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Registration Workshop. Lindsey Sutherland. ACS. Route 1 4 year. Route 2 6 year. Individual Overseas experience. Re-admission. Molecular genetic. Developing sciences. HPC. Completion of recognised Qualification Replacement of Grade A certificate of competence. In the future….

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Registration workshop

Registration Workshop

Lindsey Sutherland

Registration workshop


Route 1

4 year

Route 2

6 year


Overseas experience


Molecular genetic

Developing sciences


Completion of recognised


Replacement of Grade A certificate of competence

In the future….

Registration workshop

12 weeks submit 2x copies

6 weeks ACS assessors approve portfolio

4-6 weeks notice of interview

2 weeks formal notification

HPC informed

Application to HPC (2 weeks)


CMGS Members

4 year £125

6 year £175

Dev Sc £225


4 year £250

6 year £250

Dev Sc £300


HPC = £60 (£120 every 2 years)

CMGS = £45 per year

6 year 120 pages max 4 year 60 pages max

Covering report

Contents list

Training report

Competency table

Font size 12+

2 copies submitted (+ one for you!!)

Spiral bound

Don’t use section separators

Evidence can be hand-written

6 year = 120 pages MAX4 year =60 pages MAX

Developing sciences
Developing Sciences

  • If your experiences don’t fit neatly into one modality

    Haem + molecular

    Biochem + molecular

  • Cost more

  • 3 portfolios – more than 120 pages

  • 3 assessors

Covering report normally chronological
Covering report – normally chronological

  • Pre Grade A training

  • Grade A Training

    • Introductory Module

    • Disease A module

    • Disease B module

    • Project

  • Band 7 Clinical Scientist

    • Disease C module

    • Disease D module

    • Development

    • Audit

    • Presentation at meeting

  • What do the competencies really mean
    What do the competencies really mean?

    Sci – background knowledge in mol genetics discipline

    Clin – application of Sci knowledge to the field of clinical mol genetics, clinical consequences of testing and interpreting results / impact of patients

    Tech – knowledge of tests, how they work, and relate to differences in referral types / situations and how to control the quality of these tests

    R&D – ability to apply scientific knowledge and clinical knowledge to direct R&D in the context of maintaining quality of the service

    Comm – What and when to relate scientific, clinical and technical knowledge to others in and around the profession

    Prob solv – Application of scientific and clinical knowledge for optimum utilisation of resources

    Manag – control over the application of the sci, clin, tech knowledge to effectively be able to problem solve, perform R&D and communication on a professional level with others

    How do they link with one another


    Problem solving R&D





    How do they link with one another?

    So where do i start
    So where do I start?

    • The ACS recently agreed that you need to have covered the following areas….

    Registration workshop

    No specification of diseases, needed but what you do have must be covered in sufficient detail

    Assessors would like to see
    Assessors would like to see… must be covered in sufficient detail

    Consideration to modules
    Consideration to ‘modules’ must be covered in sufficient detail

    • Keeping to the page limit is difficult! Take time to consider which modules would cover the most competencies

    • Good experiences to present:

      • Development project – good for a new disease or testing strategy

      • Validation of a test

      • An audit

      • Directorate disease review

      • Case studies of more unusual cases, multi disciplinary, or multi test

      • Pathogenicity studies or other literature searches and appraisal for reporting

  • Other multi competency evidence:

    • Duty scientist

    • Caseload responsibility, especially when supervising or co-ordinating others

  • Covering report presentation
    Covering report - presentation must be covered in sufficient detail

    Breast Cancer

    I have been responsible for management of the BRCA mutation scanning service, following training, since April 2005. The laboratory provides diagnostic testing using…… On a day to day basis, I am responsible for prioritisation of samples and co-ordination of several technical staff…… BRCA reports can often require extensive literature searches to determine if a variant has any evidence of being pathogenic…. Due to the pressures on reporting times as recommended by the white paper, I have developed an alternative testing strategy……

    Competencies: Sci, Clin, tech, R&D, comm, prob solv, manag

    Appendix A3

    Example of a module
    Example of a ‘module’ must be covered in sufficient detail

    For this example appendix A3 may contain the following:

    • Disease essay or brief introduction

    • Testing strategy + examples of results

    • Test validation

    • Policies or SOPs you have written

    • Case studies

    • Presentation given

    Covering report presentation1
    Covering report - presentation must be covered in sufficient detail

    Covering report presentation2
    Covering report - presentation must be covered in sufficient detail

    The interview
    The interview must be covered in sufficient detail

    • Intention is to ascertain if you understood the content of your portfolio

    • PLEASE prepare!!

    • Aim is to assess ALL competences and basic principles underlying them

    • Not assessing academic components except to support background to competencies

    • Want to see appreciation of all aspects and thorough understanding of WHY?

      eg: not just what to do if you spill acetonitrile but Why the action should be taken

    • Remember that you don’t have to know all molecular diseases in details for this interview, but you should know your portfolio diseases

    Competences 1

    Clinical must be covered in sufficient detail

    Case studies – interpretation

    Example reports, including QA

    ‘Evidence based’ refers to examples of test sensitivity, alternatives

    Clinical audit / evaluation

    Validation of tests, sending away, essays covering clinical implications, treatments etc, rotation in Clinical Genetics

    Competences (1)


    • Written evidence may not necessarily be possible (i.e practical lab experience) – cover in intro

    • Many points covered by training and experience

    • Example reports indicate knowledge of testing suitability and limitations

    • Duty scientist, sending away samples, pathogenicity studies, development, essays / disease summaries, running caseloads

    Competences 2

    Research and Development must be covered in sufficient detail

    Many point would be covered by Grade A / B research and development projects

    Also include abstracts if work has been presented (poster or spoken)

    Don’t include the entire project – the abstract (in the evidence section) and a short summary (in the covering report text) is sufficient

    Further training and audit are examples of the ability to critically appraise results

    Pathogenicity studies, PhD etc, validations

    Competences (2)


    • Many points covered by training and experience

    • ‘Experience’ can also be indicated by having trained others

    • SOPs indicate technical knowledge

    • Attendance at training courses / seminars / MRCPath self-help course

    • As before, example QA reports and troubleshooting discussions are of value

    • Validation, development, caseloads, audit outcome and implementation

    Competences 3

    Communication must be covered in sufficient detail

    Journal clubs (list), meetings (in- and out-of- house)

    Presentation abstracts (in-house, posters, spoken etc.etc.)

    Experience of IT – remember, most scientists will be able to use Word, Excel, Powerpoint and Access (databases) – this is sufficient to indicate an IT competency

    Directorate reviews, validations and audits, duty scientists, seminars

    Problem solving

    Research and development work

    Troubleshooting exercises

    Scientific knowledge of test limitations / sensitivity

    Audits, caseloads, duty scientist, case studies

    Competences (3)

    Competences 4

    Management must be covered in sufficient detail

    Think about what has been discussed in appraisals / PDRs etc.

    Lab management – lists, spreadsheets, assistance with maintenance of equipment etc. Health and Safety

    Attendance at lab meetings, knowledge of QC issues

    Delegation of duties to MTOs

    Responsibilities – many scientists are responsible for running one or more disease services, albeit under the direction of a senior scientist

    Knowledge of laboratory hierarchy

    Time management

    Quality management, Audits, participation in hospital training (eg back care, fire, H&S), caseloads

    Competences (4)