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Training is Nurturing Update and Training on the shop floor
Simon Newell Vice President Training and Assessment Academy Specialty Training Chair
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Transferable competences Broad based training RCPCH and RCGP
New people Recruitment New WPBA Exams Computer based testing Trainee support Clinical review Simulation and TEL SPIN modules Shape of Training Transferable competences Broad based training RCPCH and RCGP MDRS at HEE GMC bullying QI
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New people Vice President Officer Training Officer Assessment
Raj Verma Officer Training Mandy Goldstein Officer Assessment David Evans Officer Examinations Jane Valente Thanks to David Long Officer Examinations Kevin Windebank
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MRCPCH Live AKP January 2015 World wide ……. no problems!
Foundation Of Paediatrics Theory And Science Applied Knowledge in Paediatrics Live AKP January 2015 World wide ……. no problems! Clinical cases TAS Mastercourse Clinical review
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Simulation and Technology Enhanced Learning Strategy David Grant
Quality Equity Impact Local leads Quality assurance UK resource Multiprofessional teaching Assessment strategy
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SPIN To ensure that children, families and the multiprofessional team
have appropriate local access to expertise module training experience supervised care varying depth and breadth not part of sub specialist accreditation Quality control – College Quality management – LETB Quality assurance – GMC Epilepsy Diabetes Neurodisability Neonatology Cardiology Dermatology Public Health Safeguarding
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good advert for branding
>400 submissions >1500 individual 54 oral evidence sessions
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general specialist shared competency credentialing flexibility
Shape of Training general specialist shared competency credentialing flexibility This the picture for horizon scanning! population and health needs are changing workforce needs to be based on patient needs the future is very hard to predict but we must be ready to live in it
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generalist general specialist subspecialist
Paediatrics and Child Health General Practitioners Physicians RCOG Surgeons
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no longer will competency simply rest on conviction and confidence
Credentialling no longer will competency simply rest on conviction and confidence National Grid & SPIN modules Training does not end with the CST Trainees SAS doctors Allied Professionals Consultants
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Transferable Competences
no reason to repeat training successfully completed in previous training
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Learning Together to Improve Child Health RCPCH and RCGP
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Medical and Dental Recruitment & Selection Health Education England 2015
Single UK system registration application offers options 25,000 Colleges make decisions
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GMC survey How much do the rest of us want this ? 50,000 responses
Patient Safety 5% unresolved concerns 10% concerns sorted 85% no concerns Bullying and undermining 13% suffered 19% witnessed 27% suffered senior undermining Duty of candour Size of problem 50K 5% concerns, 10% concerns sorted, 85% no concerns. Single centre, not equally across specialties, 60% manpower, 20% Mx of p/ts; 20% processes Bullying 13% suffered, 19% witnessed. 27% suffered senior undermining Duty of candour How much do the rest of us want this How much do the rest of us want this ?
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Quality Improvement Simple principles Careful execution Big impact
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W P B A CBD Mini CEX DOPS DOC Pilot SLEs ACAT HAT Leader MSF START
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Supervised Learning Events
summative or formative? no score reflective discursive active constructively aligned
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Supervised Learning Events
SLE Frequency (n) Assessor Trainee ACAT 1114 786 955 DOC 7042 3103 1794 HAT 2626 1735 2139 LEADER 1413 1009 1277 Safeguarding CbD 2824 1725 2265 CbD 2013 16504 4781 3209 Mini CEX 2013 19158 5971 3142
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SLE: closing the loop PDP SLE Ed Sup SMART aims
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… voting with their feet
Good uptake Not last minute Positive feedback professional discussion goal setting time with my trainer
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Workplace based assessments
CBD Mini CEX DOPS DOC Pilot SLEs ACAT HAT Leader MSF START Early and often Opportunity Focus Timeliness Imagination
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Transferable competences Broad based training RCPCH and RCGP
New people Recruitment New WPBA Exams Computer based testing Trainee support Clinical review Simulation and TEL SPIN modules Shape of Training Transferable competences Broad based training RCPCH and RCGP MDRS at HEE GMC bullying QI
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Children deserve Outcomes demands Service defines Training dictates Assessment
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§70 The medical royal colleges and faculties are in a unique position as they and their representatives have a role at all levels within the learning environment. They operate locally and regionally through their networks of college tutors, and regional advisors and through their work with the deans.
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Clinical excellence The aim
Leadership Management Sevice design Health politics Research Medical Education Multiprofessional Education Education support Supervision Mentor Governance Quality improvement Guideline development
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Phased professional career
traditional Phased Consultant Career accreditation retirement portfolio A number of work strands are maintained over the career crossover Balance between areas of work changes greatly. Training is needed. hatched areas are times of structured training. at time of change in career, consultant will have good skills in leadership, communication etc, but will needs subspecialty [General Paediatrics, CCH, endocrinology etc] time in supervised care, and structured training (SPIN modules] timetabled into period before transition. This time could be short and fat [6-12 months full time] or long and thin [day a week for 2-3y] – I guess long and thin is better. change over Area of work changes. Training is necessary.
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Shape of Training general specialist shared competency credentialing
flexibility This the picture for horizon scanning! population and health needs are changing workforce needs to be based on patient needs the future is very hard to predict but we must be ready to live in it
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Sharing Child Health Competences
General Practitioners Physicians RCOG Surgeons
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Credentialling General Paediatriccs National Grid SPIN modules
Community Child Health SPIN modules growing in importance, number and impact Opening up training CCT / CST consultants SAS
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The multiprofessional team
Friends of Alfie Martin Liz ? Kathy Suzi For drive and passion for the neonatal theme work – the change programme with skin to skin practices, piloting NUCAT and the Small Wonders DVD and co facilitation of the Neonatal Clinical Workshops. Here is the team with their award:
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Selection the most important assessment
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ST4 (registrar) selection
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ST3/4 (registrar) selection
Communication skills (Doctor to patient) Presentation (Teaching) Leadership & Management Clinical Thinking Portfolio Clinical Governance Prescribing
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Congratulations on passing
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The 4 exams Foundation of Paediatrics Theory and Science
Applied knowledge in Paediatrics Clinical Examination
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Workplace based assessments
tedious tick box last minute everyone “passes”
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Supervised Learning Events
ACAT HAT Doc Leader Safeguarding
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Safe Prescribing Essential Dangerous Easy BNF
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College training initiatives
Recruitment and selection Student to Seventy Gaps in the curricula leadership; multiprofessional team; simulation Work place based assessments Shared competency: service, training, expertise General Paediatrics; CCH; Academic Regional Advisor and Tutor Computer based testing General Practice and Paediatrics New consultant
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Assume nothing …..
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Temple Report www.mee.nhs.uk
Training is patient safety for the next 30 years Consultant as supervisor and carer Design for Service and Training Make every moment count 2. Optimal use of all training environments – op, community, acute services, nicu. 3. Consultant delivered and supported decision making. etc, standards and accreditation 5. 42
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The Learning Curve clinical effectiveness knowledge Are you ready ?
Selection THIS SLIDE NEEDS TO BE VIEWED WITH ANIMATION – Shift F5 I would like to look as acquisition of competency Here is an essential piece of knowledge, with increasing knowledge here (Y axis) and graduation, SHO, reg, consultant here (Xaxis) Knowledge climbs, steeply as a registrar and I used to think (next animation) that it peaked as consultant and then fell, except for Andrew Morris (next animation) , chair of metabolic CSAC. Lets now look at clnical effectiveness, this changes in a v different way. Pubertal growth spurts occur 3 times!! Here as a new sho. We all remember this climb as new registrar – and I am sure all agree this is what happens as a consultant. So (next animation) MRCPCH asks are you ready for this growth spurt in your clinical effectiveness START asks are you ready to take this on as a consultant, NOT have you achieved this but are you ready to do so. grad SHO registrar consultant
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In service assessment can we deliver what we are training to do
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Standards consultant presence
acute admission seen by competetent clinician in 4 hours acute admission seen by consultant in 14 hours two medical handovers each day discharge by competent clinician
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The multiprofessional team
Friends of Alfie Martin Liz ? Kathy Suzi For drive and passion for the neonatal theme work – the change programme with skin to skin practices, piloting NUCAT and the Small Wonders DVD and co facilitation of the Neonatal Clinical Workshops. Here is the team with their award:
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Flexibility - for the doctor around the patient -
Children and families’ needs change Medicine changes Geography is important UK workforce planning and …. The phased consultant career
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Transferable Competences
no reason to repeat training successfully completed in previous training
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Certificate of Specialty Training
Timeline H T FOUNDATION BROAD BASED SPECIALTY TRAINING Clinical Academic Training Clinical Academic Training safety communication professionalism research wide range specialties acute community and registration with GMC Graduation optional year at anytime in BBT Themes Certificate of Specialty Training Consultant Career 2y 4-6y UK Delivery Group
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Consultant supervised care
balance supervision and interference
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MDRS Programme Oriel update Paper 7a
System live September 25k applications Academic recruitment implemented must not swamp placement at end of training Career Support Namita Kumar Paper 7b Quality of Recruitment Speciality Selection Test Brief EDQUINs
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