Acute care common stem core training programme
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- ACCS routes of entry and training pathways
Executive SummaryACCS is a 3 year core training programme that normally follows Foundation Year 2. It is the only core training programme for trainees wishing to enter higher specialty training in Emergency Medicine. It is an alternative core training programme for trainees wishing to enter higher specialty training in General Internal Medicine (GIM), Acute Internal Medicine (AIM) or Anaesthetics. It will deliver all elements of the specialty specific core training curricula, with additional augmented outcomes i.e. competences beyond those areas covered by GIM and anaesthetics. The first two years are spent rotating through Emergency Medicine (EM), General Internal Medicine, Anaesthetics and Intensive Care Medicine (ICM). The third year is spent providing training that will ensure the trainee meets the minimum requirements for entry into higher specialty training in their parent specialty (EM, GIM/AIM, Anaesthetics and also ICM). For trainees entering the specialities defined by the JRCPTB the competences required are defined within the General Internal Medicine (2009) curriculum for those following the core medical training programme. Aim The aim of ACCS training is to produce multi-competent junior doctors able to recognise and manage the sick patient, who can define the nature of the specialist intervention required and who have complementary specialty training. Objectives Within the overall aim, each specialty has a specific objective for ACCS training: Emergency Medicine To provide training that delivers the first three years of the CCT in Emergency Medicine in a pre-planned and structured manner. General Internal Medicine(Acute) To produce a cohort of trainees with all the competences delivered in Core Medical Training (CMT), with augmented outcomes and more broadly based experience. For the purposes of this training programme trainees must obtain significant experience in the acute medical take during the 6 months of medicine as this defines the term GIM(Acute Anaesthetics To produce a cohort of trainees with more broadly based experience than is available solely within the Anaesthetics CCT programme and to allow those who want to obtain a joint CCT in Anaesthetics and ICM to obtain the complementary competences in a pre-planned and structured manner. Intensive Care Medicine (ICM) To allow trainees who want to obtain a joint CCT in ICM to obtain the competences of the complementary specialties in a pre-planned and structured manner. The programme consists of: 6 months of Emergency Medicine 6 months of GIM(Acute) 1 year of Anaesthetics + ICM (with a minimum period of 3 months in either discipline). 1 further year in the chosen parent specialty The programme is a competency based programme; nevertheless, minimum required periods of time are specified to allow acquisition of competences and for administrative reasons to ease the organisation of rotations., Application by trainees will normally be for ACCS training, but some Deaneries will have specialty specific or indicative recruitment whereby trainees will have to state at application or interview a preference for the specialty programme they wish to follow on completion of ACCS training. This will enable appropriate posts to be made available at CT2 (for Anaesthetics) and at CT3 for Emergency Medicine and General or Acute(Internal) Medicine. Selection will normally be made by a panel with representatives from all four disciplines. Record of In Training Assessment (ARCP) panels should also have representatives from all disciplines being reviewed by the panel. Assessment All ACCS trainees will be assessed using the proscribed tools and against the criteria specified in Section 8 of this curriculum. Satisfactory performance in the specified assessments (including relevant postgraduate examinations) is required before progression to higher specialty training. ACCS routes of entry and training pathwaysFY1 FY2 CT1 Anaes CT2 Anaes HST Anaes 
PURE ANAESTHETIC ROUTE 
Entry to Anaesthetic training is either via CT1 Anaes or ACCS CT1. A national assessment of knowledge is reqired for progression. This is by completion of FRCA Primary by end of CT2 and FRCA Final by end of StR4. CT2 Anaes EM CT1 Anaes CT1 CT3 EM HST EM EMERGENCY MEDICINE ROUTE FY1 FY2 AM CT1 ICM CT1 CT3 AM 
Entry to EM training is only via ACCS CT1. Assessment of knowledge is by completion of MCEM B&C by end of CT3 and FCEM by end of HST. There is competitive entry into HST by national recruitment HST AM CORE MEDICAL ROUTE CMT1 CMT2 FY1 FY2 Entry to AM training is either via CMT1 or ACCS CT1. Assessment of knowledge is by completion of the MRCP by end of CT3. Assessment of competence is shown using WPBA tools such as Mini-CEX, CbD, DOPs, ACAT and MSF. In Anaes and EM some of these WPBA tools are summative and are therefore required for progression at ARCP. The overall assessment process combines the relevant college examination as the primary assessment of knowledge with the workplace based assessments, which are designed to monitor how that knowledge is applied in clinical practice. It is necessary for trainees to engage fully with the assessment process to ensure that an evidence base of competence is accrued. Directory: assets assets -> Northern territory of australia assets -> Number: caveat in the [Will/Will and Codicil/Estate of] assets -> Invitation for Bid Calact/mbta for Standard Floor and Low Floor Rural Duty Vehicles ifb no. 12-03 November 14, 2012 assets -> 12 Step Retreats For Everyone in Twelve Step Recovery Ratner Fellowship assets -> 12 Step Retreats For Everyone in Twelve Step Recovery Ratner Fellowship assets -> Sigaccess annual Report assets -> Central Government is expected to ask the seventh pay commission to consider merging 50% dearness allowance assets -> List of accessible executive records assets -> Emergency telephone numbers Call toll-free from anywhere in France Download 3.92 Mb. Share with your friends:
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