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6 months of EM in ACCS

6 months of EM in ACCS. Zareena Jedaar (UHW ED). What to expect. Who’s who of ACCS training in Wales EM Induction Registration with the College of EM for EM trainees Training agreement ACCS Workbook WPBAs The role of the CT1, 2 and 3 Structured training report ARCP. Who’s who.

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6 months of EM in ACCS

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  1. 6 months of EM in ACCS Zareena Jedaar (UHW ED)

  2. What to expect • Who’s who of ACCS training in Wales EM • Induction • Registration with the College of EM for EM trainees • Training agreement • ACCS Workbook • WPBAs • The role of the CT1, 2 and 3 • Structured training report • ARCP

  3. Who’s who • Leads within each ED responsible for ACCS training: • In Bangor - Mark Anderton • In Cardiff - Zareena Jedaar • In Newport - Rajan Raghupati • In Swansea - Dindi Gill • In Wrexham - Robin Roop • ACCS lead for AWSEM (All Wales School of Emergency Medicine) - Zareena Jedaar • Specialty lead and training programme director of AWSEM - Amanda Farrow

  4. Induction • Registration with the College of EM for EM trainees • First of 3 Meetings with educational/clinical supervisor • Documentation on e-portfolio for EM and AM trainees; hard copy format for Anaesthetic trainees • Training agreement • AWSEM training agreement • Personal development plan • Workplace based assessments • Attendance at teaching/regional teaching for EM trainees • Participation in Audit • E-learning modules

  5. WPBAs • Summative assessments vs Formative assessments • 2 Summative Assessments (Mini-CEX OR CBD) by a Consultant on 2 of the Major Presentations using the specific summative Mini-CEX or generic summative CBD forms. • 5 Summative Assessments on the following 5 Acute Presentations (Chest Pain, Abdominal Pain, Mental Health, Head Injury, Breathlessness) using the specific summative Mini-CEX or generic summative CBD forms and completed by Consultants. • The above assessments will consist of a minimum of 4 Mini-CEX and 3 CBDs. • 1 ACAT-EM which may cover up to 5 additional Acute Presentations • 5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma, Joint or fracture manipulation + one other practical procedure) • 10 additional assessments of acute presentations using a combination of e-learning, reflective entries, teaching and audit assessments, additional ACAT-EM • 1 MSF (minimum of 10 to include 3 Consultants)

  6. The role of the CT1 – 3 in the ED • Progression from Foundation training to Specialty training • Achieving EM skills and knowledge • Assessed by WPBAs and MCEM exams for EM trainees • Assuming leadership roles, incl. resus (under supervision) • Teaching and providing advice (if comfortable) to less experienced (foundation trainees, nursing staff, etc.) • Medical student teaching

  7. Educational opportunities • Departmental teaching • Regional teaching (1 full Tuesday per month): “stay in touch” • Audit and Case presentations (consultant completes WPB assessment forms for these) • E-learning (e-LFH, doctors.net, bmj.com) • Mock Exams (MCEM and FCEM: 3/10/2012) • AWSEM training day (Posters and presentations by trainees) • Simulation training days (25/9/2012 @ POW, Bridgend) • Check emails and respond when necessary

  8. STR and ARCP • Structured training report • Completed by trainee and educational supervisor • Records WPBAs and achievements and documents strengths and weaknesses/areas for development • Summarises the evidence of competence required at the ARCP to determine progression or not • Complete at least 1 month before end of placement/before ARCP to allow time to complete assessments or address potential areas of concern

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