Royal College of Psychiatrists’ response to MMC on Specialty Training Criteria
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The Royal College of Psychiatrists’ response to MMC on Specialty Training Criteria is as follows:
What are the minimum, explicit entry criteria for your speciality?
1. Attaining a satisfactory standard during the foundation programme in all of the following foundation competencies and better than satisfactory performance in some of them.
1.0. Good Clinical Care
1.1. History taking examination and record keeping skills
i. History taking
ii. conduct examinations of patients in a structured, purposeful manner and takes a full account of the patient’s dignity and autonomy
iii. understands and applies the principles of diagnosis and clinical reasoning that underlie clinical judgement and decision making
iv. understands and applies principles of therapeutic and safe prescribing
v. understands and applies the principles of medical data and information management: keeps contemporary, accurate, legible, signed and attributable notes.
1.2. Demonstrates appropriate time management and decision-making
1.3. Understands and applies the basis of maintaining good quality care and ensuring and promoting patient safety
i. always maintains the patient as the central focus of care
ii. makes patient safety a priority in their own clinical practice
iii. understands the importance of good team working for patient safety
iv. Understand the principles of quality and safety improvement
v. understands the needs of patients who have been subjected to medical harm or errors, and their families
1.5. Understands and can apply the principles of health promotion and public health
1.6. Understands and applies the principles of medical ethics, and of relevant legal issues
i. understands and applies the principles of medical ethics
ii. demonstrates understanding of, and practices appropriate procedures for valued consent
iii. understands the legal framework for medical practice
2.0. Maintaining good medical practice
i. Learning. Regularly takes up learning opportunities and is a reflective self directed learner
ii. evidence based medical practice: knows and follows organisational rules and guidelines and appraises evidence base of clinical practice
iii. describes how audit can improve personal performance
3.0. Relationships with patients and communication
i. demonstraits appropriate communication skills
4.0. Working with Colleagues
ii. demonstrates effective team working skills
iii. effectively manages patients at the interface of different specialties including primary care
6.0. Professional behaviour and probity
i. consistently behaves with a high degree of professionalism ii. ii maintains own health and demonstrates appropriate self care
7.0. Acute care
x. understands and applies the principles of managing a patient following self harm
xi. understands and applies the principles of management of a patient with an acute confusion state or psychosis Note – it is likely that theses competencies will be supplemented with appropriate items from the essential shared capabilities for healthcare workers, but this is still being researched. In addition we shall require evidence of motivation and enthusiasm and applicants will also be required to justify their reason for choosing psychiatry as a career.
4 At what Point will initial selection into the specialty occur?
This will probably occur during the last six months of foundation year two. What are your proposed methods for initial selection into your specialty (ST1/GPT)
1. Review of work place based assessment during the foundation programme
2. curriculum vitae 3. interview Note – there might also be an assessment of core psychiatric skills such as communication, history taking etc. but we are still researching this. What are your proposed methods for review during the first year?
1. Continual review of work placed based assessments, predominately using the four assessment methods that will be used in the foundation programme
2. an assessment of basic knowledge to take place towards the end of SC1 probably using a combination of NCQs (one from five, with no negative marking) and extended matching questions.
Which specialty/specialties might your specialty work with to develop a) a shared ST1 curriculum?
We are currently in early stages of negotiation to develop a shared ST1 curriculum with the following specialties: obstetrics and gynaecology , paediatrics and general practice.
b) curriculum beyond ST1?
CCT applications are being accepted and the era of CCSTs is over. Dual CCTs will continue in the same way that dual CCSTs did. CCT can lead to Specialist Registration and is not an automatic right of appointment to a consultant post. Applications for entry into the Specialist Register using the route of Article 14 are being accepted on-line on the PMETB website. There is a helpful FAQ section.
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