Transcript Slide 1

Current priorities for the Dean
Dr Wendy Burn
Dean
November 2013
Current Issues
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Recruitment
Workforce numbers
The curriculum
Workplace Based Assessments
MRCPysch examination
Dual training
Local courses
Out of hours training
Shape of training review
Portfolio
New College building
November 2013
Dean’s post
Election by members
5 year term
My term is 2011-2016
Voluntary post
Responsible for education and
training within the College
 Well supported by College
 Real chance to influence things at a
national level
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November 2013
Recruitment
 Has been difficult since 2007
 Lack of British graduates who want to
train in psychiatry
 Immigration changes and 18 months
experience exclusion rule reduced
number of overseas doctors, the rule
has now been removed
 College has a recruitment strategy.
Includes increasing foundation posts,
summer schools and taster sessions.
November 2013
Recruitment
 17% increase in actual numbers to
CT1 for August this year.
November 2013
Management of
Recruitment
 The North Western Deanery, Health
Education North West will be
managing national recruitment to
Psychiatry for 2014
 College will continue to set standards
and design the process.
November 2013
CT1 Round 1 2014
 Applicants will apply via Konetic
 Centralised longlisting via North
Western Deanery
 No shortlisting
 Interviews to be organised and held
locally, using questions set by College
 All offers made via UK Offers by the
North Western Deanery
 National clearing process run by
North Western Deanery
November 2013
ST4 Round 1 2014
 Applicants will apply via the Konetic system
 Centralised longlisting via North Western
Deanery
 No shortlisting
 Applicants will be able to apply for up to 3
specialties, having 1 interview in each.
 Centralised interviews taking place in
London and Manchester
 Offers made via UK Offers by the North
Western Deanery
 National clearing process run by the North
Western Deanery
November 2013
Workforce
 Recent review of psychiatry workforce
by Centre for Workforce Intelligence
 Conclusions awaited
 There will be increasing pressure to
reduce core posts
 At present we have a 50% loss rate from
core to higher training
 25% of trainees are in London
 Will be looking at what happens to
London trainees after CCT
November 2013
Foundation training
 The target in England is 45% of
foundation doctors should rotate
through a four month placement in
psychiatry in England
 22.5% in F1 and 22.5% in F2
 Have appointed a College Advisor for
Foundation training, Ann Boyle. She is
setting up a network of foundation
trainers and writing a good practice
guide.
November 2013
Foundation Posts
 Around half of schools are on target
to deliver the required increases by
2015 in psychiatry placements with
greater progress at F2.
 A further 25% are making good
progress
 The rest are encountering significant
challenges.
November 2013
The curriculum
 Core, Child and Adolescent, Learning
Disability and Rehabilitation revised
this year
 Working group looking at core
curriculum
 We will send out a summary to Heads
of School highlighting the changes
 GMC now ask that current trainees
move to new curricula as they are
approved
November 2013
WPBAs
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Lack of training for assessors
Don’t equate to exam
Trainers don’t fail their trainees
Are they formative or summative?
Foundation now uses Supervised
Learning Events which are purely
formative. We are developing SLES
and setting up pilots.
November 2013
MRCPsych exam –
challenges
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Low pass rate
Four exams (3 papers and a clinical)
Expensive
Lack of clear syllabus
Made a large excess, £600,000 in
2012
November 2013
MRCPsych exam changes
 Chief Examiner is Peter Bowie. Will be
making exam more relevant and working
with Heads of School and course
organisers
 Papers will be reduced to two
 Revised clear syllabus for each part,
questions mapped to syllabus.
 Cost was reduced by 5% in 2013 and by
a further 20% for trainees and affiliates.
Will be increased for 2014. Last years
and future excesses will be used to
benefit training.
November 2013
MRCPsych exam excess
 CPD online is free to trainees and
affiliates registered with the College
and first year consultants for 2 years
from March 2013.
November 2013
Trainees Online (TrOn)
 Modules designed to support the
MRCPsych
 Initial plan is for 70 online learning
modules which will cover the Basic
Sciences on the MRCPsych curriculum
 Will be written by post-membership
trainees, fee of £200
 Module plus reading list will contain
knowledge needed to pass the exam
November 2013
TrOn
 Trainee Editor appointed
 Two calls to trainees have gone out
 First modules are currently being
written
 Early topics include neuroanatomy
and genetics
November 2013
FACS (Formative
Assessment of
Communication Skills)
 FACs was developed by Gill Pinner.
Has been piloted in several Deaneries
 Those using it feel it identifies
trainees who will struggle with CASC
 In December will be running an
adjusted version for candidates who
failed September CASC by one station.
Trainees will be given videotaped
feedback.
November 2013
Exit exam
 GMC are asking for this but are giving
us time to work on MRCPsych exam
before developing it
 Trainees have a working group
looking at options and have
conducted a survey
November 2013
Dual training
 Wanted by trainees particularly for specialties
under threat
 Not all Schools run all dual schemes, only
happens if locally there is a recognised need and
ability to provide programmes
 Have to enter dual programmes from the start of
training
 At present previous training on a programme
leading to a single CCT doesn’t count
 Rules are on website:
http://www.rcpsych.ac.uk/training/specialtytra
iningguides.aspx
 GMC ran a working group for dual training in all
specialties, awaiting a report
November 2013
Locally delivered
MRCPscyh courses
 We have developed some draft standards
 Held a meeting of course organisers with
myself and chief examiner in March
 Huge variation in courses in terms of
cost, length, quality assurance
 Will be working with the course
organisers on these issues
 Will develop a College accreditation
scheme
November 2013
Out of hours training
 Trusts are changing work patterns for
trainees
 Need to ensure that trainees gain
supervised emergency experience and
patient safety is maximised
 Trainees entering higher training must
be prepared
 Also need to ensure that trainees spend
a high proportion of their time in their
core placement
 Have set up a working group to report
back on this
November 2013
Portfolio
 New version is under development to
launch in August 2014
 Will have nationally agreed ARCP
forms
November 2013
Shape of training review
November 2013
Recommendations
1. Enhance the response of
postgraduate medical education and
training to changing patient needs
2. Increase involvement of patients in
the education and training of doctors
3. Provision of clear advice to potential
and current medical students about
what they should expect from a
medical career
Recommendations
4. Make sure medical graduates at the point of
registration are capable of working safely in
a clinical role suitable to their competence
level
5. Full registration should move to the point of
graduation from medical school
November 2013
Flexibility, quality and
apprenticeship
6. Generic capabilities framework e.g.
communication, leadership, quaIity
improvement, patient safety
7. More flexible progression rates
8. Longer placements to foster teamworking and apprenticeship
9. Training limited to places that
provide high quality training and
supervision
Responsive broadbased training
10.Restructure postgraduate training
within broad specialty areas
11.Review curricula to deliver broader
specialty training
12.Ensure all doctors able to manage
acutely ill patients with multiple
comorbidities within broad specialty
area
13.Greater employer involvement in
coordination of training
Academic training
14.Relevant organisations including
postgraduate research and funding
bodies must support a flexible
approach to clinical academic
training
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Broad-based clinical training
Exceptionally super-specialised scope of
practice
CPD (15) & Credentials
(16)
Credenti
al
Medical
School
F
1
F
2
Broad-based
specialty training
4-6 Years
Credenti
al
Credenti
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Continuous Professional
Development
Full
Registratio
n
Certificate of
Specialty
Training
SAS doctors/salaried
GPs/locums
17.Review barriers faced by doctors
outside of training who want to enter
a formal training programme or
access credentialed programmes
Recommended model (18)
Number of CSTs
 Major question for Psychiatry is how
many CSTs?
 6?
 2?
 1?
November 2013
New Building
November 2013
21 Prescot Street
November 2013
21 Prescot Street
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Much more space
Accommodates the whole College
Will be able to hold conferences there
Members area with rooms, coffee, wifi
Library
We own it, no mortgage
Will save on rent of other spaces
November 2013
Chandelier
November 2013
Members Area
November 2013
Cafe 21
November 2013
Song for 21 Prescot
Street
November 2013
Free Lunch
 Members are invited to visit Café 21
to enjoy a free lunch up to the value
of £5
 Please book in advance by emailing
our reception quoting your
membership number or name.
November 2013
 Any questions?
 [email protected]
November 2013