning ATSM Preceptor It is essential that time is allocated within the job plan of the ATSM Preceptor, which is a deanery/school appointment. The time required will be proportionate to the number of trainees for which the Preceptor has responsibility and the degree of liaison required to ensure quality training. The time required will be part of or additional supporting professional activities (SPA) time and the RCOG recommends 1 programmed activity (PA) for those managing popular, large ATSMs. The Preceptor is advised to keep a diary to present at the job planning process in order to determine the individual time required. This requirement would be in addition to any other educational roles.

14. Next? 1.What units could provide the larger ATSM’s? 2.What regions could provide the larger ATSM’s? 3.What individuals within the units could provide the larger ATSM’s as ES? 4.What individuals would put themselves forward as preceptors? Questionnaire!