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The MMC T&O 8 Year “Mixed Economy” Training Project The Project to date

Professor W Angus Wallace Chair, Specialist Advisory Committee (SAC) in Trauma and Orthopaedic Surgery. The MMC T&O 8 Year “Mixed Economy” Training Project The Project to date. Prof W Angus Wallace Chair, SAC in Trauma and Orthopaedic Surgery Presented to the Regional Advisers Meeting,

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The MMC T&O 8 Year “Mixed Economy” Training Project The Project to date

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  1. Professor W Angus Wallace Chair, Specialist Advisory Committee (SAC) in Trauma and Orthopaedic Surgery The MMC T&O 8 Year “Mixed Economy” Training Project The Project to date Prof W Angus Wallace Chair, SAC in Trauma and Orthopaedic Surgery Presented to the Regional Advisers Meeting, RCSEng on 7th May 2009 Slide No 1

  2. The Aims of the Study Slide No 2 To explore if a “mixed economy” intake of young surgeons into T&O could be carried out successfully To establish if this format for T&O Training will work over a 2 year period (2009 and 2010) Approved by MMC on 24th September 2008

  3. Professor W Angus Wallace Chair, Specialist Advisory Committee (SAC) in Trauma and Orthopaedic Surgery A Proposal for a Study of a “Mixed Economy” intake of T&O Trainees from 2009 - 2011 Prof W Angus Wallace Chair, SAC in Trauma and Orthopaedic Surgery Presented to the MMC Programme Board On 24th September 2008 MMC Presentation 24th September 2008 Slide No 3

  4. The Requirements for Orthopaedic Trauma Training Slide No 4 MMC Presentation 24th September 2008 Essential to have exposure to at least 10 months, and preferably 12 months of Orthopaedic Trauma in order to meet the Curriculum requirements – Workplace Based Assessments etc. (WBAs) DOPs etc. The BOA Curriculum Committee has advised that 2 of each of the following assessments are undertaken for each post at ST1 and ST2: DOPs, CBD, Minicex, PBA Minipat. By the end of ST2 the curriculum demands that in order for them to progress, must have achieved supervised operative experience of hemiarthroplasty, DHS and ankle fixation.

  5. The Organisation of the Study Slide No 5 Four Deaneries volunteered to take part Yorkshire & Humber; Northern; North Western; West Midlands The Study was led by the Chair of the T&O SAC The Lead Deanery was Yorkshire & Humber Each Deanery appointed a Lead Member to coordinate their Deaneries appointments

  6. Managing the Applications Slide No 6 One Advertisement was published on 5th January 2009 The ICATs system was used for managing the applications Applicants were asked to apply for one preferred Deanery but could apply to all but would only be interviewed by their preferred Deanery

  7. Applicants completed a Ready Reckoner Form Slide No 7

  8. Applicants completed a Ready Reckoner Form Slide No 8

  9. The Ready Reckoner Form produced a Score for each applicant Slide No 9 The Score was entered into ICATS system The number of months in Surgery was entered into the ICATS The Scores were tabulated An adjustment factor was calculated for those who were applying from FY2 Those candidates who scored in the top group were interviewed

  10. The Ready Reckoner Form accuracy Slide No 10 Form Checked against evidence at the Selection Centre We introduced a Station 8 to do this There were some dishonest applicants – one has been reported to his employers and to the GMC

  11. Selection Centres Slide No 11 Four Selection Centres:-Northern – Newcastle 13 FebNorth Western – Bolton 23 FebYorkshire & Humber – 24 FebWest Midlands –Birmingham – 24-26 Feb 7 Stations at each Centre 13+2 Minutes each All 4 Centres Quality Controlled

  12. Selection Centre Stations Slide No 12 Interview station 1 - Probing of the portfolio = 3 Selectors Interview station 2 – an Acute Emergency Scenario + a Probity Scenario = 2 Selectors Interview station 3 – Commitment to the Specialty of T&O and to the Deanery = 2 Selectors

  13. Selection Centre Stations Slide No 13 Station 4 – Skills assessment station – Suturing + communication = 1 Actor + 1 Selector Station 5 - Telephone Communication with a Consultant at night on a clinical problem = 1 Selector Station 6 – Discharge Summary from a Patient’s Case-notes = 1 Selector Station 7 – Communication with relatives = 1 Actor + 1 Selector Station 8 - Validation of Shortlisting Tool

  14. The Scheme was very Popular Slide No 14 491 Applicants for 67 posts Trainees want run-through training

  15. Number of ST1/CT1 Appointments Slide No 15

  16. Number of CT1 Appointments 2008

  17. Number of CT1 Posts 2008 Number of Surgical ST3 Posts 2008 619

  18. The New Lost tribe ? This means we have a new lost tribe between CT2 and ST3 of 187 (21%) in “official” surgical training at present. This does not take into account LAT posts

  19. The End Slide No 19

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