Congenital Diaphragmatic Hernia - Study Day

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fetalmed


CONGENITAL DIAPHRAGMATIC HERNIA: WHERE TO NEXT? FETAL THERAPY OR IMPROVED POSTNATAL CARE?

THURSDAY 28 JUNE 2007

MAIN LECTURE THEATRE
EDUCATION RESOURCE CENTRE
LOWER GROUND FLOOR
BIRMINGHAM WOMEN’S HOSPITAL

Programme
Registration form
Registration Fee £150.00
Including coffee, lunch & tea

Laparoscpic PD - NICE guidance

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.

pdf-16x16 IPG208 Laparoscopic insertion of peritoneal dialysis catheter: guidance
28 February 2007

Surgical Accreditation Committee meeting

In addition to the OOPE issue, these topics were also discussed at the Surgical Accreditation Committee meeting
RITA
The name is going to change and there will be only one chance to get a fail; the trainee will leave the training scheme on the second fail.
External Assessor
Each RITA panel should comprise an external SAC assessor. There was a discussion about how anonymous comments from trainees could be passed to the SAC Assessor before the RITA.
If you have suggestions regarding the desirability of this, or the mechanism, please let me 
know.
Workforce Planning
There has been no expansion in numbers in most specialties because of concern re post CCT unemployment. Mr Ribero (PRCS Eng) says that the consultant job in the future is going to be different and therefore encourages expansion.
Unfortunately, the survey we have recently undertaken indicates that Paediatric Surgery trainees may be affected by unemployment post-CCT. Numbers are not available as we do not yet have information from the London trainees, nor do we know how many Article 14 people will go through. If you are a London trainee and the information from your training centre has not yet gone back to Niall Jones, please could you return it.
Consultant Job Eligibility
There are 3 potential routes for eligibility for consultant post application:
1. CCT
2. CEST
3. Article 14
Locum Consultancy cannot be used as a way to go through as Article 14 unless clear 
appraisal using Consultant Appraisal forms as potentially narrowed experience.

MTAS

16 posts are currently being interviewed for ST3, 26 for ST2 and ST1 17 NTN in Urology was intended to act as a way to expand numbers and increase the numbers of trained Urologists. On that basis, the NTN Urology Trainee should be asked to give up NTN to allow someone else to start.

PBAs 
Procedure based assessment (PBAs) will be used for ST1 – 3 from August this year and are available on the ISCP website.

OOPE-Important information

Overseas posts/non-accredited posts

The SAC were told this week that as of 1 January 2007 all posts leading to CCT must be 
approved prospectively by PMETB. Without this prospective approval, the trainee will no 
longer be eligible for a CCT if they wish this time to be counted. Instead the trainee will 
need to apply to be given Certificate of Eligibility to the Specialist Register (CESR). CESR is 
intended to allow the holder to apply for consultant jobs and is the route taken by people 
going through Article 14.

A possible alternative (although I have not been able to confirm this) is if the trainee 
wishes to maintain eligibility for CCT, to apply to the Dean for time out of training and not 
recognise the OOPE.

The application process is likely to take 3/12 from submission of forms.

I have contacted The Head of Approval and Visits at PMETB and obtained clarification for 
the following groups. These are her comments:

1. Trainees with SAC approved posts already on OOPE:
If approval for the OOPE post was granted prior to 1 January 2007, and evidence of this 
approval from the Deanery and SAC can be provided, then approval will be honoured.

2. Trainees with SAC approval about to go (say in the next few months):
These trainees need prospective PMETB approval. These applications for approval will 
need to come directly from deaneries; PMETB is unable to accept applications from 
individual trainees, SACs or Colleges. This is consistent with PMETB policy of holding the 
deaneries responsible for local level quality management of education and training. 
Trainees are therefore advised to liaise with their deaneries to co-ordinate the applications 
for approval. PMETB guidance on prospective approval of overseas posts can be found 
here:
http://www.pmetb.org.uk/fileadmin/user/Policy/Policy_Statements/
Prospective_approval_of_overseas_posts_-_Guidance_2_Oct_06.pdf
and PMETB guidance on general post and programme approval, including research posts, 
can be found under the `latest news' section in the following part of the PMETB website:
http://www.pmetb.org.uk/index.php?id=postandprogrammeapproval

3. Trainees who have begun planning but not yet obtained approval:
Need to apply as above.

4. Point of contact for further questions to PMETB:
quality.assurance@pmetb.org.uk

I have written to PMETB to say that none of us were aware of this change is concerning and 
indeed it is possible that there are other significant policy changes which we don't know 
about. Better communication would also allow us to discuss out professional concerns 
regarding training in the way we have done and continue to do with the SAC.