Transcript Histopathology Training Schools

National Framework for Induction
(2010)
Information prepared by:
Dr A Green, Dr E Byrne, Mrs S Cossins
Histopathology: key to the diagnosis
Background
• Many ST1s starting Histopathology training have
limited previous exposure to histopathology
• Those experienced in histopathology are likely
to have moved to a new department
• New trainees may have never worked in the
NHS before
• Histopathology school leads and trainers are
required to provide induction for all new ST1
trainees
Histopathology: key to the diagnosis
Aims of this Presentation
• PMETB/GMC and the MMC both set standards required
for induction of specialist trainees.
• Our audit demonstrated generally good provision of
induction in line with these standards (see attached
abstracts)
– This audit will be repeated in Autumn 2010
• This Framework aims to facilitate and standardise
national ST1 induction.
• To cut down on the amount of time trainers need to
prepare for induction.
Histopathology: key to the diagnosis
GMC/PMETB Requirements
From: Generic standards for specialty including GP training.
September 2009, updated April 2010. GMC
Domain 6 (‘Support and development of trainees, trainers
and local faculty’).
http://www.gmc-uk.org/Generic_standards_for_training.pdf_31300576.pdf
‘Every trainee starting a post or programme must access a
departmental induction to ensure :
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they understand the approved curriculum
they understand how their post fits within the programme
they understand their duties and reporting arrangements
they are told about departmental policies
to meet key staff. ’
Histopathology: key to the diagnosis
GMC/PMETB Requirements
‘At the start of every post within a programme, the
educational supervisor......must discuss with the trainee:
– the educational framework
– support systems in the post
– the respective responsibilities of trainee and trainer for learning.’.
‘This discussion should include the setting of aims and
objectives that the trainee is expected to achieve in the
post.’
Histopathology: key to the diagnosis
MMC Requirements
From: Modernising Medical Careers. A Reference Guide for
Postgraduate Specialist Training in the UK. The Gold Guide Third
Edition June 2009.
http://www.mmc.nhs.uk/pdf/Gold%20Guide%20--2009.pdf
Section 8: Being a Specialty Registrar and an Employee
‘At a minimum this should include:......thorough induction to both the employer and to the specific
specialty training unit.
This should include, for example:
– introduction to key team members and their roles,
– clarity about any of the geographic areas where a trainee might need to work,
– a working understanding of the equipment which might be required
– access to and requirements for the use of protocols and guidance documents
– supervision arrangements,
– out-of- hours arrangements...’
Histopathology: key to the diagnosis
ST1 Induction 2010
Histopathology: key to the diagnosis
Local/Regional Induction
• Brief description of location of hospital(s)
– ST1 (internal rotation)
• Confirm base hospital
– ST2-5 (rotation within deanery)
• Distances and travelling times
• Transport arrangements eg shuttle
between sites etc
Histopathology: key to the diagnosis
Departmental Induction
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Physical orientation
Organisational orientation – how do I fit in the team?
Introduction to key team members
Explanation of terms and conditions of service
How structured MMC training will be provided
Clear outline of the job and it’s requirements
Access and introduction to protocol and guidance
documents
Information on organisation’s history etc
Health & Safety
IT and communications arrangements
Clinical governance, complaints handling, risk mgt.
Histopathology: key to the diagnosis
Terms and conditions
• Hours of work – 40 per week
– No pay banding
• Annual leave
– Entitlement and availability of forms
– Who authorises/records/monitors
• Study leave
– Refer to Deanery regulations
• Entitlement and availability of forms
• Funds available per annum
• Sick leave
– Reporting instructions
– Self and GP certification
Histopathology: key to the diagnosis
Education and Training
• Educational supervisor
– Role and name
• Introductory programme
– Structure and timescale
– Timetable of educational events
• Departmental teaching days/times eg. Black box
Histopathology: key to the diagnosis
Education and Training (2)
•Portfolio
− LEPT
•Appraisal and assessments
–End of attachment appraisals
–WBAs (DOPS, Cbd, ECE) 6 of each, during
training year (before ARCP).
–MSF – February/March
–OSPE
–ARCP (date)
Histopathology: key to the diagnosis
Royal College of Pathologists
• Requirement to Register with RCPath
– Training and learning record
– On-line portfolio
• Curriculum
– Stages to CCT
– Minimum datasets
Histopathology: key to the diagnosis
RCPath Events
• OSPE
– March/April 2011 (confirm on College
website)
– Entry form on RCPath website – check
regularly
Histopathology: key to the diagnosis
Dept workload
• State in broad terms recent departmental
workloads
– Above or below national norms
Histopathology: key to the diagnosis
Principle service responsibilities
• Clinical services
– Rotas, ensuring these do not conflict with
educational activities
• Clinical on-call commitments;
– None in ST1 training year
• Objectives and targets
– Service experience
Histopathology: key to the diagnosis
learning experience
Teaching responsibilities
• Give brief details of any commitments to
provide undergraduate training
– Format and frequency
– Opportunities to learn how to teach and
monitor performance
Histopathology: key to the diagnosis
Research & Development
• Define specific areas suitable for projects
• Ensure trainees understand principles of
audit
• Encourage to present case reports
• Scientific meetings/publications
• Journal clubs
Histopathology: key to the diagnosis
SOPs
• State availability/location of SOPs for:
– Laboratory organisation
– Laboratory technical procedures
– Clinical management
• LEAN (if applicable)
– Principles
– Effects on the department and your way of
working
Histopathology: key to the diagnosis
Local Facilities
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Trainee accommodation & equipment
Transport and parking
Location of Postgraduate Centre
Library
IT facilities
Canteens
Shops
Histopathology: key to the diagnosis
Management training
• Describe arrangements locally for gaining
experience in laboratory management
• Describe training courses or initiatives in
which trainees can participate;
– Courses on www.nhshistopathology.co.uk eg
Presentation Skills, Enhancing PM skills….
– HTSB ST1 rep (audit involved)
Histopathology: key to the diagnosis
HTSB Events
• Introductory Block Teaching Week
– Bristol (13th - 17th September 2010)
• Academic Training Day
– RCPath, London, October 2010
• Regional block teaching weeks
– Dates and frequency
• Mock OSPE
– February 2011
Histopathology: key to the diagnosis
‘Non-core’ activities
• PathSoc and BDIAP membership
• Pathological Society presentation
• Case presentations for
www.histopathnet.org
– Dates will be emailed out individually
• Other learning opportunities
– E-learning www.e-lfh.org.uk (pending)
Histopathology: key to the diagnosis
Overseas doctors
• Additional material for doctors new to NHS
in UK
– Tax
– National Insurance
– NHS history and structure
– Training Schools’ history and mgt structure
– Life and work in the UK
Histopathology: key to the diagnosis
Books and journals etc…
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Basic undergrad – Underwood
General – Robbins
Diagnostic – Rosai, Sternberg etc
Systematic – guidance from teams
Review – Progress in Pathology, Recent Advances
in Histopathology
• Journals
– Diagnostic
– Academic / experimenta
– Special interest
Histopathology: key to the diagnosis
‘Take-home message’
• Take responsibility
– You are responsible for your training and its
documentation
• Assessments have to be passed to
progress to Y2-5
Histopathology: key to the diagnosis
‘And finally…
Enjoy your training!’
Histopathology: key to the diagnosis
References
Generic standards for specialty including GP training
September 2009, updated April 2010. GMC.
Modernising Medical Careers. A Reference Guide for
Postgraduate Specialist Training in the UK. The Gold
Guide Third Edition June 2009.
Histopathology: key to the diagnosis