Acute care common stem core training programme
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- 1.2 Aim of ACCS
- 1.3 Objectives of ACCS
- 1.4 ACCS the academic trainee
- 1.5 Further advice about ACCS
1.0 Introduction1.1 What is ACCS?ACCS is a new concept in medical training. Designed to attract doctors with an interest in the acute medical specialties, the three year ACCS programme will develop the skills, knowledge and attitudes required to enter higher training in Emergency Medicine (EM), GIM/AIM, Anaesthetics, and also Intensive Care Medicine (ICM). On completion of Foundation Training, many trainees recognise that they find working with the sickest patients in the hospital stimulating; they enjoy the challenges faced in the acute situation, and are rewarded by the improvements they see as their treatments take effect. The specialties EM, GIM(Acute), Anaesthetics, and ICM all play their part in the management of such patients. In ACCS, time is spent training in each of these four disciplines. ACCS provides the core competences for progression to higher specialty training in EM, GIM(Acute) and Anaesthetics, along with the complementary specialty requirements required if the trainee’s ambitions are to achieve dual CCT training in ICM. ACCS is designed to deliver the competencies common to the acute specialties, and help develop in trainees an acute care ‘language’. It will not only improve knowledge and practical competences, but also provide essential communication and networking skills essential to the effective practice of an acute care physician. On completion of ACCS, doctors will have the necessary skills required to pursue a career in the acute specialty of their choice. 1.2 Aim of ACCSACCS delivers training in the core skills required in each of the component specialties (EM, GIM(Acute), Anaesthetics and ICM): a junior doctor deciding on a career in any of these specialties is trained in the core skills required for all of them. ACCS will provide multi-competent junior doctors who will be not only be able to recognise and manage the acutely unwell patient, but will be competent to define the nature of the specialist intervention required, and be able to initiate emergent or urgent treatment, until specialist or more senior help arrives. 1.3 Objectives of ACCSACCS has a common aim, but each specialty has specific objectives for ACCS training: Emergency Medicine ACCS constitutes the first three years of the CCT in EM in a pre-planned and structured manner. The first two years of ACCS training (EM, GIM(Acute), Anaesthetics and ICM) are followed by a further year gaining additional competences in adult EM (including musculoskeletal emergencies) and Paediatric Emergency Medicine; thus fulfilling the requirements to progress to higher training in EM. General (Internal) Medicine ACCS is one of the training options available for delivering the core competences required for a CCT in GIM, AIM or one of the acute medical specialties in a pre-planned and structured manner. The first two years of ACCS training (GIM(Acute), EM, Anaesthetics and ICM) are followed by a further year in GIM(Acute). The trainee should take part in at least 4 shifts of acute medical take per month during the 6 month period of training in medicine. This three year training programme fulfils the requirements for progression to higher training in GIM, AIM or an acute medical specialty. Anaesthetics Anaesthetics offers career opportunities in a wide range of subspecialty areas all of which can be achieved by direct entry to an Anaesthetic CCT programme. However, those Anaesthetic trainees with an interest in the ‘acute’ end of the Anaesthetic spectrum will find ACCS an ideal career starting point. It provides trainees with more widely based experience than is available solely within the Anaesthetic CCT programme. The first two years of ACCS training (GIM(Acute), EM, Anaesthetics and ICM) are followed by a year of Anaesthetic experience at CT2 level. Dual CCT in Intensive Care Medicine (ICM) ACCS allows trainees who wish to obtain dual CCT in Acute Medicine & ICM, Anaesthetics & ICM or Emergency Medicine & ICM, to obtain the competences of the complementary specialties in a pre-planned and structured manner. 1.4 ACCS & the academic traineeTrainees joining the ACCS programme may wish to pursue an academic career and have the opportunity to compete for Academic training posts. This gives the successful trainee the opportunity to undertake an additional year of training specifically to prepare them for research. This will enable them to submit a research proposal which, if successful, will provide the funding to support their research before they enter higher specialist training. When this year is undertaken will be determined locally and will typically involve attendance at taught courses covering such areas as critical analysis of scientific literature, information management, study design, basic statistical analysis, fraud, ethics and plagiarism, presentation skills, scientific writing and publishing skills. Trainees may have the opportunity to complete a Masters programme in research. The three years of clinical training within the ACCS programme has to be completed by these trainees. The clinical component is demanding and experience has shown that trainees need all this time to gain the knowledge skills and attitudes required and to be successful in the summative assessments. The overall clinical training time for these trainees should not be shortened. 1.5 Further advice about ACCSThe first point of contact for information concerning an individual’s training is this document. Most questions can be answered by reference to this document, all of which is available widely in electronic format. The next point of contact should be the ACCS Tutor or the specialty College Tutor in the hospital or department in which the trainee is currently based. If the College Tutor is unable to give the necessary guidance, the Deaneries’ ACCS or Core Training Programme Directors (TPD) or the relevant Head of Specialty School can be asked for advice. Trainees should only contact the ICACCST for advice if the above named Trainers have been unable to help. The ICACCST will inevitably find providing individual advice difficult, as it will have no knowledge of the trainee’s particular circumstances, and have no detailed understanding of local delivery of ACCS training. 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