Major Presentations (MP) 6 Acute Presentations (AP) 38 Practical Procedures (PP)44 CT1 EM Summative 2 of the 6 MPs will be completed in EM, using a summative tool i.e. the Mini-CEX descriptor tool or a pass/fail CbD Summative tools are available for Major trauma Shock Altered level of consciousness Sepsis Note – suggested that for: Anaphylaxis in adults and children this could be covered regionally using simulation Cardio respiratory arrest could be covered either by or sign off by anaesthesia Summative 5 of the 38 APs must be completed using a summative tool i.e. the Mini-CEX descriptor tool or a pass/fail CbD The suggest coverage of the following acute presentations, for which detailed descriptors are provided Chest pain Abdominal pain Breathlessness Mental health Head injury Formative An additional 5 acute presentations must be covered using x1 It is also recommended during this time that trainees also aim to cover an additional 10 acute presentations using a combination of ACATS, e learning, reflective entries, teaching and audit assessments Formative 5 of the 44 PP must be completed using DOPs The suggests coverage during EM of Airway, Primary survey wound care Fracture /joint reduction. Plus one other from the PP list not covered by another specialty CT1 AM Formative 2 of the 6 MPs Formative 10 of the 38 APs using Mini-CEX, CbD or Formative 5 of the 44 PP Using DOPs
The 8-10 remaining AP can be covered using a combination of ACATS, e learning, reflective entries, teaching and audit CT2 Formative 2 of the 6 MPs Ideally sepsis should be covered in Plus any remaining MPs if not already covered. Formative Any AP that occurs in an setting and not already covered using appropriate tool. Formative 13 of the 44 PP, Using DOPs and other tools CT2 ANAESTHESIA Summative Basic and advanced life support assessment Plus anaesthesia assessments Summative 16 separate Anaesthesia related topics including initial assessment of competence Annual Review of Competency Progression The Annual Review of Competency Progression (ARCP) is the process whereby all assessments of a trainee’s knowledge, skills and attitudes throughout the year come together for review at Deanery level. The Specialty Training Committee works with the Postgraduate Deans in conducting the ARCP to provide a composite picture of the trainee’s achievements, shortcomings and consequent future training needs. ARCP panels should include representatives from all component specialties under review. EM trainees will normally be expected to have completed Part A before entering the CT3 year and must pass B and C by the end of CT3. AM trainees will normally be expected to have completed MRCP 1 before entering CT3 and must have passed MRCP2 & PACES by the end of CT3. The requirement for acquisition of MRCP(UK) prior to entry to ST3 is likely to become mandatory in 2010.
ventilator Monitoring Respiratory function CbD Initial Assessment of Competence (IAC) - as listed below from Preoperative assessment to Emergency surgery Preoperative assessment Anaes-CEX Management of spontaneously breathing patient Anaes-CEX Administer anaesthesia for laparotomy Anaes-CEX Demonstrate RSI Anaes-CEX Recover patient from anaesthesia Anaes-CEX Demonstrates function of anaesthetic machine DOPS Transfer of patient to operating table DOPS Technique of scrubbing up and donning gown and gloves DOPS Basic competences for pain management DOPS Patient Identification CbD Post op N&V CbD Airway assessment CbD Choice of muscle relaxants and induction agents, CbD Post op analgesia CbD Post op oxygen therapy CbD Emergency surgery CbD Safe use of vasoactive drugs and electrolytes Mini-CEX or CbD Delivers a fluid challenge safely to CbD