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FACULTY OF PHARMACEUTICAL MEDICINE of the Royal Colleges of Physicians of the United Kingdom

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  1. National Deanery in Pharmaceutical Medicine Specialty Training Update 3rd National Trainees Meeting Alan Boyd Chair, SAC – Pharmaceutical Medicine May 2011 NATIONAL DEANERY OF PHARMACEUTICAL MEDICINE FACULTY OF PHARMACEUTICAL MEDICINE of the Royal Colleges of Physicians of the United Kingdom

  2. Introduction: • Pharmaceutical Medicine Specialty Training: • Higher Medical Training commenced in UK on 1 April 2003 • following the recognition & listing of the medical Specialty • of Pharmaceutical Medicine on 22 April 2002 • PMST (PMST1) superseded HMT on 1 August 2007 • PMST2 (curriculum 2010) superseded PMST1 on 1st • August 2010 - formal introduction of workplace based • assessments (WPBAs) and the introduction of the • e-Portfolio to replace the paper-based Training Record.

  3. Current Status - Trainees • 148 Pharmaceutical Physicians now hold a CCT in • Pharmaceutical Medicine • 213 Trainees now hold an NTN • 196 via the CCT route • 17 via the Combined CESR route • HMT - 77 • PMST1 - 103 • PMST2 - 33 • Local Educational Providers: 66 Sites • 31 LEPs have more than 1 Trainee • Top-Ten have between 5-25 • 35 have 1 Trainee • 7 Trainees working outside the UK in approved LEPs

  4. Current Status - Trainees • 43 Trainees have resigned from the programme • since 2005 – moved out of UK, left Pharmaceutical • Medicine or personal reasons • Current rate of enrolment is about 25 new Trainees • per annum • In total, 392 doctors have enrolled in HMT/PMST since 2003

  5. Current Status – Specialty League Table • 34 Specialties within JRCTB • Largest is General Internal Medicine – 3258 Trainees • Smallest is Metabolic Medicine – 3 Trainees • Pharmaceutical Medicine is the 12th largest • Similar size to Acute Medicine, Neurology & • Rheumatology • Larger than Medical Oncology, Dermatology & • Infectious Diseases

  6. Governance & Supervision • The National Deanery of Pharmaceutical Medicine Deanery • (comprising the Lead Postgraduate Dean and Faculty of • Pharmaceutical Medicine), in conjunction with the Joint • Royal Colleges of Physicians' Training Board (JRCPTB), is • responsible for PMST and reports to the GMC • The first and only National Deanery – others currently • being modelled on our experiencies • All Specialties are governed by the same GMC Regulations

  7. Senior Specialty Advisers (SSAs) • 31 active SSAs - role is governance and quality management • over the PMST programme in training organisations. • Each SSA is allocated sites within their geographical reach and • have between 1-7 sites each, covering 1-20 trainees for each • SSA • SSAs also serve on ARCP/RITA Panels to review & evaluate • trainees’ progress & achievement on an annual basis. • Majority of SSAs are Fellows of Faculty • 4 SSAs also hold a CCST/CCT in Pharmaceutical Medicine.

  8. Educational Supervisors (ESs) • There are currently 150 Trained & Approved ESs • Over 100 ESs are currently active • Supervise 1-2 Trainees each – though a few have 3-5 • Supervision estimated to take 1 hour per week • ESs can become ‘Accredited Educational Supervisors’ • 46 ESs & SSAs (28%) now hold a CCT in Pharmaceutical Medicine

  9. Conduct of HMT/PMST • Approximately 70% of HMT/PMST takes place • on-the-job in the work place • Approximately 30% of HMT/PMST takes place • through taught courses • Approved External Modular Courses: • King’s College London – RGN, CLP, CLD • Parexel (Richard Kay) – SDM • DSRU, Southampton – DSS • New Courses at Kings – HMP & Bath Univ - DSS

  10. Diploma in Pharmaceutical Medicine Exam :

  11. Diploma in Pharmaceutical Medicine Exam : • Current Situation • 213 active Trainees – 48 have passed the DPM • 165 Trainees need to sit or re-sit the DPM prior to • completing CCT • Of the Trainees who commenced in or before 2009 • - 122 could or should sit the 2011 exam • - 38 Re-sits & 84 First time • - All 122 need to pass exam either in 2011,2012 or 2013 • Failure to sit or pass the DPM is main reason for RITA E or • Outcome 3 • 46 RITA D or Es/Outcome 2 or 3 issued to date • - 41 due to failure to pass DPM within CCT Timeline • (Failed or not taken exam)

  12. Organisation of the National Deanery & QM Processes: SAC-PM & National Deanery Senior Specialty Advisers (SSA) GMC Local Educational Providers Companies & Trainers (ES &AES) Trainees

  13. Organisation of the National Deanery & QM Processes: • QA of External Courses • Trainee Progression – RITA/ARCPs • QM Process of the PMST Programme by the • National Deanery in Pharmaceutical Medicine • Annual Report to GMC • Includes Issues and Good Practice • –SSA Input • Trainee & Trainer Surveys • – Trainee & ES Input

  14. Annual Deanery Report to GMC - 2010 • GMC recently confirmed continuation of approval for the Pharmaceutical Medicine National Deanery • Items of Good Practice: • Face-to-Face ARCPs & RITAs • Review & Evaluation of External Courses against Curriculum • Trainees working in Teams – • e.g. No single trainee signs off a Clinical Study Protocol • Bespoke ‘effective ES Training Programme’ • Extensive online E-Learning enables Curriculum delivery – • e.g. Roche & GSK • Areas for Attention: • Information on Formative Assessments for Trainees on • Pre-2010 Curriculum • Information on Schedule for Visits to LEPs

  15. Peer Support Group for PMST • Acknowledgement and thanks should be given to the large support • group that HMT/PMST has acquired over the years, including trainees, • numbering almost 600 people comprising: • SSAs, ESs, AESs, Lead Postgraduate Dean, • E&T Committees (SAC-PM; FPM Education Committee; • Trainees Subcommittee, Working Groups (especially CAWG)), • JRCPTB Administrators, • Faculty Education and Standards Administrators, • Education Department RCP, • Faculty Board of Examiners, • Modular Course Providers and course Faculties, • Modular Course QM Convenors Group and QM Panellists, • Postgraduate courses in Pharmaceutical Medicine & their Faculties, • Company Management, • Lay Representatives, • and of course you the Trainees.

  16. CCT in Pharmaceutical Medicine • Summary of 2003 to 2011 • Pharmaceutical Medicine Specialty training • is now in its 9th Year • Nearly 400 Doctors have enrolled into the • programme to date • Currently there are 213 active Trainees • Now 12th Largest Medical Specialty • 148 CCTs have been awarded to individuals who are now acknowledged Specialists in Pharmaceutical Medicine

  17. 3rd National Trainees Meeting • A few Questions from me: • The CCT in Pharmaceutical Medicine – • Why do you want a CCT in Pharmaceutical • Medicine? • What do you get out of it? • Does your Company/Organisation recognise its • importance? • What does your Company/Organisation get out of it?

  18. QUESTIONS & Thanks !

  19. National Deanery of Pharmaceutical Medicine & Faculty of Pharmaceutical Medicine Of the Royal Colleges of Physicians of the United Kingdom 1 St Andrew’s Place Regent’s Park London NW1 4LB