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3 Supporting the delivery of high-quality caredependent on the specific needs of the organisation,from advisory roles to major curriculum design anddevelopment work.ConferencesThe Conferences Department provides a programme ofscientific and educational events designed to maintainand improve the clinical practice of members, fellowsand other healthcare professionals throughout theircareers. It is focused increasingly on providing aresource that fellows and members can use for fulfillingthe educational and development requirements forrevalidation.The annual conferences in advanced, acute and generalmedicine remain the foundation of the Department’sactivity. The joint specialty committees are invited topropose subjects for specialist educational eventsaccording to a rolling, predetermined programme, inorder to provide conferences on topics appealing towide, cross-specialty or multidisciplinary audiences.Those selected are ‘joint badged’ with the relevantsocieties. The programme of events also includesteach-ins and lectures, many of which are available as aweb-stream.Delegate interaction, facilitated by means of anaudience-response system, is an important componentof many conferences, with the eventual aim ofdeveloping a generic assessment process, wherebyknowledge gained can be demonstrated and logged intoRCP-based delegates’ electronic CPD records. Again,this would be invaluable in helping members andfellows to fulfil their requirements for revalidation.The Department also provides support for theadministration of the RCP trust funds and the award ofmany prestigious fellowships, prizes and lectureships.Increasingly, these are awarded in conjunction withexternal bodies, eg Medical Research Council (MRC)and the Dunhill Medical Trust, to increase the range andquality of applications, to attract matched funding andto ensure a rigorous and fair method of evaluation.Specialty recruitmentIn 2007, coinciding with Modernising Medical Careers,the Medical Training and Application Service (MTAS)took on coordinated recruitment. This venture was notsuccessful so the RCP was asked to coordinate coremedical training (CMT) recruitment in 2009. This wasdone by a small team within the Education Departmentassisted by clinical leads. Following the success of thisRCP-run process, five ST3 specialties were added to theprocess in 2010, and the Specialty Recruitment Officenow runs recruitment for CMT and 16 medical ST3specialties.Recruitment is traditionally fraught and contentious sothe RCP team concentrated on prompt delivery of ahigh-quality streamlined process. Extensiveconsultation and communication with stakeholders wasundertaken, particularly with the trainees and cliniciansinvolved as well as the deaneries who continue to deliverrecruitment for their own localities. The recruitmentwebsites, www.CMTrecruitment.org.uk andwww.ST3recruitment.org.uk, are key resources, backedup by a help desk, extensive guides and trainingmaterials and question banks. The RCP service isregarded as one of the gold standards in recruitment.Coordinated recruitment is now embedded in mosttraining programmes, and the RCP has played a keypart in making this work well for medical specialtyrecruitment. We continue to rely on the cooperation oftrained physicians in assisting with the recruitment oftrainees to their training programmes.ExaminationsThe Membership of the Royal Colleges of Physicians(UK) (MRCP(UK)) Diploma is a high-stakes examwhich tests the skills, knowledge and behaviour ofdoctors in training. It has three parts: two writtenpapers that test medical knowledge and judgement, anda clinical component called PACES (PracticalAssessment of Clinical Examination Skills). Under therules for the latest UK curriculum, completion of theentire three-part examination is a requirement forapplicants seeking specialist training posts (ST3).Internationally, one or more parts of the MRCP(UK) isdelivered in 27 countries. The Specialty CertificateExaminations (SCEs) are a relatively new requirementfor specialist physicians in the UK and they are gainingrecognition internationally. SCEs have been developedin close collaboration with the specialist societies andthey are demanding assessments for physicians nearingthe end of specialist training, which test knowledge atan advanced level. They consist of 200 ‘best of five’multiple-choice questions and are administered via acomputerised system at test centres around the world.By the end of 2011 a total of 12 SCEs had been rolledout. To encourage uptake around the world, we will beC○ Royal College of Physicians 2013 265
Consultant physicians working with patientsbroadening the eligibility criteria, allowing many moreexperienced trainees the opportunity to sit the SCEs.Joint Royal Colleges Postgraduate Training BoardThe Joint Royal Colleges Postgraduate Training Board(JRCPTB) (www.jrcptb.org.uk) is responsible to theFederation of Royal Colleges of Physicians of the UK forcarrying out the functions relating to the supervision ofmedical training as devolved to it by the GMC and byarrangement with any other organisations as may berequired. The policy directions of the GMC, MedicalEducation England and the equivalent organisations inthe devolved nations remain the principal drivers forthe JRCPTB’s operations. Its main functions, through asystem of specialist and core medical trainingcommittees, are to:Fig 2 The RCP quality spiral monitor individual trainees’ progress throughspecialist training and to make recommendationsfor the award of Certificate of Completion ofTraining (CCT); this entails:– the enrolment of all trainees (national trainingnumbers (NTNs) and other categories)– maintaining a database of all trainees andmonitoring their progress– contributing to the penultimate-year assessmentand the Annual Review of CompetenceProgression (ARCP) process– signing off completion of training in concert withprogramme directors and postgraduate deaneries undertake the evaluation of applications forCertificates of Eligibility for Specialist Registration(CESR) and make recommendations on each one develop and arrange the ongoing review of generic,core and specialist training curricula and assessmentstrategies (including examinations) develop efficient processes, working with thepostgraduate deans and college representativeslocally, for the quality management (ensuringdelivery) of physician training as stipulated incurricula and assessment strategies.Leadership developmentIn 2011, a new intercollegiate Faculty of MedicalLeadership was established to support those physicianswho are undertaking specific leadership roles such asclinical or medical directors and will develop as aresource for developing leadership skills for the medicalprofession as a whole. The RCP will play a full part inthe future development of the Faculty.Clinical standards at the RCP: definingcare, measuring care, improvingcare for patientsThe vision of the Clinical Standards Department is toimprove patient care by the setting, monitoring andimplementation of clinical standards (Fig 2).The intention of the Clinical Standards Departmentis to provide leadership and support to RCP fellows,members and the teams and organisations inwhich they work to deliver the highest standardsof clinical practice and so the highest standards inpatient care. The approaches used to deliver thisintent are: clinical management guidelines national comparative clinical audit implementation and dissemination, sharing of bestpractice quality improvement projects revalidation and appraisal accreditation health informatics patient safety.Our style of working is that of multiprofessionalcollaboration, keeping the patient at the heart of ourwork. Active front-line clinicians direct the workprogramme supported by health service researchers,project managers, statisticians and health economists.We work closely with those national bodies relevant tosupporting delivery of high-quality patient care in theNHS such as the Department of Health, national266 C○ Royal College of Physicians 2013
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The Royal College of PhysiciansThe
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AcknowledgementsWe would like to th
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AbbreviationsA&EAACsAMUsARCPCCGsCCS
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1 Physicians in the NHS todaycan be
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2 The work of the specialties2 The
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2 Specialties Acute internal medici
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2 Specialties Cardiovascular medici
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2 Specialties Clinical geneticsClin
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2 Specialties Clinical genetics6 Cl
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2 Specialties Clinical geneticswork
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2 Specialties DermatologyDermatolog
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2 Specialties Dermatology run monit
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2 Specialties DermatologyDermatolog
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2 Specialties DermatologyTable 1 Ex
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2 Specialties HaematologyHaematolog
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2 Specialties HaematologyTable 2 A
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2 Specialties Haematologythey have
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2 Specialties Medical oncologyMedic
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2 Specialties Renal medicineRenal m
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