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TRAINING GRADES EMPLOYMENT ISSUES AND COMPETENCY ASSESSMENTS

TRAINING GRADES EMPLOYMENT ISSUES AND COMPETENCY ASSESSMENTS. 30 April 2009 Practice Manager’s Conference St Mellion. Trainees in General Practice. All trainees work in accordance with the National Terms and Conditions for Hospital Medical and Dental Staff, governing pay, hours of work etc.

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TRAINING GRADES EMPLOYMENT ISSUES AND COMPETENCY ASSESSMENTS

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  1. TRAINING GRADES EMPLOYMENT ISSUES AND COMPETENCY ASSESSMENTS 30 April 2009 Practice Manager’s Conference St Mellion

  2. Trainees in General Practice • All trainees work in accordance with the National Terms and Conditions for Hospital Medical and Dental Staff, governing pay, hours of work etc. • A small proportion of GP trainee isses in relation to total cases • Mainly relationship problems, cultural • Contractual issues arising from misinterpretation of the terms and conditions • Support from the Deanery

  3. Common problems • Misunderstanding of maternity entitlement General Whitley Council Statutory maternity pay • Failure to comply with statutory provisions relating to disciplinary issues

  4. Changes to Medical Training • Impact of Modernising Medical Careers • New terms and conditions • Changes to employment law from 6th April • Adherence to ACAS code • Different rules applying to different staff, ie Foundation trainees, Specialty Trainees, GP Registrars (Directions to SHA’s) Salaried GP’s

  5. IT ALL SEEMED SO CLEARER BEFORE • PRHO = pre registration house officer • SHO = senior house officer • REG = registrar • SR = senior registrar • SPR = specialist registrar • Then along came “Modernising Medical Careers”

  6. BUT NOW • F1/FY1FHO1 • F2/FY2/FHO2 • StR • StR(CT) • StR(FT) • LAT • LAS • FTSA • SPRs and some SHOs remain

  7. ARCP CCT CESR CoE DMS DPMD FACD FTPD OOP OOPC OOPR OOPT OOPE AND MORE

  8. PMETB SACs/STCs TOFB TPD AND MORE

  9. SO MANY NEW TERMS • New processes impact on both the training practice and the BMA • Role of BMA Support for trainee Support for the practice

  10. Clinical Supervisor Curriculum Educational Agreement Educational Contract Educational Supervisor Programme Run Through Training Training Programme Uncoupled Training AND MORE

  11. TRAINING GRADE STRUCTURE • F1/FY1/FHO1- FOUNDATION PROG DOCTOR • F2/FY2/FHO2- FOUNDATION PROG DOCTOR • StR - SPECIALTY REGISTRAR • StR(CT) - CORE TRAINING • StR(FT) - FIXED TERM • LAT - LOCUM APPOINTMENTS TRAINING • LAS - LOCUM APPOINTMENTS SERVICE • FTSA – FIXED TERM SPECIALTY TRAINING APPOINTMENT

  12. KEY ACRONYMS • ARCP – Annual Review of Competence Progression • CCT – Certificate of Completion of Training • CESR – Certificate confirming Eligibility for Specialist Registration • CEGPR – ditto GPs

  13. KEY ACRONYMS cont • FTPD – Foundation Training Programme Director • OOP – Out of Programme • OOPC – ditto for career break • OOPR – ditto for research • OOPT – ditto for training • OOPE – ditto for experience

  14. KEY ACRONYMS cont • PMETB – Postgraduate Medical and Education Training Board • SACs – Specialty Advisory Committee (College) • STCs – Specialty Training Committee (PGD) • TOFP – Time out of a Foundation Programme • TPD – Training Programme Director

  15. COMPETENCY ASSESSMENT • PRHO – SATISFACTORY SIGN OFF • SHO – SATISFACTORY REFERENCES • SPR – RECORD OF IN TRAINING ACHIEVEMENT “ RITA” • BMA PROVIDE SUPPORT AND REPRESENTATION AT RITA APPEALS

  16. Competency Assessment Foundation Programme • Continuous Portfolio Assessment • First year failure – remedial support for up to one year • Second year failure – remedial support for up to six months, exceptionally one year • BMA Support

  17. Competency AssessmentSpecialty Training • ARCP – Annual Review of Competence Progression • ARCP panel reviews evidence of progress • Trainee only attends if unsatisfactory outcome likely

  18. Competency AssessmentSpecialty Training ARCP Outcomes • 1 Satisfactory progress • 2 Development of specific competencies required – additional training time not required • 3 Inadequate progress – additional training time required • 4 Released from Training • 5 Incomplete Evidence – additional evidence within 5 working days

  19. Competency Assessment ARCP review/appeals • Right to a review of Outcome 2 additional training • Trainee has right to submit additional evidence and to be interviewed for a second time • Timescales – 10 working days to submit review request • BMA support

  20. Competency Assessment ARCP review/appeals • BMA Support • Advice on Process and Procedure • Advice on structure of statement of case • Attendance at appeal hearing to ensure procedural fairness and case is advocated effectively • Avoid provision of clinical advice

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