Consultant physicians working with patients 5th edition - FSEM

Consultant physicians working with patients
Table 4 Consultant in paediatric audiovestibular medicine
Activity Workload Programmed activities (PAs)
Outpatient work
General hearing clinics A maximum of 6 patients –
commonly a ratio of 1 new
patient to 2 follow-up
Specialist clinics Vestibular 2–3 patients new or follow-up Depending on subspecialisation
and demand 1–2
Speech and language 2–3 patients new or follow-up
Cochlear implant 2–3 patients new or follow-up
NHSP 2–3 patients new or follow-up
Work outside hospital base Special schools 0–1
Multidisciplinary work 1
Clinically-related administration Minimum of 0.5 PA admin:1 PA
clinic
On call for specialist advice and
emergencies
3–5
2.5–3
Depends on centre 0–0.5
Acute medicine rota Rare 0
Total direct patient care PAs 7.5
Supporting professional activities (SPAs)
Work to maintain and improve
the quality of healthcare
Education and training,
appraisal, departmental
management and service
development, audit and clinical
governance, CPD and
revalidation, research
Total PAs 10
Additional PAs
Other NHS responsibilities eg medical director, clinical
director, lead consultant in
specialty, clinical tutor
External duties eg work for deaneries, royal
colleges, specialist societies, DH
or other government bodies
Providing an audiovestibular medicine service
to a population of 250,000
The specialist society 13 recommends that one
whole-time equivalent (WTE) adult and one WTE
paediatric AVP would be needed to provide this service.
This assumes that there are sufficient numbers of
professionals in the MDT.
National consultant workforce requirements
An initial increase of 104% across the UK is thought to
be an appropriate target over the next few years, with an
42
2.5
Negotiable
Negotiable
aim of achieving one WTE per 300,000 population. 1
The aim must be to provide the best service for patients
using an appropriate balance of AVPs, community
paediatricians and audiologists working closely with
their ENT colleagues.
Calculating the numbers for academic staff is more
challenging: the MSc and diploma courses are largely
dependent on the teaching of honorary staff, despite
attracting a large number of overseas, as well as local,
students. The success of integrated scientific and
C○ Royal College of Physicians 2011