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Higher Specialist Higher Specialist Training in Child and Training in Child and Adolescent Psychiatry Adolescent Psychiatry Induction February 2013 Induction February 2013 Dr Latha Hackett Dr Latha Hackett [email protected] Yvonne Brooks Yvonne Brooks [email protected] Sandra Russell Sandra Russell [email protected] Specialist Training administrator, CMFT Specialist Training administrator, CMFT Dr David Ochando Dr David Ochando Chair, Specialty Trainee group Chair, Specialty Trainee group
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Page 1: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Higher Specialist Training in Higher Specialist Training in Child and Adolescent PsychiatryChild and Adolescent Psychiatry

Induction February 2013Induction February 2013Dr Latha HackettDr Latha Hackett

[email protected] BrooksYvonne Brooks

[email protected] RussellSandra Russell

[email protected] Training administrator, CMFTSpecialist Training administrator, CMFT

Dr David OchandoDr David OchandoChair, Specialty Trainee groupChair, Specialty Trainee group

Page 2: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Child and Adolescent Psychiatry higher Child and Adolescent Psychiatry higher Specialist Trainee Specialist Trainee

Induction to the Programme (For New and other trainees)Induction to the Programme (For New and other trainees) 10.15 coffee10.15 coffee 10.30 -12.00 10.30 -12.00 Overview of the Programme Overview of the Programme Dr Latha Hackett, Training Programme director, Dr Latha Hackett, Training Programme director, David Ochando, Chair, St4-6 in child and adolescent PsychiatryDavid Ochando, Chair, St4-6 in child and adolescent Psychiatry Yvonne Brookes, Specialty School manager, NW deanery, Yvonne Brookes, Specialty School manager, NW deanery, Sandra Russell, Specialty Training Administrator, CMFT Sandra Russell, Specialty Training Administrator, CMFT

The following to be organised by Dr Aslam on a separate dayThe following to be organised by Dr Aslam on a separate day Portfolio ARCP METISPortfolio ARCP METIS – Trainee & Neelo Aslam – Trainee & Neelo Aslam Research on the Programme Research on the Programme – Professor Jonathan Green/Dr Rachel Elvins– Professor Jonathan Green/Dr Rachel Elvins Academic ProgrammeAcademic Programme – Professor Jonathan Hill – Professor Jonathan Hill Therapeutic ModalitiesTherapeutic Modalities – Dr Neelo Aslam – Dr Neelo Aslam On call on the scheme – trainee On call on the scheme – trainee Mandatory training – Dr AslamMandatory training – Dr Aslam   

Page 3: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

The SchemeThe Scheme

Training Scheme Training Scheme DeaneryDeanery School of PsychiatrySchool of Psychiatry CAPFECC - CurriculumCAPFECC - Curriculum Training Programme – Academic, Case Training Programme – Academic, Case

presentation Guidelines, therapeutic skills presentation Guidelines, therapeutic skills training, research, Management Training.training, research, Management Training.

GMCGMC

Page 4: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

The SchemeThe Scheme

Trainees meeting with the training Trainees meeting with the training Programme DirectorProgramme Director

Trainee, Trainer and Training Programme Trainee, Trainer and Training Programme Director Meeting Director Meeting

Training Plans/Learning objectives.Training Plans/Learning objectives. End of year Report.End of year Report. E-portfolio, PDP, WPBA, E-portfolio, PDP, WPBA, Mandatory training Mandatory training

Page 5: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

SchemeScheme

Mentors.Mentors. Appraisal and assessment –ARCPAppraisal and assessment –ARCP Placement evaluation form – Training Placement evaluation form – Training

Committee and SchoolCommittee and School Study leaveStudy leave Applying for CCTApplying for CCT Travel ExpenseTravel Expense

Page 6: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Training Scheme.Training Scheme.

Northwestern scheme.Northwestern scheme. NTN - 22 Salaries WT- 19NTN - 22 Salaries WT- 19 Posts approved 24 Posts approved 24 Salaries - 10 in CMFT, 2 Bolton, 2 Pennine care, 3 GMW, 1 Salaries - 10 in CMFT, 2 Bolton, 2 Pennine care, 3 GMW, 1

Burnley, 1 in Leyland (Chorley)Burnley, 1 in Leyland (Chorley) September 08 – EWTD compliant: 1:8 rota for Greater September 08 – EWTD compliant: 1:8 rota for Greater

ManchesterManchester

Page 7: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Training SchemeTraining Scheme

St’s - WT - 14 Flex – 4 St’s - WT - 14 Flex – 4 1 vacancy1 vacancy NTN’s used - 18 out of the 22 NTN’s used - 18 out of the 22 Buddying system – all Trainees allocated Buddying system – all Trainees allocated

will have a named senior trainee as a buddy will have a named senior trainee as a buddy when they first start to help them settle.when they first start to help them settle.

Page 8: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

BuddiesBuddies

You should have been allocated a buddyYou should have been allocated a buddy Do you know who your buddy is?Do you know who your buddy is?

Page 9: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

The SchemeThe Scheme Specialty trainees (St4-6):Specialty trainees (St4-6): St6: Dinesh Khanna , * Sally Albachary,*Samina Holsgrove (**) Louisa St6: Dinesh Khanna , * Sally Albachary,*Samina Holsgrove (**) Louisa

Draper, ***David Ochando, Krishna Madhusudhan, Sri Velandy, Draper, ***David Ochando, Krishna Madhusudhan, Sri Velandy, St5 Venu Bansal, Peter Sweeney, Omar Tariq, Vandna Saxena, St5 Venu Bansal, Peter Sweeney, Omar Tariq, Vandna Saxena, *Katharina Junejo, Akhtar Kapasi, Dush Mahadevan.*Katharina Junejo, Akhtar Kapasi, Dush Mahadevan. St4 - Sahana Kini, Zubair Ahmed, Nelu Ingirige, Amith Paramel and St4 - Sahana Kini, Zubair Ahmed, Nelu Ingirige, Amith Paramel and

*/**Nadia Ranceva*/**Nadia Ranceva * - LTFT* - LTFT ** ACF** ACF *** MLP*** MLP 18 trainees St4-6 – 14 WTE, 4 LTFT18 trainees St4-6 – 14 WTE, 4 LTFT 1 Vacancy1 Vacancy

Page 10: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

The DeaneryThe Deanery

The post graduate Dean - Jacky Hayden.The post graduate Dean - Jacky Hayden. Associate PGD’s - Associate PGD’s - Psychiatry - Dr George Nasmyth. Psychiatry - Dr George Nasmyth. Specialty School Manager –Yvonne BrooksSpecialty School Manager –Yvonne Brooks Appointment of TPDAppointment of TPD Meet twice a year on away days with all chairs of Meet twice a year on away days with all chairs of

Training Committees and DME other medical Training Committees and DME other medical educators- May & Septeducators- May & Sept

Page 11: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

School of Psychiatry School of Psychiatry Head of School – Damien LongsonHead of School – Damien Longson TPD’s for ST 4-6TPD’s for ST 4-6 General Adult –A PoyntonGeneral Adult –A Poynton Old Age – Harry AllenOld Age – Harry Allen LD – Carol HarveyLD – Carol Harvey Psychotherapy - Mark EvansPsychotherapy - Mark Evans Forensic - Simon PlunkettForensic - Simon Plunkett CAP – Latha Hackett CAP – Latha Hackett TPD – Core Training 1,2,3 TPD’s (Dr Graham Ness, TPD – Core Training 1,2,3 TPD’s (Dr Graham Ness,

Taseer Kazmi, Lucy Aitkin. Lancashire Care – Venu Taseer Kazmi, Lucy Aitkin. Lancashire Care – Venu DudduDuddu

School administrator – Sam Abbott School administrator – Sam Abbott

Page 12: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

School of PsychiatrySchool of Psychiatry

Operational boardOperational board Head of school, Associate dean, DME Head of school, Associate dean, DME

(MMHSCT, GMW, Pennine Care, (MMHSCT, GMW, Pennine Care, Lancashire Care), Academic, Regional rep Lancashire Care), Academic, Regional rep for Psychiatry, Pastoral Care, Quality for Psychiatry, Pastoral Care, Quality assurance, Core training TPD’s & St4-6 assurance, Core training TPD’s & St4-6 TPD’sTPD’s

Specialty Manager and School administratorSpecialty Manager and School administrator

Page 13: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

School BoardSchool Board

The operational board +The operational board + All tutors and TPD’sAll tutors and TPD’s Trainee repsTrainee reps Lay representativeLay representative

Page 14: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Child and Adolescent PsychiatryChild and Adolescent PsychiatrySpecialty training committeeSpecialty training committee

Chair - Training programme director.Chair - Training programme director. Deputy Programme Directors- Drs Neelo Aslam, Deputy Programme Directors- Drs Neelo Aslam,

Mischa Mockett, Kenny Ross, Anne ShortallMischa Mockett, Kenny Ross, Anne Shortall Three way meeting – TPD, Dpty TPD s ShortallThree way meeting – TPD, Dpty TPD s Shortall Yvonne Brooks – Specialty ManagerYvonne Brooks – Specialty Manager Meet Twice a year - Autumn and Summer – Meet Twice a year - Autumn and Summer –

PP3 or Winnicott CentrePP3 or Winnicott Centre

Page 15: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

ST group ST group

Chair  & STSC rep                    Chair  & STSC rep                     Dr. David Ochando               Dr. David Ochando                Deputy Chair Deputy Chair & STSC rep& STSC rep Dr. Katharina JunejoDr. Katharina Junejo Academic rep                      Academic rep                       Dr. Sri Velandy Dr. Sri Velandy Research Rep                    Research Rep                    Dr. Dush MahadevanDr. Dush Mahadevan Management                       Management                        Dr. Omar TariqDr. Omar Tariq Therapeutic Modalities      Therapeutic Modalities       Dr. Krishna Madhusudhan Dr. Krishna Madhusudhan Legal Aspects                      Legal Aspects                       Dr. Omar TariqDr. Omar Tariq Paediatric Liaison      Paediatric Liaison       Dr. Akhtar Kapasi        Dr. Akhtar Kapasi         On-call Rota :WestOn-call Rota :West Dr. Vandna SaxenaDr. Vandna Saxena On –Call Rota:East +Central      Dr. Sahana KiniOn –Call Rota:East +Central      Dr. Sahana Kini Incident review panel , Network Board and On-call Website Management groupIncident review panel , Network Board and On-call Website Management group

– Dr. Peter Sweeny, Dr. Krishnan Madhusudhan                          Dr. Peter Sweeny, Dr. Krishnan Madhusudhan                         

Page 16: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

STSCSTSC

All trainers are members of the STSCAll trainers are members of the STSC Trainee representatives – 1 Whole time + 1 Flexible Trainee representatives – 1 Whole time + 1 Flexible

trainees.trainees. Sub Group ( all have a trainer lead and a trainee rep -in Sub Group ( all have a trainer lead and a trainee rep -in

italics)italics) Academic Programme director – Ruth Marshall, Professor Academic Programme director – Ruth Marshall, Professor

Jonathan Hill, Tim Morris, Mischa Mockett, Louise Jonathan Hill, Tim Morris, Mischa Mockett, Louise Theodosiou, Latha Hackett, Theodosiou, Latha Hackett, Sri VelandySri Velandy

Research Coordinator - Dr Jonathan Green, Research Coordinator - Dr Jonathan Green, Sri VelandySri Velandy Management training – Tim Morris, Roshelle Ramkisson, Management training – Tim Morris, Roshelle Ramkisson,

Omar TariqOmar Tariq

Page 17: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

STSCSTSC

Therapeutic Modalities - Neelo Aslam & Krishna Therapeutic Modalities - Neelo Aslam & Krishna Madhusudhan Madhusudhan

Legal Aspects Training – Dr Kenny Ross & Omar Legal Aspects Training – Dr Kenny Ross & Omar Tariq/Akhtar KapasiTariq/Akhtar Kapasi

Paediatric liaison – Dr Hilary Lloyd & Katharina Paediatric liaison – Dr Hilary Lloyd & Katharina Junejo, Akhtar KapasiJunejo, Akhtar Kapasi

ST chair – Dr. David Ochando, ST chair – Dr. David Ochando,

Page 18: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Training on the ManchesterTraining on the ManchesterSchemeScheme

Academic – 15 organised days. 1Academic – 15 organised days. 1stst Mondays of the month – Mondays of the month – academic training days(11), 2academic training days(11), 2ndnd or 3 or 3rdrd Mondays – Regional Mondays – Regional training days (4 days a year)training days (4 days a year)

In placement – most experience gained over three WTE In placement – most experience gained over three WTE yearsyears

ADI – video training available for all Sts. Video’s in my ADI – video training available for all Sts. Video’s in my office, you can book it and I can help you on how to train office, you can book it and I can help you on how to train yourselfyourself

Special courses organised in house: *Management Special courses organised in house: *Management training, legal aspects and therapeutic modalities.training, legal aspects and therapeutic modalities.

Bought from out side – ADOS, Legal aspects etcBought from out side – ADOS, Legal aspects etc Mandatory in first year – Child protection training, Break Mandatory in first year – Child protection training, Break

away training, Basic life support trainingaway training, Basic life support training

Page 19: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Academic ProgrameAcademic Programe

Two trainers per dayTwo trainers per day One chair of the case conferenceOne chair of the case conference Case conference ConsultantCase conference Consultant Two organising traineesTwo organising trainees Meet organising trainers – 3 months in Meet organising trainers – 3 months in

advance, trainee sent out papers to trainees advance, trainee sent out papers to trainees and all trainersand all trainers

Page 20: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Academic ProgrammeAcademic ProgrammeRawnsley Conference room, 1st working Rawnsley Conference room, 1st working

MondayMonday ST business meetingST business meeting Learning objectives of the day (Personal LO, what do you expect to Learning objectives of the day (Personal LO, what do you expect to

learn from the day, end of the day what did you learn and how are you learn from the day, end of the day what did you learn and how are you going to address this and reflect on what you achieved that day for going to address this and reflect on what you achieved that day for portfolio signed by trainer of the dayportfolio signed by trainer of the day

Overview of the topic of the dayOverview of the topic of the day Journal papersJournal papers Discussion of relevance of the day to clinical Practice/Research clubDiscussion of relevance of the day to clinical Practice/Research club Case Presentation Case Presentation Review of LO of the dayReview of LO of the day Mandatory attendance – register will be kept by Sandra Russell and I Mandatory attendance – register will be kept by Sandra Russell and I

will be informed at the end of the year when I write my TPD report for will be informed at the end of the year when I write my TPD report for ARCP (75%)ARCP (75%)

Page 21: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Academic ProgrammeAcademic Programme

The two organising trainees + trainee for the case The two organising trainees + trainee for the case presentation meet with organising consultants for the day 3 presentation meet with organising consultants for the day 3 months in advancemonths in advance

Agree on the academic contentAgree on the academic content Send programme to TPD & Academic programme Send programme to TPD & Academic programme

organiser with all the papers – e or paper copy.organiser with all the papers – e or paper copy. Consultant for the case presentation – need to be told in Consultant for the case presentation – need to be told in

advance that their case is being presented. He/she should advance that their case is being presented. He/she should be present.be present.

Hence minimum 4-5 trainers present for case conferenceHence minimum 4-5 trainers present for case conference

Page 22: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Therapeutic Modalities TrainingTherapeutic Modalities Training

Mostly in PlacementsMostly in Placements CBT, Family Therapy and Psychodynamic CBT, Family Therapy and Psychodynamic

Psychotherapy; Group therapy try and use Psychotherapy; Group therapy try and use opportunitiesopportunities

2012-2013 Family Therapy & Psychodynamic 2012-2013 Family Therapy & Psychodynamic psychotheraoy – 6-7 whole days equivalentpsychotheraoy – 6-7 whole days equivalent

At the end of these sessions – report from trainer At the end of these sessions – report from trainer required for ARCP – attendance – 75%, SAPE, required for ARCP – attendance – 75%, SAPE, Psychotherapy ACE, essay marking etcPsychotherapy ACE, essay marking etc

Page 23: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Trainer/Trainee Hand bookTrainer/Trainee Hand book IntroductionIntroduction Job descriptionsJob descriptions Induction to the SchemeInduction to the Scheme Rotation and on call listRotation and on call list Academic ProgrammeAcademic Programme Research – Prof Jonathan Hill to discuss furtherResearch – Prof Jonathan Hill to discuss further Therapeutic Modalities ProgrammeTherapeutic Modalities Programme Legal Aspects TrainingLegal Aspects Training Management TrainingManagement Training Paediatric Liaison Training – in preparationPaediatric Liaison Training – in preparation On callOn call Safety at work placeSafety at work place Audit of courses trainees have attended in the year 2006-2007Audit of courses trainees have attended in the year 2006-2007 Forms - Evaluation of Training placement.Forms - Evaluation of Training placement. ARCP – Gold guide summary and relevant section.ARCP – Gold guide summary and relevant section. RCPsych Occasional Paper 65RCPsych Occasional Paper 65

Page 24: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

CAPFECCCAPFECC

Chair – Brian Jacobs.Chair – Brian Jacobs. CAPFECC developed curriculum and is CAPFECC developed curriculum and is

developing assessment tooldeveloping assessment tool 2010 curriculum – you will be assessed 2010 curriculum – you will be assessed

against thisagainst this

Page 25: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Annual Cycle of reviewAnnual Cycle of review

1.1. Learning agreement: Learning agreement: Aims and intended learning outcomes.Aims and intended learning outcomes. Based on specialty curriculum.Based on specialty curriculum.

2. Advice on portfolio2. Advice on portfolio

3. Regular feed back (two-way)3. Regular feed back (two-way)

4. Personal development Plan4. Personal development Plan

5. Educational supervisors structured report5. Educational supervisors structured report

6. NHS appraisal – end of portfolio or MMC Website6. NHS appraisal – end of portfolio or MMC Website

Page 26: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Annual Cycle of reviewAnnual Cycle of review

Educational Appraisal & WPBAEducational Appraisal & WPBAA. Evidence A. Evidence 1. Assessment of Performance – WPBA, ESR, TPD Structured report1. Assessment of Performance – WPBA, ESR, TPD Structured reportARCP & OutcomeARCP & Outcome2. Assessment of Experience2. Assessment of ExperiencePortfolio, audit, research, critical incidents, teachingPortfolio, audit, research, critical incidents, teachingB. ARCP – Appropriate Panel to consider the evidence.B. ARCP – Appropriate Panel to consider the evidence.Review of evidence of progress, outcome of review, educational planning.Review of evidence of progress, outcome of review, educational planning.Annual PlanningAnnual PlanningTPD/deputy – meet trainee to – review ARCP outcome and plan next part TPD/deputy – meet trainee to – review ARCP outcome and plan next part

of training of training

Page 27: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Annual Review of Competence Progression – Annual Review of Competence Progression – ((ARCP -Gold Guide) July 2010ARCP -Gold Guide) July 2010

Portfolio should have the following:Portfolio should have the following: Evidence of Induction – Induction to the scheme, Induction to Trust, Induction to the Evidence of Induction – Induction to the scheme, Induction to Trust, Induction to the

departmentdepartment Personal development Plan –prepared by trainee signed by Trainer in the first month, Personal development Plan –prepared by trainee signed by Trainer in the first month,

linked to curriculumlinked to curriculum Three way meeting PDP or LO signed off by ES. TPD signing off annual planning of Three way meeting PDP or LO signed off by ES. TPD signing off annual planning of

trainees learning – 6-8 weekstrainees learning – 6-8 weeks Interim review 6 months later - TPD and a deputy. ES sign offInterim review 6 months later - TPD and a deputy. ES sign off WPBA – These are not specified. But a minimum of 12 with a combination of ACE, Mini-WPBA – These are not specified. But a minimum of 12 with a combination of ACE, Mini-

ACE, CBD- all with reflective notes, MPAT – important and necessary on metis & TwiceACE, CBD- all with reflective notes, MPAT – important and necessary on metis & Twice NHS appraisal. Form 4 sign off necessary for ARCPNHS appraisal. Form 4 sign off necessary for ARCP Psychological modalities training – evidence – supervisors report etcPsychological modalities training – evidence – supervisors report etc Research report – Evidence from supervisorResearch report – Evidence from supervisor Audit report – evidence – report, presentation, sign off from trainerAudit report – evidence – report, presentation, sign off from trainer Record of on call, teaching and feedbackRecord of on call, teaching and feedback Management activity- reflectionsManagement activity- reflections CPR and break away trainingCPR and break away training PMETB surveyPMETB survey Educational Supervisors structured reportEducational Supervisors structured report Training Programme directors Structured reportTraining Programme directors Structured report All this recorded in your portfolio. Sam Abbott, School administrator will update All this recorded in your portfolio. Sam Abbott, School administrator will update

Page 28: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

ARCP – Panel A (July)ARCP – Panel A (July)

No trainee present.No trainee present. Panel – TPD, Head of school and Regional Panel – TPD, Head of school and Regional

representativerepresentative To consider To consider evidenceevidence and approve and approve

adequacy of the evidence and adequacy of the evidence and documentationdocumentation

Judge whether a trainee can progress to Judge whether a trainee can progress to next stage of trainingnext stage of training

Page 29: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

ARCP OutcomesARCP Outcomes

1 Satisfactory progress .1 Satisfactory progress .Achieving progress and Achieving progress and the development of competencies at the the development of competencies at the expected rate expected rate

*2 *2 Development of specific competences Development of specific competences required – additional training time not required – additional training time not required required

*3 *3 Inadequate progress by the trainee – Inadequate progress by the trainee – additional training time required additional training time required

*4*4Released from training programme with or Released from training programme with or without specified competenceswithout specified competences

5 – Not enough evidence5 – Not enough evidence *2,3,4 – unsatisfactory progression*2,3,4 – unsatisfactory progression

Page 30: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

ARCP – Panel BARCP – Panel B

Trainee is present.Trainee is present. This is when the ARCP This is when the ARCP outcome is not 1outcome is not 1 Panel organised by the DeaneryPanel organised by the Deanery

Page 31: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Appraisal and 360 degree Appraisal and 360 degree assessment – MPAT on metisassessment – MPAT on metis

Trainers will appraise trainees before the Trainers will appraise trainees before the ARCP in May/June using the DOH appraisal ARCP in May/June using the DOH appraisal document document all on metis all on metis

Mini PAT – 360 degree appraisal x 2 – on Mini PAT – 360 degree appraisal x 2 – on metismetis

Before the ARCP as well, the information Before the ARCP as well, the information collected by trainer and report given to collected by trainer and report given to Trainee for ARCPTrainee for ARCP

Page 32: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

ARCP challengesARCP challenges January 2010 - 2 St4’s – both got outcome 1 January 2010 - 2 St4’s – both got outcome 1 July 2010 - 13 Specialty trainees presented July 2010 - 13 Specialty trainees presented 11 got Outcome 1 – panel A11 got Outcome 1 – panel A 2 outcome 5 had to do the following: no triangulation of evidence in 2 outcome 5 had to do the following: no triangulation of evidence in

summary of evidence and NHS appraisal. Got outcome 1 in the endsummary of evidence and NHS appraisal. Got outcome 1 in the end In Jan & July 2010 – none of the child psychiatry trainee went to Panel In Jan & July 2010 – none of the child psychiatry trainee went to Panel

B! B! This is an achievement in the school of PsychiatryThis is an achievement in the school of Psychiatry July 2011, 15 trainees, Outcome 1=10, 6=2, 2=1, 3=2 (3 trainees to July 2011, 15 trainees, Outcome 1=10, 6=2, 2=1, 3=2 (3 trainees to

panel B)panel B) January 2012 – 6 trainees – Outcome 1 =1, 2=1, 6=4 (1 to panel B)January 2012 – 6 trainees – Outcome 1 =1, 2=1, 6=4 (1 to panel B) July 2012 – 11 trainees - Outcome 1 =6, 2 =1, 3 =1, 6=3 (2 to panel B)July 2012 – 11 trainees - Outcome 1 =6, 2 =1, 3 =1, 6=3 (2 to panel B) January 2013 – 5 trainees attendedJanuary 2013 – 5 trainees attended Most cases of outcome 2 – inadequate evidence and not linking the Most cases of outcome 2 – inadequate evidence and not linking the

evidence - poor triangulation of evidenceevidence - poor triangulation of evidence

Page 33: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Annual Leave & Sick LeaveAnnual Leave & Sick Leave Annual leave - 25 days to startAnnual leave - 25 days to start Third increment - 30 days.Third increment - 30 days. 8 public holidays + 2 extra statutory holidays – you need to check 8 public holidays + 2 extra statutory holidays – you need to check

this with the trust you work for. In CMMC no hospital holidays but this with the trust you work for. In CMMC no hospital holidays but you get 4 extra days!you get 4 extra days!

Leave year - 1.11 - 31.10.Leave year - 1.11 - 31.10. Sickness absenceSickness absence - Trust. Trainee has to make two phone calls – - Trust. Trainee has to make two phone calls –

one to base and other to medical staffing at place of work. 3-7 one to base and other to medical staffing at place of work. 3-7 days self certification. Over 7 – GP sick note. Weekends are days self certification. Over 7 – GP sick note. Weekends are included in sick leave.included in sick leave.

More than 7 days - PG med personnel informed.More than 7 days - PG med personnel informed. Greater Manchester West employs all traineesGreater Manchester West employs all trainees Any leave/rota issues should be raised with the local medical staffing.  Any leave/rota issues should be raised with the local medical staffing.  For any pay issues you should contact GMW lead employer.For any pay issues you should contact GMW lead employer.

Page 34: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Study leaveStudy leave

30 days a year - 15+ 7 days on the Programme. 30 days a year - 15+ 7 days on the Programme. Budget - WTE-£805/ year. Flexible pro-rata 6 Budget - WTE-£805/ year. Flexible pro-rata 6 sessions £492(?)sessions £492(?)

Study leave forms available electronicallyStudy leave forms available electronically““CAPSAC requires” - 30 academic sessions per CAPSAC requires” - 30 academic sessions per

year.year. 11 SpR academic days.11 SpR academic days. Regional days - 4.Regional days - 4.Therapeutic modalities - 7 days; 08-09 CBT & Therapeutic modalities - 7 days; 08-09 CBT &

Psychodynamic Psychodynamic Have 8 days to attend other coursesHave 8 days to attend other courses

Page 35: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Courses usually attendedCourses usually attended

Research module - £250Research module - £250 Autism Diagnostic Observation Schedule £850 – reduced Autism Diagnostic Observation Schedule £850 – reduced

for str. Contact Kleo at Harrington bldgfor str. Contact Kleo at Harrington bldg RCP – CAP faculty Residential conference - £500-600RCP – CAP faculty Residential conference - £500-600 Legal aspects – £100-250 (local, RSM with college)Legal aspects – £100-250 (local, RSM with college) Webster Stratton - £400Webster Stratton - £400 Management – Free - £1000Management – Free - £1000 Manchester Psychopharmacology course - £400 (usually Manchester Psychopharmacology course - £400 (usually

reduced for trainees)reduced for trainees) Regional days - £25 eachRegional days - £25 each

Page 36: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Meeting with the TPDMeeting with the TPD

TPD/Trainee Induction –Within 2 weeks TPD/Trainee Induction –Within 2 weeks after trainee starts.after trainee starts.

3 way meeting - Trainee/Trainer/TPD - 6-12 3 way meeting - Trainee/Trainer/TPD - 6-12 weeks of starting post.weeks of starting post.

Meeting with Trainee annually in April/May Meeting with Trainee annually in April/May before ARCP individuallybefore ARCP individually

Meeting with TPD and a deputy in June for Meeting with TPD and a deputy in June for structured TPD reportstructured TPD report

Page 37: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Placement.Placement.

Postings decided at the end of AprilPostings decided at the end of April

Decision. The trainee request vs training Decision. The trainee request vs training needs Vs requests from SpR’s as a whole needs Vs requests from SpR’s as a whole vs Trusts being able to pay banding for extra vs Trusts being able to pay banding for extra flexible trainees.flexible trainees.

Page 38: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

SupervisionSupervision

Once a week.Once a week. Clinical Clinical Management etc. Management etc. PortfolioPortfolio PastoralPastoral Trainers are requested to document Trainers are requested to document

supervision sessions. supervision sessions.

Page 39: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

PDPPDP

This should be documented.This should be documented. There is a formal form to do this.There is a formal form to do this. I would advice this is done in 4-6 weeks of I would advice this is done in 4-6 weeks of

starting.starting. Needs to be reviewed every three months.Needs to be reviewed every three months. Use the curriculum and do thisUse the curriculum and do this Use the summary of evidence sheet in front Use the summary of evidence sheet in front

of your portfolioof your portfolio

Page 40: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

WPBAWPBA

Once a month do a WPBA (Once a month do a WPBA (Do minimum 12)Do minimum 12) Minimum 2 ACEMinimum 2 ACE Minimum 4 Mini ACEMinimum 4 Mini ACE 6 CBD’s6 CBD’s Mini PAT – thro’ Metis. Do discuss with the Mini PAT – thro’ Metis. Do discuss with the

trainers and discuss with the people you trainers and discuss with the people you want to complete the forms – more than 8 want to complete the forms – more than 8 ask for 12ask for 12

Page 41: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

End of Year reportEnd of Year report

Should be at last few superv.Should be at last few superv. Belongs to the trainee for next trainer.Belongs to the trainee for next trainer. Trainer/trainee sign it.Trainer/trainee sign it. Headings - Organisation (time keeping, Headings - Organisation (time keeping,

diary keeping, clinical correspondence), diary keeping, clinical correspondence), Quality of clinical letter, Interview skills, Quality of clinical letter, Interview skills, Therapeutic skillsTherapeutic skills

Page 42: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

End of Placement trainee feedback.End of Placement trainee feedback.

Trainee fill in a form.Trainee fill in a form. Confidential information.Confidential information. To be collated after 3 trainees have fed back To be collated after 3 trainees have fed back

on the post.on the post. Then summarised and sent to trainerThen summarised and sent to trainer There is a school of Psychiatry one too – I There is a school of Psychiatry one too – I

would suggest that you complete bothwould suggest that you complete both Three surveys in all – *PMETB - mandatory, Three surveys in all – *PMETB - mandatory,

School and training schemeSchool and training scheme

Page 43: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

StR appointmentStR appointment

Annual: like the MTAS applications but Annual: like the MTAS applications but new improved one through GMWnew improved one through GMW

Appointments take place when there are Appointments take place when there are vacanciesvacancies

Page 44: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Role of Training Programme DirectorRole of Training Programme Director

Induction of trainees and TrainersInduction of trainees and Trainers Trainer / Trainee Handbook.Trainer / Trainee Handbook. To support trainers in the training of SpR’s/STRs.To support trainers in the training of SpR’s/STRs. To oversee the training of all trainees.To oversee the training of all trainees. Reference point – Training Committee, School of Reference point – Training Committee, School of

Psychiatry Deanery, Royal College.Psychiatry Deanery, Royal College. Annual trainer/Trainer meeting - annually.Annual trainer/Trainer meeting - annually. Trainer away day - 2 half days annually.Trainer away day - 2 half days annually.

Page 45: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

PortfolioPortfolio

All trainees must be on MetisAll trainees must be on Metis Discuss with Sam Abbott – attend school Discuss with Sam Abbott – attend school

induction for thisinduction for this Trainees must use it Trainees must use it Trainers know about thisTrainers know about this ARCP submissionARCP submission Metis is what we look at for TPD report and Metis is what we look at for TPD report and

ARCPARCP

Page 46: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

If there are concerns.If there are concerns.

I would like to be informed as soon as I would like to be informed as soon as possible.possible.

Happy to be a sounding boardHappy to be a sounding board Complete transparency with traineesComplete transparency with trainees

Page 47: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Trainee ConcernsTrainee Concerns Educational supervisorEducational supervisor Site Tutor/DME – Neelo Aslam, CMFT, Site Tutor/DME – Neelo Aslam, CMFT,

Margaret Campbell, GMW, Bernie Larkin, Margaret Campbell, GMW, Bernie Larkin, Pennine Care, DME for Royal Bolton, Pennine Care, DME for Royal Bolton, Lancashire care -Dr Venu Duddu/ John Lancashire care -Dr Venu Duddu/ John McKennaMcKenna

TPDTPD Lead EmployerLead Employer DeaneryDeanery

Page 48: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

MentorsMentors

Trainees must have one.Trainees must have one. Trainees are advised to select oneTrainees are advised to select one If they want help I will recommend one If they want help I will recommend one Role of mentorsRole of mentors

Page 49: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Training available Training available

PBL tutor, OSCE training – Manchester Med PBL tutor, OSCE training – Manchester Med schoolschool

Research methodology courseResearch methodology course PGCERT course organised by the deaneryPGCERT course organised by the deanery Other courses like – ADOS, management, Other courses like – ADOS, management,

Residential conferences etc.Residential conferences etc. I recommend trainees meet Professor I recommend trainees meet Professor

Jonathan Green, Research coordinator as Jonathan Green, Research coordinator as part of inductionpart of induction

Page 50: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Induction for traineesInduction for trainees

To the schemeTo the scheme To the employing TrustTo the employing Trust Local placement inductionLocal placement induction Induction to the School of psychiatry Induction to the School of psychiatry

mandatorymandatory

Page 51: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Mandatory training/requirementMandatory training/requirement

BLSBLS SafeguardingSafeguarding Breakaway trainingBreakaway training Annual appraisalAnnual appraisal School surveySchool survey GMC surveyGMC survey

Page 52: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Mandatory training for TrainersMandatory training for Trainers

*Metis portfolio training (*Induction training)*Metis portfolio training (*Induction training) Attend School of Psychiatry training event or Attend School of Psychiatry training event or

educational conference per 12 monthseducational conference per 12 months WPBA training every three yearsWPBA training every three years Equality and Diversity every three yearsEquality and Diversity every three years Training in Supervision every 5 yearsTraining in Supervision every 5 years Training in appraisal every 5 yearsTraining in appraisal every 5 years Training in bullying and Harassment every 5 yearsTraining in bullying and Harassment every 5 years Northwestern school of Psychiatry - A guide to Northwestern school of Psychiatry - A guide to

New post approvalNew post approval

Page 53: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Hand outs on CD ROMHand outs on CD ROM This presentationThis presentation OP69 RCPsych Jan 2010. Postgraduate Training OP69 RCPsych Jan 2010. Postgraduate Training

in Psychiatry – Essential information for trainees in Psychiatry – Essential information for trainees and trainers. and trainers.

Child and Adolescent Psychiatry HandbookChild and Adolescent Psychiatry Handbook Rotation listRotation list Dates for Family Therapy training Circulated & Dates for Family Therapy training Circulated &

Psychotherapy from Feb-July 2013Psychotherapy from Feb-July 2013 Psychopharmacology course will be posted to youPsychopharmacology course will be posted to you Academic day programme 20012-13Academic day programme 20012-13 Curriculum 2010Curriculum 2010 On call information On call information

Page 54: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Course dates – Therapeutic Course dates – Therapeutic Modalities trainingModalities training

Family therapy training – Coordinator Dr Anne Shortall (September Family therapy training – Coordinator Dr Anne Shortall (September 2012-July 2013)2012-July 2013)

Psychodynamic Psychotherapy training - Dr Louise Theodosiou Psychodynamic Psychotherapy training - Dr Louise Theodosiou (February –July 2013(February –July 2013

Cognitive Therapy –Dr Ian Dufton 2013-2014Cognitive Therapy –Dr Ian Dufton 2013-2014

Pharmacology coursePharmacology course – Manchester usually November 2012 – Manchester usually November 2012

Page 55: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Team Roles – Medical HR DepartmentTeam Roles – Medical HR Department

  

Page 56: Higher Specialist Training in Child and Adolescent Psychiatry Induction February 2013 Dr Latha Hackett latha.hackett@cmft.nhs.uk Yvonne Brooks y.brooks@nwpgmd.nhs.uk.

Current Trainees on the scheme

Dinesh Khanna, Krishna Madhusudhan, Sri Velandy, Venu Bansal, Louisa Draper

Samina Holsgrove, Sally Albachari, Omar Tariq, Katharina Junejo, Sahana Kini,

Vandna Saxena, Peter Sweeney Dush Mahadevan, Akhtar Kapasi Zubair Ahmed, Nelu Ingirige Amith Paramel, Nadia Ranceva


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