Transcript The CCT in ICM

ICM update 2013
Dr Teresa Evans
Old vs New scheme – advanced
training vs.FICM trainees
• Trainees appointed pre July 2013 will still
be able to do advanced training until
~2016. (joint CCT)
• Trainees appointed from 2012 are
applying for the new standalone CCT
which can potentially be combined with
another specialty CCT to make a dual
CCT
Old vs New Paperwork
• Different Curricula depending on when
appointed
• All available on the FICM website
– Trainees appointed between 2007 – 2010 follow the 2007
curriculum which numbers 1 – 6
– Trainees appointed after August 2010 follow the 2010 curriculum,
which numbers 1-3
– Trainees appointed into the new standalone CCT will follow
the single CCT curriculum
Standalone CCT in ICM
Standalone single CCT in
ICM
Only option for trainees
starting ST training in
2012
A compulsory examination
leads to the FFICM
Part 2 FFICM to
commence in 2012
Structure for a 5 year
scheme
Stage 1 training
Comprises CT1 - ST4
Minimum 4 years duration
Need minimum of 1 year Medicine
1 year Anaesthesia
1 year ICM
Training needs at ST3/4 will therefore vary
But will essentially be at CT or novice level
Exam in base specialty
Stage 2 training
Comprises ST5 - ST6
ST5
3 month attachments in
Neuro ICM
Cardiac ICM
Paeds ICM
Other
Close liaison with anaesthetics
ST6
Specialist area development (dual speciality yr)
FFICM in yrs 6/7
Stage 3 training
ST7
The final year
Developing autonomy and management skills
Single CCT Programmes in ICM
Training Stage
If entering from ACCS:
Year
If entering from CORE ANAESTHESIA TRAINING:
Training Stage
Year
If entering from CORE MEDICINE:
Training Stage
Year
Recruitment
Run by the West Midlands Deanery
National recruitment for short listing and Interviews
Trainees can only hold ONE offer
Dual CCT
Stepped entry
18 month window
(-CESR-CP)
Cannot accept for both at the same time
Can apply in either direction
Second CCT will be in same deanery as the first
Dual or single CCT?
Duration: 8.5 years vs 7 years (inc 2 yrs CT)
Exams
Increased job availability
Funding
Current posts v Future predictions
Spread of acute hospitals
Centralisation
Challenges
• Short term
• Intermediate term
• Long term
Challenges
• Short term
– Rapid introduction
– Recruitment success
– Exam
• Intermediate term
• Long term
2013
• 240 applicants – 229
eligible
• 160 shortlisted – 88
posts
• Ongoing discussion as to
the upper limit in training
that an individual can be
appointed into dual
training
60
50
40
30
20
10
0
CT
NTN
2013
• Dual
– 72% Anaesthetics
– 17% Medicine
– 4% ED
100
80
60
40
20
0
Single CCT Dual CCT
Recruitment
nd
En
gla
t
E.
N.
we
s
H
Y&
s
ale
• Wales = 75% posts
filled
100
90
80
70
60
50
40
30
20
10
0
W
• Overall 90% posts
filled
Challenges
• Short term
• Intermediate term
– Introducing the 5 year programme
– Organising the dual programme
– Supporting enthusiastic trainees
• Long term
• Dual trainees in anaesthesia
– Welsh ICM STC producing guidance
•
•
•
•
Trainees – Appropriate domains to map
Clinical supervisors – report/ WPBA’s
Logbook
Guidance on appropriate blocks for Stage 1 –
ST3/4 anaesthetic blocks
Challenges
• Short term
• Intermediate term
• Long term
– Sustainability
– Service reconfiguration – trainee numbers
– On call
– Retirement age
Other aspects
• Assessments
– (WPBA – Mapped to 97 domains )
•
•
•
•
Logbook
Eportfolio
General Registration
Faculty fellowship / membership
Anaesthetists in ICM blocks
• The new ICM curriculum no longer holds
requirement for recommended WPBAs, but they
are still present in the Anaesthetic curriculum
– Basic – 1 DOPS, 1 mini-CEX, 1CBD
– Intermediate - 1 DOPS, 1 mini-CEX, 1CBD 1 ACAT
– Higher - 1 DOPS, 1 mini-CEX, 1CBD 1 ACAT
• Trainees also now need to be signed off on their
eportfolio
• Need for a reliable output from their ICM
attachment
• MSF - potential benefit of an extra
– Not compulsory
• Logbook – cases
– procedures
• Clinical supervisors report
Therefore
• Eportfolio sign off PLUS backing evidence
– Use of the 2010 ICM ETR form and guidance:
Questions?