Registration Workshop

Lindsey Sutherland

HPC

Re-admission

ACS

Route 14 year

Route 26 year

IndividualOverseas experience

Completion of recognised Qualification

Replacement of Grade A certificate of competence

In the future….

Molecular genetic Developing sciences

12 weeks submit 2x copies

6 weeks ACS assessors approve portfolio

4-6 weeks notice of interview

2 weeks formal notification

HPC informed Application to HPC (2 weeks)

Costs

• CMGS Members4 year £1256 year £175Dev Sc £225

• NON-CMGS4 year £2506 year £250Dev Sc £300

HPC = £60 (£120 every 2 years)

CMGS = £45 per year

6 year = 120 pages MAX 4 year =60 pages MAX

• Covering report • Contents list• Training report• Competency table

• Font size 12+• 2 copies submitted (+ one for

you!!)• Spiral bound• Don’t use section separators • Evidence can be hand-written

Developing Sciences

• If your experiences don’t fit neatly into one modality

Haem + molecularBiochem + molecular

• Cost more

• 3 portfolios – more than 120 pages

• 3 assessors

Covering report – normally chronological

• Pre Grade A training • Grade A Training

• Introductory Module • Disease A module• Disease B module• Project

• Band 7 Clinical Scientist • Disease C module • Disease D module • Development• Audit• Presentation at meeting

What do the competencies really mean?

Sci – background knowledge in mol genetics disciplineClin – application of Sci knowledge to the field of clinical mol

genetics, clinical consequences of testing and interpreting results / impact of patients

Tech – knowledge of tests, how they work, and relate to differences in referral types / situations and how to control the quality of these tests

R&D – ability to apply scientific knowledge and clinical knowledge to direct R&D in the context of maintaining quality of the service

Comm – What and when to relate scientific, clinical and technical knowledge to others in and around the profession

Prob solv – Application of scientific and clinical knowledge for optimum utilisation of resources

Manag – control over the application of the sci, clin, tech knowledge to effectively be able to problem solve, perform R&D

and communication on a professional level with others

How do they link with one another?

Scientific

Clinical

Technical

Management

Problem solving R&D

Communication

So where do I start?• The ACS recently agreed that you need to

have covered the following areas….

No specification of diseases, needed but what you do have must be covered in sufficient detail

Assessors would like to see…

Consideration to ‘modules’• Keeping to the page limit is difficult! Take time to consider which

modules would cover the most competencies

• Good experiences to present: • Development project – good for a new disease or testing strategy• Validation of a test• An audit• Directorate disease review• Case studies of more unusual cases, multi disciplinary, or multi test• Pathogenicity studies or other literature searches and appraisal for

reporting

• Other multi competency evidence:• Duty scientist• Caseload responsibility, especially when supervising or co-ordinating others

Covering report - presentation

Breast CancerI have been responsible for management of the BRCA mutation scanning service, following training, since April 2005. The laboratory provides diagnostic testing using…… On a day to day basis, I am responsible for prioritisation of samples and co-ordination of several technical staff…… BRCA reports can often require extensive literature searches to determine if a variant has any evidence of being pathogenic…. Due to the pressures on reporting times as recommended by the white paper, I have developed an alternative testing strategy……Competencies: Sci, Clin, tech, R&D, comm, prob solv, manag

Appendix A3

Example of a ‘module’For this example appendix A3 may contain the following:

• Disease essay or brief introduction• Testing strategy + examples of results• Test validation• Policies or SOPs you have written• Case studies• Presentation given

Covering report - presentation

Covering report - presentation

The interview• Intention is to ascertain if you understood the content of your portfolio• PLEASE prepare!!• Aim is to assess ALL competences and basic principles underlying

them• Not assessing academic components except to support background to

competencies • Want to see appreciation of all aspects and thorough understanding of

WHY? eg: not just what to do if you spill acetonitrile but Why the action should be taken

• Remember that you don’t have to know all molecular diseases in details for this interview, but you should know your portfolio diseases

Competences (1)

Clinical• Case studies – interpretation• Example reports, including QA• ‘Evidence based’ refers to

examples of test sensitivity, alternatives

• Clinical audit / evaluation

• Validation of tests, sending away, essays covering clinical implications, treatments etc, rotation in Clinical Genetics

Scientific• Written evidence may not

necessarily be possible (i.e practical lab experience) – cover in intro

• Many points covered by training and experience

• Example reports indicate knowledge of testing suitability and limitations

• Duty scientist, sending away samples, pathogenicity studies, development, essays / disease summaries, running caseloads

Competences (2)Research and Development• Many point would be covered by

Grade A / B research and development projects

• Also include abstracts if work has been presented (poster or spoken)

• Don’t include the entire project – the abstract (in the evidence section) and a short summary (in the covering report text) is sufficient

• Further training and audit are examples of the ability to critically appraise results

• Pathogenicity studies, PhD etc, validations

Technical• Many points covered by training

and experience• ‘Experience’ can also be indicated

by having trained others• SOPs indicate technical knowledge• Attendance at training courses /

seminars / MRCPath self-help course

• As before, example QA reports and troubleshooting discussions are of value

• Validation, development, caseloads, audit outcome and implementation

Competences (3)Communication • Journal clubs (list), meetings

(in- and out-of- house)• Presentation abstracts (in-

house, posters, spoken etc.etc.)• Experience of IT – remember,

most scientists will be able to use Word, Excel, Powerpoint and Access (databases) – this is sufficient to indicate an IT competency

• Directorate reviews, validations and audits, duty scientists, seminars

• Problem solving• Research and development

work• Troubleshooting exercises• Scientific knowledge of test

limitations / sensitivity

• Audits, caseloads, duty scientist, case studies

Competences (4)Management• Think about what has been discussed in appraisals /

PDRs etc. • Lab management – lists, spreadsheets, assistance

with maintenance of equipment etc. Health and Safety

• Attendance at lab meetings, knowledge of QC issues• Delegation of duties to MTOs • Responsibilities – many scientists are responsible for

running one or more disease services, albeit under the direction of a senior scientist

• Knowledge of laboratory hierarchy• Time management

• Quality management, Audits, participation in hospital training (eg back care, fire, H&S), caseloads