Post on 14-Dec-2015
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Current priorities for the Dean Current priorities for the Dean
Dr Wendy Burn Dean
November 2013November 2013
Current IssuesCurrent Issues
Recruitment Workforce numbers The curriculum Workplace Based Assessments MRCPysch examination Dual training Local courses Out of hours training Shape of training review Portfolio New College buildingNovember 2013November 2013
Dean’s postDean’s post
Election by members 5 year term My term is 2011-2016 Voluntary post Responsible for education and
training within the College Well supported by College Real chance to influence things at a
national levelNovember 2013November 2013
RecruitmentRecruitment
Has been difficult since 2007 Lack of British graduates who want to
train in psychiatry Immigration changes and 18 months
experience exclusion rule reduced number of overseas doctors, the rule has now been removed
College has a recruitment strategy. Includes increasing foundation posts, summer schools and taster sessions.
November 2013November 2013
Recruitment Recruitment
17% increase in actual numbers to CT1 for August this year.
November 2013November 2013
Management of Management of RecruitmentRecruitment
The North Western Deanery, Health Education North West will be managing national recruitment to Psychiatry for 2014
College will continue to set standards and design the process.
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CT1 Round 1 2014CT1 Round 1 2014
Applicants will apply via Konetic Centralised longlisting via North
Western Deanery No shortlisting Interviews to be organised and held
locally, using questions set by College All offers made via UK Offers by the
North Western Deanery National clearing process run by
North Western DeaneryNovember 2013November 2013
ST4 Round 1 2014ST4 Round 1 2014
Applicants will apply via the Konetic system Centralised longlisting via North Western
Deanery No shortlisting Applicants will be able to apply for up to 3
specialties, having 1 interview in each. Centralised interviews taking place in
London and Manchester Offers made via UK Offers by the North
Western Deanery National clearing process run by the North
Western Deanery
November 2013November 2013
WorkforceWorkforce
Recent review of psychiatry workforce by Centre for Workforce Intelligence
Conclusions awaited There will be increasing pressure to
reduce core posts At present we have a 50% loss rate from
core to higher training 25% of trainees are in London Will be looking at what happens to
London trainees after CCT November 2013November 2013
Foundation training Foundation training
The target in England is 45% of foundation doctors should rotate through a four month placement in psychiatry in England
22.5% in F1 and 22.5% in F2 Have appointed a College Advisor for
Foundation training, Ann Boyle. She is setting up a network of foundation trainers and writing a good practice guide.
November 2013November 2013
Foundation Posts Foundation Posts
Around half of schools are on target to deliver the required increases by 2015 in psychiatry placements with greater progress at F2.
A further 25% are making good progress
The rest are encountering significant challenges.
November 2013November 2013
The curriculumThe curriculum
Core, Child and Adolescent, Learning Disability and Rehabilitation revised this year
Working group looking at core curriculum
We will send out a summary to Heads of School highlighting the changes
GMC now ask that current trainees move to new curricula as they are approved
November 2013November 2013
WPBAsWPBAs
Lack of training for assessors Don’t equate to exam Trainers don’t fail their trainees Are they formative or summative? Foundation now uses Supervised
Learning Events which are purely formative. We are developing SLES and setting up pilots.
November 2013November 2013
MRCPsych exam – MRCPsych exam – challenges challenges
Low pass rate Four exams (3 papers and a clinical) Expensive Lack of clear syllabus Made a large excess, £600,000 in
2012
November 2013November 2013
MRCPsych exam - MRCPsych exam - changeschanges
Chief Examiner is Peter Bowie. Will be making exam more relevant and working with Heads of School and course organisers
Papers will be reduced to two Revised clear syllabus for each part,
questions mapped to syllabus. Cost was reduced by 5% in 2013 and by
a further 20% for trainees and affiliates. Will be increased for 2014. Last years and future excesses will be used to benefit training.
November 2013November 2013
MRCPsych exam excessMRCPsych exam excess
CPD online is free to trainees and affiliates registered with the College and first year consultants for 2 years from March 2013.
November 2013November 2013
Trainees Online (TrOn)Trainees Online (TrOn)
Modules designed to support the MRCPsych
Initial plan is for 70 online learning modules which will cover the Basic Sciences on the MRCPsych curriculum
Will be written by post-membership trainees, fee of £200
Module plus reading list will contain knowledge needed to pass the exam
November 2013November 2013
TrOnTrOn
Trainee Editor appointed Two calls to trainees have gone out First modules are currently being
written Early topics include neuroanatomy
and genetics
November 2013November 2013
FACS (Formative FACS (Formative Assessment of Assessment of
Communication Skills)Communication Skills) FACs was developed by Gill Pinner.
Has been piloted in several Deaneries Those using it feel it identifies
trainees who will struggle with CASC In December will be running an
adjusted version for candidates who failed September CASC by one station. Trainees will be given videotaped feedback.
November 2013November 2013
Exit examExit exam
GMC are asking for this but are giving us time to work on MRCPsych exam before developing it
Trainees have a working group looking at options and have conducted a survey
November 2013November 2013
Dual trainingDual training
Wanted by trainees particularly for specialties under threat
Not all Schools run all dual schemes, only happens if locally there is a recognised need and ability to provide programmes
Have to enter dual programmes from the start of training
At present previous training on a programme leading to a single CCT doesn’t count
Rules are on website: http://www.rcpsych.ac.uk/training/specialtytrainingguides.aspx
GMC ran a working group for dual training in all specialties, awaiting a report
November 2013November 2013
Locally delivered Locally delivered MRCPscyh coursesMRCPscyh courses
We have developed some draft standards
Held a meeting of course organisers with myself and chief examiner in March
Huge variation in courses in terms of cost, length, quality assurance
Will be working with the course organisers on these issues
Will develop a College accreditation scheme
November 2013November 2013
Out of hours trainingOut of hours training
Trusts are changing work patterns for trainees
Need to ensure that trainees gain supervised emergency experience and patient safety is maximised
Trainees entering higher training must be prepared
Also need to ensure that trainees spend a high proportion of their time in their core placement
Have set up a working group to report back on this
November 2013November 2013
PortfolioPortfolio
New version is under development to launch in August 2014
Will have nationally agreed ARCP forms
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RecommendationsRecommendations
1. Enhance the response of postgraduate medical education and training to changing patient needs
2. Increase involvement of patients in the education and training of doctors
3. Provision of clear advice to potential and current medical students about what they should expect from a medical career
RecommendationsRecommendations
4. Make sure medical graduates at the point of registration are capable of working safely in a clinical role suitable to their competence level
5. Full registration should move to the point of graduation from medical school
November 2013November 2013
Flexibility, quality and Flexibility, quality and apprenticeshipapprenticeship
6. Generic capabilities framework e.g. communication, leadership, quaIity improvement, patient safety
7. More flexible progression rates8. Longer placements to foster team-
working and apprenticeship9. Training limited to places that
provide high quality training and supervision
Responsive broad-Responsive broad-based trainingbased training
10.Restructure postgraduate training within broad specialty areas
11.Review curricula to deliver broader specialty training
12.Ensure all doctors able to manage acutely ill patients with multiple comorbidities within broad specialty area
13.Greater employer involvement in coordination of training
Academic trainingAcademic training
14.Relevant organisations including postgraduate research and funding bodies must support a flexible approach to clinical academic training
Broad-based clinical training Exceptionally super-specialised scope of
practice
CPD (15) & Credentials CPD (15) & Credentials (16)(16)
Medical SchoolMedical School
Full Registratio
n
F1F1
F2F2
Broad-basedspecialty training
4-6 Years
Broad-basedspecialty training
4-6 Years
Certificate of Specialty Training
Credential
Credential
Credential
Credential
Credential
Credential
Continuous ProfessionalDevelopment
Continuous ProfessionalDevelopment
SAS doctors/salaried SAS doctors/salaried GPs/locumsGPs/locums
17.Review barriers faced by doctors outside of training who want to enter a formal training programme or access credentialed programmes
Number of CSTsNumber of CSTs
Major question for Psychiatry is how many CSTs?
6? 2? 1?
November 2013November 2013
21 Prescot Street 21 Prescot Street
Much more space Accommodates the whole College Will be able to hold conferences there Members area with rooms, coffee, wifi Library We own it, no mortgage Will save on rent of other spaces
November 2013November 2013
Free LunchFree Lunch
Members are invited to visit Café 21 to enjoy a free lunch up to the value of £5
Please book in advance by emailing our reception quoting your membership number or name.
November 2013November 2013