1. New Routes to the Specialist Register ? Dr Wilson Bolsover Assistant to the Officer for HST

2. The Specialist Register Maintained by the GMC Maintained by the GMC Registration is mandatory for substantive consultant appointments Registration is mandatory for substantive consultant appointments A number of possible routes to registration A number of possible routes to registration

3. The Postgraduate Medical Education and Training Board The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 Replaces STA (and JCPTGP) Replaces STA (and JCPTGP) Late 2005 Late 2005

4. The Specialist Register 1 Type 1 programme leading to a CCST

5. The Specialist Register 1 Type 1 programme leading to a CCST 2 Have recognised specialist status within the EEA

6. The Specialist Register 1 Type 1 programme leading to a CCST 2 Have recognised specialist status within the EEA 3 The academic route

7. The Specialist Register 1 Type 1 programme leading to a CCST 2 Have recognised specialist status within the EEA 3 The academic route 4 Have training from outside the EEA equivalent to a Type 1 programme

8. Article 14 (4) A person is also an eligible specialist … if - (a) …. (b) he has - (i) undertaken specialist training, or (ii) been awarded specialist qualifications, in a specialty listed in Schedule 3, and he satisfies the Board that that specialist training is, or those qualifications are, or both when considered together are, equivalent to a CCT in the specialty in question.

9. Article 14 (6) (b) If a person falls within paragraph (4) or (5) and (a) …… or (b) he has acquired specialist medical experience or knowledge, wherever obtained, the Board shall, when considering whether it is satisfied as mentioned in paragraph (4) or (5), take account of that … experience or knowledge.

10. Article 14 (5) A person is also an eligible specialist … if - (a) he has - (i) undertaken specialist training, or (ii) been awarded specialist qualifications, outside the United Kingdom in a medical specialty not listed in Schedule 3; or (b) … academic or research work, and he satisfies the Board that these give him a level of knowledge and skill consistent with practise as a consultant in the National Health Service.

11. Article 14 (6) (b) If a person falls within paragraph (4) or (5) and (a) …… or (b) he has acquired specialist medical experience or knowledge, wherever obtained, the Board shall, when considering whether it is satisfied as mentioned in paragraph (4) or (5), take account of that … experience or knowledge.

12. So The PMETB will reach a conclusion based on Training Training

13. So The PMETB will reach a conclusion based on Training Training Qualifications Qualifications

14. So The PMETB will reach a conclusion based on Training Training Qualifications Qualifications Experience Experience

15. How? Not a RCPCH process Not a RCPCH process

16. How? The PMETB currently developing its process and paperwork The PMETB currently developing its process and paperwork

17. But CCT Specialties e.g.Paediatrics or Paediatrics (neonatal medicine) CCT Specialties e.g.Paediatrics or Paediatrics (neonatal medicine)

18. But Non-CCT specialties e.g. Paediatric audiology Non-CCT specialties e.g. Paediatric audiology

19. CCT Specialties 1. Specialist training and/or qualifications from anywhere

20. CCT Specialties 1. Specialist training and/or qualifications from anywhere 2. Plus experience anywhere

21. CCT Specialties 1. Specialist training and/or qualifications from anywhere 2. Plus experience anywhere 3. Assessed against the curriculum of a training programme leading to a CCT in the specialty

22. Non-CCT Specialties 1. Specialist training and/or qualifications from outside the UK

23. Non-CCT Specialties 1. Specialist training and/or qualifications from outside the UK 2. Plus experience anywhere

24. Non-CCT Specialties 1. Specialist training and/or qualifications from outside the UK 2. Plus experience anywhere 3. Assessed against level of knowledge and skill consistent with consultant practise in the NHS

25. What next? Not a RCPCH process Not a RCPCH process The PMETB currently developing its process and paperwork The PMETB currently developing its process and paperwork

26. What next? Not a RCPCH process Not a RCPCH process The PMETB currently developing its process and paperwork The PMETB currently developing its process and paperwork We cannot currently offer firm advice We cannot currently offer firm advice

27. What next? Not a RCPCH process Not a RCPCH process The PMETB currently developing its process and paperwork The PMETB currently developing its process and paperwork We cannot currently offer firm advice We cannot currently offer firm advice We cannot currently offer individual advice We cannot currently offer individual advice

28. Suggestions for Preparation Update CV Update CV

29. Suggestions for Preparation Update CV Update CV Detailed Job Plans Detailed Job Plans –Clinical activity –Emergency / on-call commitments –Emergency / on-call responsibilities –Out-patient activity –Sub-specialty work and commitments

30. Suggestions for Preparation (2) Document CPD Document CPD

31. Suggestions for Preparation (2) Document CPD Document CPD Read and Understand Good Medical Practice (General Medical Council) Read and Understand Good Medical Practice (General Medical Council)

32. Suggestions for Preparation (2) Document CPD Document CPD Read and Understand Good Medical Practice Read and Understand Good Medical Practice Compile appraisal / revalidation folder as evidence to support application Compile appraisal / revalidation folder as evidence to support application

33. Further Information www.pmetb.org.uk (in preparation) www.pmetb.org.uk (in preparation) www.rcpch.ac.uk Specialty specific information when available www.rcpch.ac.uk Specialty specific information when available