Transcript What now for Embryology?

What now for Embryology?
Dave Morroll
Multi-point Entry Routes
linked to education, training, competence
Consultant
Director
Consultant
Practitioner
Advanced
Practitioner
Specialist
Practitioner
Practitioner
Senior
Assistant
Assistant
1-2
3
Associate
Practitioner
4
9
8
7
6
5
Three points of
regulation with HPC
( Pre registration
Education & Training
Modernisation Project)
Healthcare Scientist Career
Pathway
Distribution of individuals across
the 9-stage Career Framework
current
scientists
technical
support
1
2
3
4
5
6
7
8
9
Currently, clinical scientists are predominantly at CF 6/7; the current
proposal seems to aim to have a smaller number of elite, highly
trained scientists that are fast-tracked to reach consultant level (CF8);
these will be supported by a larger technical workforce at CF4/5
Distribution of clinical scientists
across the Career Framework
9
CF
8
stage
7
6
5
Pre-Registration Training
- the “Clinical Scientist” route
• generic modules
– specimen handling
– Health and Safety/COSHH
– patient support
– reporting results
– quality management
– training and development
Pre-Registration Training
- the “Clinical Scientist” route
• basic embryology modules
– female reproductive physiology/endocrinology
– pathology
– cell biology/tissue culture
– embryological techniques
• basic andrology modules
– male reproductive physiology/endocrinology
– pathology/diagnostic techniques/treatments
• WORK PLACEMENTS
Pre-Registration Training
- the “Clinical Scientist” route
• scientific methods
– service development
• audits
– performance management
– quality management
– service improvement
reduced
• research
– design
– funding
for PhD
entry
Higher Specialist Training
• MRCPath
– examination/viva
– project/dissertation
• enhanced skills/expertise/experience
• management training
– cryobank/tissue banking
– general
grade 8 (Consultant) level
“Slow Track” Entry
• graduate entry
– build to Postgraduate Diploma
– basic physiology/biology
– generic NOSs
– emphasis on practical skills
• lower part of career framework
• different state registration point
• option to progress to M.Sc/MRCPath
Other Entry Points
• option for pre-graduate entry
– practical training logbook
– basic knowledge and understanding
•
•
•
•
•
build to a vocational qualification
more limited role (andrology or embryology?)
lower part of career framework
different state registration point
option to progress to PgDip/M.Sc/MRCPath
The new structure
IVF
Technician
Training
logbbook
vocational
qualification
Basic
Theory
6
higher degree entry
Andrology
Technician
5
graduate entry
4
pre-degree entry
3
Pre-regn
Trainee
Clinical
Embryology
PGD
Reprod
ClinicalSci
Andrology
Scientific
MSc /
Methods
Audit / Sci
Reprod
Research
7
8
9
HST
Consultant
Clin Emb Scientist
Higher
training
MRCPath
Part 1
Embryo
biopsy / PGD
Cryobank
management
MRCPath
Part 2
MRCPath
General
management
Autonomous
practitioner
Service lead
Equivalent
status to
medical
consultant
ReprodSci Career Framework
Senior Clinical
Embryologist
Clinical
Embryologis
t
Senior IVF
Assistant
Consultant
Director
Consultant
Practitioner
Advanced
Practitioner
IVF
Assistan
t
Specialist
Practitioner
Practitioner
Senior
Assistant
Assistant
Associate
Practitioner
9
8
7
6
5
Service
Lead
4
3
1-2
IVF
Practitione
r
Senior IVF
Practitioner
Service
Lead
large supra-
regional service
ReprodSci Career Framework
Senior
Andrology
Assistant
Consultant
Director
Consultant
Practitioner
Advanced
Practitioner
Androlog
y
Assistant
Senior
Assistant
Assistant
Senior Clinical
Andrologist
Clinical
Andrologist
Specialist
Practitioner
Practitioner
Associate
Practitioner
9
8
7
6
5
Service
Lead
4
3
1-2
Andrology
Practitione
r
Senior
Andrology
Practitioner
Service
Lead
large supra-
regional service
Reproductive Science
• Andrology and Embryology follow common
routes and structures
• JOINT ROLES vs SPECIALISATION??
• Training not accredited by professional
bodies
– Pre-reg training via Universities
– HST via MRCPath
• More scientific training for potential
consultants (Service Leads)
• More practical/skills training for Associate
Practitioner-Advanced Practitioner grades
What now for Embryology?
• pre-reg training posts
– supernumerary
– centrally-funded
current
scientists
technical
support
1
2
3
4
5
6
7
8
9
• higher specialist
training through to
grade 8 consultant role
• supported by ‘technical’
grade staff
• cost neutral
What now for Embryology?
• build MSc course
– competency-based practical training
– increase theoretical knowledge
– significant training in scientific methods
• continue links with College for HST
• explore role and training of practitioner
level support for ‘clinical scientists’
– simple protocol-driven tasks
– sperm preparation
– egg collection
What now for Embryology?
Thank you to all those who
have contributed to the work
of ACE in the last 13 years.