GIM Requirements and PYA process
Dr Ursula M Davies General Internal Medicine TPD HEKSS External PYA Assessor RCP GIM SAC Career pathway for dual CCT
FY2 MRCP Core Medical Training Selection 60 months to completion minimum GIM Specialty Work Placed Based Assessments Specialty JRCPTB GENERAL INTERNAL MEDICINE
SPECIALTY FOR GENERAL INTERNAL MEDICINE AUGUST 2009
SPECIALTY TRAINING CURRICULUM FOR GENERAL INTERNAL MEDICINE AUGUST 2009 (AMENDMENTS MADE AUGUST 2012) Joint Royal Colleges of Physicians Training Board Website: GIM CURRICULUM GIM CCT ST3 CORE MEDICAL TRAINING FOUNDATION The GIM SAC GIM ARCP Decision Aid 10 WPBA (at least 6 ACAT) per year
MSF X 2 (minimum 12 raters; 3+ consultants) Multiple consultant report Annual GIM Educational Supervisors report Procedures (maintain CMT skills) Demonstration of seniorlevel competences Teaching with feedback Management / leadership experience Multiple consultant report
Additional to multisource feedback tool Consultants only Agreed by trainee and ES at beginning of placement 4 6 respondents per training year Prior warning Focus on clinical performance in GIM Summary MCR contributes to ES report The Firth calculator GIM Outpatient Experience
Usually in primary specialty clinics Can be obtained in other specialty clinics Minimum of 186 outpatient clinics Replaces previous requirement for 450 NP / 1500 FU patients OP equivalent can include inpatient complex referrals or ambulatory care patients Logbook record essential JRCPTB GIM ePortfolio review prior to ARCP 2015
(2) EDUCATIONAL SUPERVISORS REPORT FOR GIM ES Report for GIM? (Yes / No) Separate from main specialty? (Yes / No) Confirms satisfactory GIM progress (Yes / No) (3) WORK PLACE BASED ASSESSMENT IN CURRENT GIM POST WPBA type: Number of Mini-CEX performed Number of CbD performed Number of ACATs performed (6 minimum required) MSF obtained(minimum of 12 raters required incl. 3 consultants ) Multiple Consultant Report (4-6 raters required) GIM ARCP summer 2015 (4) COMPETENCIES ACHIEVED AND SIGNED OFF BY EDUCATIONAL SUPERVISOR WITH SUFFICIENT EVIDENCE (2 PIECES) Competencies: ALS: Presentations: Number of Common Competencies (15 at ST level in curriculum) Valid ALS (yes/no) Number of Emergency Presentations (4 in curriculum) Number of Top Presentations (22 in curriculum) Emgagement with Other Presentations (40 in curriculum) (5) PROCEDURAL COMPETENCIES ACHIEVED AND SIGNED OFF BY EDUCATIONAL SUPERVISOR WITH SUFFICIENT EVIDENCE (2 PIECES) Abdominal paracentesis (Yes/No) DC cardioversion (Yes/No) Knee aspiration (Yes/No) Central venous cannulation (Yes/No) Intercostal drainage - pneumothorax (Yes/No) Intercostal drainage pleural effusion (Yes/No) GIM ARCP summer 2015 (6) GIM AUDIT/QIP (must have led one by GIM CCT) (7) AMOUNT OF EXTERNAL CPD TO DATE (eg. GIM REGIONAL TRAINING DAYS) GIM Audit/QIP (Yes/No) Number of hours (8) RECOMMENDED ARCP OUTCOME (9) COMMENTS / RECOMMENDATIONS / REVIEW Recommended ARCP Outcome (1,2,3,4,5,6,7,8,9) Comments Recommendations Review conducted by GIM TPD / Representative by GIM CCT Award Logbook evidence of minimum:
1000 patients seen on acute take (CCU/ ITU) 186 outpatient clinics (2 per week for 31 weeks over 3 years) 100 hours external GIM training GIM audit (Lead 1) Management / teaching experience RCP CPD Online diary Valid ALS GIM PYA Occurs within 18 months of Specialty CCT
Specialty and GIM CCT dates concur External General Internal MedicineSpecialty Advisory Committee assessor KSS GIM Lead or representative All GIM documentation to date ST3-6 reviewed - including LAT appointments GIM PYA External GIM SAC representative sets Mandatory and Recommended targets Specifies amount and duration of refresher GIM in last year Targets must be achieved in months GIM Lead then signs off documentation CCT in GIM granted Dr X PYA Overview of SpR Jobs
ST3 ST4 ST5 ST6 ST7 On Call 1 in 12 1 in 10 none CCU Yes - No PTWR Average no pt 20 50 10 Continuity SpR WR 3 2 4 Consultant WR 1 Clinics/week ITU/HDU MDT/Xray 11/4 2.5 *Cover at night PYA pitfalls Too few WPBA No separate ES report for GIM
GIM curriculum competences not signed off by educational supervisor No log book evidence for on-take and outpatient experience Firth calculator not countersigned