The IMT Survey East Midlands
Transcript of The IMT Survey East Midlands
IMT Update
Dr Dheya Biswas – Consultant in Acute and General Medicine
& College Tutor
University Hospitals of Leicester NHS Trust
East Midlands New Consultant Forum
July 2020
A “Who’s Who”• Royal Colleges
– SAC – Regional Offices
• HEE / Deanery– Head of School of Medicine– TPDs
• Hospital Trusts– Director of Clinical Education– Clinical Tutors– Education leads– Educational and clinical supervisors
Royal College TutorAssociate College Tutors
Why the change? Background and history
• Modernising Medical Careers 2007 (MMC and MTAS)
• Core Medical Training August 2007
• A syllabus and a spiral curriculum
• Competency based education
• Workplace based assessment
• Educational and clinical supervisors
Why the change? Drivers for change
• Shape of Training October 2013
• Future Hospital Commission Sept 2013
• Francis report Feb 2013
• GMC framework of Generic Professional Capabilities (GPCs)
– to be embedded in all curricula by 2020
• GMC 2016 standards for Medical Education and Training (including curriculum design)
• Trainee/Trainer feedback – “tick box exercise”
Key changes
Internal medicine stage 1 is a three year programme which will deliver the following improvements:• supported transition to the medical registrar role• a more structured programme with mandatory training in geriatric medicine, critical
care and outpatients• longer placements in internal medicine year 3 (IMY3) to provide more continuity in
training• simulation based learning• a programme of assessment which is more intuitive• additional time in which to gain MRCP(UK) if needed
What has not changed
• Good supervisory practice
• Annual Review of Competence Progression (ARCP) process
• Supervised learning events (SLEs) and workplace based assessment (WPBAs)
• MRCP(UK)
Training pathway
• The specialties have been split into two groups which follow
different training pathways
Group 1
Dual training with Internal Medicine
Group 2
Single CCT
Group 1 specialties Acute Internal MedicineCardiologyClinical Pharmacology & TherapeuticsEndocrinology & Diabetes MellitusGastroenterologyGenitourinary MedicineGeriatric MedicineInfectious Diseases (except when dual with Medical Microbiology or Virology)NeurologyPalliative MedicineRenal MedicineRespiratory MedicineRheumatology
Group 2 specialties AllergyAudio vestibular MedicineAviation & Space MedicineClinical GeneticsClinical NeurophysiologyDermatologyHaematologyImmunologyInfectious Diseases (when dual with Medical Microbiology or Virology)Medical OncologyMedical OphthalmologyNuclear MedicinePaediatric CardiologyPharmaceutical MedicineRehabilitation MedicineSport and Exercise Medicine
What else is changing?
Staying the same Changing
Assessments i.e. ACATs/CBDs
MRCP
ARCP
Length of training
Rotations
Outpatients
Competencies
Curriculum
Eportfolio
Assessment
Yes
Yes
Yes
Yes
Yes – 3 years
Yes – Capabilities in Practice
Yes – 80 clinics
Yes?
Yes – “Clearer and easier”
Yes – ES & ?CS
What else is changing? - Rotations
Placement IMT 1-2 IMT 3
Geriatrics 4 months
Intensive Care 10 weeks
Acute Medicine 6 months
The IMT curriculum has six generic capabilities in practice (CiPs)
Internal Medicine Training (IM Stage 1) curriculum
Clicking on the information icon will display the anchor statements used to rate the generic CiPs
Internal Medicine Training (IM Stage 1) curriculum
Clicking on the information icon will display the level descriptors used for rating the clinical CiPs
Internal Medicine Training (IM Stage 1) curriculum
Multiple Consultant Report (MCR)
The IMT MCR is aligned to the 14 generic and clinical CiPs. Consultant supervisors should give feedback on CiPs they have observed using global ratings. A minimum of four MCRs are required each year from consultant supervisors
Is that it?
• Induction meetings
– Detailed meeting between trainees and supervisors (ES and CS)
• Local faculty groups
– Group of consultants feeding back on IMT trainees in their area
• Professional Development Meetings
– More frequent and regular meetings with ES
• Review of portfolio
• Discuss clinical cases and reflections
• Plan aims / objectives for the block
Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul
Placement 1 Placement 2 Placement 3
Professional Development
Meetings
Induction Meeting
Trust Induction
ProgrammeInduction
MSF
SLEs
CS Induction
CS appraisal
Placement Induction
LFG
MCR
ESR
ARCP
Biggest challenges
• IMTs getting to clinic and seeing patients
• Delivering the in-Trust weekly teaching programme
• Access to certain procedures
• Exam preparation
• Time for professional development and for supervision
What can you offer?
• Complete assessments (SLEs, DOPS) and MSF responses • Complete a consultant MCR at the end of a block• Become a clinical supervisor and/or educational supervisor• PLEASE get IMTs into your clinics and actively involved• Provide teaching in your local weekly IMT programme• Provide bedside teaching for IMT trainees preparing to take PACES• Support local simulation and procedural skills courses• Share QIP opportunities• Join an ARCP panel• Support IMT interviews
Thank you for listening!
• Questions?
https://www.jrcptb.org.uk/sites/default/files/IMT%20ARCP%20Decision%20Aid%202019.pdf