Acute care common stem core training programme
Entry and progression through ACCS training
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- 3.2 Progression through the ACCS programme
- 3.3 Principles for calculating training time
3.0 Entry and progression through ACCS training3.1 Entry to ACCS core trainingEntry to ACCS training will be by competitive application under nationally agreed arrangements. The interview panels will comprise representatives of all four specialties that comprise ACCS training. Before entering the ACCS programme trainees will usually be asked to specify the specialty they want to pursue for a CCT. Routes of entry into ACCS There are several routes of entry into ACCS - the most frequent being: Entry into ACCS Year 1 from F2 Entry into ACCS for trainees with a combined total of less than 18 months experience in any of the four ACCS component specialties at SHO/CT1/CT2 level Entry into ACCS from Core/Higher Training in a non-ACCS specialty. Nomination of Specialty During the selection process trainees will usually have to declare which one of the three specialties (Emergency Medicine, GIM(Acute) or Anaesthetics) they intend to follow during the third ACCS year. Allocation into Anaesthetics CT2, Emergency Medicine CT3 or a CT3 year in GIM(Acute) will be dependent on this declaration. Flexibility over exit Specialty e.g. switching from Anaesthetics to Emergency Medicine might be possible if the programmes locally can accommodate the change and there is agreement of the Training Programme Directors. The GMC has approved such transfers between specialties, with trainees entering their new specialty training programme at a level commensurate with their previous experience. Appointment process ACCS appointment panels should consist of trainers from each of the constituent specialties of ACCS training. No trainee should be appointed to a training post in a specialty not represented on the appointment panel. The only exception to this could be if the prospective written agreement of the absent specialty programme director was made available to the panel at the structured interview. 3.2 Progression through the ACCS programmeDuration The indicative duration of ACCS training is three years. The order in which the modules are completed does not matter and will be determined by local arrangements. The preferred order of elements is Emergency Medicine and Acute Medicine in CT1 with Anaesthetics and ICM in CT2. Exit from ACCS training On completion of the first two years of ACCS training a trainee’s next step will depend on the specialty CCT programme to which they have applied. Emergency medicine On completion of the first two years of ACCS training, trainees will join the Emergency Medicine programme at the start of CT3. WPBAs. Trainees will be expected to have acquired the requisite number and type of WPBAs (see section 8.0 and appendices 8.1-8.5 for the first 2 years of ACCS). Examinations. EM trainees will normally be expected to have completed MCEM Part A before entering the CT3 year and must pass MCEM B and C by the end of CT3. General (Internal) Medicine On completion of 3 years of ACCS training, trainees will be eligible for appointment to the GIM, AIM or acute medical specialty CCT programme at the start of ST3. WPBAs. Trainees will be expected to have acquired the requisite number and type of WPBAs (see section 8.0 and appendices 8.1-8.5 for the first 2 years of ACCS). Exams. AM trainees will normally be expected to have completed MRCP 1 before entering CT3 and to have passed MRCP2 & PACES by the end of CT3. The requirement for acquisition of MRCP(UK) prior to entry to ST3 is likely to become mandatory in 2010. Anaesthetics On completion of the first two years of ACCS training, trainees will join the Anaesthetics programme at an appropriate point in CT2. Uncoupling and fixed entry dates for ST3 will mean that most trainees will undertake the entire CT2 year in Anaesthetics. Trainees are not eligible for appointment to ST3 (Anaesthetics) until they have obtained the Basic Level Training Certificate i.e. have achieved all the basic competencies for Anaesthetics and ICM. ACCS trainees must undertake a minimum of 18 months training in Anaesthetics by the end of CT2 (Anaesthetics). If a trainee does more than 3 months ICM in ACCS the second three months of ICM does not contribute to intermediate levels of competence because trainees will not have the wider experience that underpins intermediate level assessment standards. This will also usually mean that such a trainee will not have achieved all the necessary anaesthetic competences delivered in the 21 months of Anaesthetics in CT1/2 of the Anaesthetics programme. The missing competences and the “additional” ICM competences will be recorded on his/her Basic Level Training Certificate and the missing competences will have to be achieved within an agreed time frame. WPBAs. Trainees will be expected to have acquired the requisite number and type of WPBAs (see section 8.0 and appendices 8.1-8.5 for the first 2 years of ACCS). Exams. Trainees moving from ACCS training will normally be expected to have passed the FRCA Primary MCQ assessment of knowledge before entering CT2 Anaesthetics. ICM Because there is no stand-alone CCT programme in ICM, trainees wishing to obtain a joint CCT in ICM must complete one of the CCT programmes listed above or a surgical specialty CCT programme. WPBAs. Trainees will be expected to have acquired the requisite number and type of WPBAs (see section 8.0 and appendices 8.1-8.5 for the first 2 years of ACCS). 3.3 Principles for calculating training timeLess than full-time (LTFT) trainees The European Medical Directive states that: “Part-time training shall meet the same requirements as full-time training, which shall differ only in the possibility of limited participation in medical duties to a period of at least half that of full-time trainees, including on-call duties.”
Trainees who have completed LAT posts in ACCS may apply for direct entry into year 2 of ACCS core training for training in the other ACCS modules. The exact content of training will be decided on an individual basis. If a trainee holding a LAT post in ACCS successfully applies for an NTN in one of the component specialty CCT programmes, full credit will be given for competences acquired, assessed and recorded during the LAT.
In a competency based programme trainees are to be assessed and signed off on the basis of competences achieved not the time taken to obtain them. Thus, normally, periods of absence due to sickness, parental or maternity leave are irrelevant. In the event of prolonged absence a period of reorientation may be needed before further competences can be taught and assessed. Military service Absence on military operations by full time or reserve members of the Defence Medical Services will be treated in the same way as for absence due to sickness. It is theoretically possible that with careful planning such trainees may be able to acquire and be assessed for competences whilst on military duty. Retrospective recognition is not given for training obtained outside the European Economic Area (EEA). Training year The date an individual’s indicative training year starts is determined by the local Specialty Training Committee, and is not necessarily the chronological date from the beginning of training. 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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