GENERAL
High Court ruling for International Medial Graduates
11/11/07 15:23
The High Court upheld the appeal of BAPIO
that the advice given by the Department of
Health to NHS employers regarding doctors on the
Highly Skilled Migrants Programme (HSMP) was not
lawful. The appeal was heard by LORD JUSTICE SEDLEY,
LORD JUSTICE MAURICE KAY and LORD JUSTICE
RIMER. The Lord Justices were unanimous in
agreeing that the DH guidance was wrong. 
BMJ
BMJ
0-18 years: Guidance for all doctors - GMC
30/09/07 09:16
All doctors have a duty to safeguard and protect the health and well-being of children and young people.
0-18 years: guidance for all doctors provides advice on many of the sensitive and complex issues that doctors may face with dealing with children and young people. It also provides links to sources of further information or guidance.
Laparoscpic PD - NICE guidance
03/03/07 14:44
The National Institute for Health and Clinical
Excellence (NICE) has issued full guidance to the NHS
in England, Wales, Scotland and Northern Ireland on
laparoscopic insertion of peritoneal dialysis
catheter.
IPG208 Laparoscopic insertion of
peritoneal dialysis catheter: guidance
28 February 2007
IPG208 Laparoscopic insertion of
peritoneal dialysis catheter: guidance
28 February 2007
Junior Consultant Posts ?
03/11/06 22:31
Fears over "Junior Consultant posts".
Trust grades are the new junior consultants, two royal colleges have warned. The DoH dropped plans for a new subconsultant grade, called accredited specialists, earlier this year after an outcry from the profession.
Read more.......
Trust grades are the new junior consultants, two royal colleges have warned. The DoH dropped plans for a new subconsultant grade, called accredited specialists, earlier this year after an outcry from the profession.
Read more.......
SAC Meeting June 2006 Report
20/06/06 00:42
Dear
all,
There are a number of important issues that came up at the last SAC meeting. Please read this email and pass on relevant bits to SHOs and colleagues who do not access the Yahoo group.
1. BELFAST/DUBLIN
a. Due to the implementation of PMETB, which has a remit for the UK only, the Belfast/Dublin programme is effectively dead, as PMETB will not recognise training in Dublin for the award of CCT.
b. That this fact only came to light recently is deplorable, and I have expressed the disappointment of trainees who have yet again suffered thanks to the MMC fiasco. However, that does not change the situation on the ground.
c. The current proposal is that: Belfast will integrate into the UK consortia/programme scheme, but for the foreseeable future no formal link will be established. This essentially means that the Belfast trainees must sort out their own rotation to a different unit.
d. Again, this is unsatisfactory. The links will not be formalised (although hopefully close links with Glasgow can be established) because yet again there is talk of changing the consortia structure – this is to do with the issue of Schools of Surgery and Deanery arrangements, and has not been addressed yet.
e. There is also talk of Belfast becoming a single centre training site (with an OOPE elsewhere) but again this has not been decided. One option would be for a Belfast trainee to spend 5 years in Belfast and 1 year OOPE in Dublin (which would be recognised). If you want to consider this, get prospective approval from the SAC and get it in writing that this will be acceptable for your CCT.
f. Similarly, Dublin trainees may apply for an OOPE in Belfast or elsewhere in the UK. I have again stated that it is unfair to expect trainees to arrange their split sites in this way and especially that funding for the OOPE is not guaranteed, so that a significant financial penalty may be incurred. The SAC will hopefully strongly recommend that formalised OOPE arrangements in Dublin should be established.
g. All in all I think this is a mess. It may work out well for people if they arrange satisfactory rotations for themselves, but please let me know if you are encountering problems.
2. THE EXAM
a. I will have more details for you after the meeting in July. In the meantime:
b. The new FRCS(paeds) exit exam comes into force 18th Nov 2006. From this date, the format of the exam will be as follows:
i. There will be two parts – Part 1 MCQs and Part 2 clinical and viva
ii. Part 2 will sit March and Sept every year. I do not know dates for the MCQs yet.
iii. Part 1 will consist of 150 MCQs (single best answer from 5) and 135 EMQs. I will hopefully have some sample questions for you in the next couple of months. Part 1 will have unlimited attempts within a 3 year period.
iv. Part 2 will consist of
1. a 1 hour clinical exam with 5 structured cases
2. 6 30min vivas in urology, more urology, oncology/endocrine, neonates, GI/general and emergency/trauma.
v. You will have 3 goes at passing part 2.
c. THE SPOT TEST WILL DISAPPEAR
d. More to follow…
3. MMC
a. This information will be of relevance to your SHOs, but will not affect SpRs directly.
b. From Aug 2007 the SHO grade will be closed (no new posts will be appointed). No SpR numbers should be recruited to after 1st Jan 2007. LATS can still be appointed but will not extend beyond end July 2007.
c. Anyone without a number at this time will have to get on the MMC programme – ST1, ST2 or ST3. Experienced SHOs will be aiming for ST3.
d. The number of ST3 posts available will be equal to the number of posts created by SpRs leaving the rotation (for consultant posts) as no extra funding will be available. (NOTE – I am awaiting clarification on this as I have heard some contrasting things). This would cause problems accommodating the SHO "bulge".
e. Some SHOs will therefore need to apply for ST2 posts as well.
f. In order to increase their chances of getting a post, ASiT is encouraging SHOs to enhance their CVs as much as possible, for instance with papers, presentations and by undertaking the same assessments that F2/ST1 trainees will. They will have to up to date on the Curruculum and try to get signed off for various DOPs, miniCEXs etc. If they do not know what this means, they must find out and soon!
g. Trainees shunted into "one year training contracts" will, I think, find it very hard to get back into mainstream run-through training. Try to avoid this if at all possible.
h. Finally, eventually selection in paediatric surgery at ST3 level will be done nationally, as it is envisaged that between 10-20 posts will become available every year.
i. DO NOT WORRY about all of the above if you already have a number. You are immune. Although we may have to pick up the pieces as consultants in the future…
4. NUMBERS OF CONSULTANT PAEDIATRIC SURGEONS
a. Are not enough, and the situation will worsen as more and more general surgeons stop operating on children. b. It is envisaged that more and more paed surgery will be done by specialists (us) in specialist centres. This is good as it means that in theory we will all get jobs at the end of training.
c. However, as the NHS funding crisis gets worse, trusts may not recruit enough surgeons.
d. Hopefully, the prospect of little Johnny dying because no-one was available to operate on his perfed appendix as the local DGH refused and the local tertiary centre was full will be a sufficient spur for the Dept of Health to make funding this a priority. Keep you fingers crossed!
You will be glad to know that that's all, folks. I would just like to add that the committee room I sat in for 5 hours on Friday was boiling hot on a lovely sunny day, and that I missed the kick off of the opening World Cup game. This is not exactly a training issue, but I feel better for getting it off my chest.
Please post comments or email me with questions/clarifications.
Best wishes
Richard Lindley
There are a number of important issues that came up at the last SAC meeting. Please read this email and pass on relevant bits to SHOs and colleagues who do not access the Yahoo group.
1. BELFAST/DUBLIN
a. Due to the implementation of PMETB, which has a remit for the UK only, the Belfast/Dublin programme is effectively dead, as PMETB will not recognise training in Dublin for the award of CCT.
b. That this fact only came to light recently is deplorable, and I have expressed the disappointment of trainees who have yet again suffered thanks to the MMC fiasco. However, that does not change the situation on the ground.
c. The current proposal is that: Belfast will integrate into the UK consortia/programme scheme, but for the foreseeable future no formal link will be established. This essentially means that the Belfast trainees must sort out their own rotation to a different unit.
d. Again, this is unsatisfactory. The links will not be formalised (although hopefully close links with Glasgow can be established) because yet again there is talk of changing the consortia structure – this is to do with the issue of Schools of Surgery and Deanery arrangements, and has not been addressed yet.
e. There is also talk of Belfast becoming a single centre training site (with an OOPE elsewhere) but again this has not been decided. One option would be for a Belfast trainee to spend 5 years in Belfast and 1 year OOPE in Dublin (which would be recognised). If you want to consider this, get prospective approval from the SAC and get it in writing that this will be acceptable for your CCT.
f. Similarly, Dublin trainees may apply for an OOPE in Belfast or elsewhere in the UK. I have again stated that it is unfair to expect trainees to arrange their split sites in this way and especially that funding for the OOPE is not guaranteed, so that a significant financial penalty may be incurred. The SAC will hopefully strongly recommend that formalised OOPE arrangements in Dublin should be established.
g. All in all I think this is a mess. It may work out well for people if they arrange satisfactory rotations for themselves, but please let me know if you are encountering problems.
2. THE EXAM
a. I will have more details for you after the meeting in July. In the meantime:
b. The new FRCS(paeds) exit exam comes into force 18th Nov 2006. From this date, the format of the exam will be as follows:
i. There will be two parts – Part 1 MCQs and Part 2 clinical and viva
ii. Part 2 will sit March and Sept every year. I do not know dates for the MCQs yet.
iii. Part 1 will consist of 150 MCQs (single best answer from 5) and 135 EMQs. I will hopefully have some sample questions for you in the next couple of months. Part 1 will have unlimited attempts within a 3 year period.
iv. Part 2 will consist of
1. a 1 hour clinical exam with 5 structured cases
2. 6 30min vivas in urology, more urology, oncology/endocrine, neonates, GI/general and emergency/trauma.
v. You will have 3 goes at passing part 2.
c. THE SPOT TEST WILL DISAPPEAR
d. More to follow…
3. MMC
a. This information will be of relevance to your SHOs, but will not affect SpRs directly.
b. From Aug 2007 the SHO grade will be closed (no new posts will be appointed). No SpR numbers should be recruited to after 1st Jan 2007. LATS can still be appointed but will not extend beyond end July 2007.
c. Anyone without a number at this time will have to get on the MMC programme – ST1, ST2 or ST3. Experienced SHOs will be aiming for ST3.
d. The number of ST3 posts available will be equal to the number of posts created by SpRs leaving the rotation (for consultant posts) as no extra funding will be available. (NOTE – I am awaiting clarification on this as I have heard some contrasting things). This would cause problems accommodating the SHO "bulge".
e. Some SHOs will therefore need to apply for ST2 posts as well.
f. In order to increase their chances of getting a post, ASiT is encouraging SHOs to enhance their CVs as much as possible, for instance with papers, presentations and by undertaking the same assessments that F2/ST1 trainees will. They will have to up to date on the Curruculum and try to get signed off for various DOPs, miniCEXs etc. If they do not know what this means, they must find out and soon!
g. Trainees shunted into "one year training contracts" will, I think, find it very hard to get back into mainstream run-through training. Try to avoid this if at all possible.
h. Finally, eventually selection in paediatric surgery at ST3 level will be done nationally, as it is envisaged that between 10-20 posts will become available every year.
i. DO NOT WORRY about all of the above if you already have a number. You are immune. Although we may have to pick up the pieces as consultants in the future…
4. NUMBERS OF CONSULTANT PAEDIATRIC SURGEONS
a. Are not enough, and the situation will worsen as more and more general surgeons stop operating on children. b. It is envisaged that more and more paed surgery will be done by specialists (us) in specialist centres. This is good as it means that in theory we will all get jobs at the end of training.
c. However, as the NHS funding crisis gets worse, trusts may not recruit enough surgeons.
d. Hopefully, the prospect of little Johnny dying because no-one was available to operate on his perfed appendix as the local DGH refused and the local tertiary centre was full will be a sufficient spur for the Dept of Health to make funding this a priority. Keep you fingers crossed!
You will be glad to know that that's all, folks. I would just like to add that the committee room I sat in for 5 hours on Friday was boiling hot on a lovely sunny day, and that I missed the kick off of the opening World Cup game. This is not exactly a training issue, but I feel better for getting it off my chest.
Please post comments or email me with questions/clarifications.
Best wishes
Richard Lindley