6 months of EM in ACCS

Zareena Jedaar(UHW ED)

What to expect

• Who’s who of ACCS training in Wales EM• Induction

• Registration with the College of EM for EM trainees• Training agreement• ACCS Workbook

• WPBAs• The role of the CT1, 2 and 3• Structured training report• ARCP

Who’s who

• Leads within each ED responsible for ACCS training:

• In Bangor - Mark Anderton• In Cardiff - Zareena Jedaar• In Newport - Rajan Raghupati• In Swansea - Dindi Gill• In Wrexham - Robin Roop

• ACCS lead for AWSEM (All Wales School of Emergency Medicine) - Zareena Jedaar

• Specialty lead and training programme director of AWSEM - Amanda Farrow

Induction• Registration with the College of EM for EM

trainees• First of 3 Meetings with educational/clinical

supervisor» Documentation on e-portfolio for EM and AM trainees;

hard copy format for Anaesthetic trainees

• Training agreement» AWSEM training agreement» Personal development plan» Workplace based assessments» Attendance at teaching/regional teaching for EM

trainees» Participation in Audit» E-learning modules

WPBAs• Summative assessments vs Formative assessments

• 2 Summative Assessments (Mini-CEX OR CBD) by a Consultant on 2 of the Major Presentations using the specific summative Mini-CEX or generic summative CBD forms.

• 5 Summative Assessments on the following 5 Acute Presentations (Chest Pain, Abdominal Pain, Mental Health, Head Injury, Breathlessness) using the specific summative Mini-CEX or generic summative CBD forms and completed by Consultants.

• The above assessments will consist of a minimum of 4 Mini-CEX and 3 CBDs.• 1 ACAT-EM which may cover up to 5 additional Acute Presentations• 5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma,

Joint or fracture manipulation + one other practical procedure)• 10 additional assessments of acute presentations using a combination of e-learning, reflective entries,

teaching and audit assessments, additional ACAT-EM• 1 MSF (minimum of 10 to include 3 Consultants)

The role of the CT1 – 3 in the ED

• Progression from Foundation training to Specialty training

• Achieving EM skills and knowledge• Assessed by WPBAs and MCEM exams for EM trainees

• Assuming leadership roles, incl. resus (under supervision)

• Teaching and providing advice (if comfortable) to less experienced (foundation trainees, nursing staff, etc.)

• Medical student teaching

Educational opportunities

• Departmental teaching• Regional teaching (1 full Tuesday per month): “stay in

touch”• Audit and Case presentations (consultant completes WPB

assessment forms for these)• E-learning (e-LFH, doctors.net, bmj.com)• Mock Exams (MCEM and FCEM: 3/10/2012)• AWSEM training day (Posters and presentations by

trainees)• Simulation training days (25/9/2012 @ POW, Bridgend)• Check emails and respond when necessary

STR and ARCP

• Structured training report • Completed by trainee and educational supervisor

• Records WPBAs and achievements and documents strengths and

weaknesses/areas for development

• Summarises the evidence of competence required at the ARCP to

determine progression or not

• Complete at least 1 month before end of placement/before ARCP to

allow time to complete assessments or address potential areas of

concern