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Changes to the Intercollegiate Surgical Curriculum Programme. Ian Eardley Surgical Director of ISCP. Changes to the Intercollegiate Surgical Curriculum Programme. The new Surgical Curricula ISCP Website changes. Surgical Curricula Approved in 2007. Competence based

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changes to the intercollegiate surgical curriculum programme1
Changes to the Intercollegiate Surgical Curriculum Programme
  • The new Surgical Curricula
  • ISCP Website changes
surgical curricula approved in 2007
Surgical Curricula Approved in 2007
  • Competence based
  • Written as run through curricula
  • Used MRCS to assess early years training
    • Although the syllabus for the MRCS exam was not blue-printed to the curriculum
since 2007
Since 2007 …..
  • MTAS, Tooke Report
    • Decoupling for many specialties
    • Regional variations in Programme structure
  • PMETB Standards for Curricula
    • Explicit blue-printing of assessment to curriculum
  • AoMRC templates on Leadership and Core Competencies needed incorporation
challenges for the new curricula
Challenges for the New Curricula
  • Flexible enough to accommodate both run-through and decoupled training
  • Assessment system that mapped to the curriculum (especially wrt Core training)
  • Incorporate an enhanced emphasis on basic surgical sciences
  • Incorporate generic Academy curricula regarding Leadership and Core competencies
so what has changed in 2010
So what has changed in 2010?
  • Structure of early years training
  • Early years syllabus
  • Definition of knowledge level in early years
  • Professional Behaviour and Leadership Syllabus
  • MRCS
  • MRCS(ENT)
  • Intermediate and Final stage General Surgery
  • Head and Neck special interest module in 3 disciplines
  • Workplace based assessments
structure of core surgical training
Structure of Core Surgical Training
  • Most specialties requested up to 3 years of core surgical training
  • PMETB dictated that Core training be 2 years
  • Programmes structure determined by Schools of Surgery and are either themed or generic
the current curriculum

Some regions

and specialties

Assessed by FRCS and WPBA

FY 1

Generic

FY 2

ST 3

ST 4

ST 5

ST 6

ST 7

ST 8

ST 1

ST 2

CCT

Selection

Selection

CT 1

CT 2

Assessed by MRCS and WPBA

The Current Curriculum
core surgical syllabus
Core Surgical Syllabus
  • Basic Science Knowledge relevant to surgical practice
  • Common surgical conditions 
  • Basic surgical skills
  • The principles of assessment and management of the surgical patient
  • Peri-operative care of the surgical patient
  • Assessment and early treatment of the patient with trauma
  • Surgical care of the paediatric patient
  • Management of the dying patient
  • Organ and tissue transplantation
  • Professional behaviour
professional skills and leadership
Professional Skills and Leadership
  • Based around principles of GMP
    • Good clinical care
    • Being a good communicator
    • Teaching and training
    • Keeping up to date
    • Manager
    • Promoting good health
    • Probity and ethics
slide12
MRCS
  • Now blueprinted to generic component of early years curriculum
  • OSCE (Part B) expanded to 18 stations
    • Stations re-configured to four broad content areas
mrcs ent
MRCS (ENT)

MRCS Part A

4 hour MCQ (Applied Basic Sciences

and Principles of Surgery in General)

DO-HNS Part 2

OSCE

MRCS (ENT)

specialty curricula
Specialty Curricula
  • All underwent minor changes
  • However, General Surgery underwent a significant re-write
    • 4 stages, each of 2 years
      • Early years
      • Intermediate: Elective and emergency general surgery
      • Final I: Specialist surgery
      • Final II: Specialist surgery
website changes
Website Changes
  • April and May 2010 : Version 6
    • Significant functionality changes
  • August 2010: Version 7
    • Incorporation of the new surgical curricula
  • January 2011: Version 8
    • Incorporation of OCAP
so what has changed in 20101
So what has changed in 2010?

Structure of early years training

Early years syllabus

Definition of knowledge level in early years

Professional Behaviour and Leadership Syllabus

MRCS

MRCS(ENT)

Intermediate and Final stage General Surgery

Head and Neck special interest module in 3 disciplines

Workplace based assessments

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