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Certification:. Trainees' View. Mike Nelson, Consultant Surgeon, Isle of Wight. Historical View. Change Drivers. Today. Trainees. Future Areas. Introduction. Mike Nelson. Trained as SpR in Wales FRCS (Gen Surg) 2005 Colorectal subspecialty CCT October 2005 Locum Consultant Surgeon

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Presentation Transcript
slide1

Certification:

Trainees' View

Mike Nelson,

Consultant Surgeon, Isle of Wight

introduction

Historical View

Change Drivers

Today

Trainees

Future Areas

Introduction
mike nelson
Mike Nelson
  • Trained as SpR in Wales
  • FRCS (Gen Surg) 2005
    • Colorectal subspecialty
  • CCT October 2005
  • Locum Consultant Surgeon
    • Charing Cross Hospital
  • Consultant Surgeon – April 2006
    • Isle of Wight
pre calman

1996

FRCS

“Registrar”

Senior Registrar

Consultant

Pre-Calman
calman principles

1996

MRCS

Single SpR Grade

Curriculum, RiTAs

Exit Exam & Consultant

Calman Principles
calman environment

2006

Seamless Training

New Deal = Less Hours

Subspecialisation

Consultant Expansion

Calman Environment
results 2002 ice passes
Results: 2002 ICE Passes

115 successful candidates

ICE Passes

drivers for change

EWTD

Initiatives

Service Changes

ISTCs

Laparoscopic

MMC

Lifestyle

Regulation

Drivers for Change

2006

slide10

Endoscopy Experience

Median=12.5

(range 0-345, n=24)

slide11

Senior Medical Appointments

CCT route

Specialist

Postgraduate Medical Training

Career posts

Specialist and GP training

programmes

(Run-through training)

Fixed term

specialist

training

F2

F1

Arrows indicate competitive entry

Medical school – 4-6 years

MMC
more questions
More Questions
  • Further exams post ICE?
    • Not on your life!
  • Why should surgery be different?
  • Why should coloproctology differ?
  • Can we separate emergency and elective work?
  • Will we recreate old bottlenecks
  • Is it necessary?
suggested path forward
Suggested Path Forward
  • Robust evaluation of Calman
    • Heterogenous group
    • Implement improvements
  • Any changes universal
    • Are “craft” specialties different?
  • Evidence based
    • Changes will be inevitable
  • Colleges & Associations continue to lead
trainee s role must be active
Trainee’s Role Must be Active
  • Join Societies
    • ASiT
    • Dukes’ Club
  • Collect and publish data
    • Electronic logbook
  • Identify good & bad training units
  • Encourage future trainees
summary
Summary
  • Current CCT holders probably OK
  • Current senior SpRs probably OK
  • Current new SpRs less certain
  • Current SHOs parallel training
  • Current F1/2s very uncertain
  • However… change is nothing new
    • Extent and pace is unprecedented