Regional Representatives Meeting 5 Nov 2009

Supporting the Specialty Doctors / SAS Grades – East Midlands

Who are the SAS Surgeons?

• SPECIALTY DOCTORS

• Staff Grades

• Associate Specialists

• Clinical Assistants

• Hospital Practitioners

• Non Consultant Career Grades (NCCG)

SPECIALTY DOCTORS

Full GMC registration

Minimum 4 years postgraduate training

- 2 years in relevant specialty

SPECIALTY DOCTORS

Service provision

EWTD

Training of Juniors

Trainees

SPECIALTY DOCTORS

Consultants

Workforce in England Sept 2007

Consultants Associate Specialists/ Staff Grades

SpR

Trauma & Ortho

1760 500 1791

General Surgery

1757 435 1881

Otolaryngology 548 226 513

Urology 528 166 426

Workforce in England Sept 2007

Consultants Associate Specialists

Staff Grades

SpR

Trauma & Ortho

1760 202 298 1791

General Surgery

1757 173 262 1881

Otolaryngology 548 97 129 513

Urology 528 71 95 426

Dr Rashbal Ghattaora, Associate Post-Graduate Dean East Midlands responsible for SAS doctors.

£12m released by DOH via SHA’s in 2008/9 for Deaneries to support the development needs of SAS Doctors

(approx £819,000 in East Midlands with £390,000 top up by Deanery)

Priorities – Support preparation for CESR

- Improve quality of CPD

SAS SurgeonsEast Midlands

15th October 2009

Mr Chas Ubhi, RSA General Surgery, East Midlands.Mr Chris Chilton, RCSE Council Member, Toni Foers, RCSE Regional Team, Julie Hardiment, RCSE Regional Team Lead for CPDDr Rashbal Ghattaora, Associate Post-Graduate Dean East Midlands responsible for SAS doctors.

• Purpose of this meeting:

• What do people in staff and non training posts need?

• How do you think the College can support you?

SAS SurgeonsEast Midlands 15th October 2009

Major Issues DiscussedArticle 14- Length of time for PMETB responseLack of clarity of evidence requiredHow to get the necessary training?How to provide evidence of training?Younger surgeons looking at Article 14

• Two distinct groups SAS / SD

Young people who are building experience to apply via Article 14 process for a Certificate of Eligibility for Specialist Registration (CESR).

People who are delivering service and content in their role

SPECIALTY DOCTORS

Recruitment issues

Level of experience

Working to same standards as Consultants

Relicensing (introduction by GMC 16.11.09)

Revalidation (Specialist Register)

What is already there?RCS SAS Committee:• To provide a formal mechanism for SAS

surgeons to be represented within and outside the College.

• To communicate the views of surgeons to the College and its Council.

• To promote involvement in all relevant areas of College activity.

• To support SAS surgeons

SAS Career development:• Portfolio• Courses • Applying to the Specialist Register • The Intercollegiate Examination• Relicensure and Recertification http://surgicalcareers.rcseng.ac.uk/

surgeon/sas

SD - Portfolio

• Up to date CV • Appraisal records • Log book • Certificates from courses and meetings attended • Audit and research • Thank you letters and complaints

SD – Supporting Professional Activity

• formal teaching • continuing professional development • appraisal • research • audit • work with a professional body (such as a royal

college or the British Medical Association) • management

What else is there?

ISCP – Intercollegiate Surgical Curriculum Programme

Contains detailed syllabus and standards against levels and stages for each specialty

• The specialty syllabus will provide guidance on what you need to evidence for application to the specialist register

• The assessment tools – PBA (procedure based assessment)

• CBD – case based discussion

• and the mini PAT- peer assessment tool

may contribute to a robust portfolio

SPECIALTY DOCTORS

Use, adapt and develop ISCP

Who will supervise?

? SAS Regional Programme Director supported by SAS Tutors feeding back to RCS SAS Committee

The outcomes from this meeting were agreed as:

There should be an SAS forum in East Midlands. There should also be a national SAS forum managed by the College.

If not already in place, there should be at least an annual meeting open to all SAS surgeons at the College specifically to provide an update, share experiences and allow access to those in the College who can offer advice/guidance.

• There was interest in the embryonic E-portfolio and people would like to know more about it.

• There should be local/national information re Article 14, revalidation and CPD and clear systems of communicating with SAS surgeons.

• There should be regular support meetings facilitated by local College Representatives, specifically aimed at supporting surgical SASG applying for CESR via article 14

• Those present are keen to be involved in piloting the ISCP website for SAS surgeons and taking part in any necessary evaluation.