ACCP Educational Pathway The curriculum, CPD and challenges

Transcription

1 ACCP Educational Pathway The curriculum, CPD and challenges Dr. Simon Gardner Consultant in Cardiothoracic Anaesthesia & ICM Joint National Clinical Lead for ACCPs James Cook University Hospital, Teesside

2 ACCP Curriculum Broadly speaking based on medical ITU training (FICM Curriculum for Training in ICM) Amalgamation of existing UK training courses (Edinburgh, Teesside, Newcastle) 2 Year Postgraduate Diploma Year 3 to Masters FICM affiliation?future exit exam

3 ITU Staffing

4 Personnel Requirements Course Director (=/- deputy) Educational Supervisors - 1 per ACCP Consultants or Senior Trainees to deliver teaching Lectures, workshops, external courses, Simulators, bedside teaching University Staff - local HEI lead SPA allocation

5 Faculty of Intensive Care Medicine National ACCP Training Curriculum

6 National ACCP Curriculum Evolving and likely to have at least annual updates Basis for all courses in UK - some documentary components will be mandatory Not an instruction manual on how to set up a training program

7 Curriculum - Handbook Registration with FICM & Associate membership Definition, role & scope of practice of an ACCP Basic recruitment criteria Basic guide to course structure Learning modalities Out of hours guidance Description of Assessment tools Role of Educational Supervisor

8 Curriculum Assessment System Red, Amber, Green Minimum no. of WPBAs Levels of Supervision Training Record Logbook Educational Agreements Consultant Assessments HEI Record Educational Supervisor Record Annual Review

9 Curriculum - Syllabus Core knowledge with assessment modalities cross-referenced Common competencies Specialist ICM competencies Professional competencies

10 Trust - HEI Partnership Different models of working Different HEI delivered aspects Non Medical Prescribing??Ability to study at Masters level?? Taught in-house and at Uni HEI assessment requirements vary Clear delineation of roles and responsibilities

11 Non-Medical Prescribing Nationally standardised Masters level qualification Taught by HEIs throughout the UK Originally designed to appeal primarily to a Primary Care audience Limitations in terms of Secondary & Tertiary level Prescribing Inadequate in terms of Pharmacokinetics & Pharmocodynamics, particularly in setting of organ dysfunction Significant additional teaching needed 11

12 CPD Currently two separate and not necessarily symbiotic processes to satisfy i.e. nursing vs medical SDR - NMC(or CSP)requirements must be met in order to achieve yearly registration Medical requirements more or less identical to a doctor, but no official registration process - yet!!

13 CPD - Non medical (nursing) A robust and up-to-date KSF is hugely useful in facilitating this process Should largely then be a tick box exercise as the vast majority of the ACCP role falls within the medical model Best done in joint meeting with Course Director Nurses may lack the robust trust based systems for medica critical incident & complaint reporting 13

14 CPD - Medical Logbook Learning record & reflection Databases- ICNARC, NCBC, Departmental Courses - local, national Audit Research Teaching - all levels Train the Trainers Local, Regional & National Networking Trust representation Awards Funding issues - where does the money come from? 14

15 Pay-banding KSF key 8a?enhancements for out-of-hours Caution re downgrading 15

16 Challenges Money HEI - language, expectations, documentation,timelines, Management buy-in Medical Staff Nursing staff Workload Recruitment/Personnel CPD & evolution of role

17 The future Exit exam /2017 CPD Career development?nurse Consultant Specific sub-specialty skill-sets USS, TOE, Research Enhance national profile Independent specialty recognition