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Role of the Deanery

NAMEM Annual Conference Europa Hotel Belfast Dr Terry McMurray Chief Executive/Postgraduate Dean 10 th September 2009. Role of the Deanery. Co-ordinates postgraduate medical & dental education Provides DHSSPS with source of advice Organises and funds educational activities

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Role of the Deanery

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  1. NAMEM Annual ConferenceEuropa Hotel BelfastDr Terry McMurrayChief Executive/Postgraduate Dean10th September 2009

  2. Role of the Deanery • Co-ordinates postgraduate medical & dental education • Provides DHSSPS with source of advice • Organises and funds educational activities • Administers regional budgets for salaries and training • Provides careers advice, reviews progress of trainees and assesses training posts • Recruitment and Selection PMETB

  3. NIMDTA There are currently 1819 doctors and dentists in Northern Ireland 479 Foundation Doctors 547 Senior House Officers (SHOs) 580 Specialist Registrars (SpRs) 35 Locum Appointments for Training (LATs) 49 Fixed term training appointments – (FTSTAs) 24 Vocational trainees in dentistry – (VTs) 8 General Professional Trainees in dentistry (GPTs) 97 GP Registrars (GpRs) StR

  4. NIMDTA Structure

  5. The 4 Personality types The optimist The pessimist The vacillist The allonaplatist

  6. Doctors are not quitters…especially in N.I. • 5-8% leave as undergraduates • 10% Churn at Core Training Level • 1% loss/SpR years • Least attrition of all Health-carers

  7. Challenges for Medical Education MMC Patients Expectations EWTD SENIORS CONTRACTS

  8. Trainee centred • Competency assessment • Service Based and Quality Assured • Flexibility • Coaching • Structured

  9. Some Consequencesof MMC • Re-structuring of Training Pathway • New Curricula • Gold Guide • MTAS • National competition • Re-structuring of Deaneries • Doctors in Difficulty

  10. Curriculum Appraisal Length of training Management of training Assessment National standards "An Academical system without the personal influence of teachers upon pupils is an Arctic Winter". William Osler Educated Professionals or Professional Educators ? Learning through curiosity Reduce burden of factual information Appropriate Attitudes Learning guided by modern educational theory

  11. The medical graduate, on taking the Oath, enters a moral community whose defining purpose is to respond to and to advance the welfare of patients “Its finished”, NHS Manageralism, targets, contracts have de- professionalised us. Its about doing your work, watching your back, and doing the hours and tasks that you’re paid for” Where do you place yourself ? The Hidden Curriculum 10 1 Hilton, S. 2004

  12. All Changed, Changed utterly: A Terrible Beauty is born Motivation Data Focus A strong consensus On PGME Measure Priorities The Future of PGME MMC PMETB

  13. Fight Club ??? • 1948 NHS established • 1950 rationing • 1979 Oil Crisis • 1984 Griffiths • General management • 1991 Trusts • CEO accountability • Internal market • 1997 Blair Elected • Targets • 2001 Bristol • clinical governance • 2003-7 Consultant /GMS contract

  14. Shift Happens! What’s it All About??? Greater Success + At Greater Speed + With Constant Uncertainty + With Less Resource + with More Competition

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