MMC and the demise of MTAS

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MMC and the demise of MTAS

• Dr Celia Gregson
• Specialist Registrar in Elderly and Internal
  Medicine
• Frenchay Hospital, Bristol

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Objectives 6 crucial questions

1. What is MMC?
2. What was MTAS?
3. Why do I need to know about all this?
4. How is MMC going to affect my getting a job in
   the UK?
5. How is MMC going to affect the training I get in
   the UK?
6. How is MMC going to affect the future of the NHS?

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Life before MMCmy life.
Year of Training Grade Speciality
0 Graduated from Medical School
1 Junior House Officer Medicine / Surgery
2 Resident Medical Officer AE - Australia
3 Med Rotation Senior House Officer CoE / Cardiology
4 Med Rotation Senior House Officer MRCP Resp / HIV
5 Clinical Fellow LAT Specialist Registrar ITU / Oncology Elderly / Internal Med
6 Specialist Registrar Year 1 Elderly / Internal Med
7 Specialist Registrar Year 2 Elderly / Internal Med
8 Specialist Registrar Year 3 Elderly / Internal Med
9 Specialist Registrar Year 4 Research - PhD Elderly / Internal Med
10 Research - PhD
11 Research PhD
12 Research PhD Specialist Registrar Year 5 Elderly / Internal Med
13 CCT Consultant
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Life before MMC.the perception..

• CMO Unfinished business
• SHOs lost in the system
• Lack of skilled doctors
• Excessively long and unfocussed training
• Bottle-necks for skilled doctors
• Multiple applications all year around
• Perceived favouritism

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Life after MMC
Year of Training New Grade
0 Graduation from Medical School Graduation from Medical School Graduation from Medical School
1 JHO FT1 Foundation Training
2 SHO FT2 Foundation Training
ST1 Selection ST1 Selection ST1 Selection ST1 Selection
3 SHO ST1 Specialist Training Core Training
4 SHO ST2 Specialist Training Core Training
ST3 Selection ST3 Selection ST3 Selection ST3 Selection
5 SpR ST3 Specialist Training
6 SpR ST4 Specialist Training
7 SpR ST5 Specialist Training CCT AIM Consultant AIM
8 SpR ST6 Specialist Training CCT Other Speciality Consultant Speciality
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Modernising Medical Careers

• Phase 1 Foundation Training
• August 2005
• Phase 2 Speciality Training
• August 2007

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Foundation Training Programme

• National Curriculum
• Acute emergencies
• NHS skills
• Team working
• Clinical Governance
• Risk Management
• Occupational Health
• Preparation for Specialty Training

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Foundation Training Programme

• National Assessments
• 6 per year Minicex
• 4-6 per year DOPS
• 2 per year Multiscore Feedback
• (Mini Pat
  Tab)
• 6-8 per year Case discussions
• National e portfolio

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If I am settled in the UK and have house officer
experience, can I apply to F1, rather than F2
training posts?

• No. Only doctors who have not completed an
  internship (or equivalent training) are eligible
  for F1 posts. As youve had house officer
  experience and are entitled to register with the
  GMC, it is likely you have already gained
  competences comparable to the F1 year. You will
  be able to apply for F2 posts when they are
  advertised. These standalone posts are not
  recruited to through MTAS, but will be advertised
  locally.

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MTAS
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Basic Neuroscience Training

• 2 year training post Foundation Training, i.e.
  ST1 ST2
• Neurology
• Neurosurgery
• Neurophysiology
• Neuroradiology
• Neuropaediatrics
• Stroke medicine
• Rehabilitation
• Psychiatry
• Geriatrics
• ?GP

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Other possible posts.

• Academic Run Through Training
• Fixed Term Specialty Training Appointments
  (FTSTAs)
• Career Posts - previously referred to as
  Non-Consultant Career Grades (NCCGs).

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MMC Anxieties..

• What was wrong with the old system?
• Fears of Service
• Costs direct and indirect (consultant
  supervision and time)
• Disappearing SHOs
• Is it truly a fair appointment system
• Inexperienced F2 trainees
• How do you take time out
• Research
• Abroad
• Personnel
• Reduction in Study time and allowances
• Who really benefits Doctors / Patients /
  Politicians?

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MMC Selection processes

• National, e based, deanery, speciality
  assessments
• ? The role of the CV
• The role of Royal College Membership exams?

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PMETB

• Postgraduate Medical Education Training Board
• www.pmetb.org.uk
• 4th April 2003 Order of Parliament
• 30th Sept 2005 went live
• Independent, reports to Parliament
• Regulatory body setting and maintaining
  standards for education and training

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Summary 6 crucial questions

1. What is MMC?
2. What was MTAS?
3. Why do I need to know about all this?
4. How is MMC going to affect my getting a job in
   the UK?
5. How is MMC going to affect the training I get in
   the UK?
6. How is MMC going to affect the future of the NHS?

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www.mmc.nhs.ukwww.bmjcareers.com

• Any questions?