Transcript 6 months of EM in ACCS

Zareena Jedaar
(UHW ED)
6 months of EM in ACCS
What to expect
• Who’s who of ACCS training in Wales EM
• Induction
• Registration with the College of EM for EM trainees
• Training agreement
• ACCS Workbook
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WPBAs
The role of the CT1, 2 and 3
Structured training report
ARCP
Who’s who
• Leads within each ED responsible for ACCS
training:
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In Bangor - Mark Anderton
In Cardiff - Zareena Jedaar
In Newport - Rajan Raghupati
In Swansea - Dindi Gill
In Wrexham - Robin Roop
• ACCS lead for AWSEM (All Wales School of
Emergency Medicine) - Zareena Jedaar
• Specialty lead and training programme
director of AWSEM - Amanda Farrow
Induction
• Registration with the College of EM for EM
trainees
• First of 3 Meetings with educational/clinical
supervisor
» Documentation on e-portfolio for EM and AM trainees;
hard copy format for Anaesthetic trainees
• Training agreement
AWSEM training agreement
Personal development plan
Workplace based assessments
Attendance at teaching/regional teaching for EM
trainees
» Participation in Audit
» E-learning modules
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WPBAs
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Summative assessments vs Formative assessments
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2 Summative Assessments (Mini-CEX OR CBD) by a Consultant on 2 of the Major Presentations using
the specific summative Mini-CEX or generic summative CBD forms.
5 Summative Assessments on the following 5 Acute Presentations (Chest Pain, Abdominal Pain, Mental
Health, Head Injury, Breathlessness) using the specific summative Mini-CEX or generic summative CBD
forms and completed by Consultants.
The above assessments will consist of a minimum of 4 Mini-CEX and 3 CBDs.
1 ACAT-EM which may cover up to 5 additional Acute Presentations
5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma,
Joint or fracture manipulation + one other practical procedure)
10 additional assessments of acute presentations using a combination of e-learning, reflective entries,
teaching and audit assessments, additional ACAT-EM
1 MSF (minimum of 10 to include 3 Consultants)
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The role of the CT1 – 3 in the ED
• Progression from Foundation training to Specialty
training
• Achieving EM skills and knowledge
• Assessed by WPBAs and MCEM exams for EM trainees
• Assuming leadership roles, incl. resus (under
supervision)
• Teaching and providing advice (if comfortable) to
less experienced (foundation trainees, nursing
staff, etc.)
• Medical student teaching
Educational opportunities
• Departmental teaching
• Regional teaching (1 full Tuesday per month): “stay in
touch”
• Audit and Case presentations (consultant completes
WPB assessment forms for these)
• E-learning (e-LFH, doctors.net, bmj.com)
• Mock Exams (MCEM and FCEM: 3/10/2012)
• AWSEM training day (Posters and presentations by
trainees)
• Simulation training days (25/9/2012 @ POW, Bridgend)
• Check emails and respond when necessary
STR and ARCP
• Structured training report
• Completed by trainee and educational supervisor
• Records WPBAs and achievements and documents strengths and
weaknesses/areas for development
• Summarises the evidence of competence required at the ARCP to
determine progression or not
• Complete at least 1 month before end of placement/before ARCP to
allow time to complete assessments or address potential areas of
concern