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M62 Course, 2006. Mike Nelson, Consultant Surgeon, Isle of Wight.

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Presentation on theme: "M62 Course, 2006. Mike Nelson, Consultant Surgeon, Isle of Wight."— Presentation transcript:

1 M62 Course, 2006

2 Mike Nelson, Consultant Surgeon, Isle of Wight

3 M62 Course, 2006 Introduction

4 M62 Course, 2006 Mike Nelson Trained as SpR in Wales FRCS (Gen Surg) 2005 Colorectal subspecialty CCT October 2005 Locum Consultant Surgeon Charing Cross Hospital Consultant Surgeon – April 2006 Isle of Wight

5 M62 Course, 2006 Pre-Calman “Registrar” 1996 Consultant Senior Registrar FRCS

6 M62 Course, 2006 Calman Principles Single SpR Grade 1996 Exit Exam & Consultant Curriculum, RiTAs MRCS

7 M62 Course, 2006 Calman Environment New Deal = Less Hours 2006 Consultant Expansion Subspecialisation Seamless Training

8 M62 Course, 2006 Jobs by specialty n=206 2002

9 M62 Course, 2006 Results: 2002 ICE Passes 115 successful candidates ICE Passes

10 M62 Course, 2006 Drivers for Change 2006 EWTD Service Changes MMC Lifestyle Regulation Initiatives ISTCs Laparoscopic

11 M62 Course, 2006 Median=12.5 (range 0-345, n=24) Endoscopy Experience

12 M62 Course, 2006 MMC Specialist and GP training programmes (Run-through training) Medical school – 4-6 years Career posts F1 F2 Postgraduate Medical Training Senior Medical Appointments Fixed term specialist training Arrows indicate competitive entry CCT route Specialist

13 M62 Course, 2006 More Questions Further exams post ICE? Not on your life! Why should surgery be different? Why should coloproctology differ? Can we separate emergency and elective work? Will we recreate old bottlenecks Is it necessary?

14 M62 Course, 2006 Suggested Path Forward Robust evaluation of Calman Heterogenous group Implement improvements Any changes universal Are “craft” specialties different? Evidence based Changes will be inevitable Colleges & Associations continue to lead

15 M62 Course, 2006 Trainee’s Role Must be Active Join Societies ASiT Dukes’ Club Collect and publish data Electronic logbook Identify good & bad training units Encourage future trainees

16 M62 Course, 2006 Summary Current CCT holders probably OK Current senior SpRs probably OK Current new SpRs less certain Current SHOs parallel training Current F1/2s very uncertain However… change is nothing new Extent and pace is unprecedented

17 M62 Course, 2006

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