New Routes to the Specialist Register ? Dr Wilson Bolsover Assistant to the Officer for HST

New Routes to theNew Routes to theSpecialist Register ?Specialist Register ?

Dr Wilson BolsoverDr Wilson BolsoverAssistant to the Officer for Assistant to the Officer for

HSTHST

The Specialist RegisterThe Specialist Register

• Maintained by the GMCMaintained by the GMC

• Registration is mandatory for Registration is mandatory for substantive consultant appointmentssubstantive consultant appointments

• A number of possible routes to A number of possible routes to registrationregistration

The Postgraduate Medical The Postgraduate Medical Education and Training BoardEducation and Training Board

• The General and Specialist Medical The General and Specialist Medical Practice (Education, Training and Practice (Education, Training and Qualifications) Order 2003 Qualifications) Order 2003

• Replaces STA (and JCPTGP)Replaces STA (and JCPTGP)

• Late 2005Late 2005

The Specialist Register The Specialist Register

11 Type 1 programme leading to a CCSTType 1 programme leading to a CCST



22 Have recognised specialist status Have recognised specialist status within the EEAwithin the EEA




33 The academic routeThe academic route




33 The academic routeThe academic route

44 Have training from outside the EEA Have training from outside the EEA equivalent to a Type 1 programmeequivalent to a Type 1 programme

Article 14 (4)Article 14 (4)

A person is also an eligible specialist … if - A person is also an eligible specialist … if - (a) ….(a) ….(b) he has - (b) he has -

(i) undertaken specialist training, or(i) undertaken specialist training, or(ii) been awarded specialist qualifications,(ii) been awarded specialist qualifications,

in a specialty listed in Schedule 3, and he in a specialty listed in Schedule 3, and he satisfies the Board that that specialist satisfies the Board that that specialist training is, or those qualifications are, or training is, or those qualifications are, or both when considered together are, both when considered together are, equivalent to a CCT in the specialty in equivalent to a CCT in the specialty in question.question.

Article 14 (6) (b)Article 14 (6) (b)

If a person falls within paragraph (4) or (5) and If a person falls within paragraph (4) or (5) and

(a) …… or(a) …… or

(b) he has acquired specialist medical (b) he has acquired specialist medical experience or knowledge, wherever obtained,experience or knowledge, wherever obtained,

the Board shall, when considering whether it is the Board shall, when considering whether it is satisfied as mentioned in paragraph (4) or (5), satisfied as mentioned in paragraph (4) or (5), take account of that … experience or take account of that … experience or knowledge.knowledge.

Article 14 (5)Article 14 (5)

A person is also an eligible specialist … if - A person is also an eligible specialist … if - (a) he has - (a) he has -

(i) undertaken specialist training, or(i) undertaken specialist training, or(ii) been awarded specialist qualifications,(ii) been awarded specialist qualifications,

outside the United Kingdom in a medical specialty outside the United Kingdom in a medical specialty not listed in Schedule 3; ornot listed in Schedule 3; or(b) … academic or research work,(b) … academic or research work,and he satisfies the Board that these give him a and he satisfies the Board that these give him a level of knowledge and skill consistent with practise level of knowledge and skill consistent with practise as a consultant in the National Health Service.as a consultant in the National Health Service.

Article 14 (6) (b)Article 14 (6) (b)

If a person falls within paragraph (4) or (5) and If a person falls within paragraph (4) or (5) and

(a) …… or(a) …… or

(b) he has acquired specialist medical (b) he has acquired specialist medical experience or knowledge, wherever obtained,experience or knowledge, wherever obtained,

the Board shall, when considering whether it is the Board shall, when considering whether it is satisfied as mentioned in paragraph (4) or (5), satisfied as mentioned in paragraph (4) or (5), take account of that … experience or take account of that … experience or knowledge.knowledge.

SoSo

The PMETB will reach a conclusion The PMETB will reach a conclusion based onbased on

• TrainingTraining

SoSo



• QualificationsQualifications

SoSo



• QualificationsQualifications

• ExperienceExperience

How?How?

• NotNot a RCPCH process a RCPCH process

How?How?


• The PMETB currently developing its The PMETB currently developing its process and paperworkprocess and paperwork

ButBut

• CCT SpecialtiesCCT Specialties e.g. e.g. Paediatrics orPaediatrics or

Paediatrics (neonatal Paediatrics (neonatal medicine)medicine)

ButBut

• CCT SpecialtiesCCT Specialties e.g. e.g. Paediatrics orPaediatrics or

Paediatrics (neonatal Paediatrics (neonatal medicine)medicine)

• Non-CCT specialtiesNon-CCT specialties e.g. e.g. Paediatric audiologyPaediatric audiology

CCT SpecialtiesCCT Specialties

1.1. Specialist training and/or Specialist training and/or qualifications from anywherequalifications from anywhere



2.2. Plus experience anywherePlus experience anywhere




3.3. Assessed against the curriculum of Assessed against the curriculum of a training programme leading to a a training programme leading to a CCT in the specialtyCCT in the specialty

Non-CCT SpecialtiesNon-CCT Specialties

1.1. Specialist training and/or Specialist training and/or qualifications qualifications from outside the from outside the UKUK


1.1. Specialist training and/or Specialist training and/or qualifications from outside the UKqualifications from outside the UK



1.1. Specialist training and/or Specialist training and/or qualifications from outside the UKqualifications from outside the UK


3.3. Assessed against level of Assessed against level of knowledge and skill consistent with knowledge and skill consistent with consultant practise in the NHSconsultant practise in the NHS

What next?What next?


• The PMETB currently developing The PMETB currently developing its process and paperworkits process and paperwork



• The PMETB currently developing The PMETB currently developing its process and paperworkits process and paperwork

• We cannot currently offer firm We cannot currently offer firm adviceadvice



• The PMETB currently developing its The PMETB currently developing its process and paperworkprocess and paperwork

• We cannot currently offer firm We cannot currently offer firm adviceadvice

• We cannot currently offer individual We cannot currently offer individual adviceadvice

Suggestions for PreparationSuggestions for Preparation

• Update CVUpdate CV

Suggestions for PreparationSuggestions for Preparation

• Update CVUpdate CV

• Detailed Job PlansDetailed Job Plans– Clinical activityClinical activity– Emergency / on-call commitmentsEmergency / on-call commitments– Emergency / on-call responsibilitiesEmergency / on-call responsibilities– Out-patient activityOut-patient activity– Sub-specialty work and commitmentsSub-specialty work and commitments

Suggestions for Preparation Suggestions for Preparation (2)(2)

• Document CPDDocument CPD



• Read and Understand Read and Understand Good Medical Good Medical Practice Practice (General Medical Council)(General Medical Council)



• Read and Understand Read and Understand Good Medical Good Medical PracticePractice

• Compile appraisal / revalidation Compile appraisal / revalidation folder as evidence to support folder as evidence to support applicationapplication

Further InformationFurther Information

• www.pmetb.org.ukwww.pmetb.org.uk(in preparation)(in preparation)

• www.rcpch.ac.ukwww.rcpch.ac.ukSpecialty specific information Specialty specific information

when when availableavailable

Documents

New Routes to the Specialist Register ? Dr Wilson Bolsover Assistant to the Officer for HST