Certification of GP vocational training

1
Certification of GP vocational training

• Dr. Jill Edwards
• Medical Director Certification Standards RCGP
• Ms. Fiona Erasmus
• Head of Certification RCGP
• UKCEA 14th-16th June 2006

2
Context to Changes

• NHS Plan April 2002
• A health service designed around the patient
• Modernise postgraduate medical education
• Raise quality standards
• Improve Service

3
PMETB Postgraduate Medical Education and
Training Board

• Establish standards of postgraduate medical
  education training
• To secure these standards requirements
• To develop promote PGME training

4
The role of the RCGP

• Postgraduate training committee
• Answerable to RCGP council
• Recommends standards to PMETB
• Curriculum
• Assessment of completion of training
• Certification
• Posts programmes

5
Differences to JCPTGP

• Certification is a function of PMETB
• Standard setting is a function of PMETB
• Quality assurance is a function of PMETB
• Comparable to other medical specialties
• Fee

6
Routes to GP certification

• Article 10 Certificate of completion of training
  (CCT)
• Posts with prior approval for GP training in the
  UK
• Within 7 years
• Article 11 Statement of eligibility for
  registration

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Certificate of completion of training CCT

• Early registration with RCGP 350 fee
• VTRI obtained from Deanery 6 weeks before
  completion date forwarded to RCGP
• CCT application form sent to PMETB 500
• Assessment of application made by RCGP
  recommendation forwarded to PMETB

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Statement of Eligibility for registration SER

• Registration with PMETB 4 months prior to
  completion dates 950
• Include JCPTGP recommendations
• VTR1 to PMETB 6 weeks prior to completion date

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Example Application 1

• __________________________________________________
  _________________
• NAME Dr S
• DATE PLACE OF QUALIFICATION 2000 UK
• SUMMATIVE ASSESSMENT Passed
• Dr S undertook general practice training in the
  UK and has put forward the following experience
  to be considered towards certification
• General Practice
• 6/12 GP Registrar 5/2/03-5/8/03 UK VTR/1
• 6/12 GP Registrar 3/8/05-7/2/06 UK VTR/1
• Hospital Experience
• 6/12 Innovative GPR 50 OG 6/8/03-3/2/04UKVTR/1
  
• 6/12 Innovative GPR 50 paediatrics
  4/2/04-3/8/04UKVTR/1
• 6/12 Innovative GPR 50 care of homeless
  4/8/04-1/2/05UKVTR/1
• 6/12 Innovative GPR 50 card/endo/diab
  2/2/05-2/8/05UKVTR/1
• The hospital component of Dr Ss programme was
  undertaken entirely innovatively. All of his/her
  innovative posts were undertaken full-time with
  50 of his/her time spent in general practice and
  50 spent in hospital/community specialties.
• Dr S applied to the RCGPs Certification Unit for
  a Certificate of Completion of Training.

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Example Application 2

• NAME Dr X
• DATE PLACE OF QUALIFICATION 1998 UK
• SUMMATIVE ASSESSMENT Not yet passed
• Dr X undertook general practice training in the
  UK and has put forward the following experience
  to be considered towards certification
• General Practice
• 6/12 GP Registrar Passed 4/2/04-3/8/04 UK VTR/1
  
• 6/12 GP Registrar Failed 3/8/05-7/2/06 UK VTR/1
  
• 6/12 GP Registrar Remedial 8/2/06-8/8/06 UK
  Current post
• Dr X failed the consultation skills component of
  Summative Assessment during his second six month
  period of training. He is now undertaking a
  remedial post to enable him to pass Summative
  Assessment.
• Hospital Experience
• 6/12 SHO Paediatrics 3/2/99-3/8/99 UK VTR/2
• 6/12 SHO Neonatology 4/8/99-1/2/00 UK VTR/2
• 6/12 SHO Psychiatry 4/8/04-1/2/05 UK VTR/2
• 6/12 SHO Geriatrics2/2/05-2/8/05 UK VTR/2
• Dr X trained in paediatrics before s/he moved to
  general practice. 12 months of hi/her paediatric
  training was accepted as contributing towards
  his/her general practice training programme.
• The CCT guidelines specify that training leading
  to a CCT should be obtained within the seven year
  period immediately preceding the date of formal
  application for a certificate on completion of
  the training programme.
• Dr Xs first post will fall outside the seven
  year timeframe for a CCT by the time s/he
  completes his/her training in August 2006. If Dr
  X had not failed his/her second six month period
  of GP Registrar training his/her programme would
  just have fallen within the CCT timeframe.
• Dr X asks whether s/he will be eligible for a CCT
  on completion of his/her current post and passing
  all components of Summative Assessment.

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Example Application 3

• NAME Dr Z
• DATE PLACE OF QUALIFICATION 1988 Nigeria
• SUMMATIVE ASSESSMENT Passed
• Dr Z undertook general practice training in the
  UK and has put forward the following experience
  to be considered towards certification
• General Practice
• 3/12GP Registrar 7/5/03-5/8/03 UK VTR/1
• 9/12GP Registrar 4/5/05-31/1/06 UK VTR/1
• Hospital Experience
• 3/12 SHO Accident Emergency 5/2/03-6/5/03 UK
  VTR/2
• 9/12 SHO General Medicine 6/8/03-4/5/04 UK VTR/2
• 3/12 SHO Geriatrics 5/5/04-3/8/04 UK VTR/2
• 3/12 SHO Community Paediatrics 4/8/04-2/11/04 UK
  VTR/2
• 3/12 SHO Paediatric Accident Emergency
  3/11/04-1/2/05 UK VTR/2
• 3/12 SHO Psychiatry 2/2/05-4/5/05 UK VTR/2
• Dr Z applied to the RCGPs Certification Unit for
  a Certificate of Completion of Training.

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Example Application 4

• NAME Dr A
• DATE PLACE OF QUALIFICATION 2002 UK
• SUMMATIVE ASSESSMENT Not sat
• Dr A is planning his/her general practice
  training programme and is seeking advice from the
  RCGPs Certification Unit. S/he has written to
  the Unit outlining the following programme
• Foundation Year 2 one year
• 4/12 F2 Paediatrics
• 4/12 F2 Psychiatry
• 4/12 F2 General Practice
• Specialty Training two years
• 4/12 GP Registrar
• 4/12 Innovative Training Post 50 GP/50 OG
• 4/12 Innovative Training Post 50 GP/50 AE
• 2/12 GP Registrar
• 4/12 Innovative Training Post 50 GP/50
  Geriatrics
• 6/12 GP Registrar
• Dr As training programme has been organised for
  him/her by the regional General Practice Deanery
  and is supported by the Director of Postgraduate
  General Practice Education.
• Dr A asks whether s/he will be eligible for a CCT
  on completion of the training programme described
  above.

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Example Application 5

• NAME Dr W
• DATE PLACE OF QUALIFICATION 2000 UK
• SUMMATIVE ASSESSMENT Not sat
• Dr W is undertaking general practice training in
  the UK and has put forward the following
  experience to be considered towards
  certification
• Hospital Experience
• 6/12 SHO Accident Emergency 5/2/03-5/8/03 UK
  VTR/2
• 4/12 SHO Rheumatology 3/9/03-6/1/04 UK VTR/2
• 4/12 SHO Cardiology 7/1/04-5/5/04 UK VTR/2
• 4/12 SHO Accident Emergency 5/5/04-31/8/04 UK
  VTR/2
• 4/12 SHO Geriatrics1/9/04-4/1/05 UK VTR/2
• 3/12 SHO Endocrinology 5/1/05-3/4/05 UK VTR/2
• 2.5/12 SHO Respiratory 4/4/05-15/6/05 UK VTR/2
• Dr W plans to undertake a four month innovative
  general practice post combined with childrens
  palliative care followed by a 14 month GP
  Registrar post.
• Dr W asks how much his/her completed training can
  contribute towards the three-year general
  practice training programme and whether s/he will
  be eligible for a CCT on completion of his/her
  planned training.

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Specialist Training Programmes in General
Practice Pitfalls of Current Position

• Duration of Posts in List A
• Using Integrated Posts to contribute to List A
• ENT, Dermatology, Ophthalmology Rotations
• Breadth Balance of Programmes