atsm talk january 2011

8/8/2019 ATSM Talk January 2011

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Advanced Training Skills Modules

Why, what & how?

January 2011


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Background to ATSMs


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ATSMs - background

Advanced training in ST6 and ST7 is

part of the core requirement for the

award of CCT 21 ATSMs have been developed

Trainees will be requiredto complete 2

ATSMs during the 2 year period (from

CCT date 1st January 2010)


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ATSMs

Abortion care

Acute gynaecology & early pregnancy

Advanced antenatal practice

Advanced labour ward practice

Benign abdominal surgery Advanced laparoscopic surgery for

the excision of benign disease

Hysteroscopy

Laparoscopy

Benign vaginal surgery

Colposcopy

Fetal medicine

Gynaecological oncology

Labour ward lead

Maternal medicine

Menopause

Medical education

Paediatric & adolescent

gynaecology

Sexual health

Subfertility & reproductiveendocrinology

Vulval disease

Urogynaecology


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Advanced laparoscopic surgery for the

excision of benign disease

Five posts are available University College London Hospital

James CookUniversity Hospital, Middlesborough

Aberdeen Royal Infirmary Royal Cornwall Hospital

Princess Anne Hospital, Southampton

Applications open 7th January 2011

Applications close 4th February 2011 Interview date 14th March 2011

Interview venue RCOG, London


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Proposed changes to gynaecology ATSMs

Significant revision of the gynaecology

ATSMs is underway

5 gynaecology ATSMs are emerging ascareer defining:

Benign abdominal surgery (open and laparoscopic)

Urogynaecology and vaginal surgery

Subfertility & reproductive health

Oncology (to include laparoscopic surgery)

Acute gynaecology & early pregnancy


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Work intensity scores

Each ATSM will be given a work intensity

score reflecting the duration of training

time that is expected for completion An ATSM with a score of 2, will require 12-18

months to complete

It is proposed that at any one time, a traineedoes not undertake ATSMs with a combined

work intensity score > 3.


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ATSMs - background

The choice of ATSMs undertaken is very

important in determining the type of consultant

post to which the trainee may be appointed

The advanced labour ward practice ATSM is

highly recommended for any consultant post

with an obstetric component


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Choosing your ATSMs


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Choosing your ATSMs

What are you interested in?

What are you good at?

What do you want to do in the future?

What ATSMs are available?http://www.wagstraining.scot.nhs.uk/2009/10/atsms-in-west-of-scotland.html

What is everyone else doing?


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Choosing your ATSMs

What are you interested in?

What are you good at?

What do you want to do in the future?

What ATSMs are available?http://www.wagstraining.scot.nhs.uk/2009/10/atsms-in-west-of-scotland.html

What is everyone else doing?

What ATSMs will help me get a consultant

post?


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Workforce Planning

Consultant expansion

Consultant vs specialist vs sub-consultant

Changing role of the consultant

Subspecialty training and the subspecialist

Academic training

EWTD and consultants Consultant obstetrician and/or gynaecologist


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THE WHITTINGTON HOSPITAL NHS TRUST

The Whittington Hospital NHS Trust is looking to recruit three full time

Consultant posts in Womens health two in Obstetrics and one in

Obstetrics and Gynaecology.These posts have arisen as a result of

consultant retirements, EWTD pressures on junior doctors and the need

to increase the amount of consultant provided care in the service.

Obstetrics and Gynaecology with a special interest in Gynaecological

Emergencies and Early PregnancyRef no: 220-O&GEP-BK Experience in a

Gynaecology Assessment service and early pregnancy unit would be an

advantage as well as an interest in medical education.

Obstetrics with a special interest in Maternal Medicine and the

Management of Diabetes in PregnancyRef no: 220-OBS-MATMED-BKObstetrics with a special interest and training in Fetal Medicine and High

Risk ObstetricsRef no: 220-OBSFM-BK


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Wrightington, Wigan and Leigh NHS Foundation Trust

THREE CONSULTANTSOBSTETRICS AND GYNAECOLOGY

Post 1 This is a substantive Consultant post, attracting 10 PAs. The

post will include General Obstetrics and General

Gynaecology. Applicants should have experience in Urogynaecology

and BSCCP accreditation. On-call duties will be non resident.

Posts 2 and 3 These are substantive Consultant posts, attracting 10

PAs. Weekday night time (9pm 9am) and weekend on-call duties aredelivered by being resident on-call (1 week in 9) supported by one

Junior Doctor and a non resident Consultant. The resident

Consultants will prospectively cover each other. Apart from resident

on-call sessions at night and at weekends, these Consultants will

work in the same way as the existing Consultants in the department.

Post 2 will include General Obstetrics and General Gynaecology andrequires BSCCP accreditation. A special interest in Fertility would be

particularly welcomed. Post 3 will include predominantly Obstetrics

with emphasis on high risk Obstetrics and Antenatal Care. The

Gynaecological component will be Outpatient Gynaecology including

Early Pregnancy Care and Emergency Gynaecology.


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ATSMs and ultrasound modules

Advanced labour ward practice = Modules 1 & 2 (basic modules)

Advanced antenatal practice = Modules 1 & 2

Fetal medicine = Module 3 (intermediate ultrasound of normal fetal

anatomy) Acute gynaecology & early pregnancy = Modules 4 & 5 (intermediate

ultrasound in gynaecology & intermediate ultrasound of early pregnancy

complications)

Subfertility & reproductive endocrinology = Module 4


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ATSM courses

Cost of mandatory courses

Advanced LW Practice

450 - 500 (3 days)

Scottish LW Course (24-26 May)350

ATSM in Fetal Medicine

360 - 410 (2 days)

Early Pregnancy & Emergency Gynaecology

360 - 410 (2 days)

Subfertility & Reproductive Endocrinology and

Assisted Conception

625 - 675 (5 days)


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How do I embark on an ATSM?

Plan ahead What do I want to do when I am a Consultant?

What ATSM(s) do I want to do?

What units in the

WoS can offer this module?

Speak with the Educational Supervisor in that unit Can you really offer all ofthe components ofthe

ATSM?

Ifnot, will I get protected time to attend another unitto complete the module?

When Ill be working in your unit, can you guaranteethat Ill get the module done?


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How do I embark on an ATSM?

Speak with the module Preceptor Id like to do your module is that okay?

Are you happyfor me to do your module in unit X?

IfI am unable to get all the components ofthe modulein unit Xcan you suggestwhere I can go to get itfinished?

Speak with the ATSM Director Im keen to do ATSM A Ive spoken to DrB at mynext

placement and hes happy to supervise me. Ive alsospoken to Dr C, the module preceptor and shes alsosupportive. Is this okay?


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ATSMs in the WoS

We have a bulge of trainees at ST6 level (30+)

Most of these trainees will want to do the Advanced

Labour Ward Practice ATSM

Half of the trainees are currently doing this module

(2010-2011); the other half will do it in 2011-2012

Some trainees may wish to do Advanced LW Practice

and LW Lead together. Only those showing particularleadership skills will be invited to do this


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Advice for ST5s

Let me know what TWO ATSMs you want to do and

where youd like to do them

Im assuming that most of you will want to doAdvanced LW Practice

I will meet with Phil Owen before the ARCP meetings

to prioritise your allocations

If a particular module is over-subscribed, (eg

urogynaecology) an interview process (or similar) will

take place


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Advice for ST6s

Remind me what ATSM(s) you have done or are

currently doing

Let me know what other ATSM(s) you want to do inST7 and where you want to do it. I will meet with Phil

Owen before the ARCP meetings to prioritise your

allocations

If a particular module is over-subscribed, (egurogynaecology) an interview process (or similar) will

take place


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Anticipated problems

Urogynaecology (with vaginal

surgery)

Subfertility and reproductivehealth (to include a laparoscopic

component)

The ongoing bulge of trainees


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Advice for all STs

Keep a log of your experience

You CANNOT register for an ATSM

until you have successfully

completed ST5 (this may change)

You CAN begin to keep your log

of experience before ST6 and

then meet with your supervisor

once you have registered to

assess your competencies


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How to get the job?

If you are uncertain about the

future, keep your ATSM choices

general If you have strong views, follow

them (eg oncology)

Work hard, be pleasant, be a goodcolleague and go out of your way to

be kind and helpful and considerate

atsm talk january 2011

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