Robert Jackson Head of Postgraduate Education The Royal College of Psychiatrists

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Robert JacksonHead of Postgraduate
EducationThe Royal College of Psychiatrists
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Modernising Medical Careers

• New generic Foundation Programme for the first 2
  postgraduate years (F1 and F2)
• Followed by a run-through model of specialist
  training (i.e. no mid-point reselection)

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Modernising Medical Careers

• Ongoing problems with numbers of Foundation posts
  available
• SHOs appointed for August 2006 will be on 12
  month contracts (because Doctors will be going
  into F2 instead of specialist training)

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Psychiatric training
Choice for advanced programme
NTN
International Entry
Core
Advanced
Post-CCT Training (CPD)
SHARED ST1
CCT
Exam Pt 2
Exam Pt 1
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Selection Criteria

• Medical Expert
• Communicator
• Team player
• Manager of resources
• Health advocate
• Scholar
• Professional probity, honesty
• Able to deal with ambiguity

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Transitional Arrangements

• Transition begins when the first person is
  recruited into the new curriculum specialty
  training programme
• Transition ends when the last person leaves the
  old curriculum SpR programme

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Transitional Arrangements

• From August 2007 entry to SHO grade and Type 1
  and Type 2 SpR training will be closed
• All trainees not in Type 1 or Type 2 SpR
  programmes will have to compete for a place in a
  new specialty training programme
• All entrants into specialty training will be
  allocated a NTN

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Transitional Arrangements

• During core training the NTN will be a generic
  psychiatry number
• During advanced training the NTN will be
  specialty specific

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Entry into specialty training

• Entry will be competitive at all levels there
  will be no automatic transfer
• Competitive groups
• Foundation trainees and / or doctors with little
  additional experience
• SHOs with 1 2 years experience
• SHOs who have achieved the entry requirements for
  entry into specialist training
• NCCGs

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Transitional Arrangements

• Foundation Trainees from August 2005
• Should complete FY2 by the end of July 2007
• Will be in a position to compete for specialty
  training in the spring of 2007

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Transitional Arrangements

• Pilot F2 trainees in 2005
• Will complete foundation in 2006
• Should be going into SHO posts in August 2006
• In 2007 should compete for appointment to
  specialty training (probably at year 2 of
  Specialist Training)

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Transitional Arrangements

• Current Year 1 and Year 2 SHOs
• Should review foundation curriculum to ensure
  that they can demonstrate foundation competencies
  
• Trainees who have made progress with MRCPsych
  will strengthen their position for selection into
  core or advanced psychiatric training

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Transitional Arrangements

• SHOs in Year 3
• Many will have passed MRCPsych
• If they already have a NTN they will continue to
  completion of their training
• Those who have not yet been allocated a NTN will
  apply for entry into advanced training

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Requirements for training and assessment

• Predominantly workplace based
• Must focus on performance (what doctors actually
  do) rather than just knowledge
• These requirements will apply to both training
  and assessment

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Assessments

• Fit for purpose
• Purpose specified and available
• Sequence of assessments
• Content based on PG training
• Methods Reliable, valid, feasible, cost
  effective
• Transparent methods
• Assessments provide feedback
• Assessor selection and training
• Lay input
• Documentation standardised and accessible
• Sufficient resources