The IMT curriculum explained
This post is about the IMT curriculum which is available here:
https://www.jrcptb.org.uk/training-certification/arcp-decision-aids
Also read the relevant documents here:
https://www.jrcptb.org.uk/document-library
I am going to discuss each point and explain the importance behind this.
Please read these blogs as well:
https://omarsguidelines.blogspot.com/2018/11/all-about-imt.html
http://omarsguidelines.blogspot.com/2018/06/arcp-in-core-medical-training.html
http://omarsguidelines.blogspot.com/2017/03/maintaining-your-e-portfolio.html
This is a basic summary of IMT training:
You will rotate into different specialties. In IMT year 3, you will rotate into ITU.
By the end of each year, you will have an ARCP (Annual Review of Competency Progression). As the name suggests, your e portofolio will be looked at my your program director (TPD), deputy program directors and college tutor. They will ensure that you have met the requirements set by your curriculum.
You will also receive an email by your deanery about what else they would like to see before your ARCP.
This blog explains the curriculum ( the link is here:https://www.jrcptb.org.uk/training-certification/arcp-decision-aids).
Educational supervisor (ES) report:
All trainees are allocated an ES and a clinical supervisor ( CS) in their training program.
The ES is your CS in your first rotation and they remain your ES till the end of your year in that trust.The job of you ES is to ensure that you have met the requirements to progress to the next stage ( ie the next year of training). Your CS ensures that you meet the requirements expected from a doctor at your level by the end of your rotation in that particular department.
Your CS changes whenever you move from one rotation to the next.
For example: My renal consultant was my ES and CS for my renal rotation from August to December, then I had a gastro consultant as my CS for my gastro rotation from December to April and a neurology consultant as my CS for my neuro rotation from April to August. My ES remained the same throughout.
By the end of your year and before your ARCP, your ES will sign you off for the competencies, procedures and clinics I will mention below.
The ES report should be satisfactory.
Usually you meet your ES when you start your first rotation ( ie August), then in the middle of your rotation ( ie october) and then at the end of your first rotation ( ie December). You also get to meet your ES before (s)he submits the ES report and you can arrange meetings earlier than that as well if you have any concerns.
Generic capabilities in practice (CiPs)
This is mentioned in more detail here:
https://www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes/generic-professional-capabilities-framework
This is what all trainees would meet anyway by the end of their years 1, 2 and 3 as it is part of their daily clinical work and is also taught in the mandatory training days.
Multiple consultant report (MCR)
This is an assessment form which consultants fill for trainees. It includes the following domains:
Efficiency, seeing, patients promptly, prioritising sensibly:
Clinical skills, history taking and examination:
Procedural skills (optional field if applicable to specialty):
Diagnostic skills, investigation and management of patients:
Prescribing skills, knowledge of drugs, side effects, interactions etc.:
Clarity, accuracy, detail (and legibility) of notes/letters/summaries:
Recognising the need (and urgency) for senior help (optional field):
Evidence of care and compassion:
Please specify any suggested areas for development:
Please comment on any concerns regarding the trainee’s health and probity:
Please comment on any compliments, comments, or concerns from patients or staff. Please note whether they have been shared with the trainee and any outcome:
Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward Incidents / Significant Event Investigation or named in any complaint?
If so are you aware if it has / these have been resolved satisfactorily with no unresolved concerns about a trainee’s fitness to practice or conduct?
Is the trainee’s overall performance at the level expected for their stage of training?
Any further comments:
These are easy to get signed off. You will be working under different consultants during:
1. Your placements in different departments
2. When you are on call.
After a few weeks, you will start recognizing which consultant is very supportive. Ask him/her to sign your MCR ( usually after a few on calls and after a few weeks on the ward).
Multi-source feedback (MSF)
This is an assessment form any health care provider can fill - This includes HCAs, nurses, matrons, foundation doctors, SHOs, registrars, consultants, ward clerks, OTs, PTs, pharmacists, etc. Basically anyone whom you have worked with during your placement.
This has the following domains:
Communication skills: Communicates effectively with patients and families:
Communication skills: Communicates effectively with healthcare professionals:
Attitude to patients: Respects the rights, choices, beliefs and confidentiality of patients:
Attitude to staff: Respects and values contributions of other members of the team:
Team player skills: Supportive and accepts appropriate responsibility; Approachable:
Reliability and Punctuality:
Leadership skills: Takes responsibility for own actions and actions of the team:
OVERALL PROFESSIONAL COMPETENCE:
Honesty and Integrity, do you have any concerns?
If yes please state your concerns:
Anything especially good?
These are also easy to get signed off. You can ask the aforementioned health care providers to fill your assessments. Again, you will know in a few weeks/months who will say something nice and positive. There is no point sending an assessment to a matron whom you do not get a long with.
Acute care assessment tool (ACAT)
THOSE WHO ARE TO APPEAR IN MRCP PART 1
https://www.jrcptb.org.uk/training-certification/arcp-decision-aids
Also read the relevant documents here:
https://www.jrcptb.org.uk/document-library
I am going to discuss each point and explain the importance behind this.
Please read these blogs as well:
https://omarsguidelines.blogspot.com/2018/11/all-about-imt.html
http://omarsguidelines.blogspot.com/2018/06/arcp-in-core-medical-training.html
http://omarsguidelines.blogspot.com/2017/03/maintaining-your-e-portfolio.html
This is a basic summary of IMT training:
You will rotate into different specialties. In IMT year 3, you will rotate into ITU.
By the end of each year, you will have an ARCP (Annual Review of Competency Progression). As the name suggests, your e portofolio will be looked at my your program director (TPD), deputy program directors and college tutor. They will ensure that you have met the requirements set by your curriculum.
You will also receive an email by your deanery about what else they would like to see before your ARCP.
This blog explains the curriculum ( the link is here:https://www.jrcptb.org.uk/training-certification/arcp-decision-aids).
Educational supervisor (ES) report:
All trainees are allocated an ES and a clinical supervisor ( CS) in their training program.
The ES is your CS in your first rotation and they remain your ES till the end of your year in that trust.The job of you ES is to ensure that you have met the requirements to progress to the next stage ( ie the next year of training). Your CS ensures that you meet the requirements expected from a doctor at your level by the end of your rotation in that particular department.
Your CS changes whenever you move from one rotation to the next.
For example: My renal consultant was my ES and CS for my renal rotation from August to December, then I had a gastro consultant as my CS for my gastro rotation from December to April and a neurology consultant as my CS for my neuro rotation from April to August. My ES remained the same throughout.
By the end of your year and before your ARCP, your ES will sign you off for the competencies, procedures and clinics I will mention below.
The ES report should be satisfactory.
Usually you meet your ES when you start your first rotation ( ie August), then in the middle of your rotation ( ie october) and then at the end of your first rotation ( ie December). You also get to meet your ES before (s)he submits the ES report and you can arrange meetings earlier than that as well if you have any concerns.
Generic capabilities in practice (CiPs)
This is mentioned in more detail here:
https://www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes/generic-professional-capabilities-framework
This is what all trainees would meet anyway by the end of their years 1, 2 and 3 as it is part of their daily clinical work and is also taught in the mandatory training days.
Multiple consultant report (MCR)
This is an assessment form which consultants fill for trainees. It includes the following domains:
Efficiency, seeing, patients promptly, prioritising sensibly:
Clinical skills, history taking and examination:
Procedural skills (optional field if applicable to specialty):
Diagnostic skills, investigation and management of patients:
Prescribing skills, knowledge of drugs, side effects, interactions etc.:
Clarity, accuracy, detail (and legibility) of notes/letters/summaries:
Recognising the need (and urgency) for senior help (optional field):
Evidence of care and compassion:
Please specify any suggested areas for development:
Please comment on any concerns regarding the trainee’s health and probity:
Please comment on any compliments, comments, or concerns from patients or staff. Please note whether they have been shared with the trainee and any outcome:
Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward Incidents / Significant Event Investigation or named in any complaint?
If so are you aware if it has / these have been resolved satisfactorily with no unresolved concerns about a trainee’s fitness to practice or conduct?
Is the trainee’s overall performance at the level expected for their stage of training?
Any further comments:
These are easy to get signed off. You will be working under different consultants during:
1. Your placements in different departments
2. When you are on call.
After a few weeks, you will start recognizing which consultant is very supportive. Ask him/her to sign your MCR ( usually after a few on calls and after a few weeks on the ward).
Multi-source feedback (MSF)
This is an assessment form any health care provider can fill - This includes HCAs, nurses, matrons, foundation doctors, SHOs, registrars, consultants, ward clerks, OTs, PTs, pharmacists, etc. Basically anyone whom you have worked with during your placement.
This has the following domains:
Communication skills: Communicates effectively with patients and families:
Communication skills: Communicates effectively with healthcare professionals:
Attitude to patients: Respects the rights, choices, beliefs and confidentiality of patients:
Attitude to staff: Respects and values contributions of other members of the team:
Team player skills: Supportive and accepts appropriate responsibility; Approachable:
Reliability and Punctuality:
Leadership skills: Takes responsibility for own actions and actions of the team:
OVERALL PROFESSIONAL COMPETENCE:
Honesty and Integrity, do you have any concerns?
If yes please state your concerns:
Anything especially good?
These are also easy to get signed off. You can ask the aforementioned health care providers to fill your assessments. Again, you will know in a few weeks/months who will say something nice and positive. There is no point sending an assessment to a matron whom you do not get a long with.
Acute care assessment tool (ACAT)
These assessments are done by on call consultants who post take patients you have clerked in. This assesses your abilities to manage a patient who is admitted to the hospital.
You need a minimum of 5 cases to send an ACAT assessment to a consultant. These cases can be over a span of 2 or 3 shifts or in one shift.
These are the domains:
Specialty being assessed*:
State the setting for the learning event (e.g. acute admission, ward round, night shift)*:
Provide a brief summary of the cases observed*:
Clinical assessment*:
Investigation and management plan*:
Clinical judgement*:
Professionalism (documentation, adherence to guidelines, etc.)*:
What was done well?*:
What are the suggested areas for development?*:
Based on this observation, please rate the overall competence the trainee has shown*:
Agreed action plan*:
Again, you would know which consultant is happy with your management plans and you can request them to fill an assessment form for you.
Specialty being assessed*:
State the setting for the learning event (e.g. acute admission, ward round, night shift)*:
Provide a brief summary of the cases observed*:
Clinical assessment*:
Investigation and management plan*:
Clinical judgement*:
Professionalism (documentation, adherence to guidelines, etc.)*:
What was done well?*:
What are the suggested areas for development?*:
Based on this observation, please rate the overall competence the trainee has shown*:
Agreed action plan*:
Again, you would know which consultant is happy with your management plans and you can request them to fill an assessment form for you.
Remember to send a brief summary of the cases you have seen. A typical example would include:
"Dear Dr ****, can you kindly fill an ACAT for the following cases I saw when I was on call with you on the 12th of July:
1. Elderly gentleman, lung CA- for best supportive care, admitted with chest pain. trop was high initially, repeat trop was the same, BG of pulmonary emboli ( on NOAC). Discharged without any changes to his medications.
2. Elderly lady, admitted with SOB, cough. Treated as CAP with levofloxacin ( pen allergic, CURB 2 but requiring O2 ).
3. Elderly lady admitted with low sodium. I followed the hyponatremia pathway and treated her with slow IV saline for management of hypovolemic hyponatremia.
4. Elderly lady, admitted with shortness of breath and cough. CXR showed bilateral consolidation. There was a possibility of a possible seizure but her lactate, O2 was normal. She did not have any further fits.
5. Elderly gentleman, admitted with left sided weakness secondary left leg pain due to recent skin Bx. ED team was concerned about possible spinal cord compression but on detailed neurological examination - his reduced power was put down to pain secondary to the skin biopsy."
"Dear Dr ****, can you kindly fill an ACAT for the following cases I saw when I was on call with you on the 12th of July:
1. Elderly gentleman, lung CA- for best supportive care, admitted with chest pain. trop was high initially, repeat trop was the same, BG of pulmonary emboli ( on NOAC). Discharged without any changes to his medications.
2. Elderly lady, admitted with SOB, cough. Treated as CAP with levofloxacin ( pen allergic, CURB 2 but requiring O2 ).
3. Elderly lady admitted with low sodium. I followed the hyponatremia pathway and treated her with slow IV saline for management of hypovolemic hyponatremia.
4. Elderly lady, admitted with shortness of breath and cough. CXR showed bilateral consolidation. There was a possibility of a possible seizure but her lactate, O2 was normal. She did not have any further fits.
5. Elderly gentleman, admitted with left sided weakness secondary left leg pain due to recent skin Bx. ED team was concerned about possible spinal cord compression but on detailed neurological examination - his reduced power was put down to pain secondary to the skin biopsy."
CBDs( Case based discussions) :
We do this all the time as SHO's.
When on the ward, when a patient is new to the ward, we assess them and then start the initial management, do certain investigations and then discuss it with the registrar/consultant.
Or when we are on call, we discuss these patients with the on call registrar or consultant.
These are all case based discussions. It is good practice to inform the assessor that you plan to send them a CBD after discussing this ( of course, this can be awkward if you have a deteriorating patient and you need a senior review ASAP - just imagine saying this: Mr BD in bed 14 is EWSing at 14, may I do a quick CBD with you" - This will not down nicely)
We do this all the time as SHO's.
When on the ward, when a patient is new to the ward, we assess them and then start the initial management, do certain investigations and then discuss it with the registrar/consultant.
Or when we are on call, we discuss these patients with the on call registrar or consultant.
These are all case based discussions. It is good practice to inform the assessor that you plan to send them a CBD after discussing this ( of course, this can be awkward if you have a deteriorating patient and you need a senior review ASAP - just imagine saying this: Mr BD in bed 14 is EWSing at 14, may I do a quick CBD with you" - This will not down nicely)
The best CBDs are done when you see patients new to the consultants.
In some trusts, the consultant ward rounds are finished by noon and if there is a new patient who has been transferred from AMU ( already been seen by the consultant on call) or admitted to your specialist ward directly from clinic and you see them, you can present them to the consultant and then discuss management options, latest guidelines, etc with the consultant.
In some trusts, the consultant ward rounds are finished by noon and if there is a new patient who has been transferred from AMU ( already been seen by the consultant on call) or admitted to your specialist ward directly from clinic and you see them, you can present them to the consultant and then discuss management options, latest guidelines, etc with the consultant.
This not only ticks a box, but you gain a lot in terms of knowledge and how to present your case and what points consultants like to know about ( good for PACES)
Mini-CEX (Clinical examinations)
Request your registrar/consultant to observe you examine a patient. This can be on a ward round, in clinic or when you are on call and the assessor is not too busy.
Again, this is also important for PACES so do as many as possible to gain confidence.
MRCP
Now this is the important ( and for some, the frustrating bit).
You should have passed MRCP 1 by IMT year 1 and MRCP 2 and PACES by IMT year 2.
Some people, especially IMGs who have been working in the NHS may be overwhelmed with all the portfolio things to do PLUS MRCP exams however do not worry, a lot of people manage to do this.
Now this is the important ( and for some, the frustrating bit).
You should have passed MRCP 1 by IMT year 1 and MRCP 2 and PACES by IMT year 2.
Some people, especially IMGs who have been working in the NHS may be overwhelmed with all the portfolio things to do PLUS MRCP exams however do not worry, a lot of people manage to do this.
It is very important that you plan everything in detail.
This is my suggestion:
This is my suggestion:
THOSE WHO ARE TO APPEAR IN MRCP PART 1
1. You should have planned a date for your MRCP 1 exam already:
https://www.mrcpuk.org/mrcpuk-examinations/part-1/exam-dates-and-fees
https://www.mrcpuk.org/mrcpuk-examinations/part-1/exam-dates-and-fees
2. As you can see, the next exam is in January, 2020.
3. This date is perfect - you would have spent 7 months in your training post and would have a basic idea of how things work. You would have been comfortable in the new system and would easily manage on calls.
4. Read my guideline here:
http://omarsguidelines.blogspot.com/2015/05/mrcp-one-guideline-sept-2014.html
http://omarsguidelines.blogspot.com/2015/05/mrcp-one-guideline-sept-2014.html
5. It is very easy to study for this as it is the same thing you are doing everyday. Just try to see rare cases as well, like weird and wonderful neurology cases ( by talking to your colleagues in neurology and attending a few neurology clinics as well).
6. Start early - as soon as you start your training post. This will allow you to have a routine.
This blog might help:
http://omarsguidelines.blogspot.com/2018/02/how-to-study-while-working-nhs.html
6. Start early - as soon as you start your training post. This will allow you to have a routine.
This blog might help:
http://omarsguidelines.blogspot.com/2018/02/how-to-study-while-working-nhs.html
7. You will get plenty of opportunities even when at work to study:
- When you are travelling to your mandatory training days
- During your breaks
- During your on calls when it is not busy.
- When you are travelling to your mandatory training days
- During your breaks
- During your on calls when it is not busy.
It is very easy to study nowadays as there are apps for everything - the MRCP pool questions website/app can be accessed on your phone and you can do a quick 10 questions easily.
The important point to note is to ALWAYS read the explanations of the answers even if you answered it correctly.
8. 5 to 6 months whilst in a training post is a reasonable time.
9. Book your MRCP 2 as soon as you get your MRCP 1 result. PLEASE DO NOT delay it. It is more or less the same course and hence, it is important your knowledge does not get rusty. However it is not the end of the world if you want a break.
10. The next reasonable MRCP 2 date if you have passed MRCP 1 in February ( for the exam given in January) is July as mentioned here:https://www.mrcpuk.org/mrcpuk-examinations/part-2/exam-dates-and-fees
11. This is my guideline on MRCP 2 :http://omarsguidelines.blogspot.com/2017/01/my-guideline-for-mrcp-2.html
12. You will have a reasonable 4 months to prepare for it well.
13. Again, it is a clinical exam however in MRCP 2, there are a lot of images so take this opportunity to interpret ECGs, X rays and CT/MRI scans without looking at the report.
14. Hopefully by the start of your IMT2 year, you would have passed both MRCP 1 and 2.
15. You can now focus on PACES in your IMT year 2.
16. The dates of PACES have not been released yet :
https://www.mrcpuk.org/mrcpuk-examinations/paces/exam-dates-and-fees
https://www.mrcpuk.org/mrcpuk-examinations/paces/exam-dates-and-fees
However keep checking the website. Usually there are 3 "diets" every year.
- January to April
- January to April
- June to August
- September to December
17. This is my guideline on PACES:https://omarsguidelines.blogspot.com/2019/06/my-experience-of-mrcp-paces-passed-in.html
18. I strongly advise you give PACES ASAP - ie go for the Sept-December attempt. Aim to go for an exam maximum by early November ( you have the option of requesting a specific date if you have a good enough reason - in your case, it can be on calls, personal reasons like going to your home country on the other dates, etc).
19. The advantage of going for an exam in early November/ or before this is that in case you fail, you have the option of giving another attempt in the next diet.
- It takes 10 working days for your result to come and you MUST have enough time to apply for your next attempt.
20. Also, you have the option of going for FastTrack - ie the RCP allows trainees to give 2 attempts in the same diet if they have training needs. This is explained here:https://www.mrcpuk.org/mrcpuk-examinations/paces/mrcpuk-paces-fast-track
19. The advantage of going for an exam in early November/ or before this is that in case you fail, you have the option of giving another attempt in the next diet.
- It takes 10 working days for your result to come and you MUST have enough time to apply for your next attempt.
20. Also, you have the option of going for FastTrack - ie the RCP allows trainees to give 2 attempts in the same diet if they have training needs. This is explained here:https://www.mrcpuk.org/mrcpuk-examinations/paces/mrcpuk-paces-fast-track
My tips:
1. Please plan your dates, book your exams, get online subscriptions for the relevant MRCP exams ASAP.
1. Please plan your dates, book your exams, get online subscriptions for the relevant MRCP exams ASAP.
2. Start studying from day 1 - this will help build a routine.
3. Do not worry if you fail. You have 2 years to pass your MRCP exams. And worse comes to worse, you can give the remaining parts in IMT year 3 ( although you may not get the best outcome in your ARCP in that case).
ALS:
Make sure that your ALS certificate is valid throughout your IMT training. If it expires, you will have to go for a re-certification course.
Make sure that your ALS certificate is valid throughout your IMT training. If it expires, you will have to go for a re-certification course.
QIPs:
The IMT curriculum has a very nice way of making trainees comfortable with QIPs:
Year 1:
Participating in QI activity (eg project plan)
All you need here is to request a registrar/ SHO colleague/consultant who is about to start a QIP to involve you in making the project plan.
Year 2:
1 project completed with QIPAT
This is also teamwork, work with a registrar/SHO colleague/consultant : Make a project plan, register it with the QIP department, make a proforma, fill it out ( distribute it among colleagues/ get patients notes depending on the project), analyze the data and then present it.
The IMT curriculum has a very nice way of making trainees comfortable with QIPs:
Year 1:
Participating in QI activity (eg project plan)
All you need here is to request a registrar/ SHO colleague/consultant who is about to start a QIP to involve you in making the project plan.
Year 2:
1 project completed with QIPAT
This is also teamwork, work with a registrar/SHO colleague/consultant : Make a project plan, register it with the QIP department, make a proforma, fill it out ( distribute it among colleagues/ get patients notes depending on the project), analyze the data and then present it.
Send a QIPAT assessment form to your supervisor.
Year 3:
Demonstrating leadership in QI activity (eg supervising another healthcare professional)
Year 3:
Demonstrating leadership in QI activity (eg supervising another healthcare professional)
Supervise foundation trainees/ ACPs/PAs/IMT year 1 trainees do a QIP project and support them throughout.
Read my blog here:
Outpatient clinics:
As a SHO, it may be difficult to do clinics independently because:
1. Clinics are supposed to be run by consultants and specialty registrars. It is their name on the letter and hence they almost always prefer to see patients as well and re-discuss management plans.
As a SHO, it may be difficult to do clinics independently because:
1. Clinics are supposed to be run by consultants and specialty registrars. It is their name on the letter and hence they almost always prefer to see patients as well and re-discuss management plans.
2. Lack of space. You may need to sit in a clinic with a consultant/registrar.
However some specialties, like the renal rotation in my CMT2, have dedicated renal clinics for SHOs in which a SHO sees the patient, makes a management plan and then discusses it with a consultant sitting in another room who then comes and talks to the patient. The SHO then dictates a letter which the consultant amends if required. This is an excellent way of getting feedback ( in the form of a CBD assessment ).
In other clinics, the SHO sits in and then the consultant may ask him/her to examine the patient and discuss the findings ( request if you can send a mini-CEX and CBD BEFORE you examine the patient).
Ambulatory clinics - these are AMU clinics which are also consultant/registrar led. There is a small clerking proforma and you see, assess and then discuss the management plan with the consultant who then sees the patient.
Even sit in clinics are helpful as you get to learn a lot - you see what questions to ask in the outpatient setting and how consultants dictate letters.
These are an excellent way of preparing for PACES.
If you struggle to get time off for clinics, talk to your supervisor as early as possible. In some trusts, the rota team adds a "clinic day" slot to trainee SHOs and hence they have no other responsibilities that day. They can attend 2-3 clinics and easily meet their requirement by their ARCP.
Fill out the clinics log book available here: https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
Fill out the clinics log book available here: https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
Clinical activity: Acute unselected take
This is something new and usually registrars are expected to do it. You just have to fill the logbook available here: https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
This is something new and usually registrars are expected to do it. You just have to fill the logbook available here: https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
Also, remember to reflect upon cases and send ACATs, CBDs to your senior colleagues regularly so that your supervisor can verify the logs you have put in.
This should be easy as we do a lot of on calls as trainee SHOs.
Clinical activity: Continuing ward care of patients admitted with acute medical problems
As SHOs we do it on a daily basis. Just reflect upon such cases in your portfolio and fill the logbook available here: https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019.
Critical care:
You will be rotated into ITU in IMT year 3 which is an excellent opportunity to learn skills like intubation, sedation, USS guided cannulas, arterial line insertion, central line insertions and managing the sickest patients in the hospital.
You will be rotated into ITU in IMT year 3 which is an excellent opportunity to learn skills like intubation, sedation, USS guided cannulas, arterial line insertion, central line insertions and managing the sickest patients in the hospital.
Geriatric medicine:
You will rotated in elderly medicine at some point in your IMT training and hence, you can meet the requirements which are:
At least one MCR to be completed by geriatrician during IM Stage 1
You will rotated in elderly medicine at some point in your IMT training and hence, you can meet the requirements which are:
At least one MCR to be completed by geriatrician during IM Stage 1
Simulation:
As IMT trainees, you will have simulation based training. This includes:
1. Simulation based procedures like NGT, LP, Chest drains, etc.
As IMT trainees, you will have simulation based training. This includes:
1. Simulation based procedures like NGT, LP, Chest drains, etc.
2. Assessment of the deteriorating patient
Teaching attendance:
As a trainee SHO you have the following teaching:
1. Mandatory generic teaching days which are deanery based. They are held in various cities in that deanery - all of which are an hours drive from one another. There were 9-10 such days each year of core medical training. A trainee MUST attend these and there is a mandatory attendance percentage a trainee is supposed to meet ( it was 80-90% attendance in CMT). Hence, make sure that as soon as you get your mandatory training teaching dates, you MUST inform the rota team ASAP and send a study leave form to them so that it is mentioned on the rota. As a trainee, you can claim for travel expenses
As a trainee SHO you have the following teaching:
1. Mandatory generic teaching days which are deanery based. They are held in various cities in that deanery - all of which are an hours drive from one another. There were 9-10 such days each year of core medical training. A trainee MUST attend these and there is a mandatory attendance percentage a trainee is supposed to meet ( it was 80-90% attendance in CMT). Hence, make sure that as soon as you get your mandatory training teaching dates, you MUST inform the rota team ASAP and send a study leave form to them so that it is mentioned on the rota. As a trainee, you can claim for travel expenses
2. Local trainee SHO teaching:
This is once a week in the hospital for an hour. This too, is mandatory however if you are busy on the ward or on call then it may be difficult to attend. If you are struggling to attend these then you must inform your supervisor who can then discuss this with the rota team to ensure you get an hour off to attend the teaching session.
This is once a week in the hospital for an hour. This too, is mandatory however if you are busy on the ward or on call then it may be difficult to attend. If you are struggling to attend these then you must inform your supervisor who can then discuss this with the rota team to ensure you get an hour off to attend the teaching session.
3. Weekly departmental teaching, grand rounds, clinical governance meetings are other useful teachings a SHO can attend.
Remember to reflect on these teaching sessions as well in your portfolio.
Practical procedural skills
I am making a separate blog on this and will post a link of it here in a few days.
Ensure that you fill the procedures section of the logbook here:
https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
Please note that this blog post just covers the curriculum. You need some additional things for your ARCP like Form R, teaching day certificates, etc.
I am going to be actively involved in supporting IMT trainees in York and Humber Deanery. If you have any queries, please let me know and you can contact me via Facebook messenger:
https://www.facebook.com/omar.ay.37
I am starting as a ST3 registrar in Acute Internal Medicine in Scarborough from August, 2019 and if you need any one to one guidance face to face, I am happy to meet you in person as well.
I am making a separate blog on this and will post a link of it here in a few days.
Ensure that you fill the procedures section of the logbook here:
https://www.jrcptb.org.uk/documents/imt-acute-take-calculator-and-log-clinics-and-procedures-2019
Please note that this blog post just covers the curriculum. You need some additional things for your ARCP like Form R, teaching day certificates, etc.
I am going to be actively involved in supporting IMT trainees in York and Humber Deanery. If you have any queries, please let me know and you can contact me via Facebook messenger:
https://www.facebook.com/omar.ay.37
I am starting as a ST3 registrar in Acute Internal Medicine in Scarborough from August, 2019 and if you need any one to one guidance face to face, I am happy to meet you in person as well.
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