Current priorities for the Dean Dr Wendy Burn Dean November 2013.

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.


Wendy Burn

Recruitment Recruitment

17% increase in actual numbers to CT1 for August this year.


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.


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


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.


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.


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


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.


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


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.


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.


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


TrOnTrOn

Trainee Editor appointed Two calls to trainees have gone out First modules are currently being

written Early topics include neuroanatomy

and genetics


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.


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


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


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


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


PortfolioPortfolio

New version is under development to launch in August 2014

Will have nationally agreed ARCP forms


Shape of training reviewShape of training review


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


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

Recommended model (18)Recommended model (18)

Number of CSTsNumber of CSTs

Major question for Psychiatry is how many CSTs?

6? 2? 1?


New BuildingNew Building


21 Prescot Street21 Prescot Street


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


Chandelier Chandelier


Members AreaMembers Area


Cafe 21Cafe 21


Song for 21 Prescot Song for 21 Prescot StreetStreet


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.


Any questions? [email protected]


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Current priorities for the Dean Dr Wendy Burn Dean November 2013.

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