accs london survival guide trainee reps accs induction slides 2015

Developing people for health and healthcare

working on behalf of

ACCS Induction:Survival Guide

Dr S. Arun-Castro ST2 EMDr Chris Granger ST2 Anaesthesia

London Deanery ACCS Programme

& London School of Emergency Medicine

13th August 2015

working on behalf of Developing people for

health and healthcare

London Deanery ACCS-Emergency Medicine Facebook Group –Audit network

• Make light work of audit.

• Interested?

• Join the “event”

• Say where you work.

• Find colleagues to collaborate with

• Inform local/national policy



ACCS Survival Guide



ACCS Survival Guide- get to grips with it



ACCS Survival Guide – Tame the beast



ACCS Survival Guide

• ARCP

• Assessments

• E-portfolio

• Training Days

• Study Leave & Budget

• Specialty-specific points

• LTFT



ACCS Survival Guide

• ARCP:

• Checklist for ARCP

• Available on Synapse

• Aim WBAs towards this checklist



WORK BASED ASSESSMENTS

Formative Vs Summative

CBD

CEX

DOPs

ACAT

MSF



Curriculum

Google RCEM/RCOA + ACCS Curriculum

CMP “Common Major Presentation”

CAP “Common Acute Presentation”

CC “Common Competencies”



During the Acute medicine 6 months

Formative (Mini-CEX or CbD) assessment in 2 of the 6 major presentations

CMP1 - Anaphylaxis

CMP2 - Cardiorespiratory arrest

CMP3 - Major Trauma

CMP4 - Septic patient

CMP5 - Shocked patient

CMP6 - Unconscious patient

Formative assessment of an additional 10 of the Acute presentations

Mini-CEX, CbD or ACAT“5in1”

Formative assessment of 5 practical procedures (DOPs)

http://www.rcem.ac.uk/code/document.asp?ID=5466








During Emergency Medicine 6 months –Summative assessment (Mini-CEX or CbD) in two of the following Major presentations:

• CMP1 - Anaphylaxis

• CMP2 - Cardiorespiratory arrest

• CMP3 - Major Trauma

• CMP4 - Septic patient

• CMP5 - Shocked patient

• CMP6 - Unconscious patient

• Summative assessment (Mini-CEX or CbD) in all of the following Acute presentations:

• CAP7 - Chest pain

• CAP1 - Abdominal pain

• CAP6 - Breathlessness

• CAP30 - Mental health

• CAP18 - Head injury

Minimum 5 DOPS including:

Airway management

Primary survey

Wound care

Fracture reduction joint reduction

plus one other from the list using generic

DOPs

Formative assessments (ACAT-EM) in

5 additional acute presentations

•10 additional assessments of acute

presentations using a combination of

• e-learning / reflective entries

• teaching and audit assessments

/additional ACAT-EMs


http://secure.rcem.ac.uk/code/document.asp?ID=5749
























By CT1 ARCP need

Structured Training Report x2 (one for each placement)YES / NO (please circle)

MSF – minimum of 12 responses (annual)

with spread of participants as agreed with Educational Supervisordate

ACCS AM trainees only - Multi Consultant Review x 4YES / NO (please circle)

Evidence of Audit or Quality Improvement Project

(one every 12 months)YES / NO (please circle)

Progress in relevant post graduate examinations: Exams achieved

ALS or equivalent (upload certificate to eportfolio)date

Safeguarding Children Level 2 (upload certificate to eportfolio)date

Progress toward achieving level 2 common competences confirmed by

supervisor and trainee (red and blue man symbols)YES / NO (please circle)

Number of core training days attended (upload certificates to eportfolio)number

Survey monkey feedback completed for each placementYES / NO (please circle)



Assessments:• Start early : 1+/week

• In ED do the paperwork on the shop floor

• ACAT –Medical Take / ED Majors

• DOPS: Be familiar with curriculum/plan ahead

• RCEMLearning (for CAPs)



E-portfolio:

• EM – NHS E-portfolio

• AM – via www.jrcptb.org.uk/

• Anaesthetics - paper

• focus on ARCP check list

• See Synapse / trainee hand book

• Facebook search: ACCS ST1-3 London

http://www.jrcptb.org.uk/



London Deanery ACCS-Emergency Medicine Facebook Group



ACCS Training Days:

• 3 London pan-specialty days

• Specialty specific days

• CT2 Novice courses in ICM & Anaesth.



ACCS Survival Guide

• Study Leave & Budget:

• 15 days each 6 month block

• 6 weeks’ notice

• Check local policy

• £500 - £850 (hospitals vary)

• Keep receipts and certificates



EM Specific Training Day requirements CT1-2



Anaesthetics-specific points:

• Portfolios – paper

• www.accsuk.org.uk

• Severn Deanery

• Focus on curriculum for first year

• Exams

http://www.accsuk.org.uk



Useful For Anaesthetics Forms



Pastoral CarePractitioner Health Programme

Friends & Family Educational Supervisor

Colleagues Occupational Health



London Deanery ACCS-Emergency Medicine Facebook Group –Audit network

• Make light work of audit.

• Interested?

• Join the “event”

• Say where you work.

• Find colleagues to collaborate with

• Inform local/national policy



working on behalf of

ACCS Induction:Survival Guide

Chris Granger ST2 Anaesthesia S. Arun-Castro ST2 EM

London Deanery ACCS Programme

& London School of Emergency Medicine

13th August 2015

accs london survival guide trainee reps accs induction slides 2015

Health & Medicine