Transcript National Workforce Planning – Provisional Recommendations

Modernisation of clinical
scientist training in Medical
Physics and Clinical
Engineering
Amicus/HPA Annual Delegate and
Professional Conference
20th October 2006
Institute of Physics and Engineering in Medicine
Drivers for change
• Modernisation of pre-registration
education and training
Independently quality assured
Too long and too expensive
• Healthcare Science career pathway
More consultants – more like medical
model
More associate practitioners
• Foster review of non-medical regulation –
agreement to record post-registration
qualifications in the register
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Pre registration Education and Training
Modernisation
• Approved by Ministers, UK wide acceptance
• Part of HCS work programme within Skills for
Health
• Aim to modernise pre-registration education
and training both regulated groups and all
aspirant groups
• Funding and commissioning arrangements
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General principles
• “Fitness for practice” programmes
• Defined scope of practice linked to service
needs appropriate to level of underpinning
knowledge
• Professional (workplace) practice
embedded within programmes/awards,
informed by HCS NOS and linked to robust
assessment of competence
• Independently assessed and quality
assured
• Clear APEL arrangements to facilitate fast
tracking
• Opportunities for common approaches to
delivery ( generic/core)
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Considerations
•
•
•
•
Streamlining of modalities/sub modalities
Nationally defined scope of practice
Supports different routes of entry
Education and Training programmes funded
and commissioned – need to submit to
spending review in early 2007
• Salary versus bursary
• Linked to Higher Specialist Training with
consultant as career grade
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Future model of regulation
Scope of Practice
Standardised Education and
Training
Protected Title
Institute of Physics and Engineering in Medicine
Clinical Science Scope of
Practice - i
1. Plan a range of investigations /
procedures / processes to support
and improve patient care in the
context of patient, samples and/or
technology.
2. Perform a range of specialist
scientific / clinical investigations /
procedures / processes to support
patient care in the context of the
patient,
samples and/or technology
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Clinical Science Scope of
Practice - ii
4. Report and interpret results of
investigations, procedures or
processes for patients / samples /
measurements / technology
5. Monitor and report on progress of
the patient conditions / technology
and the need for further intervention.
6. Apply and maintain and be capable
of setting quality standards, control
and
assurance
techniques,
including
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Clinical Science Scope of
Practice - iii
7. Provide clinical and/or scientific advice
and information to healthcare and other
professionals, patients and their carers to
support effective assessment, diagnosis,
management and treatment of patients
and/or patient services.
8. Communicate clinical and/or scientific
knowledge to a range of audiences,
including professionals and patients
9. Plan, organise and prioritise own work
activities, practices and tasks
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Clinical Science Scope of
Practice - iv
10. Undertake peer reviewed
research and disseminate results.
11. Using Knowledge Management
techniques including critical
appraisal undertake audits and
service development to improve
quality of service provided.
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Scope of Practice
• Defined scope of practice
Clinical Scientist is too broad
IPEM view to keep the scope of practice
and protected title as broad as possible
(Clinical Engineer, Medical Physicist)
Defines the learning outcomes for the
education and training
• BUT remember we currently register people
within modality and not within broad scope of
practice
• AND we have the tension between the
narrowness of the scope of practice and the
viability
of
education
&
training
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Medical Physics
Clinical
Engineering
Broad scopes of practice
Radiotherapy Physics
Nuclear Medicine Physics
Diagnostic Radiology
Radiation Safety
MR
Ultrasound
Non-ionising

85%
• Biomechanical Evaluation
and function
• Medical Instrumentation and
Computer Science
• Assistive technology
• Clinical Measurement
• Medical Engineering Design
• Medical Equipment
management

15%
•
•
•
•
•
•
•
Higher specialist areas
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Proportion
of trainees
Generic scope of
practice
Required competence
Plan a range of
investigations/
procedures/processes
to support patient care
in the context of
patient, samples and/or
technology.
CC 1.2 Identify problems, formulate
hypotheses and develop an
experimental plan to resolve a
problem;
Develop methods to evaluate new
and existing imaging technologies
CC 1.3 select and use appropriate
measuring equipment;
CC2.1 Apply basic engineering
principles to health care
ED1.2 Prepare and present an
appropriate outline project plan
1.
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Professional doctorate model
• 3 years is a given
• 2 terms academic, 3 terms research project,
4 terms professional practice
• Elective in second summer
• Relevant PhD – no need to do research
element – registration in 2 years
• May be able to extend programmes to real
PhD
• Must link to HST
• Proposal – NOT accepted by DH yet.
• Start September 2008 at the earliest
• Good feedback from HEIs
• More than part I but less than part II
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Common core training
• One third of IPEM MSc syllabus core
content
• Two thirds specialist modules
• Do not want to change that balance
• MSc syllabus maps reasonably well
onto SFH common core training –
some gaps on both sides
• Subject of further debate
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Higher specialist training
(HST)
• Those seeking to act as consultants
• MRCPath for Clinical Biochemists
• There need to be a similar model for Clinical
Engineers and Medical Physicists in the NHS
• Link to appropriate Royal College?
• Mark on the register
• This must be in place if we are to accept the
changes to pre-registration training
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Risks
• Current MSc programmes rely on
overseas students and self-funders to
remain viable – need to retain flexibility
for Universities to keep course viable
• No HST scheme in place for medical
physics & clinical engineering. IPEM
need to develop a professional body
exam equivalent to MRCPath.
Possible link to a Royal College
• Too much emphasis on common
module approach at the expense of
specialist
training
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Summary
• Change is a given
• Aim for career grade to be consultant
and medical model of training
• Generic scope of practice acceptable
• 2 scopes of practice – Medical Physics
and Clinical Engineering
• 3 year programme in the university
sector a given
• IPEM supports the professional
doctorate model
• Recognise that this is a different animal
Institute
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• Link
toofHST