Supporting Doctors Staying in the SAS Grade

1
Supporting Doctors Staying in the SAS Grade

• Dr Elizabeth Hill
• Anaesthetic Department
• Maidstone Tunbridge Wells NHS Trust

2
Supporting Doctors Staying in the SAS Grade

• Dr Elizabeth Hill
• Anaesthetic Department
• Maidstone Tunbridge Wells NHS Trust
• Clinical Assistant

3
Supporting Doctors Staying in the SAS Grade

• Dr Elizabeth Hill
• Anaesthetic Department
• Maidstone Tunbridge Wells NHS Trust
• Staff Grade

4
Supporting Doctors Staying in the SAS Grade

• Dr Elizabeth Hill
• Anaesthetic Department
• Maidstone Tunbridge Wells NHS Trust
• Associate Specialist

5
Supporting Doctors Staying in SAS Grade

• Dr Elizabeth Hill
• Anaesthetic Department
• Maidstone Tunbridge Wells NHS Trust
• Associate Specialist

6
SAS Tutor

• Postgraduate Centre
• Maidstone Hospital

7
SAS Tutor

• Postgraduate Centre
• Maidstone Hospital

8
Supporting SAS Doctors

• GMC requirements
• New contract
• SAS surveys

9
Supporting SAS Doctors 2

• Personal view
• External support
• Sharing good practice

10
GMC

• Revalidation
• Relicensing
• Recertification -- specialist register

11
Relicensing

• Annual appraisal
• Speciality specific skills

12
New Contract

• Progression through grade
• annual appraisal
• Threshold 1
• 360 degree appraisal
• Threshold 2
• clinical responsibility
• wider role

13
Appraisal

• Anaesthetic Dept
• 13 consultants 13 appraised
• 8 SAS Drs 2 appraised
• Gloucester
• Area of development 31/39 appraisal
  
  28/39 portfolio

14
BMA Survey problems

• Study leave time 36
• funding 42
• CPD time 2.8 hrs
• utilisation 60
• none 13

15
Threshold 2

• Increasing Clinical Responsibility
• Wider Role

16
Increasing clinical responsibility

• Speciality Doctors
• increasing ability to take decisions and carry
  responsibility without supervision
• Associate specialists
• make independent decisions about diagnosis,
  management, follow up and definitive treatment
  within defined field

17
Wider Role Speciality Doctors

• Management or leadership
• Service development
• Teaching and training
• Committee work
• Representative work
• Innovation
• Audit

18
Wider Role Associate Specialists

• Proven ability to lead a team
• Regular audits
• Ability to Innovate within specialisation
• Significant involvement in research
• Leading role in teaching
• Evidence of wider management role

19
Surveys of SAS Doctors

• BMA
• Royal Surrey Hospital
• Gloucestershire Hospitals NHSFT
• London Deanery

20
BMA

• Secondments for specific training 74
• Leadership training
  72
• Master classes
  71
• Coaching / mentoring 70
• Management training 62

21
48 Doctors 23 replies
SAS Doctors at Royal Surrey

• 10 CPD
• 7 generic training
• 6 audit
• 3 appraisal

• 16 current post
• 5 training
• 2 CESR

22
Gloucestershire

• Progression though threshold 2 66
• New non-clinical skills 74

23
(No Transcript)
24
Individual Comments

• A basic management course
• Prevent suspension of study leave funding
• Enable backfill to allow specialist skills
• Build confidence in decision making
• Hands on experience with good consultant
• Portfolio development
• Tutoring for specialist exams
• Actually be allowed time for courses
• How to manage my time

25
Make us feel special
26
Less Tangible
but equally important

• Pastoral
• Public Relations
• Trust SAS Doctors
• SAS Doctors Consultants/trainees/staff

27
External Support

• BMA
• Colleges and Deaneries
• Specialist agencies

28
Sharing good Practice -- KSS

• Informal exchange of experience
• SAS tutor/lead open competition
• Identify
• Questionnaire
• SAS Faculty

29
London Deanery

• On- line CPD survey 2008-09

30
Benefit from CPD (n212)The most striking
finding was that perceived change in benefit over
the year 07/08 to 08/09 showed a dramatic
increase across all areas of CPD, with clinical
skills/knowledge, assessment/teaching and patient
care showing at least a 50 increase over this
time span.
31
Meaningful and attractive career option

• Dept of Health, Employing and supporting
  speciality Drs, 2008

32
Thank You