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October 2012 - South West Peninsula Deanery

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<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong><br />

Faculty Development News<br />

Volume 1, Issue 2<br />

www.peninsuladeanery.nhs.uk/facultydevelopment<br />

<strong>October</strong> <strong>2012</strong><br />

SWPD Supervisor Training Programme Courses<br />

Course 1 – morning session (09:30 – 12:30) –<br />

Training & Safe Patient Care<br />

Child & Women’s Health Centre, Royal Devon & Exeter Hospital<br />

Truro Postgraduate Centre, Royal Cornwall Hospital<br />

Torbay Horizon Centre, Torquay Hospital<br />

Plymouth Postgraduate Centre, Derriford Hospital<br />

Course 2 – afternoon session (13:30 – 16:30) –<br />

Creating Successful Learning Environments<br />

14 th Sept – Full<br />

26 th Sept - Full<br />

19 th Oct - Full<br />

28 th Nov - Full<br />

Have you<br />

visited the <strong>Peninsula</strong><br />

<strong>Deanery</strong><br />

website<br />

recently?<br />

Check out the Careers<br />

pages by<br />

clicking on this<br />

hyperlink<br />

Child & Women’s Health Centre, Royal Devon & Exeter Hospital<br />

Truro Postgraduate Centre, Royal Cornwall Hospital<br />

Torbay Horizon Centre, Torquay Hospital<br />

Plymouth Postgraduate Centre, Derriford Hospital<br />

14 th Sept – Full<br />

26 th Sept - Full<br />

19 th Oct - Full<br />

28 th Nov - Full<br />

Course 3 – (am or pm) –<br />

Creating evidence of trainees learning and their current ability through assessment (WpBAs)<br />

Plymouth Postgraduate Centre, Derriford Hospital<br />

Truro Postgraduate Centre, Royal Cornwall Hospital<br />

Knowledge Spa, Royal Cornwall Hospital<br />

Noy Scott House, Royal Devon & Exeter Hospital<br />

Noy Scott House, Royal Devon & Exeter Hospital<br />

Barnstaple Postgraduate Centre, Northern Devon District Hospital<br />

Course 4 – morning session (09:30 – 12:30) –<br />

Doctors in Difficulty & Careers Advice<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong>, Plymouth<br />

Torbay Horizon Centre, Torquay Hospital<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong>, Plymouth<br />

Truro Postgraduate Centre, Royal Cornwall Hospital<br />

Torbay Horizon Centre, Torquay Hospital<br />

10 th Oct (am)<br />

12 th Oct (am)<br />

12 th Nov (pm)<br />

13 th Nov (pm)<br />

16 th Nov (pm)<br />

7 th Dec (pm)<br />

7 th Sept – Full<br />

14 th Sept – Full<br />

17 th Oct - Full<br />

2 nd Nov - Full<br />

16 th Nov - Full<br />

LATEST NEWS:<br />

Further dates for Courses 1, 2, 4 & 5 are currently being arranged for January/ February &<br />

March 2013.<br />

Notice by email will go out to all supervisors as soon as these dates become available.<br />

Topics in this issue:<br />

Programme courses<br />

& Faculty Development<br />

hyperlink<br />

Course Feedback<br />

Staff Highlight<br />

Trainers Training<br />

NHS <strong>South</strong> of<br />

England Hyperlink<br />

‘The Future’<br />

School Highlight<br />

– Paediatrics<br />

School Highlight<br />

– Obstetrics &<br />

Gynaecology<br />

School Highlight<br />

– Surgery<br />

1<br />

2<br />

2<br />

2<br />

2<br />

3<br />

3<br />

4<br />

4


Page 2<br />

Redneck Dictionary of<br />

Medical Terms (A—C)<br />

ARTERY:<br />

The study of paintings.<br />

BACTERIA:<br />

Back door to cafeteria.<br />

BARIUM:<br />

What doctors do when<br />

patients die.<br />

BENIGN:<br />

What you be after you<br />

be eight.<br />

CESAREAN SECTION:<br />

A neighbourhood in<br />

Rome.<br />

CAUTERIZE:<br />

Made eye contact with<br />

her.<br />

CT SCAN:<br />

Searching for kitty.<br />

COLIC:<br />

A sheep dog.<br />

COMA:<br />

A punctuation mark.<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong><br />

Faculty Development News<br />

Feedback on recent courses attended<br />

Course 4:<br />

“Helped clarify structures—<br />

improved confidence”<br />

“It would be useful to discuss<br />

some real cases that have<br />

happened in the past, particularly<br />

how they were<br />

dealt with and what were<br />

the problems”<br />

“Helped define who to approach<br />

for help”<br />

“More aware now of careers<br />

guidance resources”<br />

“Very good interactive session”<br />

“Identified indicators for<br />

trainees in difficulty”<br />

“Good amount of information<br />

for reference for<br />

referral for advice”<br />

“Discussion format worked<br />

well”<br />

Extra topics that could<br />

have been covered:<br />

“Fitness to practice regulations,<br />

GMC role, further<br />

reading, references”<br />

“Demo of talking to a trainee<br />

without insight”<br />

Staff Highlight<br />

Kris Earl<br />

Front of House Administrator<br />

Born in Torquay and<br />

schooled in Plymouth,<br />

Kris is a bright,<br />

strong willed and independent<br />

individual.<br />

Coming from an estate<br />

agency background,<br />

Kris joined<br />

the <strong>South</strong> <strong>West</strong> <strong>Peninsula</strong><br />

<strong>Deanery</strong> in November<br />

2009 when<br />

the organisation relocated<br />

to their new<br />

premises on the<br />

Tamar Science Park.<br />

Although her main<br />

role is the Front of<br />

House Administrator<br />

she also provides support<br />

to the Business<br />

Support & Facilities<br />

Manager. Always<br />

looking for new challenges<br />

Kris recently<br />

completed her NVQ 3<br />

in Administration.<br />

NHS <strong>South</strong> of England officially<br />

came into effect on<br />

3rd <strong>October</strong> 2011, made<br />

up of three former strategic<br />

health authorities –<br />

NHS <strong>South</strong> Central, NHS<br />

<strong>South</strong> East Coast and NHS<br />

<strong>South</strong> <strong>West</strong>.<br />

The new “cluster” organisation<br />

held its first Board<br />

meeting in Newbury, confirming<br />

Dr Geoff Harris as<br />

Chair and Sir Ian Carruthers<br />

OBE as Chief Executive.<br />

Trainers training<br />

SWPD Supervisor Courses and attendee numbers<br />

Course 2011 <strong>2012</strong> Pre-booked No. of Courses Venues Used in <strong>2012</strong><br />

1 207 195 43 13 <strong>Peninsula</strong> <strong>Deanery</strong> 7<br />

2 194 190 48 13 NDHT 7<br />

3 148 0 96 10 PHNT 6<br />

4 78 77 68 9 RCHT 8<br />

5 81 0 0 0 RD&E 7<br />

SDHT 10


Page 3<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong><br />

Faculty Development News<br />

The Future—Dr Martin Davis, Associate Dean for Faculty Development<br />

The <strong>Deanery</strong> programme<br />

for Supervisor<br />

Training has been<br />

adapted in response to<br />

feedback from Supervisors<br />

attending the courses.<br />

The changes have<br />

reduced the amount of<br />

time to complete training<br />

and adjusted content<br />

to make it more applicable<br />

to your role and attempts<br />

to avoid duplication.<br />

It remains necessary<br />

for all named supervisors<br />

to have completed<br />

the required<br />

training by the end of<br />

2013. Completion can<br />

be achieved by attending<br />

the courses the<br />

<strong>Deanery</strong> are running or<br />

providing evidence that<br />

you have completed<br />

equivalent training elsewhere.<br />

The details for<br />

the courses and providing<br />

evidence of equivalent<br />

are on the SWPD<br />

website.<br />

A number of Supervisors<br />

have enquired<br />

about the necessity for<br />

updating training and<br />

what format this would<br />

take. Once the initial<br />

training has been undertaken<br />

there is no<br />

expectation that individuals<br />

will need to<br />

repeat these courses.<br />

There will be a necessity<br />

to provide evidence<br />

of on-going engagement<br />

with the training process<br />

to ensure that your<br />

knowledge and expertise<br />

in postgraduate<br />

medical education is<br />

updated. The evidence<br />

for this can be tailored<br />

to meet the individual<br />

Supervisors needs e.g.<br />

attendance at national<br />

specialty meeting related<br />

to this topic, attendance<br />

at <strong>Deanery</strong> organised<br />

sessions on specific<br />

topic etc. The <strong>Deanery</strong><br />

will not be prescriptive<br />

about this, but will require<br />

evidence of engagement<br />

on a regular<br />

basis, consistent with<br />

the job role you are undertaking.<br />

More detail<br />

on this will follow later<br />

in the year.<br />

The recognition and<br />

consequent approval of<br />

the trainer role in medical<br />

education is necessary<br />

to facilitate the provision<br />

of high quality<br />

postgraduate medical<br />

education. It is a priority<br />

of the GMC and the<br />

<strong>Deanery</strong>. If successfully<br />

implemented it should<br />

lead to an acknowledgement<br />

by your employer<br />

of its importance. More<br />

detail of this can be<br />

found on the GMC website.<br />

Thank you for continued<br />

enthusiasm, your<br />

comments and feedback<br />

are welcome!<br />

School Highlight—Paediatrics<br />

The School of Paediatrics has seen<br />

a consolidation of working processes<br />

with continuity provided by<br />

Michael Quinn as Head of School<br />

and Kumar Yadlapalli as Training<br />

Programme Director over the last<br />

4 years. These have included introduction<br />

of annual within School<br />

appraisals of the Trust RCPCH<br />

tutors and TPD. One of the outcomes<br />

of these has been agreement<br />

by the <strong>Deanery</strong> to appoint an<br />

additional TPD to support the ST1<br />

-3 training programme. The<br />

School continues to recruit enthusiastic<br />

and motivated trainees into<br />

the 8 year run through Paediatric<br />

programme. We conduct a local<br />

appointment process in Plymouth<br />

with a ratio of 2 applicants for<br />

every ST1 post equivalent to the<br />

national average. Following feedback<br />

from the Associate Deans for<br />

assessment about trainees’ perception<br />

of the ARCP process, we<br />

developed a change of approach in<br />

which each panel member was<br />

given responsibility for assessing<br />

the e portfolios of trainees prior to<br />

the panel review. Improved representation<br />

of all Trusts on the<br />

ARCP panel allowed for more<br />

time to give formative feedback<br />

having addressed the “tick-box”<br />

components of the exercise beforehand.<br />

This was noted by the external<br />

advisor from Wales who provided<br />

a very positive report on the<br />

process. The trainees appreciated<br />

the opportunity to discuss career<br />

progression. Our College has<br />

introduced a GMC approved pe-<br />

nultimate year assessment<br />

(START or Specialty Trainee<br />

Assessment of Readiness for Tenure)<br />

in ST7 to determine readiness<br />

for consultant practice. All trainees<br />

who have entered Level 3<br />

training (ST6-8) on or after 1<br />

August 2011 will be required to<br />

undertake START before applying<br />

for their CCT. The first assessments<br />

will take place on 9/10 th<br />

November <strong>2012</strong> in London having<br />

being piloted on 2 groups of trainees.<br />

START assesses many aspects<br />

of practice in 12 eight minute<br />

stations including handover,<br />

teaching, conflict/risk management<br />

and prescribing. All assessors<br />

receive training and there are<br />

2 representatives from the <strong>Peninsula</strong>.<br />

There has been excellent<br />

engagement of <strong>Peninsula</strong> consultants<br />

with the deanery educational<br />

supervisor training programme<br />

indicating a clear desire of the vast<br />

majority to remain actively involved<br />

with educational supervision.<br />

Simulation training has<br />

moved forward with a clear<br />

School strategy for workplace<br />

based training in individual Trusts.<br />

This was the basis of the successful<br />

innovation fund bid which<br />

secured funding for Training the<br />

Trainers courses. There is interest<br />

in setting up our own Stepping up<br />

to Registrar (currently purchased<br />

from Severn) and Neonatal Key<br />

competencies courses. There were<br />

3 applications to the Innovation<br />

fund this year.


Page 4<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong><br />

Faculty Development News<br />

School Highlight—Obstetrics & Gynaecology<br />

The School of Obstetrics and<br />

Gynaecology has undergone<br />

some changes in the last 12<br />

months.<br />

Mr Ben Peyton Jones, consultant<br />

and RCOG tutor in<br />

Exeter has been appointed<br />

the Training Programme<br />

director for ST1 and ST2<br />

doctors and will be responsible<br />

for their placements on<br />

the rotation, monitoring their<br />

progress and giving them<br />

advice on any aspects of<br />

their training where appropriate.<br />

Mr Narayanan in Torbay<br />

continues as Training<br />

Programme Director for<br />

years ST3-5 and Miss Susie<br />

Bates in Truro continues as<br />

Training Programme Director<br />

for Year ST6-7 and also<br />

is Director of ATSMs.<br />

Recent surveys have shown<br />

that all units in the <strong>Peninsula</strong><br />

have broadly satisfactory<br />

local teaching sessions for<br />

doctors at SHO level including<br />

F2, GP registrars, ST1<br />

and ST2 doctors but specific<br />

teaching for registrar grades<br />

has been lacking. The school<br />

has obtained funding to improve<br />

regional teaching for<br />

specialist registrars and a<br />

minimum of 4 training days<br />

will be provided, one by<br />

each of the main hospitals.<br />

These days will be known as<br />

“POET” days, (<strong>Peninsula</strong><br />

Obstetrics and Gynaecology<br />

Education & Training days)<br />

designed to address the<br />

needs of doctors between<br />

ST3-ST7. These days will<br />

also be made available to<br />

Severn Trainees.<br />

The main development from<br />

the RCOG is the publication<br />

of the Training Matrix which<br />

specifies the requirements<br />

for each year of training<br />

which trainees must achieve<br />

in order to get a satisfactory<br />

ARCP. All trainees were<br />

notified of this change last<br />

year and it is available on<br />

the RCOG website as well<br />

as the <strong>Deanery</strong> website. The<br />

aim is to make ARCPs all<br />

over the country comparable<br />

and improve standards.<br />

Training has to be very carefully<br />

documented these<br />

days and it is in each trainee’s<br />

best interest to study the<br />

matrix and make sure that<br />

they acquire work based<br />

assessments throughout the<br />

year. The matrix makes it<br />

easier to know exactly how<br />

many assessments are needed,<br />

what courses must be<br />

attended and what practical<br />

procedures need to be mastered<br />

by the end of each<br />

year.<br />

School Highlight—Surgery<br />

Course 1: Training and Patient Safety<br />

Course 2: Successful Learning Environments<br />

Course 3: WpBAs & Feedback<br />

Course 4: Doctors in Difficulty & Careers Advice<br />

Course 5: ARCPs/ RITAs<br />

Course 5 is having a re-vamp this year so dates will be<br />

available soon.<br />

Contact Tina Oxland at the <strong>Deanery</strong> for course bookings<br />

tina.oxland@southwest.nhs.uk<br />

<strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong><br />

Raleigh Building<br />

The <strong>Peninsula</strong> school of surgery<br />

supports surgical training<br />

in all specialties except pediatric<br />

surgery.<br />

In 2011 Nick Markham stepped<br />

down as Head of School having<br />

created a strong team and<br />

reputation for the <strong>Peninsula</strong>.<br />

Ken Hosie is now the Head of<br />

School supported by Heather<br />

Rowley as School Manager.<br />

There is an experienced team<br />

of Program Directors in all<br />

specialties: James Davis- Orthopaedics,<br />

Trish Boorman<br />

(replaced David DeFriend) –<br />

General Surgery, Anthony<br />

Timoney - Urology, Anthony<br />

Fitton –Plastics, Peter Whitfield<br />

- Neurosurgery, Clinton<br />

Lloyd - Cardiothoracic Surgery,<br />

Harvey Chant – Core<br />

Training, Mark Metcalfe- ENT.<br />

In addition the School is supported<br />

by a highly committed<br />

team of college tutors<br />

Mark <strong>West</strong>wood and Esther<br />

McLarty in Plymouth, Colin<br />

Steinlechner in North Devon,<br />

Evette Grobbelaar in Truro,<br />

Rob McCarthy in Torbay. With<br />

Trish Boorman being appointed<br />

to Program Director there is<br />

an opportunity in Exeter for an<br />

enthusiastic tutor.<br />

Simeon Brundell continues to<br />

organize the regional core<br />

teaching program and has put<br />

together a very effective<br />

monthly teaching day around<br />

the region.<br />

All surgical training posts are<br />

appointed at national selection.<br />

Increasing competition for<br />

training numbers along with a<br />

national agenda to reduce<br />

training posts in most surgical<br />

specialties has made it essential<br />

that we provide the best<br />

available opportunities for<br />

training so that we can continue<br />

to attract the best trainees<br />

and be confident they will get<br />

the positions they want.<br />

Minimum standards for surgical<br />

training are being set nationally<br />

and monitored through<br />

the ISCP website. This provides<br />

objective evidence of the<br />

training received and who is<br />

delivering that training. That<br />

along with GMC requirements<br />

to demonstrate that trainers<br />

are trained appropriately, those<br />

who are committed and want<br />

to train will be highlighted.<br />

The School has been very<br />

effective in organizing a bespoke<br />

course for surgeons<br />

which has been very popular<br />

and achieves all the GMC requirements.<br />

This year alone 90<br />

consultants have completed<br />

the course. The School would<br />

encourage anyone who wishes<br />

to continue to train to access<br />

this course or the <strong>Deanery</strong><br />

approved courses in the near<br />

future. (Contact Heather Rowley)<br />

The School has been successful<br />

in acquiring a complete set<br />

of Anatomy models which can<br />

be made available for anyone<br />

wishing to refresh/ learn there<br />

anatomy (PGMC Plymouth).<br />

The School will also be keen to<br />

support anyone who wishes to<br />

develop or introduce new and<br />

innovative local training opportunities.<br />

With limited study<br />

leave budgets there is a need<br />

to provide local courses such<br />

as CCRISP and ATLS in a cost<br />

effective way.<br />

All committed and enthusiastic<br />

surgical trainers are encouraged<br />

to get involved!

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