New Surgical Training Pathway Interns & BST Applicants Q&A

February 13th 2013

Royal College of Surgeons in IrelandColáiste Ríoga na Máinleá in Éirinn

New Surgical Training Programme -Interns & BST Applicants Information Evening Agenda

1. Current Surgical Training Pathway 2. Why Change?3. Future Vision & Goals4. The New Training Pathway 5. Q&A

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Current Surgical Training Pathway

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CURRENT MODEL OF SURGICAL TRAINING

3yrs 6yrs

Basic Training Higher Surgical Training

GAP YEARS

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Issues can be clustered around three big areas

Why change Surgical Training?

Quality Assurance

CommunicationDuration /Content

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What might we wish the future of surgical training in RCSI??

A Vision for Surgical Training

• Programme of choice for “brightest & best”

• Global reference point

• Robust trainee and trainer assessment and selection

• Continuum of Training

• Shorter

• Numbers tied to consultant manpower planning

• Curriculum aligned to needs of a defined service model

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Goals

1. Quality Enhanced Training Journey & Assessment2. Trainees starting in July 2013 can complete

training in 8 years3. Reduced BST:HST Ratio4. Enhanced Communication & Feedback Processes5. World Class Surgeons & Patient Care

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The New Surgical Training Pathway

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Key Selection & Entry Criteria

A. Academic RecordB. Clinical Decision MakingC. Surgical AptitudeD. Interpersonal Skills

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NEW TRAINING PROGRAMME FORMATAND DURATION

8 year training programme: ST Y1- ST Y8

ST Y1 ST Y2 ST Y3-6 ST Y7-8

CORE BASIC SPECIALTY

HIGHER SPECIALTY (CORE)

FELLOWSHIP

IRELAND/ABROAD

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Specialty Matching Process

Progression from ST Year 2 to ST Year 3

ST Y1 ST Y2 ST Y3-6 ST Y7-8

CORE BASIC SPECIALTY

HIGHER SPECIALTY (CORE)

FELLOWSHIP

IRELAND/ABROAD

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Specialty Interview & Progression Process

Proposed Assessment & Progression to ST3

Multi-Dimensional Scorecard Criteria• Multi-Station Specialty Interview • MRCS exam• CAPA process• Lab/Course based Assessments

– (Operative skills / Human factors)

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Phased Introduction July 2013- BST 1 Intake – Training Pathway

Selection & Offers

Jul 13BST 1

Jul 14ST 2

Jul 15 ST3-ST8

1 wk “Bootcamp”Augmented OSS

Curriculum

ST 1 Rotations 6 m General Surgery

&6 m T & O Surgery

Specialty posts

MRCSI

Gap Years

Short listing&

Interview

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BST Year 1 Structure - July 2013

• 6 months: General Surgery• 6 months: Trauma & Orthopaedic Surgery

Phased IntroductionBST 1 Intake for July 2013

• One week RCSI ‘Surgical Bootcamp’

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ST Year 2 Structure - July 2014

• 2 X 6 months rotations in 2 chosen Specialties

ST2 DESIGN

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July 2014 - ST1 Intake – Proposed Training Pathway

Selection & Offers

Jul 14ST 1

Jul 15ST 2

Jul 16 ST3-ST8

Specialty Posts

MRCSI

Gap Years

Advertising &

Short listingSpecialty Pre-Screening

Offers

ST 1 Rotations4 m General Surgery4 m T & O Surgery2 m Intensive Care2 m Elective - Surgical specialty- Interventional radiology

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Proposed ST Year 1 Structure

• 4 months: General Surgery• 4 months: Trauma & Orthopaedic Surgery• 2 months: Intensive Care• 2 months: Elective (surgical specialty/interventional radiology)

ST1 DESIGN - JULY 2014

• Single Hospital site• One week RCSI ‘Surgical Bootcamp’

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Proposed ST Year 2 Structure

• 2 X 6 months rotations in 2 chosen Specialties

ST2 DESIGN

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RESEARCH AND ACADEMIC SURGERY

ALL trainees do taught course in Research Methodology/Academic Surgery in ST Y3 and 4

SOME trainees may OPT to do full time lab based research (preferably after ST Y4 or 5)

- up to 1 year may be PART of Surgical Training programme

- more than 1 year (eg MD or PhD) adds extra years to Surgical Training

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Q & A

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