Assessments for Dual CCT Programme - "The new programme"

Starting after Aug 2012

This is a guide to what you have to complete to achieve a successful outcome in your ARCP

Competency is graded at 4 levels

 

Level

Task orientated competence

Knowledge orientated competence

Patient management competence

1

Performs task under direct supervision.

Very limited knowledge; requires considerable guidance to solve a problem within the area.

Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these.

2

Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task.

Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols.

Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases.

3

Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives.

Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically.

Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases.

4

Independent (consultant) practice.

Expert level of knowledge.

Specialist.

 

ICM training is divided into 3 levels (Stage 1, Stage 2 and Stage 3).

The table below demonstrates what year of training equates to the different stages of training.

 

Stage 1

Stage 2

Stage 3

CT1, CT2, ST3, ST4

ST5, ST6

ST7

Core training (CT) can be ACCS, Medical or Anaesthesia.

A full year at least of Anaesthesia, ICM and Medicine must be completed in the 4 years

These include specialist modules (paeds, cardiac, neuro). A specialist skill in develop too in 1 of these years

 

 

THE FICM ASSESSMENT SYSTEM

There are “12 domains of competency” and “Top 30 cases”. These are listed in the document “CCT assessments” on the FICM website.

There are tables below which show what has to be completed for the ARCP. Essentially the logbook should ensure the “top 30 cases” are covered. The WBAs need to ensure that the sections in the “12 domains of competency are completed, which will also cross reference to the “top 30 cases”.

 

STAGE 1 (Basics) ARCP requirement

 

Assessments

Core training ICM placement

ST3 or ST4

Log book procedures

A total of more than 15 to reflect choice of DOPS. Evidence of progression/successful competition

A total of more than 15 to reflect choice of DOPS. Evidence of progression/successful competition

Log book cases

Unit admission data allows yearly learning outcomes to be fulfilled. Individual cases provide suitable case mix to achieve yearly learning outcome.

Unit admission data allows yearly learning outcomes to be fulfilled. Individual cases provide suitable case mix to achieve yearly learning outcome.

Log book Airway skills

A total of more than 15 cases with evidence of progression of skills

A total of more than 15 cases with evidence of progression of skills

Exam

Possession of one of the designated core exams is needed for entry to ST3

NA

ES report

Satisfactory report

Satisfactory report

Audit

At least 1 audit competed during each stage of training

Expanded case summaries

2 cases (at least Level 2 standard)

2 cases (at least Level 2 standard)

WBAs

At least 5 general “Top 30” cases as CBDs, CEX or both. Up to 5 CoBaTrICE competencies can be covered in each assessment

At least 5 general “Top 30” cases as CBDs, CEX or both. Up to 5 CoBaTrICE competencies can be covered in each assessment

DOPS: chosen to reflect agreed CoBaTrICE competency assessments

DOPS: chosen to reflect agreed CoBaTrICE competency assessments

MSF: 1 per year

MSF: 1 per year

Morbidity and Mortality meetings

Attend at least 4 and evidence of reflection from 1 meeting

Attend at least 4 and evidence of reflection from 1 meeting

Journal club

Present at least once

Present at least once

External meetings as approved in PDP

Reflection on content

Reflection on content

Management meetings

No mandatory requirement but attendance encouraged

No mandatory requirement but attendance encouraged

 

STAGE 2 (Intermediate) ARCP requirement

 

Assessments

ST5

ST6

Log book procedures

A total of more than 15 to reflect choice of DOPS. Evidence of progression/successful competition

A logbook should be maintained but no target numbers are required during the specialist skills modules.

Log book cases

Unit admission data allows yearly learning outcomes to be fulfilled. Individual cases provide suitable case mix to achieve yearly learning outcome.

A case log book should be maintained during the specialist skills module.

Log book Airway skills

A total of more than 15 cases with evidence of progression of skills

A total of more than 15 cases with evidence of progression of skills

Exam

Final FFICM must be obtained before progressing to Stage 3.

ES report

Satisfactory report

Satisfactory report

Audit

At least 1 audit competed during each stage of training

Expanded case summaries

2 cases (at least Level 3 standard)

2 cases (at least Level 3 standard)

WBAs

At least 4 general “Top 30” cases as CBDs, CEX or both. Up to 5 CoBaTrICE competencies can be covered in each assessment

At least 6 general “Top 30” cases from the special modules list (at least 2 from the paediatric, cardiac and neurology list) as CBDs, CEX or both. Up to 5 CoBaTrICE competencies can be covered in each assessment

DOPS: chosen to reflect agreed CoBaTrICE competency assessments

DOPS: chosen to reflect agreed CoBaTrICE competency assessments

MSF: 1 per year

MSF: 1 per year

Morbidity and Mortality meetings

Attend at least 4 and evidence of reflection from 1 meeting

Attend at least 4 and evidence of reflection from 1 meeting

Journal club

Present at least once

Present at least once

External meetings as approved in PDP

Reflection on content

Reflection on content

Management meetings

No mandatory requirement but attendance encouraged

No mandatory requirement but attendance encouraged

 

 STAGE 3 (Advanced) ARCP requirement

 

 

ST7

Log book procedures

A total of more than 15 to reflect choice of DOPS. Evidence of progression / successful completion.

Log book cases

Unit Admission data allows yearly leaning outcomes to be fulfilled Individual cases provide suitable case mix to achieve yearly learning outcome.

Log book Airway skills

A total of more than 15 cases with evidence of progression of skill.

Exam

NA

ES report

Satisfactory report.

Audit

At least 1 audit completed during each stage of training

Expanded Case summaries

2 cases (to Level 4 standard).

WPBA

At least 5 ‘Top 30’ Cases as CBDs, CEX or both, demonstrating at least 5 competencies each.

DOPS: chosen to reflect agreed CoBaTrICE competency assessments

MSF: 1 per year

Morbidity and Mortality meetings

Attend at least 4 and evidence of reflection from 1 meeting.

Journal clubs

Present at least once.

External meetings as approved in PDP

Reflection on content.

Management meetings

Attend at least 2.